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

Name: Judith

Question: I’m worried and need some advice. My hair is thinning with especially noticeable hair loss near my temples. Is there anything I can do to make my hair thicker?

Answer: Hi, Judith. There are various potential reasons for thinning hair in women so we would advise you to have an individual consultation – either in person or online – in order to obtain a confirmed diagnosis.

Obviously the appropriate hair loss treatment will be decided once the cause has been established.

The following information regarding causes of hair loss which have symptoms the most consistent with those you describe may be helpful in the meantime, however.

Types of Womens Hair Loss - Areas of Scalp Affected by Temporary and Permanent HairLoss Conditions

Female Pattern Hair Loss – this is the diagnosis that most accurately fits the details you have given regarding your shedding. It is an extremely common permanent, genetic women’s hair loss condition – not to mention one that can be effectively managed with clinically-proven treatments.

This causes thinning hair at the top of the scalp, from hairline and temples to crown, and a general drop in hair density. Symptoms women notice first tend to include decreased volume, thinning at the temples and their parting becoming wider.

A topical hair loss solution known as high strength minoxidil is both MHRA-licensed and FDA-approved for the treatment of Female Pattern Hair Loss. This stimulates localised hair growth and can be used in conjunction with various hair growth supporting products.

These include the FDA-cleared LaserBands which use targeted low-level laser therapy to promote regrowth and stronger hair at home, and Hair Vitalics for Women – specially-formulated food supplements containing key vitamins, minerals, amino acids and botanical extracts such as biotin, zinc and selenium to promote the maintenance of normal healthy hair growth.

Telogen Effluvium – this is a temporary condition which causes intensely thinning hair from all over the scalp. The hair fall generally becomes noticeable around three months after being triggered and can affect up to 30 per cent of a person’s scalp hair at once.

Some issues that can spark this problem include nutritional deficiencies, emotional or physical stress, an underlying medical condition or side effects from prescription medication.

This temporary hair loss can last up to six months, with hair growth returning to normal naturally once the underlying issue has been addressed though, Telogen Effluvium treatment is also available to help speed this process along.

Telogen Effluvium may trigger the premature onset of Female Pattern Hair Loss in those with the relevant genetic predisposition, or exacerbate the condition if it is already present, as both issues can occur simultaneously. Where this is the case, both conditions can also be treated at once.

There are a range of temporary, cosmetic hair loss concealer products, such as microscopic fibres and coloured hair sprays that are used to make hair look thicker by colouring in the scalp so it is less obvious.

These are applied at least once daily and may be used to fake fuller hair in the meantime but they will not stop hair loss or treat thinning hair so the underlying problem will not be addressed, which is problematic in the case of Female Pattern Baldness as this condition gets gradually worse over time.

As before, the first step to treating hair loss is to identify the cause so we recommend having a consultation as your next move.


Circ - Belgravia Centre Hair Loss Clinics LondonThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. 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 world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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

Name: Scott

Question: I’ve been losing hair around my hairline I think it might be MPB but is it still have MPB if you don’t have a bald spot at the back? My crown is fine, it’s just my hairline that’s receding.

Answer: Hi, Scott. Yes, it is absolutely possible for Male Pattern Baldness (MPB) to present in this way.

If you have a receding hairline but not a thinning crown, it may be the case that your crown and vertex – the top of the scalp – are taking longer to show the effects of follicular miniaturisation.

Male Pattern Hair Loss is a permanent, progressive genetic condition whereby follicles located across the entire vertex – from hairline and temples to crown – are gradually ravaged by the effects of the hormone DHT, the shedding in these affected areas may not all happen simultaneously.

It is quite normal to develop frontal hairloss without having a thinning crown as well – or vice versa – as well as an overall drop in the volume of your hair. Furthermore, it is likely that, without intervention, over time you may also develop thinning hair on top.

