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

Name: Sujitha

Question: I’m a dentist and working in paediatric dental clinic where we use NO2 daily, and the clinic has very poor ventilation. Since last month I’m having severe hair loss, plus I’m a PCOS patient. Do I have any kind of remedy or treatment for this??

Hair Loss After Dental Treatment

Answer: Hi, Sujitha. We would need to examine your scalp, or at least see photos, in order to give you an accurate diagnosis, as well as taking some medical information to assist our hair loss specialists with this process.

For now, we can give you some general information based on the query you have sent us but we do recommend you having a professional consultation, either in person or online, to ensure you receive the most appropriate advice.

The severe hair loss you mention is an indication of a temporary condition known as Telogen Effluvium. This causes a period of intense shedding from all over the scalp.

Although having a temporary hair loss condition may not sound too concerning, it can cause those affected to lose an average of 30 to 40 per cent of their hair density within a short period of time, which can obviously be extremely stressful.

This type of hair loss becomes noticeable approximately three months after a stressful event, whether this is emotional or physical stress.

In this regard, potential hair loss triggers you may wish to consider include factors such as hormonal issues, underlying illnesses or dietary problems such as nutritional deficiencies.

It is more likely that the stress of working in an uncomfortable environment would trigger hair loss than the regular administering of nitrogen dioxide (NO2) to patients.

However, as you mention frequent administration of NO2 and the dentists clinic you work in being poorly ventilated, if there is a chance you are regularly inhaling the gas yourself, you may want to see your doctor for a general check-up, particularly concentrating on your respiratory health.

Various previous clinical studies have linked the inhalation of NO2 to asthma, COPD and other respiratory issues. Should you have an undiagnosed illness, this may be placing added strain on your body and overall health, which is known to cause Telogen Effluvium.

Polycystic ovary syndrome (PCOS) is also associated with thinning hair so, if you are having any particular trouble managing this, or have switched to a new medication recently, this may also spark or exacerbate any hairloss.

A check-up with your doctor is a good place to start, then, if you continue to experience increasing levels of shedding, a consultation at a dedicated hair loss clinic should provide you with the help you need, both in terms of a diagnosis and recommendations for appropriate hair loss treatments.

Telogen Effluvium treatment courses at Belgravia generally consist of two separate elements, the first of which is topical applications of suitable high strength minoxidil formulations, in order to encourage hair growth. Although this medication is MHRA-licensed and FDA-approved for the treatment of Male and Female Pattern Hair Loss, its use has seen promise for other conditions, including Telogen Effluvium.

Additional hair growth supporting products can also be used; These range from highly-targeted Hair Vitalics for Women food supplements to support the maintenance of normal healthy hair, to follicle-stimulating laser devices, such as the FDA-cleared LaserBand.

Do let us know if you require any further advice or information on this.


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.

Related Stories


Belgravia Centre Hair Loss Treatment Before and After Results - New Success Story

A new entry has just been added to Belgravia’s Male Hair Loss Treatment Success Stories gallery.

Find out what this client had to say and see his regrowth results close up, or find out more about treating Male Pattern Baldness by clicking the buttons below…

(Results may vary and are not guaranteed)

VIEW SUCCESS STORY

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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.

A Belgian study, conducted by Hasselt University in conjunction with Jessa Hospital, will investigate whether photobiomodulation therapy (PBMT) can be used to treat – or possibly prevent – chemotherapy-induced alopecia (CIA).

This type of hair loss affects approximately 65 per cent of chemotherapy patients, according to the researchers.

PBMT is a form of red-light laser hair growth therapy, similar to that delivered via devices already established for the treatment of Male Pattern Baldness and women’s hair loss, such as the FDA-cleared LaserBand.

According to the trial registration information, “the investigator’s research team demonstrated already that PBMT can prevent oral mucositis and acute radiodermatitis. The aim of this project is to explore the use of PBMT in the management of CIA.”

Using photobiomodulation to prevent hair loss from chemo

Chemotherapy study

Whilst hair loss from cancer treatment can sometimes be prevented by the wearing of a cold cap hooked up to a scalp cooling system during chemo sessions, some patients find this to be an uncomfortable option.

