Chester Hair Clinic
Specialise in treating hair loss problems and scalp disorders. We also offer cosmetic options, hair enhancers, wigs and custom made hair pieces. If you would like a consultation, please contact us to arrange an appointment.
Richard Hall runs the clinic and is a member of The Institute of Trichologists in London.
Chester Hair Clinic Price List
Trichology Consultation £65.00
Follow up Consultation £35.00
In Clinic Treatments From £35.00
Products and treatment courses quoted at time of consultation
Article written for Hair Magazine
Are You Asking This Question?
When I receive an enquiry from a new Trichology patient, I am often asked “Is it worth me coming to see you?” It's a question that my assistant and I are asked with such regularity that I felt we needed a considered response.
One of the reasons I decided to study to be a Trichologist was that when working with clients in my hairdressing salon Hairmatters, I was meeting an increasing number of people who where suffering from and asking me about hair loss, I had a certain amount knowledge through my hairdressing training and from working with a number of product companies. I wanted to be able to help my clients more and to be able to speak with authority on the subject.
After some research I decided that I would like to train with the institute of Trichologists in London, a four year course covering distance learning,practical clinical training and mentorship. Whilst I was training in collage at Horsham, I became aware of some patients where it wasn't possible for me to offer a remedy for their hair loss and I remember thinking I may be in the position one day where I would charging a patient for a consultation and then informing them that I couldn't cure their hair loss. Maybe when patients ask me the above question, what they are really saying is that they don't want to end up in that position and not get any return for the time and money they have spent on the consultation.
The response my assistant and I came up with is “I haven’t come across any patients who after they have spoken to us doesn't feel that they have had some value from the consultation”. This may sound like quite a confidant statement, what is it that enables me to say this? Apart form the difference in our patients body language before and after the consultation.
Hair loss falls into three categories the first of which is temporary, there may be a causative factor which if possible needs to be dealt with but basically the hair can recover, next is treatable, which means as long as the patient is prepared to do what is necessary for correct use of the treatment, some improvement will usually be seen.The last category is permeant, hair transplantation may be an option or their may be a wig or a hair piece that can cosmetically improve the patients appearance.
The value is given during the consultation when the patient learns which category they fall into and what options are available.
So “Is it worth going to see a Trichologist”? That depends on, if you value reassurance that your hair loss will improve, an understanding of the treatments on offer and advice on what to do if hair loss is permeant.
My question for the patient would be are you prepared to listen too and act on my advice? but thats another article.
The Perfect Breakfast. ( Most important)
Any fresh fruit (which does not include juices), plus: One or a combination of: eggs, a normal serving of bacon or ham, kippers, smoked salmon (or any other fish or meat) minimum 6oz (180g) low fat cottage cheese. Added options: cereals, yoghurt, bread, any jam or honey, juices, tea, coffee, sugar.
The Perfect Lunch (Second most important)
Mixed raw salad, grilled vegetables or soup followed by a minimum of 4 to 5 ounces (120g) of any meat, fish, eggs, poultry or 6oz of low fat cottage cheese, with any vegetables of choice, including potatoes. For desert anything you like, preferably something with fruit.
The Perfect Dinner (?)
As this is the least important hair meal, you can indulge yourself with anything you fancy.
Daily must do’s:
Drink 1.5ltr of water, not too much salt or high fat content foods although you can indulge yourself, no black tea. Why no black tea you may wonder? There is evidence that drinking tea without milk can sometimes increase the likelihood of anemia. Not adding milk leaves the tannin in the tea free to bind iron to it, therefore reducing iron storage.
A well balanced nutritional supplement containing essential vitamins and minerals is also recommended. You can eat bread preferably whole meal, butter or butter spreads; use any salad dressing and anything else that may take your fancy.
You will agree it is not a difficult program to follow, deliberately so, it's high in protein and although some carbohydrates are necessary you can limit them according to you weight requirements. Similarly, cakes, ice cream and pastries are not banned either. It may also surprise you to known alcohol is not forbidden, although if taken to excess can reduce the results you are getting from the effort you are putting in to eating a diet to improve hair health.
The livers storage of glucose lasts for about four hours and research indicates that the amount of energy available to non essential tissue, such as hair follicles, diminishes after this time. Proteins are absorbed slowly, carbohydrates faster. Whatever you eat at breakfast or lunch should be supplemented by a snack of fruit, vegetables or bread, in that order, after four hours between meals. I can further assure you that you will feel better and your skin will also improve.
Ref Philip Kingsley, The Hair Bible.
Hair and Scalp Conditions
Although all Alopecia areata cases are extremely unpredictable they can be very broadly placed into short and long-term types. It can also be diffuse, sometimes leading to Totalis (lack of all scalp hair), or Universalis, (lack of all scalp and body hair). If it starts before puberty then the prognosis is not good, particularly if in the Ophiasic or marginal pattern.
Short term areata
Signs: The first signs of short term Alopecia areata are one to four circular, completely bald patches. The hair follicles are clearly visible and the earliest patch will often be regrowing vellus, often unpigmented hair from the centre of the patch, while the latest patches show extension by having short broken hairs called exclamation hairs, narrowing towards the scalp, at the margins. Short-term areata can last from between 6 months to a year. Sometimes it never returns but occasional relapses are possible.
