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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Theresa

Question: I have severe diffuse hair loss every May through October. This has been happening my entire life. I am now 66 year old female. I live in Northeast United States. I do have hayfever. Do you think I am allergic to pollen which is causing my hair loss? If so can you recommend a treatment? Thanks so much!

Hay Fever allergies sneeze cold ill hayfeverAnswer: Hi, Theresa. The period of time you mention is too long for seasonal shedding to be a suspect and there is a hair loss condition which has been linked to hay fever and dust mite allergies – Alopecia Areata – but this is an autoimmune disease which presents as rounded bald patches on the scalp.

We have never heard of hay fever causing hair loss from any other condition before, however, if your reaction to pollen causes extreme symptoms – such as if you are asthmatic and it aggravates your asthma – whilst there is still quite an outside chance of being the culprit, it is certainly technically possible. We cannot tell you if you are allergic to pollen but if you are experiencing acute health issues as a result of hay fever – or suspected hay fever – it is best to consult your doctor as, in some cases, steroids or immunotherapy can be prescribed, rather than just over-the-counter anti-histamines.

If your allergic reaction is sufficiently severe as to cause an upset to your system, it could result in the body temporarily diverting attention away from non-critical functions, including the hair growth cycle, in order to better protect the vital organs. This can then shunt hairs from the actively growing Anagen phase, to the resting Telogen phase, resulting in hairloss from all over the scalp roughly three months after being triggered.

Given the natural timeline of the hair growth process, it can take around three months for hair fall to become noticeable, though when it does, it can affect up to 50 per cent of the scalp. When this lasts for up to six months it is known as Telogen Effluvium; when it lasts for longer, it is called Diffuse Thinning, otherwise known as Chronic Telogen Effluvium. Both conditions are temporary and, whilst hair regrowth should occur naturally once the trigger issue has been resolved, hair loss treatment is also available to help accelerate this.

It may be worth looking at any potential issues or scenarios you go through every year in or from January/February to see if there are any other triggers you could identify. It is a very remote possibility that hay fever is causing your thinning hair so it’s worth considering other more likely possibilities. Some of the most common issues which can bring about Telogen Effluvium in its mild or chronic forms include stress – both emotional and physical, illness, a side effect of medication, and nutritional deficiencies or other dietary imbalances.

We cannot diagnose your hair loss condition for certain just from the information provided here so we would recommend having a personal assessment using the Online Consultation form here on our website. It allows you to upload photos and, once completed, will be sent to one of Belgravia’s hair specialists who will contact you with information about their findings and their advice for treatment, where appropriate.


circ - womens hair loss treatment belgravia centre hair vitalics hair growth supplements for womenThe Belgravia Centre

The Belgravia Centre is the leader in hair loss treatment in the UK, with two clinics based in Central London. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the UK or the rest of the world. View our Hair Loss Success Stories, which are the largest collection of such success stories in the world and demonstrate the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time for our hair loss helpline or to arrange a free consultation.


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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Georgi

Question: Hi there, I’m 27 years old, none of my parents , grandparents etc have any hair issues. My grandmother is 78 without a single white hair. I’ve noticed a hair thinning recently and it was getting worse and worse. I’m now using minoxidil twice a day and after 2 weeks I noticed even more shredding. I have been under stress for the past year and I do think this can be one of the reasons that I’m losing hair. My question is how long does it take the shredding from the minoxidil to stop and for results to come back. Another question is, I spoke with my GP and he thinks my hair will come back when I’m not under that much stress and if I’m eating healthy. Can this be the case also? Can i expect my hair to come back naturally?

Stress ballAnswer: Hi Georgi, stress can absolutely cause shedding, either by leading to temporary hair loss conditions, triggering the early onset of genetic shedding where there is an underlying predisposition, or by exacerbating existing hereditary conditions. Minoxidil hair shedding varies from person to person but try not to worry as this is often a good sign. You should find it lasts no more than four weeks but as you are not a Belgravia patient you should ask your treatment provider for more specific, personalised advice if you have any concerns.