This type of therapy involves wearing a helmet-like device which chills the scalp to extremely low temperature. By doing so, when the chemotherapy drugs enter the bloodstream, it deters them from reaching the hair follicles, thus preventing hair loss.

When chemotherapy-induced hair loss does occur, the patient’s hair should return to its pre-cancer state within roughly 12 months of their last chemo session. Sometimes it may look a little different to start with, but this is generally nothing to worry about.

Where this new hair loss solution comes in is as a method that may be used to help minimise shedding during chemo and to promote accelerated hair regrowth afterwards.

According to the researchers, “Photobiomodulation therapy (PBMT) is a new, preventive and therapeutic technique in the supportive care of cancer patients. It uses visible and (near)- infrared light produced by laser diodes or light emitting diodes (LED) at a low power to stimulate tissue repair and reduce inflammation and pain.”

The randomised study, due to start in September 2019, will involve 30 breast cancer patients. Each will receive twice-weekly photobiomodulation therapy sessions for the duration of the 12 week study, starting at their last chemotherapy appointment. Whilst half of the group will receive active photobiomodulation therapy, half will be using sham devices as a placebo.

In addition to changes in the patients’ hair growth results, their quality of life will also be measured and researchers state “Results of this project will lead to an improvement of the patients’ quality of life after CT [chemotherapy].”

Low level laser therapy already studied

This latest exploration could possibly build on previous low level laser therapy (LLLT) clinical studies.

LLLT – the type of phototherapy delivered by the HairMax LaserBand devices, and previously its precursor the LaserComb, have already been held using an iGrow device. This is similar in style to a cold cap, having a bicycle helmet type design.

In 2017 a small-scale trial was held in America which showed that LLLT was a promising hair regrowth tool for patients who had lost their hair during cancer treatment. The results were declared to be “more dramatic than we expected” by the director for the American Society for Laser Medicine and Surgery, who announced the results of the study at the 37th Annual Conference of the society in May 2017.

As only 11 patients took part in this initial investigation, the researchers aimed to enrol more participants in order to complete full, wider-ranging clinical trials into whether this form of red-light therapy that has been shown to be so useful in treating genetic hair loss may also benefit with those whose with CIA.


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


Belgravia Centre Hair Loss Treatment Before and After Results - New Success Story

A new entry has just been added to Belgravia’s Female Pattern Hair Loss Treatment Success Stories gallery.

This client has two separate conditions – Chronic Telogen Effluvium and Female Pattern Hair Loss which are being treated simultaneously, thanks to a personalised treatment plan devised by her dedicated hair specialist.

Find out what this client had to say and see her regrowth results close up, or find out more about treating hereditary hair loss in women by clicking the buttons below…

(Results may vary and are not guaranteed)

VIEW SUCCESS STORY

Treatment information

Chronic Telogen Effluvium Treatment


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.

A 2019 Malaysian study investigated the impact hereditary hair loss has on men’s and women’s psychological health.

It found that men’s quality of life was more negatively affected by pattern hair loss than women’s.

However, the small-scale investigation, which comprised 125 participants aged 20 years and over, appears to have been male-skewed in that over 67 per cent of the participants were men (84 versus 41 females).

Psychological effects of hair loss

Asian man thinning temples receding hairline hair loss men

Despite androgenetic alopecia – more commonly known as Male Pattern Baldness and Female Pattern Hair Loss, as although it can cause extensive thinning, it rarely results in baldness in women – being widely seen as a ‘cosmetic’ issue, it can have significant psychological ramifications.

Many studies have been undertaken, essays have been written and first-person anecdotal evidence has been presented to confirm that hair loss is more than skin deep. A 2017 survey even found that men were turning to drink and drugs to cope with the lack of self-esteem they attributed to losing their hair.

The Malaysian research involved patients at a private hair loss clinic completing two Quality of Life questionnaires which used the Dermatology Life Quality Index and Hairdex Score System. The results showed the worse the hair loss, the worse they believed their quality of life was, with men scoring higher on the impairment scales than women.