Eventually this can lead to baldness if nature is left to take its course, though the rate at which this happens varies from person to person and there are many factors, both genetic and lifestyle-related, which can influence this. Continues below…

Male Pattern Baldness hair loss treatment regrowth Belgravia Centre clinic success stories
Click to View Belgravia Male Pattern Hair Loss Treatment Success Stories (Results May Vary and are Not Guaranteed)

There are clinically-proven hair loss solutions for Male Pattern Baldness, with two MHRA-licensed and FDA-approved medications available. One is topical high strength minoxidil – this can be particularly useful when treating a receding hairline. This is because the other option, a one-a-day tablet – finasteride 1mg – has been shown to inhibit the formation of DHT but its’ effects on regrowing hair on the hairline specifically have not been formally established.

Generally male hair loss treatment courses are built around a core of one or both of these authorised medications in the appropriate formulations for each individual’s needs and suitability. Additional hair growth supporting products can be used too, including FDA-cleared home-use low level laser therapy devices to promote hair regrowth and assist in preventing hair loss, and highly-targeted food supplements such as Hair Vitalics for Men.

Another potential reason you may have a receding hairline without any other signs of hair loss concerns your choice of hairstyle.

Whilst often primarily thought of as something that only affects women, there are various men’s hairstyles that can also cause hair loss if worn regularly. These are any tight styles that place undue stress and tension on the hair follicles, such as braids, cornrows, man buns and plaited dreadlocks.

These, when worn frequently, can stress and weaken the hair follicles around the source of the tension and particularly around the hairline and temples, resulting in hair loss from a condition known as Traction Alopecia.

If the hair loss is not so extreme that the skin has taken on a smooth, shiny bald look, Traction Alopecia treatment can be possible.

A consultation with a dedicated hair loss specialist may be best to help you determine the precise cause of your receding, and to give you tailored suggestions for treatments if required.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. 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 world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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

Name: Miriam

Question: I’m about to start being treated with herceptin – does this cause hair loss?

Answer: Hi, Miriam. As you probably know, Herceptin is the brand name for chemotherapy drug, trastuzumab.

It is commonly used by the NHS for the treatment of certain forms of breast cancer, oesophageal cancer and stomach cancer.

Cancer charity ribbon

There are no reported adverse events relating to hair loss of any kind associated with Herceptin / trastuzumab; you will be able to see the relevant potential side effects on the patient information leaflet for this medication which you can ask your oncologist for if they do not already provide you with a copy.

Herceptin is often used in conjunction with other drugs, therefore, you will need to explore the relevant patient information leaflets for these too – or ask your oncologist – to establish any potential Anagen Effluvium hair loss risks, including interactions with any other medications you may already be taking.

If hair loss during chemotherapy becomes a concern, you could investigate the possibility of cold cap therapy administered via a helmet-like scalp cooling system worn during chemo. This chills the scalp to such low temperatures that the chemo drugs are deterred from reaching, and destroying, the follicles, thereby preventing hair loss.

As having cancer is obviously incredibly distressing emotionally, and can also take its toll physically, there is the chance of stress-related hair loss happening.

This is a temporary condition called Telogen Effluvium where it lasts up to six months, and Chronic Telogen Effluvium – or Diffuse Thinning – when it lasts for at least six months.

It causes hair fall from all over the scalp, leaving thinning hair that first presents up to three months after having been triggered but usually grows back naturally.

The shedding can be intense but this is normal; up to 30 per cent of scalp hair – sometimes more – can be affected at the same time, which can be worrying to see when it falls out. However, normal hair growth should resume in due course.

For those who are not undergoing chemo Telogen Effluvium treatment may be a consideration, however, for anyone who has completed their chemotherapy course, a letter from their oncologist confirming they are suitable for hair loss treatment would be required by any Belgravia patients.

If you have any concerns regarding hairloss from your cancer treatment we advise you to speak to your doctor and/or oncologist about this as they will be able to give you a more personalised response based on your medical profile.

We wish you the very best of luck with your chemo and if you have any further general queries, please do let us know.


The Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. 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 world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

Related Stories


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

Name: Max

Question: : Hello, I did a hair relaxer about 6 months ago and my scalp was severely burned (blisters formed with oozing). I began to notice hair loss at the vertex of my scalp as well as in my hairline and it has been rapidly thinning. Could this be due to the relaxer or is this more male pattern baldness? Both of my parents have a full head of hair but my maternal uncles/grandfather are bald. I am currently on propecia and minoxidil (it’s been 1.5 months and have not seen much results yet).