Temporary hair thinning caused solely by stress tends to affect the whole scalp pretty evenly, so if you are losing hair from all over your scalp this should rectify itself naturally within 6-12 months depending on the condition – Telogen Effluvium (up to six months) or Chronic Telogen Effluvium (more than six months). Treatment, often involving specific formulations of topical medication and backed up with additional non-pharmaceutical supporting products, such as Hair Vitalics food supplements, is also available in these instances which you can use until normal hair growth has been restored.

If the hair loss is hereditary it will only affect the top of the scalp and hairline areas. In this case it is permanent but there are treatment options to help manage the condition. Although you mention no hair issues in your family, it is still possible to be a carrier of the genetic makeup found in Male and Female Pattern Baldness, it may simply remain dormant unless triggered.

It is also possible to have both temporary and permanent hair loss conditions simultaneously. This can often present as diffuse thinning over the whole scalp but with the vertex (top), temporal and frontal areas being worse affected.

As there are so many variables when it comes to thinning hair we would recommend having a professional consultation, either in person or online, in order to establish a confirmed diagnosis. From there, where appropriate, you can be provided with personalised hair loss treatment recommendations based on the findings.


The Belgravia Centre Hair Loss Clinic - Hair Loss Specialist ConsultationThe Belgravia Centre

The Belgravia Centre is the leader in hair loss treatment in the UK, with two clinics based in Central London. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the UK or the rest of the world. View our Hair Loss Success Stories, which are the largest collection of such success stories in the world and demonstrate the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time for our hair loss helpline or to arrange a free consultation.


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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Cami

Question: I have long hair which used to be very healthy and thick but now I have hair thinning and it is not as full as it was before. I was so embarrassed I started wearing hair extensions but now people are so used to seeing me with them in and don’t know that I wear them, that I want to start treatment to grow my hair back but I don’t want to take the extensions out otherwise everyone will know. What can I do? Can I use treatment with my extensions in? I want to grow my natural hair but am too embarrassed to take the extensions out.

hair extensions tape inAnswer: Hi, Cami. From what you say here, it is likely there are potentially two issues which need to be addressed in relation to your hair loss. The first being your hair thinning, the second being your use of extensions.

If your hair is thinning, you need to work out whereabouts it is shedding from; if it is the top of your scalp – anywhere between the crown and hairline/temporal regions – it is likely to be genetic, Female Pattern Hair Loss. This only affects this area and causes gradually thinning hair. If you have diffuse thinning from all over the scalp, this is likely to be a temporary hair loss condition, most probably Telogen Effluvium or Chronic Telogen Effluvium. These tend to be brought on by stress or issues which place strain on your body – for instance underlying illnesses, dietary imbalances or health problems – and can appear to come on quite suddenly, but actually take around three months from being triggered to produce hair fall.

We recommend having a professional consultation either in person or online so you can obtain a precise diagnosis of your condition as this is required before you can start any kind of hair loss treatment course.

When it comes to the hair extensions, these can cause hairloss in the shape of a receding hairline as well as at the points where they are fixed, not to mention additional hair breakage. Even though it may not seem like much, the extra weight they add to your natural hair, especially for longer wefts, can strain the hair follicles, damaging them and leading to hair loss from a condition known as Traction Alopecia. In severe cases, this fully-preventable condition can lead to permanent baldness in the affected areas.

We understand how people can become accustomed to the extra volume they provide but if you want to regrow your hair, we would certainly recommend taking the extensions out. If you really cannot face wearing your hair naturally even, perhaps, with a new haircut – a good hairdresser will be able to advise on a flattering cut to make the most of your natural hair which may boost your confidence too – then temporary options, used sparingly, are best. Try clip-in extensions that you can remove every day and only wear them when you really feel like you have to.