Logically there would seem to be two key reasons why women may be better equipped to cope with thinning hair than their male counterparts.

Firstly, Male Pattern Baldness causes distinct areas of hairloss which may result in total, and obvious, areas of baldness, such as a receding hairline. Whereas in women the condition causes a more generalised thinning in the areas affected by androgenetic alopecia, namely the vertex – the top of the scalp from the hairline and temples to the crown.

Secondly, there is traditionally a wider range of hairstyles available to women, which may increase their ability to hide signs of hair loss, making it somewhat easier to deal with. However, sometimes this ‘trick’ of using certain hairstyles or accessories such as hair extensions to give the appearance of fuller hair can actually do more harm than good.

Hair loss less likely to worry the unemployed

One particularly interesting finding from this research, published in volume 10 of the 2019 Indian Journal of Public Health Research and Development, relates to employment.

stress stressed out man work job

Both men and women with hair loss who were employed, reported a lower quality of life than those who were unemployed.

The exact figures were not available, nor was any clarification as to the meaning of ‘unemployed’ as, for example, it would be easy to understand why those who were sufficiently financially stable that they do not need to work would have a higher quality of life than those who do.

Of course, those who are unemployed and actively seeking work may also have more immediate concerns, pushing their appearance further down their list of priorities.

Correlations between anxiety regarding hair loss as it relates to a person’s job has been noted many times, however. As has how workplace perceptions, notably of men, change based on whether a man has a full head of hair, thinning hair or other signs of male pattern hair loss, or is completely bald.

Men with a full head of hair are traditionally regarded as being more youthful and vigorous, whilst a 2009 survey showed that men who were clearly losing their hair were less likely to even get an interview for a job.

Whilst smooth-scalped bald men can be regarded as more ‘powerful’ and ‘manly’, they can also be seen as more ‘aggressive’ and confrontational – qualities which may not be conducive to career progression. This may perhaps be it has been shown that bald men are ‘less likely to succeed‘.

The study findings may also be influenced by the fact that previous research has shown not only that work stress causes or exacerbates Male Pattern Baldness, but also that the higher earners are likely to encounter this on a larger scale than those who are paid less.

Whatever the overall picture, each individual deals with hair loss in their own way, both on a psychological and practical level. Whilst some men and women choose to accept their fate and shave their head or look into cosmetic solutions such as wigs, others will start a hair loss treatment regimen. Appropriate, personalised courses using clinically-proven hair loss solutions and additional hair growth supporting products to help regrow hair and prevent baldness with on-going use, can be tailored by a dedicated specialist following a consultation.


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.

Related Stories


Belgravia Centre Hair Loss Treatment Before and After Results - New Success Story

A new entry has just been added to Belgravia’s Male Hair Loss Treatment Success Stories gallery.

Find out what this client had to say and see his regrowth results close up, or find out more about treating Male Pattern Baldness by clicking the buttons below…

(Results may vary and are not guaranteed)

VIEW SUCCESS STORY

Treatment information


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.

Cryogenic preservation may seem like the stuff of sci-fi movies but it is increasingly becoming a modern-day reality – and one that may help with preventing baldness in the future.

On 1st August 2019 it was announced by UK start-up HairClone that men and women aged 18 years and over are now able to store their hair follicles in newly Human Tissue Authority-approved cryopreservation follicle banks.

This involves up to 50 follicular units from each individual being cryogenically presevered and stored at -150C in dedicated centres, ready for withdrawal and implantation to address any hair loss they may develop in the future.

Preserving follicles for future hair restoration

HairClone

In a news update published on its website, the biotechnology company announced:

“HairClone, working with an established and licensed UK tissue bank, have received regulatory approval to begin follicle cryopreservation and banking. HairClone’s Clinical Partners and Banking Associates will be established procurement centres… Hairs like any other structure of the body ages and cryopreservation and storage at -150C at as early an age as possible “stops the clock”.”

