Trichologist's office in a public hospital. Trichology - hair treatment. Why do we need additional research after consulting a trichologist

Proper diagnosis of the condition of the hair and scalp is the initial and most important step towards making a diagnosis and choosing the right treatment. It is timely and adequate diagnosis that is the key to high efficiency in the treatment of hair loss, thinning, thinning hair.

Consultation with a trichologist and diagnostics of hair diseases consists of the following stages:

A. Finding out the history of shedding and thinning, other complaints

At the appointment of a trichologist, the somatic status of the patient, the gynecological status in women is determined. Finding out the main factors that can provoke or aggravate the loss.

B. Examination of the scalp

At the consultation of a trichologist, the so-called "pull test", or tension test(the number of fallen hair is counted when sipping in different areas of the head), the presence or absence of thinning, its localization, the presence or absence of foci of alopecia, inflammation or peeling of the scalp is detected.

B. Objective examination - computer diagnostics of hair and trichoscopy

What is trichoscopy?

Trichoscopy- this is one of the types of dermatoscopy, assessment of the external condition of the hair under 10, 60 and 200-fold magnification.

Trichoscopy is one of the first and main tools for diagnosing androgenetic alopecia, alopecia areata, cicatricial alopecia, etc., because each of the pathologies has its own trichoscopic picture.

The term "trichoscopy" was formulated in 2006 by the founders trichoscopy in the world are prof. L. Rudnicka and A. Tosti.

Each disease has its own characteristic and less characteristic trichoscopic signs which help the trichologist to make the correct diagnosis.

In addition to the qualification of a trichologist, modern equipment is necessary for proper trichoscopy. For this purpose, dermatoscopes (Dermlite, Heine), video dermatoscopes (KC, Aramo, Fotofinder) are used.

Classical trichoscopy for androgenetic alopecia

"yellow dots" 3-4 in p / sp

Anisotrichosis

Decreased hair density

After receiving macrophotos, computer analysis of the image is carried out, resulting in the calculation of the parameters: the number of hairs per cm2, the percentage of vellus hair, the thickness of the hair, etc.

Computer diagnostics of hair program Trichoscience 1.7.

Computer analysis, trichoscopy and history make it possible to formulate preliminary diagnosis h, after which the doctor prescribes further examinations to exclude / identify the causes of hair loss or aggravating factors. In some cases, a trichologist is faced with hair loss due to a genetic predisposition (for example, alopecia areata, androgenetic thinning), however, the influence of epigenetic factors that can provoke the onset and progression of hair loss is also important.

Trichoscopy with diffuse fallout	Trichoscopy with androgenetic alopecia	Trichoscopy with seborrheic dermatitis	Trichoscopy with alopecia areata, regression stage

The most common internal causes of hair loss in women are:

Latent or clinical iron deficiency;

Hypo-hyperthyroidism;

Hypovitaminosis D3;

Disruption of the balance of sex hormones (hypoestrogenism, hyperandrogenism, androgen deficiency, insulin resistance, hyperprolactinemia, decreased progesterone, hyper- and hypocriticism);

Relevant blood tests and instrumental research methods contribute to the exclusion of these pathologies.

D. Phototrichogram

Phototrichogram- this is a specific research method that allows not only to accurately assess the condition of the hair, but also to determine the parameters of hair growth, namely the percentage of hair loss (telogen) and% growth (anagen).

The phototrichogram is the definitive and reliable method for diagnosing androgenetic alopecia and diffuse shedding. In addition, a phototrichogram is the main method for monitoring hair growth parameters in dynamics with or without treatment.

The Phototrichogram is not included in the cost of the initial consultation of a trichologist, it is performed according to the indications after the initial consultation.

Are you worried about hair loss? Are they brittle and dry? Is your head itchy and dandruff? Perhaps you simply do not have enough vitamins, or some kind of disease occurs in the body, which resulted in a deterioration in the condition of the hair. If the cause is not identified in time and treatment is not started, the consequences can be very serious, up to baldness.