Alternatively, a lace-front wig may be less damaging on a temporary basis, and – again – can be worn only when you feel you need that appearance of extra volume, and removed every evening. We would highly recommend not wearing any of these, or weaning yourself off them gradually in order to rest the follicles and get the most from any treatment you may decide to try.


CIRC Hair Vitalics for Women hair growth supplements Belgravia Centre womens hair loss treatmentThe Belgravia Centre

The Belgravia Centre is the leader in hair loss treatment in the UK, with two clinics based in Central London. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the UK or the rest of the world. View our Hair Loss Success Stories, which are the largest collection of such success stories in the world and demonstrate the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time for our hair loss helpline or to arrange a free consultation.


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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Yanna

Question: Hello, I am a woman of 34 years old.  For several months, I noticed a hair loss in the frontal and temporal area. I went to several dermatologists because I am afraid to have fibrotic frontal alopecia. I notice that I have a lot of transparent hair of 1 or 2 mm between the black hair. but I wanted to know if in fibrosing alopecia, there are these little white hairs, down with some terminal hair? Thank you

Common womens hair loss conditions areas of the scalp affected thinning hair baldness women's Belgravia Centre

Areas of the scalp affected by specific women’s hair loss conditions

Answer: Hi, Yanna. We would need to conduct a proper consultation before we could diagnose the cause of your hair loss for sure, however, from what you say here it is highly unlikely that you have Frontal Fibrosing Alopecia (FFA).

The little white hairs you describe are known as vellus hairs and these, as well as terminal hairs, do not grow in the frontal region if you are experiencing FFA. This causes a completely smooth, bald band of hairloss around the frontal hairline, which is often a few inches wide and fairly easy to spot because of this.

If vellus and terminal hairs are present within the area that shedding is occurring, it is likely you have another hair loss condition. Finer hair growth represents miniaturisation or regrowth hence a full assessment would need to be undertaken in order to provide a confirmed diagnosis. However the most likely issue, based on your description, would seem to be Traction Alopecia or, potentially Female Pattern Hair Loss.

Traction Alopecia occurs when tight and/or weighty hairstyles are worn regularly, placing excessive strain on the hair follicles – especially around the frontal hairline and temple areas – which, in turn, results in hair fall. This is often temporary though if the damaging hairstyles – such as braids, high ponytails, taut buns or hair extensions – continue to be worn, it can become permanent. If this is the issue the first step to remedying it is to wear the hair down, naturally, in order to allow the follicles to recover. Traction Alopecia treatment is also available to help encourage hair growth in the affected areas by using a combination of products including a topical medication applied where needed.

The hereditary condition Female Pattern Baldness is permanent and comes on gradually, presenting as thinning hair anywhere along the top of the scalp, from the hairline and temples to the crown. This can cause a receding hairline in women as well as men, though in men it tends to be more well-defined, whereas in women it tends to be part of a general hair thinning in the area affected by genetic follicular miniaturisation. Although there is no cure yet, it is possible to manage the condition using a tailored Female Pattern Hair Loss Treatment course featuring suitable formulations of topical, clinically-proven medications.

Before you consider any treatment, however, it is of course crucial to first determine the precise condition you are experiencing so we recommend having a specialist consultation, either in-clinic or online.


Circle - The Belgravia Centre Hair Loss Clinic - Clinical Therapy TreatmentThe Belgravia Centre

The Belgravia Centre is the leader in hair loss treatment in the UK, with two clinics based in Central London. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the UK or the rest of the world. View our Hair Loss Success Stories, which are the largest collection of such success stories in the world and demonstrate the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time for our hair loss helpline or to arrange a free consultation.


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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Lisa

Question:  I was in a bad wreck 4 months ago and hit my head several times. The hospital told me that my scalp separated from the skull in places and I had huge knots come up all over my head ever since the wreck my hair has been coming out by the hand full is this normal and will it thicken back up?