Male Hair Loss Relaxer Damaged Hair Chemical Trauma from relaxing Afro hair

Answer: Hi, Max. As your scalp was affected by this unpleasant reaction to the relaxer, it could lead to hair loss.

Chemical Trauma hair loss – the name for shedding caused by burns from a relaxing solution, as well as those caused by perming solutions and bleach – can present anywhere across the scalp, depending on the reaction you had.

If the chemical burn caused by your hair relaxer was severe, it may also leave scars across the scalp. In this instance, the burnt areas are unlikely to fully regrow hair and may result in areas of permanent baldness where the follicles have been destroyed. When this happens it is known as Cicatricial Alopecia or ‘scarring hair loss’.

Additionally, you may be experiencing hair breakage from over-processing. This is where weakened hair snaps along the shaft; it is separate to hair loss as it does not affect the follicle. It gives the hair a thin, frazzled look but can usually be dealt with via a haircut – to get rid of the damaged hair – and a course of suitable nourishing, strengthening conditioning treatments.

The signs of hair loss you mention – a thinning crown, vertex (along the top of the scalp) and receding hairline – are all symptomatic of Male Pattern Baldness, too.

If your doctor prescribed you oral finasteride 1mg (Propecia being one of the brand names for this drug), they must have already diagnosed you with Male Pattern Hair Loss as this medication is one of only two treatments – the other being high strength minoxidil – that are clinically-proven for this condition. Neither finasteride 1mg nor minoxidil are used for chemical burns or damaged hair from over-processing.

With regards to not seeing results from hair loss treatment yet, as you have only been using your products for one and a half months, this is normal. Although the timeline varies for everyone – with factors such as how advanced the hair loss was when treatment was started and whether the treatments are used properly and diligently, playing a part – it is usual to see some results from hair loss treatment within the first three-to-six months. This can range from stabilisation of shedding through to thicker, fuller hair and noticeable hair regrowth.

If you have had mild Male Pattern Hair Loss for a while, it is possible that the damage from the relaxer made this thinning more obvious in the last few months. Furthermore, it is entirely possible for both Male Pattern Baldness and Chemical Trauma, Cicatricial Alopecia and/or Hair Breakage to be present simultaneously.

As you can see, there are many variables here so we cannot give you a definitive answer without examining your scalp. I recommend you to visit a dermatologist or hair loss specialist for a consultation to determine the precise diagnosis – or diagnoses – and provide suitable treatment recommendations based on their findings and your medical profile.


The Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. 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 world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

Related Stories


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

Name: Troy

Question: I’ve been using Regaine for years but just the bottle I’m currently using is a year out of date. These things seem to last for ages so that’s not that long right? Does that mean it’s still ok to use? I noticed more hair loss in the past couple of months so could that be the reason? It normally works well for me. I’m 23 btw with general MPB, no fin. Thanks.

Answer: Hi, Troy. No medication should be used if it is past its use-by or expiry date; this includes Regaine and any other hair loss treatment.

With specific regard to high strength minoxidil, the main reasons for not using this treatment when it is ‘out of date’ are:

  • a higher risk of side effects (such as skin irritation)
  • a lower chance of the drug being effective (after the expiry date the solution is likely to become increasingly weaker over time, so it may not work as well)
  • an increased risk of hair fall resuming (if the solution is weaker than it should be, its effects may be less effective – or even completely ineffective – and the likelihood of hair loss resuming increases)
hair loss treatment medication expiry date

Specialist hair loss clinics, including the dedicated pharmacies here at Belgravia, tend to only dispense medications to patients in three-to-six month batches at a time so the drugs and appropriate expiry dates align and their treatment is always ‘in date’. When men, or women, choose to purchase ‘over the counter’ hair loss products such as Regaine, there is no such supervision.

This is why it is important to be cautious and always check the expiry or use-by dates when these solutions are on special offer, especially on bulk deals such as ‘3 for 2’.