Longer term areata: Can start the same way as the short term type but the patches soon coalesce into larger more irregularly shaped patches extending regrowing and extending into different areas. This can improve spontaneously or last for many years, coming and going with complete recovery taking place before it starts all over again, or not! Pregnancy can sometimes cause temporary regrowth of areata.
Diffuse areata: As it can mimic reflective diffuse hair loss, thorough examination of the whole scalp should be made. The patient will notice hair falling diffusely throughout the scalp, which is covered with hundreds of exclamation hairs and tiny areas of hair loss. Unlike Telogen effluvium there is no spontaneous regrowth. Diffuse areata is often the first sign of Areata Totalis or complete loss of hair all over the scalp and can fall rapidly.
Slight itching sometimes precedes extension of area
Brittle nails, thimble pitting and other nail malformations can co-exist with areata. Vitiligo can some times coexists with areata and is also said to be an autoimmune disease.
Causes: Although the actual causes and mechanism of areata are unknown, it is considered to be an autoimmune disease, where the body's defence mechanism is destroying the hair in the same way as it would defend the body against invading pathogens. White cells in the blood (leucocytes) are more abundant in extending patches and it would seem that it attacks persons whose immunity is lowered after illness or trauma. Where sepsis has occurred as from tooth abscess, tonsillitis, ulcerative colitis, or other infection, then toxins circulate in the bloodstream and, it would seem that they can sometimes upset the imune system elsewhere in the body. ’High fever“can create a similar problem.
Areata is considered to be multi-aetiological and many possible causes have been suggested. Bereavement is top of the list, as is acute stress or sudden shock. Accident, Whiplash, Displaced vertebrae, Eyestrain, Cataracts, impaired vision. Thyroid dysfunctions and coeliac disease are said to be associated with areata. There is often a familial trait to inherit areata and it also seems to attack those who suffer from eczema, asthma and hay fever.
Sickle cell anaemia in some black people can sometimes cause Ophiasic (marginal) areata. Sufferers of Down syndrome are more prone to areata.
Alopecia areata must be differentiated from other alopecias, which can look similar. When no hair follicle openings can be seen, then the hair loss is considered to be cicatricial as in autoimmune scarring alopecias as well as those of known cause. Ringworm can cause similar patchy hair loss but is usually scaly and often itchy. Traumatic alopecia of outside origin (scratching, pulling, and hairdressing) can sometimes mimic areata but questioning will reveal the real cause. AIDS or Syphilis can cause patchy hair loss.
Treatment is supportive and cannot be guaranteed, but elimination of possible causative factors is essential while vitamin and mineral supplements can be of help. Electrotherapy stimulates and irritates the area giving perhaps a better chance of recovery, particularly in the shorter-term cases. Six weekly electrotherapy sessions can be performed and prolonged if regrowth is seen. Electrotherapy consists of High frequency, Infra-red and carefully timed Ultra-violet radiation with the use of Iodine tincture. ’Stress is always present“and careful scalp massage can sometimes help. It is impossible to prove the treatment has worked, as areata can regrow all by itself or extend.
Doctors may prescribe corticosteroids, irritants, retinoids or Minoxidil, these may help, but none of these are cures.
Androgenetic hair loss in women
Androgenetic hair loss in women presents a diffuse thinning to the front and crown area of the scalp and never at the sides and back from this reason alone. Partings seem wider and the scalp seems more noticeable at the front and the top of the head
This is a slow, gradual process and rarely does it completely denude the area.
Androgenetic hair loss in women usually begins with the hormone changes after puberty, pregnancy or menopause and is fairly common in ladies over 80 years of age
There is no increased hair shedding noticed with this type of loss.
Ladies with Androgenetic hair loss can also suffer from a greasy scalp and male type body hair growth.
Androgenetic hair loss has three causative factors, age, inheritance and the presence of the hormone testosterone.
Androgenetic hair loss can start from puberty, childbirth, after the menopause and in old age.
It is commonly inherited from the maternal grandmother.
3. Testosterone: F.P.A. results from the normal amount of testosterone present in a female.
Postmenopausal thinning is related to oestrogen reduction.
The hair bulb normally grows for between three to seven years before it stops growing and enters the resting phase. The hair is then retained in the follicle for between two to four months, before a new hair grows from the base of the follicle. We normally lose (in a mosaic pattern) about 60 to 100 hairs daily in this way often without noticing it.
With the effect of a normal increase in testosterone at puberty, each succeeding hair growth cycle is shortened, and the hair (thinner)
Sensitivity of the hair bulb to the hormone testosterone
Hair loss in the female area
Symptoms of F.P.A. and hirsutism can occur when there is an imbalance of sex hormones, either an excess of male hormones (androgens), or less female hormones (oestrogen/progesterone) these can occur because of ovarian cyst syndrome. Postmenopausal thinning can be related to oestrogen reduction.
There is no effective treatment for F.P.A.
Drugs with the side effect of hypertrichosis
* Systemic anti-androgen therapy (C.A.T.) (Cyproterone acetate + oestrodial)
* Dianette (Anti androgen birth control pill)
* The psychological effect of hair loss must never be underestimated
* Assessment of final patterning is difficult to judge, but detailed questioning of family inheritance is essential.
* If no evidence of hormone imbalance = "You have pattern loss because you are programmed genetically to have it.”
* You cannot permanently change inheritance.
Established in 1988
3 Castle St Chester Cheshire CH1 2DS |01244 346798| richard@chesterhairclinic .co.uk