Answer: Hi Lisa, we’re sorry to hear about your accident and hope you are healing well. We would need more information and ideally the opportunity to examine your scalp before we could provide a confirmed diagnosis. However, hair loss in the form of thinning hair from all over the scalp, is normal following a car crash – or any other traumatic event – especially when it occurs around three to four months after the incident.

This type of hair fall is known as Telogen Effluvium and you’ll be pleased to hear it is a temporary hair loss condition. It can be shocking to see up to 50 per cent of hairs which would otherwise have been actively growing, suddenly fall out, but it is just due to the stress of the trigger – in your case the wreck, which we are assuming was a car crash. Continues below…

stressed out headache upset hair

The reason for the delayed shedding is due to the natural timeline of the hair growth cycle. In cases of Telogen Effluvium, a blip in this function disrupts the normal order, prematurely pushing actively growing hairs into the resting phase which then shed a few months later before regular hair growth is resumed.

Assuming there is no other on-going physical or mental trauma which could cause the condition to become chronic, Telogen Effluvium normally lasts up to six months. If you are taking any medication, including certain painkillers, hairloss may also be caused as a side-effect but, again, this should rectify itself within six months too.

If you would like to look into accelerating the hair regrowth process, Telogen Effluvium treatment is available and involves the use of a topical medication. At Belgravia this is often paired with non-pharmaceutical supplementary booster products including the highly-targeted food supplement, Hair Vitalics for Women. This contains a blend of key vitamins, minerals, amino acids and botanical extracts, including selenium, zinc and biotin known to support healthy hair growth.

There is a possibility that you are experiencing Alopecia Areata – an autoimmune disorder which can be brought on by severe shock – that causes rounded bald patches anywhere on the scalp. Though people going through this usually mention bald spots or patches, rather than just intense hair fall.

Should you decide to look into the possibility of hair loss treatment, we would certainly advise you to work with your doctor and a professional hair loss specialist rather than going it alone with over-the-counter products. This is because there may be underlying issues and sensitivities that mean you should avoid certain hair loss products or treatment formulations, depending on the extent of your injuries and medical profile. Perhaps start with getting a personalised consultation where a diagnosis and treatment advice can be provided, before making any decisions as to how to proceed.


CIRC Hair Vitalics for Women hair growth supplements Belgravia Centre womens hair loss treatmentThe Belgravia Centre

The Belgravia Centre is the leader in hair loss treatment in the UK, with two clinics based in Central London. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the UK or the rest of the world. View our Hair Loss Success Stories, which are the largest collection of such success stories in the world and demonstrate the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time for our hair loss helpline or to arrange a free consultation.


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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Kaden

Question: Hey, my hair used to grow really fast last year and now all of a sudden it stopped growing fast I have been getting lack of sleep and I recently had a hair cut and so now I’m starting to come to conclusions that I have bad genetics and will bald real early and I don’t know if I had this receding hairline before the hair cut I rarely took pictures of me with my hairline revealed last time I took pictures with my hairline was 2016 but that’s two years ago and I’m pretty sure hair changes quickly throughout a whole year, if it’s lack of sleep that causes my hair not to grow back as fast as it used to please tell me so unless I really do have bad genetics that kicked in real fast in 2018 last year it wasn’t slow at all it was super fast like the other times. My hair is curly and thick and I heard if it’s thin then that’s a big sign you’re balding and I’m currently 16 turning 17 please help me understand what I need to do in order to get my hair back to growing fast because this isn’t normal for it to all of a sudden stop growing fast this year.

sleep sleeping teenage hair loss concernsAnswer: Hi, Kaden. You’re right that there are changes to the hair throughout the year – this is a phenomenon known as Seasonal Shedding. This happens to everyone, regardless of whether they have a hair loss condition or not, and causes periods of extra hair fall, but does not otherwise affect hair growth.

Hair grows an average of half an inch per month under normal circumstances.