According to WHO statistics, alopecia - baldness - is the most common hair pathology. 2/3 of the male population of the entire planet and almost half of all women are familiar with it.

Correctly identify the cause of your problem and eliminate it can only be a qualified specialist - a dermatologist trichologist.

At the ON CLINIC International Medical Center in Moscow, experienced doctors perform high-quality comprehensive diagnostics and effectively treat any hair and scalp diseases in adults and children.

Also here you can undergo any procedure for the restoration and strengthening of hair. Our specialists have the most effective modern techniques. The results are noticeable after the first procedure. The maximum result is fixed after a course of treatment.

In the cosmetology department of the ON CLINIC trichology clinic, the most modern specialized equipment is used.

- a special video camera designed for visual examination of the hair and scalp.

With the Aramo SG, our specialists:

• determine the type of skin and hair, the size of the hair follicle;
• examine the condition along the length, at the root and at the tip;
• examine the general condition of the scalp;
• analyze the seboregulatory process.

Based on the diagnostic data, our specialists will make an accurate diagnosis for you, thanks to which they will prescribe a competent, individually selected treatment. We will not only eliminate the symptoms. We will defeat the source of your problem.

When do you need to consult a trichologist?

You should make an appointment with a trichologist ON CLINIC in Moscow if you find the following problems:

• severe hair loss;
• the appearance of bald spots;
• itching and flaking of the scalp;
• dandruff;
• excessive fat content or, conversely, dryness and brittleness;
• loss of elasticity, dullness of hair.

In addition, people with a hereditary predisposition to alopecia, as well as everyone who wants to preserve the beauty and health of their hair, should make an appointment. Preventive measures (mesotherapy, darsonvalization, ozone therapy, trichological massage, etc.) will not only avoid possible problems in the future, but will also contribute to their transformation in the present.

Is hair loss always a disease?

This question cannot be answered without seeing the person, because true hair loss can only be assessed by a trichologist. The state of the scalp is closely related to the state of the whole organism. Various changes in the work of the gastrointestinal tract, endocrine and nervous systems, environmental factors (insolation or prolonged exposure to low temperatures) affect its condition. Thus, there are hundreds of causes that can only be established through personal contact.

Trichologist is a modern specialty. In general, a trichologist can be considered a hair specialist. In fact, this is a dermatologist who has only received a narrower specialization, dealing with pathologies of the hair and skin, such as dandruff, baldness, etc. The most interesting thing is that a specialist in this profile may not even have a medical education. In recent years, many hairdressers of the highest qualification in Moscow complete advanced training courses in the specialty "trichology". This allows them to understand the biological mechanisms and processes that are associated with hair growth. As a result, a trichologist who is able to effectively work on hair improves the level of customer service of his institution.

What do trichologists do?

The competence of the trichologist includes the solution of all problems with the human hairline. The specialist studies the structure of the hair, the growth phases of both normal and altered hair, develops all kinds of theoretical and practical methods that help him in the prevention of diseases, the treatment of pathologies. Trichologists help their patients fight seborrhea, oily and dry skin, lifelessness, brittleness and dullness of hair. Turning to a trichologist, you can diagnose and treat such pathologies as:

• hypertrichosis;
• damage to the hair shaft;
• alopecia;
• dermatomycosis;
• trichotillomania;
• peeling of the skin, etc.

In what cases are referred to trichologists?

People come to see a trichologist in Moscow in order to identify the cause of the deterioration in the condition of the hair. Numerous negative factors affect the condition of our hair, such as stress, poor ecology, hormonal disorders, chronic and acute pathologies, infectious diseases, poor nutrition, medications, etc. They refer to trichologists when:

• allergic dermatitis;
• itching;
• viral warts;
• fungal infections of the scalp;
• benign neoplasms on the skin;
• lichen planus;
• papillomavirus infections;
• psoriasis;
• acne;
• dandruff and seborrhea;
• alopecia;
• baldness;
• purulent inflammation of the hair follicles;
• thinning hair;
• ring-shaped hair;
• microsporia;
• ringworm;
• splitting of hair and other pathologies.

