Hair loss & scalp health — clinical consultation
A calm, clinician-led assessment for shedding, thinning or receding patterns. We identify likely causes, organise sensible tests where needed, and outline practical steps — from at-home care to in-clinic options or referral.
Common types & causes
Telogen effluvium
Diffuse shedding often after illness, stress, medication changes or iron/thyroid issues.
Pattern hair loss
Gradual thinning/recession across crown, parting or temples; runs in families.
Post-pregnancy / hormones
Temporary shedding after birth or hormonal shifts; usually improves with time and support.
Nutritional factors
Low ferritin (iron stores), B12, vitamin D or inadequate protein intake.
Inflammatory scalp
Flaking, itching or tenderness (seborrhoeic dermatitis/psoriasis) can worsen shedding.
Alopecia areata
Patches of loss from auto-immune activity — usually needs a dermatologist-led plan.
What to expect at your appointment
Assessment
History, photos, lifestyle review and scalp examination (± dermoscopy). We note pattern, rate of change and triggers.
Plan
We outline at-home routines, in-clinic options and when medical tests/referrals make sense.
Follow-up
Progress review with like-for-like photographs; we fine-tune cadence and care.
At-home routines
- Scalp health: medicated shampoos for dandruff/itch; gentle exfoliation cadence.
- Nutritional support: protein targets; iron/ferritin, vitamin D and B12 checked via GP if indicated.
- Topical routines and devices (incl. low-level light) where appropriate.
In-clinic & medical pathways
- PRP with Biotin — £500: platelet-rich plasma approach with biotin support to encourage scalp condition and density.
- Low-level light/LED as an adjunct over months.
- Dermatology liaison for conditions like alopecia areata, scarring alopecias or complex hormone drivers.
Quick self-check
Tick anything that applies — your result will suggest next steps.
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Skin Lab analysis, LED and peels — tailor a session to your skin and goals.
Hydrogen Therapy
20-minute antioxidant inhalation that pairs well with recovery and wellness.
Further reading
Deep-dives on PRP, hormones and what to expect — written by our team.
The science behind PRP therapy for hair loss
How platelet-rich plasma supports follicles and scalp biology.
Is PRP hair restoration right for you?
Who benefits, expected timelines, and sensible expectations.
HRT & hair loss in your 50s
Understanding hormonal shifts and practical, joined-up care.
PRP benefits & risks
A balanced look at safety, efficacy, and limitations.
What is PRP and how does it work?
The process, from blood draw to reinfusion, step by step.
The benefits of PRP for hair loss
Why many patients choose it as part of a broader plan.
What to expect during PRP
Sensation, timing, aftercare and common FAQs.
How to prepare for PRP
Simple steps that can make your session smoother.
Inside the treatment
A closer look at how we approach PRP and hair loss consultations.
Essential Daily Steps Everyone Can Follow
Supporting your hair starts with simple, consistent choices. Here’s what dermatologists often recommend:
- Nizoral (ketoconazole) shampoo: Used 2–3× weekly, it may help by reducing scalp DHT and calming irritation.
- Minoxidil 5% topical: Clinically proven to slow hair loss and support regrowth for many users within 4–6 months.
- Supportive supplements (if deficient): Vitamin D, iron, vitamin C (for iron absorption), and zinc. Evidence for biotin and collagen is weak unless deficient.
- Balanced diet rich in whole foods: Protein, omega-3 fatty acids, leafy greens, iron-rich foods, and vitamin D support hair growth. Limit sugary drinks and alcohol which may worsen hair loss.
Note: Always check with your GP or dermatologist before starting treatments or supplements, especially if pregnant, nursing, or with underlying health conditions.
Frequently asked questions
Which tests might be useful?
Tailored to your history — commonly ferritin (iron stores), full blood count, thyroid panel, vitamin D, B12 and, in some cases, hormones. We’re happy to liaise with your GP.
How long before I see change?
Most hair-focused plans are measured in months, not weeks. We set realistic intervals and use photos to track progress.
Can stress cause hair loss?
Yes — high stress, illness or major life events can trigger shedding (telogen effluvium). The focus is calming the trigger and supporting regrowth.
Do you treat alopecia areata?
We assess and can coordinate with dermatology. Auto-immune alopecias typically need specialist input; we’ll guide next steps.
Hair loss: the essentials that help almost everyone
Simple, evidence-based steps that support scalp health and complement therapies like PRP, LLLT, and prescription options.
Ketoconazole shampoo
Nizoral®/ketoconazole 2% 2–3× weekly (alternate with a gentle daily shampoo). Massage into scalp, leave for 3–5 minutes, then rinse. Helps reduce micro-inflammation and dandruff.
Minoxidil 5%
Apply foam or solution to dry scalp once daily (men may use 2× if tolerated). Expect shedding in weeks 2–6; improvements typically at 3–6 months. Consistency is key.
Only what’s useful
- Vitamin D3 if low (test & correct).
- Iron/ferritin if deficient (target ferritin >70 µg/L for shedding).
- Zinc if low; avoid excess.