Acute stress can sometimes affect the rate of hair growth temporarily and if you have been regularly missing out on a healthy amount of rest, this lack of sleep could be causing a strain on your body – a type of physical stress. There are also other lifestyle issues common among teenagers which can contribute to your system becoming stressed which you may not be aware of. These include a poor or unbalanced diet, smoking, and emotional stress.

Stress can also cause temporary hair loss from a condition called Telogen EffluviumThis takes around three months from being triggered to become noticeable and will generally clear up naturally within six months, though treatment is available for those wanting to help this process along.

You mention potentially having a receding hairline; changes to a man’s hairline during puberty are normal due to the hairline accommodating changes in face shape, such as the jaw becoming broader. This is more noticeable in some people than in others and is known as a maturing hairline which is not a sign of hair loss.

However, if the hair is not growing long over a significant period of time then the life-cycle of the hair must be – or have become – a lot shorter. This is the case with Male Pattern Baldness.

If you have the relevant genetic predisposition, this form of hereditary hairloss can start to present any time following puberty but it can also be treated topically from 16 years of age. There are two MHRA licensed and FDA approved male hair loss treatments available, and whilst the topical drug can be used in a variety of formulations from 16 years of age – once medical suitability has been determined – the oral medication, a DHT blocker, is only available to suitable men aged 18 years and older.

At Belgravia Male Pattern Baldness treatment courses tend to include appropriate clinically-proven drugs alongside non-pharmaceutical supporting products designed to enhance hair growth and scalp health. These include Hair Vitalics for Men, a premium one-a-day food supplement containing a unique blend of key vitamins, minerals, amino acids and botanical extracts, including selenium, zinc and biotin for healthy hair growth. Also home-use LLLT devices such as the HairMax LaserBands can provide a convenient way to stimulate the hair follicles to maximise your hair’s potential.

Firstly, before any treatment is considered, it is important to understand exactly why your hair is shedding. We recommend having a consultation with a hair loss specialist as your first step as you may find that there is nothing wrong other than the changing of the seasons! This can take place either in person at one of Belgravia’s City of London or Central London hair loss clinics, or if it is easier due to your location, you can have an online consultation using the form on our website. This allows you to upload photos and one of our experts will come back to you with a diagnosis and, where appropriate, personalised treatment recommendations.


The Belgravia Centre Hair Loss ClinicThe Belgravia Centre

The Belgravia Centre is the leader in hair loss treatment in the UK, with two clinics based in Central London. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the UK or the rest of the world. View our Hair Loss Success Stories, which are the largest collection of such success stories in the world and demonstrate the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time for our hair loss helpline or to arrange a free consultation.


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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Young man men's thinning hair lossName: Shayne

Question: Hi im a male and am 20 years old. My father is not bald but my mothers father was, I am underweight and do take quite a bit of stress, I have noticed that my hair is thinning, the left side of my head has a little bit thinner hair than my right, my head usually also has dandruff and is dry no matter how much I try shampoos, would this be considered male pattern baldness or is it due to stress or health, and if this is genetic is it possible to reverse it and stop it from happening in my lifetime since I have heard there is no cure?

Answer: Hi, Shayne. We cannot diagnose the cause of your hair loss solely on this information so we would definitely recommend having a consultation with a specialist.

If you are stressed and underweight there may issues at play which are contribute to your thinning hair, either instead of or as well as genetic hair loss. In addition to the emotional stress you mention, if you are severely underweight or have any significant health issues, including nutritional imbalances, which are causing this, this can place a strain on your body, which is classed as a form of physical stress.

When people encounter stress, it can weaken our body’s natural defences and – though stress does not in itself cause dandruff – it may occur due to an inability to deal with scalp irritation. Stress also has a drying effect on the body as a whole and may make dandruff worse, so it is certainly worth looking at what is causing any underlying physical and emotional stresses and dealing with them appropriately.