By preserving hairs in this way whilst patients hair is in good condition, the aim is that, should they start to develop Male Pattern Baldness or Female Pattern Hair Loss later in life, they could then ‘withdraw’ their cryopreserved hair deposits.

HairClone aims to use a hair replication technique – where multiple hair follicles are produced from a single follicle or a patient’s stem cells – on these donor hairs. This could then provide a supply of hair for future use, providing a type of ‘hair insurance’ against going bald.

These donor follicles are transferred to the areas of thinning hair via a standard hair transplant procedure. This involves implanting the preserved donor follicles into tiny incisions in the scalp, where needed.

Full procedure has not yet been carried out

Dr-Bessam-Farjo-Hair-Restoration-Expert-and-Belgravia-Centre-Hair-Transplant-Partner-282x300-282x300
Dr. Bessam Farjo

Whilst the ideas and clinical testing have been investigated, the full procedure, from harvesting donor hairs and cryopreserving them, to replicating the relevant cells and replanting follicles into a patient, has not yet been carried out.

Now the relevant government agency has given its authorisation to the storage of hair follicles for this purpose, this is likely to happen sooner rather than later.

“Now that the licence is in place we’re ready to bank hair for patients. Consultations can begin in earnest,” says HairClone founder and leading UK hair transplant surgeon, Dr. Bessam Farjo. “We are contacted every day by people concerned about hair loss, and who are asking when the banking system will be ready.”

So, how much will HairClone cost? At present the price list states the initial process of harvesting hair follicles and cryopreserving them will be £2,500, with £100 per year storage costs. Additional costs for future implantation are not yet available but will likely be determined by the number of follicles involved, as with current hair restoration surgeries.

What the long-term effects of this type of procedure would be and whether more than one surgery may be necessary remain to be seen. However, it is certainly an exciting innovation and one we look forward to following, though whether the process will replace current clinically-proven, MHRA-licensed and FDA-approved hair loss treatments is doubtful – at least for now.


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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We recently reported on Belgravia hair loss specialist, Rali Bozhinova’s second hair donation to leading children’s charity Little Princess Trust.

Her 11 inches of hair are being woven into real-hair wigs which will be given free of charge to children and young adults up to the age of 24 with medical hair loss as a result of cancer treatment or the autoimmune disorder Alopecia Areata.

Now, Belgravia patient care team member, Roisin O’Connell has been inspired to cut her long hair in order to donate a whopping 15 inches to the charity.

“Something I could help with”

At the end of July 2019, Roisin had 38 cm (14.9 inches) of hair cut and secured into a ponytail – as required – ready to be sent to the Little Princess Trust, which also encompasses Hero by LPT.

“I’ve been growing my hair for 5 years now and felt like it was time for a change,” Roisin told us when we asked why she wanted to donate her wavy locks. Continues below…

Roisin before and after hair donation to Little Princess Trust - Belgravia Centre July 2019

“I wanted my hair to be healthier because seeing as I’ve been growing it for so long it was starting to feel a little less healthy at the ends. I felt like it needed a fresh trim to make it look and feel healthier as well as being more manageable, especially in the hot weather.

I felt that, if I was going to cut my hair for the purpose of donating it, I would give the most away that I was comfortable giving.

Rali’s two hair donations definitely inspired me to do this; she explained to me what was involved and what The Little Princess Trust does for children. I know it’s a great cause that she’s really passionate about and felt like this was something I could help with.

Roisin Belgravia Centre hair donation little princess trust july 2019
Roisin’s 15 inch hair donation ready to be sent off to the Little Princess Trust

It’s a huge change which has left thoughtful Roisin with a great, glossy new look. “I am happy with my new haircut,” she says. “It’s a big change but hopefully it’ll be easier to maintain and I’ve been getting lots of compliments on it already.”

Belgravia hair donation Hall of Fame

As the latest to have her hair cut for such a worthy cause, Roisin joins the Belgravia Centre hair donation Hall of Fame in second place, just behind Rali whose two offerings combined total 22 inches.