- Omega-3 (fish oil/algae) for scalp inflammation.
- Biotin only if proven deficient (otherwise rarely needed).
- Collagen is optional support for overall protein intake.
Nourish the follicle
- Protein ~1.2–1.5 g/kg/day (eggs, fish, legumes).
- Iron + Vitamin C (red meat/lentils + peppers/citrus).
- Omega-3 (salmon, sardines, flax/chia).
- Polyphenols (berries, olive oil, green tea).
- Mushrooms (UV-exposed) for vitamin D2 & antioxidants — supportive, not a cure.
Stress, sleep & styling
- Sleep 7–8 h; consistent schedule.
- Stress tools: breath work, walks, resistance training.
- Gentle styling: avoid tight styles/heat; use wide-tooth comb; pat dry.
- UV & scalp: protect from sunburn; mild, non-occlusive oils if needed.
Useful labs
- Full blood count, ferritin, B12/folate.
- TSH ± free T3/T4 (thyroid).
- Vitamin D (25-OH).
- Zinc (if suspected low).
- Hormonal panel (where indicated).
📋 Understanding Hair Loss
Hair loss can result from various factors, including genetics, hormonal changes, medical conditions, and stress. At Santi London, we offer a range of treatments tailored to individual needs, ensuring optimal results.
💡 Our Treatment Options
1. Platelet-Rich Plasma (PRP) Therapy
PRP therapy utilizes your body’s own platelets to stimulate hair follicle growth and improve hair density. This minimally invasive procedure has shown promising results for both men and women experiencing hair thinning. santilondon.com
2. Low-Level Laser Therapy (LLLT)
LLLT employs red light wavelengths to stimulate hair follicles, increasing hair density and promoting regrowth. This non-invasive treatment is suitable for various types of hair loss. en.wikipedia.org+2en.wikipedia.org+2santilondon.com+2
3. Topical and Oral Medications
Medications like minoxidil and finasteride can be effective in slowing hair loss and promoting regrowth. Our specialists will assess your suitability for these treatments during your consultation
Types of Hair Loss
Female Patterned Hair Loss (FPHL)
FPHL is characterized by a distinct pattern of hair thinning in women, with approximately 40% of women displaying signs of FPHL by the age of 50. This condition is influenced by a combination of genetic and hormonal factors, often associated with conditions like polycystic ovarian syndrome. FPHL typically results in widespread thinning throughout the scalp, particularly at the crown, with a preservation of the frontal hairline. Over time, affected hair follicles also decrease in diameter, a process known as miniaturization. Treatment options for FPHL have historically included minoxidil and hormonal therapies like spironolactone. However, emerging evidence suggests the effectiveness of alternative treatments such as low-level light therapy (LLLT), microneedling, platelet-rich plasma (PRP), and newer stem cell therapies. In some cases, hair follicle transplantation may be a suitable option.
Male Patterned Hair Loss (MPHL)
MPHL is the most common type of hair loss in men, affecting about 50% of men over the age of 50. Similar to FPHL, MPHL is influenced by genetic and hormonal factors, with a heightened sensitivity to dihydrotestosterone (DHT) playing a significant role. DHT leads to the thinning, shortening, and lightening of scalp hair until the affected follicles shrink and cease hair production. MPHL typically presents as receding hairlines and thinning hair on the top and front of the head. Diagnosis is primarily based on a patient’s medical history and clinical examination. Treatment options for MPHL include minoxidil, hormonal treatments like finasteride, low-level light therapy, or hair transplantation.
Hair Thinning: Telogen Effluvium
Hair thinning, medically known as telogen effluvium, is distinct from hair loss in that it involves the hair transitioning into a rest phase called telogen, characterized by thinning hair and increased hair loss. This can escalate from the average daily loss of 50 hairs to as many as 150 hairs per day. There are five categories of hair thinning within telogen effluvium:
Immediate Anagen Release: This occurs when hair prematurely leaves the anagen (growth) phase and enters the telogen phase. The effects become visible after 2-3 months with increased telogen effluvium.
Delayed Anagen Release: Often associated with pregnancy, this results from prolonged anagen phases due to pregnancy hormones. It leads to heavy shedding postpartum. Short Anagen Syndrome: Characterized by persistent telogen hair shedding and the inability to grow hair long. It results from a shortened anagen phase and is the most common cause of hair thinning.
Immediate Telogen Release: This is generally linked to drug-induced shortening of telogen, leading to a massive release of telogen hairs.
Delayed Telogen Release: Involves a prolonged telogen phase followed by a delayed transition to anagen. This can be responsible for seasonal hair loss in humans.
Managing Hair Thinning and Loss
If you’re experiencing reduced hair thickness or quality, there are steps you can take to address the issue. The solution lies in understanding the condition through clinical diagnosis and then improving the hair’s strength, resistance, and overall health. This can be achieved through a prescribed regimen of topical products, dietary adjustments, and lifestyle changes. By taking a proactive approach and seeking professional guidance, you can effectively manage hair thinning and regain healthy, vibrant locks.