In cases of persistent dandruff a medicated treatment shampoo is often an effective way to deal with this problem – just follow the instructions and if you are only meant to use it a few times a week, it is fine to use a gentle shampoo suitable for daily hair washing on the other days. Avoid haircare products containing harsh chemicals which may strip the hair and leave it feeling dry and potentially brittle.

Stress has many links to hair shedding, from causing temporary hair loss conditions which can affect the entire scalp (Telogen Effluvium and Diffuse Thinning) to accelerating the onset of underlying Male Pattern Baldness (MPB) in genetically-predisposed men, or exacerbating the condition in those where it is already active. This hereditary condition – which can be passed on from both sides of the family – only affects the area along top of the scalp, from hairline to crown inclusive.

Furthermore, it is possible to have a temporary form of stress-related hair loss alongside MPB which is both permanent and progressive. If, upon professional diagnosis, it turns out that you do have Male Pattern Baldness then, although there is no cure, there are clinically-proven men’s hair loss treatments available to help you manage this condition.

There are two key MHRA licensed and FDA approved hair loss medications – one topical, one oral – which can be used to assist in the stabilisation of shedding, promotion of hair regrowth and future hair loss prevention. At Belgravia we use various formulations from our in-clinic pharmacies, alongside non-medicinal supplementary booster products, such as the exclusive food supplement Hair Vitalics for Men which contains a range of key vitamins, minerals, amino acids and botanicals including selenium, biotin and zinc for healthy hair growth.

If your condition turns out to be temporary, it may resolve naturally once the underlying trigger has been successfully handled. If not, or if there is a temporary hair loss condition existing simultaneously alongside Male Pattern Hair Loss, a treatment course which can address both concerns can be tailored to your needs.


The Belgravia Centre Hair Loss ClinicThe Belgravia Centre

The Belgravia Centre is the leader in hair loss treatment in the UK, with two clinics based in Central London. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the UK or the rest of the world. View our Hair Loss Success Stories, which are the largest collection of such success stories in the world and demonstrate the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time for our hair loss helpline or to arrange a free consultation.


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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Jacob

Question: I am 18 and noticed a lot of hair falling out, mostly in the front. It has continued for about a week and seems like my hair is thinning out. It falls out when I wash it, touch it, and sometimes when I am walking around. I feel healthy and don’t believe I have been very stressed but I did have the flu almost 3 months ago. I was wondering what could be causing this and when it will get better

cold flu illness sick unwell healthAnswer: Hi, Jacob. If you were ill around three months ago, this may well be a case of your hair loss.

Although you may not have experienced any emotional stress – the feeling of being anxious or stressed out – an illness, such as a bad flu, can place a strain on the body. This is a kind of physical stress as the body seeks to fight off the infection and protect the organs involved in critical functions, such as the heart and lungs. In doing so, other less vital functions – such as the hair growth cycle – can be temporarily neglected.

This can lead to something called Telogen Effluvium which is a temporary hairloss condition. It causes an increase in hair shedding from all over the scalp around three months after it has been triggered and can affect up to 50 per cent of head-hair.  The result can seem intense and sudden when in actual fact it was triggered months – usually three though it can be slightly more or less – in advance when the strain caused a blip in the growth cycle. All this involves is the hairs which were actively growing being pushed prematurely into the resting (Telogen) phase, creating extra hair fall. Once the underlying issue has gone or been remedied, and the body returns to normal, so too should hair regrowth.

It tends to last for no more than six months; as such, your hair should start to regrow naturally again soon. However, if you are concerned and would like a personal assessment from a Belgravia specialist in order to confirm this diagnosis to put your mind at rest, or if you would like to look into Telogen Effluvium treatment, please do contact us to arrange a trichocheck consultation. This can take place either in person at one of our City of London or Central London hair loss clinics, or via this website where you can submit photos of your scalp using our Online Consultation form.