Trust the treatment of complex diseases to a specialist with a medical diploma. A professional performs diagnostic studies of hair and scalp problems, and then individually prescribes effective treatment and suggests preventive measures. For diagnostics, Moscow trichologists use:

• trichograms;
• spectral analyses;
• biopsy;
• phototrichogram;
• computer microscopy;
• tests for hormonal and immune status;
• additional research.

To make an accurate diagnosis, specialists are sent for examination by allergists, gastroenterologists, etc.

Where can I get training in the specialty "trichology"?

In order to become a specialist in the field of trichology, it is necessary to obtain a general medical education, as well as specialized education at the departments of clinical mycology, dermatovenereology, cosmetology and trichology based on:

• MONIKI;
• MGMSU;
• RMAPO;
• RSMU;
• RUDN and other universities of Moscow.

Famous specialists of Moscow

The narrow branch of dermatology, which was given the name "trichology" in accordance with the Greek trichos (hair) and logos (doctrine), actively developed in the West in the first half of the 20th century. In Russia, trichology developed somewhat later. Qualified specialists are already working in Moscow today. They at the proper level provide assistance to patients suffering from various pathologies of the hair and skin. Trichology in the XXI century has made a huge step forward. In 2008, under the auspices of the NADC (National Alliance of Dermatologists and Cosmetologists), the Society of Trichology began to work in Russia. It also included Moscow doctors, including Tkachenko, Mukhina, Branskaya, Bucharov and others.

A trichologist is a doctor who deals with the health and condition of the hair. If they fall out, thin out in a certain place, the patient shows a suspicion of alopecia, seborrhea or other diagnoses, you should contact a trichologist. The article presents about trichologists in Moscow: which clinic is better to contact, which specialist, what is the list of services provided. Is it possible to get an appointment with a specialist for free, and if not, how much will it cost to receive a competent doctor?

Direction of activity of a trichologist

In state budgetary institutions it is very difficult to find a doctor who could provide qualified assistance to people suffering from baldness. It would seem that it could be simpler - bald patches appeared, which means that a hormonal crisis has come. However, for most women and men, baldness is a real stress that indicates the onset of a midlife crisis. Sometimes people are ready to give any money and accept any treatment, if only the hair would stop falling out. Alas, it is almost never possible to return hairs that have already fallen out and give the hair its former volume. Therefore, it is very important to contact a trichologist in a timely manner. People are interested in reviews of trichologists in Moscow, since most often consultations of specialists of such a narrow profile are quite expensive.

There is an opinion that in order to understand why hair falls out, it is enough to contact an endocrinologist and take tests for a hormonal profile. Of course, the level of hormones and the fact that they are in reference values ​​plays an important role in the condition of the hair. But most often, the endocrinologist will not be able to help: in only 5% of cases, baldness is somehow associated with a violation of the production of thyroid hormones, its dysfunction, the appearance of cysts, etc.

Trichologists use special diagnostic methods, they have their own criteria for examining patients and prescribing certain laboratory tests to them. Some patients feel that trichologists charge too high a price for their services. In fact, the price is quite justified, since no other specialist (endocrinologist, gynecologist, nephrologist, hepatologist and other doctors) is able to examine and evaluate the condition of the follicles, as well as trace the relationship between hormone indicators (estrogen, dehydrotestosterone, free testosterone, etc.). d) and the condition of the scalp. The trichologist is able to make an accurate diagnosis - what kind of alopecia (alopecia areata, androgenic, etc.). No other specialist is able to compile a general clinical picture of the condition of the scalp and hair loss.