Some people may see these offers as a good chance to stock up, however, this may not be the case. For example, if the expiry date is two months away, there is no point in buying three months worth – or more – as by the third month these additional supplies would be out of date before it was even time to open them.

Furthermore, you should only ever use the medication in the specified dosage, either once or twice per day as detailed on the accompanying patient information leaflet.

Therefore, the additional product should be disposed of as it cannot be used either more frequently nor can you use larger amounts than specified (this will not make the minoxidil work any better or faster and may lead to increase risk of adverse events) in order to use it up before it expires.

It may be the case that this is why your Regaine is so far out of date, or you may have simply found an old product you had forgotten about; alternatively, if you purchased this recently and it is already out of date, you should make the retailer aware so they can issue you with a refund or replace it with a suitably-dated product.

If you did not buy the Male Pattern Hair Loss product from a reputable vendor we recommend you are sure to do this in future; the UK’s MHRA body has increased its campaigns promoting awareness of the dangers of buying medication – including hair loss treatments – online or from unusual stockists.

There is a big problem with fake medication being sold online – often not actually being what it claims to be on the labels, as well as real medication which has either expired, is faulty or has spoiled due to incorrect storage.

Belgravia Centre before and after regrow thinning crown hair loss treatment success story
Click to View Belgravia Centre Male Pattern Hair Loss Treatment Success Stories (Results May Vary and Are Not Guaranteed)

It is likely the increased shedding and thinning hair you are seeing is the result of your treatment being ineffective, especially if you have not had any problems with it until now. We recommend restarting your treatment as quickly as possible with a replacement solution in order to get your hair back on track, though it may take three months for everything to properly right itself, due to the natural timing of the hair growth cycle.

One other issue worth considering is whether your additional hair fall is coming from the top of your scalp or from the whole head. If you are losing hair from all over, it is likely to be due to a separate, additional hair loss condition.

Telogen Effluvium is a temporary issue which disrupts normal hair growth. It generally takes around three months for the diffuse shedding to present so – as it is now June – think back to any particularly stressful life events or health problems that may have started, or peaked, around March time.

As Telogen Effluvium can be active simultaneously alongside Male Pattern Baldness, it can make your genetic hair loss appear worse; it should correct itself within approximately six months as long as the underlying trigger has been dealt with. There are also Telogen Effluvium treatment options, that can be combined with an appropriate Male Pattern Hair Loss treatment course by trained specialists, if desired.

Hopefully you will find your hair growth is back to normal within the next three to six months but, if you would like a professional hair loss consultation before then to determine the exact issue at play, this can be arranged via our website, whether for an in-person assessment at one of our Central London hair clinics, or for a remote Online Consultation.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. 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 world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

Related Stories


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

Name: Huan

Question: I am using minoxidil since the past two months but am worried about the wet patch it leaves on my hair at the back (I have a thinning crown MPB) when I use it in the morning. Is there anything I can do about this? Can I blow dry it or towel dry my hair before I leave for work?

Answer: Hi, Huan. From what you say here, it sounds like you may be over-using your treatment or applying it incorrectly.

Applying Minoxidil

We understand you are not a Belgravia patient so the first step would be to speak with your current provider for advice, especially in relation to how you are applying minoxidil to ensure this is being done properly.

Generally, when the appropriate, recommended dose of high strength minoxidil is used, it will absorb into the hair and scalp enough to not be wet, or leave visible traces, such as a wet patch, approximately 30 minutes after application.

We do not know which formulation you are using – we are assuming a liquid or foam – but this should be the case for both types of hair loss solution.

It could be that you may be wasting medication by applying too much to the hair, rather than the scalp – which is where it should be directed. If this is the case, it means you don’t absorb the right amount of minoxidil, and can leave the hair wet-looking, with a white residue that can look like dust or dandruff. This is why we recommend ensuring you are applying the product correctly to the scalp – not the hair – as if you are doing this, it should not change how your hair looks. Your provider should be able to give you a recap on proper application techniques.

If your hair is still significantly wet after half an hour, it indicates you may be using too much, which is problematic as medication – including hair loss treatments – should always be used in the exact doses specified.