The Belgravia Centre Hair Loss ClinicThe Belgravia Centre

The Belgravia Centre is the leader in hair loss treatment in the UK, with two clinics based in Central London. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the UK or the rest of the world. View our Hair Loss Success Stories, which are the largest collection of such success stories in the world and demonstrate the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time for our hair loss helpline or to arrange a free consultation.


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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Kristine

Question:  Hi, I’m a 46 year old woman, premenopausal, and have experienced generalized hair thinning over the past couple of years, but it’s particularly noticeable at the front hairline and temples. I can see from photos that my hairline has receded about a cm or so and it looks very thin there. I’ve been on iron supplementation for over a year as my ferritin was down to 4 – it has picked up but was still in the 20s when last checked – and have been using minoxidil (regaine 5%) for nearly a year, as my GP thought it could be either androgenic alopecia / iron deficiency / a mix of both.

My hair has thickened quite a bit since then and looks better overall, except at the hairline which has continued to recede. I have miniaturized hair in this area too, with lots of little hairs that don’t seem to grow any longer or thicker. It does look like a balding man’s hair at the front. Do you think this is more likely to be androgenic alopecia than frontal fibrosing alopecia? I’ve read about FFA online but my GP never mentioned it. Do you get miniaturized hairs in this condition, or do the hairs at the front just drop out? I was convinced it was hormonal hair loss, just more in a male pattern, but have been confused since I read about FFA.

I’ve not noticed any redness around the hairline and the hair has not receded in a particularly band-like pattern. It started at the right side and then the left side seemed to thin and catch up. Traction alopecia isn’t a possibility as I’ve hardly ever worn my hair fastened back and have never used extensions or anything else that pulls on the hair.

Answer: Hi, Kristine. The type of hair loss you are describing here does sound consistent with a diagnosis of Female Pattern Baldness (androgenic alopecia).

The hair does often start to become naturally thinner as we age due to decreased collagen, among other factors. Thinning hair can be attributed to side effects of both peri-menopause and actual menopause, due to decreasing oestrogen levels. In these cases, however, the whole scalp tends to be affected fairly evenly. Whereas there are three key hair loss conditions which affect the hairline specifically. You have already ruled out any possibility of Traction Alopecia – a common cause of frontal hairloss of the type you describe – which leaves FFA or Female Pattern Hair Loss.

If it were Frontal Fibrosing Alopecia you would have a smooth band of skin visible around your frontal hairline which would be noticeably paler in colour than the rest of your skin.  This band tends to be a few inches wide and is often obvious from its visual symptoms alone. Follicular miniaturisation does not occur as this condition is a form of scarring caused by inflammation. As you mention the hair has not receded in a band-like pattern, and have not noted any change in the colour of your skin, this does certainly sound like genetic hair loss. A recession of a centimetre does not sound uncommon, especially if there are vellus hairs in the area.

What you may not know is that it is possible for women to have Male Pattern Baldness – or so to speak. Basically, although androgenetic and androgenic alopecia both only affect the top of the head, from crown to hairline, each displays in a different pattern.

Male Pattern Baldness tends to result in defined areas of shedding, such as a thinning crown or a receding hairline, and these points may join up to form a balding vertex. Meanwhile, Female Pattern Hair Loss usually causes diffusely thinning hair in the whole of the affected area (the vertex). However, in some cases it is possible for men to exhibit patterns of hair loss akin to those seen in Female Pattern Baldness, and vice versa. Therefore, it may simply be that you are experiencing pattern hair loss in a different way to how you may have expected it. It is nothing to worry about whatsoever.

The rate at which shedding occurs in women with androgenic alopecia can be influenced by a number of factors, including underlying nutritional issues – often including low iron, B12 or ferritin levels – or illnesses, as well as stress – physical or emotional, including (ironically) worrying about your hair loss. These may take three months to become noticeable. If there are any factors putting strain on your body, it is likely that your rate of hair fall will be higher than normal and your hair growth cycle may be affected, therefore affecting regrowth potential.