Other entrants include Belgravia’s Longmoore Street hair loss clinic reception manager, Roxy who donated 12 inches, and former accounts assistant Kathleen who also matched her length.

Alopecia Areata treatment client, Laura Green kindly donated 12 inches of her hair after successfully growing it back after experiencing the scalp-only form of this autoimmune hair loss condition.

If Roisin and the rest of our kind team have inspired you to want to send in your hair, it’s worth noting that whilst it’s easy to do, there are a number of criteria you must meet if you want to donate hair to charity, including certain minimum length and condition requirements.

You can find out more about how to donate hair to Little Princess Trust and Hero by LPT on their website and, for those who want to help without losing their hair, monetary contributions to help keep this valuable service free for children in need, are always welcome! For more details visit littleprincesses.org.uk.


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.

Related Stories


Belgravia Centre Hair Loss Treatment Before and After Results - New Success Story

A new entry has just been added to Belgravia’s Male Hair Loss Treatment Success Stories gallery.

Find out what this client had to say and see his regrowth results close up, or find out more about treating Male Pattern Baldness by clicking the buttons below…

(Results may vary and are not guaranteed)

VIEW SUCCESS STORY

Treatment information


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.

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

Name: Michelle

Question: Hi, I read about oxygen scalp treatments and wondered if they might treat my hair loss – what do you think? I just have a bit of thinning around my temples and my hair doesn’t feel as thick as it used to be but it’s not terrible. I’d appreciate your advice.

Answer: Hi, Michelle. Oxygen scalp treatments are a fairly new innovation, similar to oxygen facials which have been around for quite a while, and are designed to thoroughly clean the pores and improve circulation.

We have looked in to Oxilogica – who claim to have developed this technique – briefly and its cosmetic procedures are being touted as beneficial for hair growth, however, we are unaware of any clinical research into this type of therapy for this purpose, or any verified scientific evidence to support such claims.

With that said, the idea behind this four-step process is solid and seems to have good quality, well thought out ingredients. These include biotin, azelaic acid, saw palmetto and vitamin E all applied directly to the scalp.

Promotional material for this service says it has been proven to encourage hair growth but, in my opinion, oxygen scalp treatments are more likely to be useful for improving the hair texture and quality, maintaining a healthy scalp and possibly good circulation, than they are for promoting hair growth in any meaningful way.

Whilst the concept of using stem cells from the Stella Alpina’s roots to stimulate hair growth is a good one, I have looked into this and there does not appear to be any independent evidence to support this.

These treatments are generally offered by hairdressing salons or clinics as part of an on-going course, rather than as a one-off. From what I have seen of them, it is unlikely oxygen scalp therapy would show sufficient effects on hair growth to warrant this being the primary reason anyone would undergo such a course, and – in answer to your question – it is extremely doubtful that they would have any effect on hair loss.

The thinning hair you describe sounds consistent with a diagnosis of Female Pattern Hair Loss; This is an hereditary genetic condition that is both permanent and progressive, but can generally be successfully managed with an appropriate hair loss treatment course.

At Belgravia we offer patients presenting with this condition tailored hair loss solutions featuring topical applications of high strength minoxidil, often paired with additional hair growth supporting products.

Minoxidil is clinically-proven, MHRA-licensed and FDA-approved for the treatment of genetic hair loss in women and helps to stimulate hair growth in the affected areas.

This is currently the only women’s hair loss treatment that has been authorised in these ways by both the UK and USA medical regulatory boards as being both safe and effective.

A consultation, either in person at a hair loss clinic or online, will help you to determine the precise cause of your thinning and receive professional treatment recommendations tailored to your diagnosis and needs.

Whilst we don’t believe there to be any substantial hair growth benefits, nor any hair loss treatment elements to oxygen scalp treatments, if you’d like to try them, we don’t think it’s a bad thing to do for your hair.

As before, it may help to improve your hair’s texture and quality whilst also keeping your scalp clean and healthy – which is important – but if the aim is to treat thinning hair, we would recommend using this cosmetic therapy in addition to taking a more established, medically-sound route.


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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