Using more than the recommended dose of minoxidil will not help you to see quicker or better hair regrowth results but what it may do is increase your chances of experiencing adverse events.

We certainly would not recommend either blow-drying or towel-drying your hair if it is wet with minoxidil as the former may cause the treatment to evaporate, whilst the latter may cause it to be absorbed by the towel.

If this happens it would reduce the amount of the drug that is absorbed through your scalp, thereby also reducing the potential efficacy of your hairloss treatment.

It may simply be a case of you needing to apply your treatment slightly earlier, so that you allow yourself a full half hour of absorption time before leaving the house, if you are concerned about having a wet crown in public.

For the best chance of having your treatment be as effective as possible and produce hair growth results for your thinning crown, we advise you to monitor how much of the solution you are using.

If you are sure it is the prescribed dosage and are still experiencing issues with wet hair half an hour after application, we recommend speaking to whoever supplies your minoxidil, or seeing a different hair loss specialist for a second opinion as to whether this is the right type of Male Pattern Baldness treatment for you.

You can either arrange to visit a hair loss clinic in person for an assessment, or, if you are based outside London or abroad, an online consultation which allows you to upload photos, is also available and may be more convenient.


The Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. 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 world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

Related Stories


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

Name: Junaid

Question: I have been advised to wash out my second application of minoxidil 30 minutes after application by a hair loss specialist, but have seen elsewhere this isn’t advisable. Which is correct?

Answer: Hi, Junaid. Whether you are applying minoxidil once or twice per day, it is extremely important that you leave the solution on and do not wash it off.

Man Washing Hair

This is something Belgravia hair loss specialists advise all our clients. The reason is that, in order for high strength minoxidil to work as effectively as possible, it needs to be fully absorbed into the scalp.

The absolute minimum time you should allow for absorption is 30 minutes, but in order to achieve the best possible results, the longer you can leave it on, the better.

Based on a 1990 study, it is believed that 50% of a minoxidil application is absorbed into the scalp after 1 hour, and 75% is absorbed after 4 hours.

As such, leaving your solution on for only half an hour before washing it off suggests only a quarter is likely to be absorbed. Therefore, you could be making your hair loss treatment around 75% less effective than it could be if it you allowed to absorb properly.

Therefore, to make the most out of your treatment it should ideally be left on for as long as possible – there is no need to wash it off. Rather, apply it after washing and drying your hair; if your scalp is still wet it can dilute the minoxidil, again reducing its efficacy.

This applies to both your twice-daily applications; always use on a dry scalp and do not wash off in order to maximise the drug’s efficacy. If you want to go swimming or shower after applying minoxidil, you are best advised to wear a swim or shower cap to protect the hair and allow the product to absorb.

You should find all this information on the patient information leaflet that accompanied your hair loss solution. You may also want to double-check with your advisor to ensure you have fully understood their instructions and discuss any concerns you may have about your treatment, to make sure you are doing everything you can to ensure this hair growth product works as well as possible for you.

As we see that you are not a Belgravia patient, if you would like a second opinion on your current regime, you are very welcome to have a consultation with our specialists.


The Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. 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 world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

Related Stories


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

Name: Frank

Question: My dermatologist recommended finasteride as a way to reduce the inflammation from androgens such as DHT (which he believed were causing my scalp dermatitis) as well as reducing my hair loss. However, he did not diagnose me with male hair loss specifically. I have been on finasteride 1 mg for 6 weeks, but have not noticed any change. When can I expect results, and what do I do if finasteride doesn’t work for me? How can I be sure if I am not a responder to finasteride? Could seborrheic dermatitis and sebum be caused by high levels of androgens and DHT?

Hair Loss Consultation Trichocheck at The Belgravia Centre

Answer: Hi, Frank. We would recommend speaking to your dermatologist and asking them to clarify all this for you, as you are their patient and they will have more information, such as your medical profile and their findings from a scalp assessment, to draw their conclusions from.

As you are not a Belgravia client, we can only provide you with general advice, though – as we note you are based in the USA – you are welcome to have an online consultation, which involves uploading photos, if you would like a second opinion with personalised advice.