What diagnostic methods are used in trichology

Special diagnostic methods used by trichologists:

• The use of computer programs that analyze the thickness, density of hair, the concentration of hair follicles per unit area, etc.
• Contrast phototrichogram.
• Trichoscopy.
• Biopsy.
• Survey photos.
• Trichogramma.

Each of these methods implies the presence of special equipment, and therefore it is performed separately, according to a separate price list. Consultation of a trichologist in Moscow is paid separately, research - separately. Depending on the totality of complaints, two or three studies should be used, as a rule. For some patients, it is quite enough to perform only a trichogram, which will allow you to estimate the number of active follicles that allow the hairs to "live" as long as possible in the growth phase.

Why patients are dissatisfied with the work of trichologists

In connection with many studies, sharply negative reviews about trichologists are most often associated. In Moscow, one consultation of a trichologist with an average qualification costs about two thousand. The cost of a combination of all paid analyzes and studies for an accurate diagnosis can reach 20,000.

Trichologists in clinics in Moscow, where it is possible for free under the policy (all expenses are covered by the insurance company) to undergo the necessary tests and studies is a rarity. Most budgetary state medical institutions are simply not able to get the equipment necessary for accurate research.

Treatment by a trichologist can be carried out in several stages:

• A trichoscopy is performed, based on the results of which a plan for further therapy is outlined. Very often it is found that the problem is only in seborrhea. The trichologist prescribes the necessary drugs for external action - usually this is enough.
• If the results of trichoscopy did not allow for an accurate clinical picture, then a phototrichogram is made to clarify or finalize the diagnosis. It is also necessary to take tests for the main hormones, both the thyroid gland and the sex hormones.
• Upon receipt of the results of all studies, a secondary consultation is carried out, a final diagnosis is made and a treatment plan is developed.

Often at any of the stages of diagnosis it turns out that the cause of baldness is not a disease at all, not a hormonal failure, not alopecia and not a stress factor. Often this is a corny wrong care for the scalp and hair. This is also associated with a lot of dissatisfied reviews from patients in connection with the work of doctors: they say, there are so many studies, but the result and appointment are just a change of shampoo! But the doctor must honestly report the diagnosis, otherwise he may try to impose expensive drugs that the patient does not need. Therefore, it is better to appreciate the honesty of doctors and follow any, even the simplest prescriptions for changing shampoo or combs.

Why do we need additional research after consulting a trichologist

According to the results of the studies, after receiving the tests, the trichologist has all the necessary information to compile the overall clinical picture:

• The type of skin on the head - it can be normal, dry, oily - but most often there are mixed types: for example, one type on the temples, another on the top, and a third on the back of the head.
• The general condition of the follicles - hair follicles, which determines the total lifetime of the hair and the fact what force must be applied in order for it to fall out with the bulb together.
• The condition of the hair shafts allows you to assess the possibility of imminent loss.
• The amount and percentage of normal hair that will grow back within a few years, not break off, and almost guaranteed not to fall out even when subjected to external force.
• The amount and percentage of thinning hair that will leave its place in a short period of time anyway, whether the patient uses strengthening products, dyes the hair, blow-dries it, etc., they are doomed to fall out.
• The number and percentage of hairs that are prone to falling out are those hairs that can still remain in the scalp for several years, provided that the doctor's instructions are followed.
• A type of alopecia, that is, baldness. This is the most important information on the basis of which it is possible to make a prediction - whether the area of ​​baldness will expand and what kind of treatment the patient needs (whether it makes sense to use drugs with minoxidil, etc.).

After receiving the diagnosis, treatment is prescribed, most often also quite expensive and lengthy. Patients are upset and dissatisfied with this state of affairs, but you should not look for another doctor - the cost of such services in Moscow will be approximately the same everywhere. Children's trichologists in Moscow work in a similar way. They use the same tests and studies in compiling the clinical picture.