It is for this reason that we always recommend women visiting Belgravia for the first time have their GP carry out a number of specific blood tests prior to their trichocheck. These include a full blood count, ferritin, zinc and thyroid hormone checks.

Furthermore, when it comes to women’s hair loss treatment, there are a number of different minoxidil formulations and strengths available – it is worth noting that this is a dose-dependent drug. There are also additional non-pharmaceutical hair growth supporting products to stimulate follicles and encourage healthy hair growth, available. So, in order to ensure you are using the optimum products for your specific level and pattern of shedding, we would recommend having a consultation with a specialist. They can provide you with free hair loss advice regarding your condition and appropriate courses of personalised hair loss solutions, even if you use this as a second opinion in order to help put your mind at rest about your current plan of action.


CIRC Hair Vitalics for Women hair growth supplements Belgravia Centre womens hair loss treatmentThe Belgravia Centre

The Belgravia Centre is the leader in hair loss treatment in the UK, with two clinics based in Central London. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the UK or the rest of the world. View our Hair Loss Success Stories, which are the largest collection of such success stories in the world and demonstrate the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time for our hair loss helpline or to arrange a free consultation.


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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Arshiya

Question: I’m using topical hair loss treatment 2% from a week and I know from here and my dermatologist to use this for 3 months at least to see fine results… so actually my question is can I use a hair dryer to dry my hair after every wash? and can I put my hair in a bun all day long? I have heard that these two can make our hair fall faster..

bun tight hairstyles cause hair loss traction alopeciaAnswer: Hi, Arshiya. As you are not a Belgravia client, your dermatologist should provide any specific advice relating to your personal condition. However, we can give you general advice regarding these hair loss queries which we hope will be helpful.

Even when using topical hair loss treatment it is fine to use a hairdryer, but only to dry your hair before you apply the solution. This should always be applied to a dry scalp and the hairdryer must not be used after application as the heat may cause the medication to evaporate rather than be absorbed into the scalp.

A top haircare tip for when drying your hair is to ensure you use a suitable heat setting; the hair should not be subjected to temperatures higher than 185 degrees Celsius. Researchers have found that hair can not only become brittle and dry when regularly subjected to high heat, but hair can actually melt.

In terms of wearing your hair in a bun all day, it depends on a number of factors but we wouldn’t recommend wearing the same tight hairstyle every day, especially if you are already concerned about thinning hair.

Pulling the hair up into styles which are tightly secured, such as buns and high ponytails, place additional strain on the hair follicles. When repeated regularly, this can weaken the follicles – leading to hairloss, with receding around the hairline and temples, from a condition called Traction Alopecia, as well as damaged hair that snaps – an issue known as hair breakage – at the points where the style is fixed. This can make the hair look dull, frizzy and thin.

Ideally you should switch your hairstyle up every few days – or more regularly if you prefer – in order to allow the follicles to rest, hopefully preventing hair loss related to your hair-styling choices from happening. Try to wear the hair down, alternatively sweep it back with a headband or tie it loosely in a low ponytail or plait if you are looking for kinder styles which still keep your hair out of your face.

If you do encounter hair breakage, using nourishing, strengthening haircare products at home can help, as can having your hair cut to chop off any split ends. Ensuring a good supply of nutrients via your diet and – if helpful – topping up via a dedicated hair growth supplement, such as Hair Vitalics for Women, may also prove beneficial. Traction Alopecia treatment is available but, given the condition is fully preventable, should not be necessary in your case as long as you are mindful of the advice provided.


The Belgravia CentreThe Belgravia Centre

The Belgravia Centre is the leader in hair loss treatment in the UK, with two clinics based in Central London. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the UK or the rest of the world. View our Hair Loss Success Stories, which are the largest collection of such success stories in the world and demonstrate the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time for our hair loss helpline or to arrange a free consultation.


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