Finasteride 1mg is clinically-proven for the treatment of Male Pattern Baldness (androgenetic alopecia); it is used to increase hair growth and prevent further hair loss by inhibiting dihydrotestosterone (DHT). This is the hormone responsible for follicular miniaturisation along the top of the scalp, and which can display outwardly as thinning hair and/or a receding hairline.

If your dermatologist prescribed finasteride 1mg in relation to treating a receding hairline, this means they have diagnosed you with Male Pattern Hair Loss.

As before, if you feel your doctor’s treatment plan or diagnosis is unclear, or if you are concerned it is not right for you – as you mention being concerned it may not work – you should contact them for a consultation so they can examine your scalp and answer your questions.

As you say you have only been taking finasteride 1mg once a day for 7 weeks, we would caution that it is simply too early to see any results as it usually takes 3 to 6 months for initial results from hair loss treatment to become apparent.

In relation to your concerns regarding seborrhoeic dermatitis (sebderm), this is a type of eczema that can affect any part on your body rich in sebaceous glands. Typically the scalp is affected but it can also flare up at the sides of your nose, around your eyebrows, sideburns, chest and in any body flexures. It may cause an inflamed and flaky scalp, constant itching, and a build-up of crust on your scalp.

It is a common, chronic skin condition that may present at random intervals over the years, though the severity varies between patients.

Although it flares up on sebaceous skin zones, it does not necessarily mean that you are producing too much sebum. Many patients with sebderm have normal sebum production.

It is thought that sebderm is triggered by an overgrowth of a harmless yeast called Malassaezia furfur that lives on the skin, or an overreaction by the skin’s immune system to this yeast.

seborrhoeic dermatitis sebderm itchy flaky scalp
An example of seborrhoeic dermatitis

There is not enough research to tell us precisely what triggers a flare up and I am unaware of any reliable scientific research linking high levels of DHT to sebderm.

Many patients have reported trigger factors such as stress, illness, a suppressed immune system, tiredness, and cold weather. Some patients even link it to consumption of alcohol and certain foods, but this is very subjective and unproven.

Treatments for sebderm, which usually manage the signs and symptoms, may include:

  • Ketoconazole shampoo may be used to reduce the growth level of the yeast mentioned above;
  • Keratolytic creams containing salicylic acid may be used to remove the scaling and keep the scalp healthy;
  • Anti-dandruff shampoos may be used for the same purpose – these usually contain zinc pyrithione, selenium sulphide or coal tar;
  • Mild steroid creams or ointments may be used to reduce inflammation.

There is no permanent cure for sebderm but it can generally be well managed with the help of your dermatologist.

With regards sebum production, sebum is produced by the sebaceous glands. Overproduction can cause a particularly oily scalp which may also become itchy and inflamed. This may sometimes be associated with acne.

Sebum production is influenced by androgens such as testosterone (of which DHT is a by-product). It is normal for men to produce slightly more sebum than women, which may be the influenced by hormonal changes in the body.

If you believe excessive sebum production is causing you skin problems, on the scalp or elsewhere, you should also discuss this with your dermatologist as these can generally be treated depending on the signs and symptoms.


The Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. 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 world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

Related Stories


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

Name: Samuel

Question: I know you can wean yourself off finasteride if you stop taking it but can you wean yourself on to finasteride when you first start taking it by having smaller doses and building up to a full 1mg dose over the course of a few months? Can you do this? Does it help reduce the chance of side effects?

Answer: Hi, Samuel. Firstly, in order to start finasteride 1mg as a treatment for Male Pattern Hair Loss you must have a prescription from a medical professional so we’re assuming you either have done this already, or plan on doing so.

finasteride DHT blocker 1mg mens hair loss treatment tablet

When you speak to your doctor or hair loss specialist about starting finasteride, they will first determine your suitability for this particular treatment, then – if you are found to be medically-suitable – they will advise you of the correct procedure for taking it and answer any queries you have pertaining to its usage.

Finasteride is one of only two MHRA-licensed and FDA-approved Male Pattern Hair Loss treatments and it only has these authorisations at a 1mg per day dose as this was found to be the optimal dose in clinical trials.