List of the most popular clinics in Moscow, where a trichologist accepts

Of course, the list of all doctors who specialize in the condition of the hair is so huge that it can hardly fit in one directory. But we can highlight the most popular and sought after:

1. Sarkisov David Ishkhanovich accepts in "Trustmed" on Taganka, on the street. Alexandra Solzhenitsyn, 5, building 1. This is a doctor of the first category, with extensive experience. The cost of his admission is about 2200-2500 rubles. Registration is possible on the Internet or by phone, the clinic has its own website, which contains all the information for contacting the reception.
2. Bratilova Anastasia Viktorovna - trichologist with seven years of experience in receiving patients with the problem of baldness, takes in "ON CLINIC" on Novy Arbat, st. Bolshaya Molchanovka, 32. Feedback on the work of this trichologist in Moscow is positive: patients note that Anastasia Viktorovna is competent and does not prescribe an excessive number of tests and studies.
3. Mertens Maria Valerievna - doctor of the highest category, 21 years of experience in treating patients with trichological problems. He conducts an appointment in Moscow, at the Medical Center "SM-Clinic" on Volgogradsky Prospekt. Patient reviews about her work are different, but mostly positive prevail: patients are satisfied with the effective treatment prescribed.
4. Papugin Andrei Vladimirovich - trichologist with experience in receiving and consulting patients with trichological problems for 15 years. Conducts an appointment at Sretenka 9, in the Capital Medical Clinic.
5. Trichologist services in Moscow in public institutions can be obtained at the Dermatological Center in Moscow, as well as at the Institute of Skin Diseases at ul. Korolenko, house 3, building 6. You can make an appointment with a trichologist by phone number or via the Internet. Some of the studies will be free of charge, while others may require additional payment.

Medical center "Trustmed" on Taganka in Moscow

This institution is one of the most popular among people who are concerned about the problem of increased hair loss. In the presence of the whole complex of modern equipment for trichological research. Several doctors consult at once, and the reviews about their work are positive. Of course, you can also find reviews of dissatisfied patients, they are most often associated with the fact that you have to take a fairly large number of tests.

In the medical center "Trustmed" on Taganka, you can get advice from the following trichologists:

• Sementsova Anna Andreevna;
• Sarkisov David Ishkhanovich;
• Simakova (Mukhina) Ekaterina Sergeevna.

As mentioned above, you can make an appointment via the Internet on the clinic's website or by phone number. As a rule, the queue does not last longer than a few days. In some cases, the waiting time for an appointment can be about a week (depending on the degree of workload of specialists). This clinic has the best trichologists in Moscow, so the comparative waiting time for an appointment is quite low, given the qualifications of the specialists and the number of positive reviews about their work.

A trichologist is a highly specialized specialist in the treatment of hair and scalp. The tasks of a trichologist are diagnostics, prevention, and complex treatment of diseases of the scalp. There are not so many real professionals in hair treatment even in Moscow. Some of the strongest specialists in the field of trichology are gathered in our clinic.

It is necessary to contact a trichologist in case of intense hair loss, bald patches, problems with the scalp. What does a trichologist treat?

The list of diseases that require the help of a trichologist is quite extensive. Here are some examples:

• alopecia, baldness (focal, androgenic, diffuse);
• hair loss;
• seborrhea (dandruff);
• dermatological diseases of the scalp.

Based on the results of diagnostic measures, trichologists in Moscow at the Doctor Volos clinic will select an individual treatment program that is most effective for each specific case. Also in our clinic you can get a free recommendation of a specialist.

At the consultation, the doctor will conduct a general examination, take an interest in the duration of your disease, the nature of its course, dynamics, and the presence of a similar one in relatives. He will also give recommendations on hair care and prescribe additional examinations.

If you do not have the opportunity to come to the clinic, the trichologist can conduct an online consultation. To date, this service is offered by many medical Internet portals. Ask a trichologist a question on our website and the doctor will answer you as soon as possible.

You can find out the prices for trichologist services in a particular case by filling out an application on our website. The administrator of our clinic will call you back and provide the necessary information.