What Is Trichoscopy?

Trichoscopy is a non-invasive diagnostic technique used by dermatologists and hair restoration specialists to examine the scalp and hair follicles under magnification. Think of it as a "scalp microscope"—it allows clinicians to assess hair density, follicle health, skin condition, and patterns of hair loss with far greater accuracy than the naked eye.

It’s essential in diagnosing alopecia types, monitoring treatment progress, and planning personalized hair transplant strategies.

How It Works

• A handheld dermatoscope or digital trichoscope is placed on the scalp
• It uses polarized light and magnification to reveal structures beneath the skin surface, including:
  • Hair shaft diameter
  • Follicular density
  • Miniaturized vs. healthy follicles
  • Signs of inflammation, scaling, or scarring
• Results are recorded visually or digitally and used to determine the most suitable treatment path

Who It’s For

• Anyone experiencing unexplained hair loss
• Patients considering a hair transplant who want a precise assessment
• People undergoing PRP, stem cell, or medication-based therapies
• Individuals with scalp conditions like seborrheic dermatitis, psoriasis, or scarring alopecias

Benefits

• Quick, painless, and non-invasive
• Helps determine the root cause of hair loss
• Identifies which follicles are salvageable and which are inactive
• Crucial for accurate diagnosis and treatment planning
• Can be used before, during, and after treatment to track progress

Limitations & Risks

• Trichoscopy does not treat hair loss — it's diagnostic only
• Requires a trained specialist to interpret findings accurately
• In rare cases, further testing (like a biopsy) may still be needed
• Availability may be limited in non-specialist clinics

Questions to Ask Your Clinic

• Will you perform trichoscopy before recommending treatment?
• Can I see my trichoscopy results and what they mean?
• How will this help personalize my transplant or therapy plan?

Disclaimer

This article is for informational purposes only and does not constitute medical advice. Always consult with a qualified dermatologist or hair specialist for proper diagnosis and treatment planning.

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