It is usually supplied as a 1mg film coated tablet and, in order to take a smaller dose than 1mg, you would need to cut the tablet. Finasteride 1mg tablets should not be cut into smaller doses as the coating helps the DHT-blocking medication to be absorbed gradually.

As with any medication, you should take it exactly as per the instructions provided on the accompanying patient information leaflet, or exactly as your doctor has told you to. In the case of finasteride 1mg, this should be one whole tablet per day.

With regards to whether weaning yourself on to finasteride 1mg can reduce the risk of side effects, this inadvisable action would not necessarily prevent adverse events as, for those who do develop them, they can come on at any time during treatment.

My advice is, if you are prescribed finasteride 1mg, take it at the full 1mg per day dose, as per the instructions, and if you experience any side effects, simply stop taking the medication – there is no need to wean yourself off finasteride unless your doctor specifically advises you to. You should report the problem to your doctor as soon as you can, and look into alternative treatment plans.

As you are not a Belgravia client, this is just general information. However, if you would like personalised advice for Male Pattern baldness hair loss solutions based on your specific level and pattern of shedding, plus your medical profile, please contact us to book a consultation at one of our City of London or Central London hair loss clinics. Alternatively, if you live outside London or abroad, our Online Consultation form, which allows you to upload photos, may be more convenient.


The Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. 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 world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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

Name: Chris

Question: I’m getting married in November and I’m worried that my hair is getting really thin and I don’t think it’s just wedding stress. My father’s bald and I don’t really remember him ever having thick hair. I’m 29 and my hairline is good but the hair on top of my head and at the back is getting thinner all the time. I’ve been looking into starting treatment because I want my hair to look good in the wedding photos but I’m worried about the initial shedding periods I’ve been reading about. When should I start treatment so my hair looks its best and I’m not losing even more hair because of the shedding during my wedding?

Answer: Hi, Chris. From the brief description you give here, it does sound likely that you are experiencing Male Pattern Baldness.

This genetic condition can be prematurely triggered or exacerbated by stress and organising a wedding can certainly be stressful!

Thinning hair on top and a thinning crown are typical signs of Male Pattern Hair Loss, as is a drop in hair density. There are, as you’ll no doubt have read during your research, clinically-proven male hair loss treatments that can help with preventing baldness and encouraging hair growth, however.

Finasteride 1mg, the oral tablet taken once-a-day to inhibit DHT formation, helps to prevent the cause of follicular miniaturisation, while topical applications of high strength minoxidil encourage accelerated hair growth. Both are MHRA-licensed and FDA-approved for the treatment of androgenetic alopecia in men. Low level laser therapy (LLLT) devices use medical-grade laser beams on the scalp to stimulate the follicles, boosting hair growth, strength and condition.

Any hair loss treatment or device, such as the FDA-cleared LaserBand, which influences the hair growth cycle can cause shedding within the first few weeks or months of using it. However, the amount of hair fall that occurs during this time varies from person to person; whilst some people may experience significant hair loss, others may barely notice it.

You can find out more in these articles about minoxidil shedding, finasteride shedding, and low level laser therapy shedding.

As this shedding period tends to happen at some point during the first two-to-three months, with response to the treatment becoming visually noticeable at the three-to-four month mark, ideally we would recommend starting your course a minimum of at least four months prior to your wedding.

Given you are getting married in November and it is now the end of May, starting now would give you a good six month lead-in.

You can find out more about timings in our Levels of Hair Growth from Hair Loss Treatment page.

It is important to remember, however, that this information and that given information above are based on mild to moderate Male Pattern Baldness. In cases where the hairloss is more extensive, it can obviously take longer to see results.

Whilst this general advice should give you a rough guideline as to what to expect, in order to get personalised hair loss advice based on your current level and pattern of shedding, as well as your medical profile, we recommend having a consultation with a specialist.

At Belgravia this can be done in person – something we always recommend, where possible – or, if you are based outside London, UK, or abroad, you may find an online consultation, which allows you to upload photos, more convenient.

We wish you all the best for your wedding day and hope you get the hair you want in time for the photos!


The Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. 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 world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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