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Trichology Consultation for hair loss

Do you have hair loss or scalp issues and are wondering which doctor or specialist to consult? Discover for hair loss which doctor to consult for personalized advice and assessment on treating your hair loss issues.

Your Hair Restoration Journey Starts with Clarity 

Navigating hair loss can be overwhelming. While there is no “instant cure,” a specialized Trichology consultation provides the roadmap you need. We move beyond one-size-fits-all internet prescriptions, offering a detailed one-to-one assessment to identify the specific drivers behind your hair loss, scalp issue or beard thinning.

Protect Your Investment 

Whether you are considering a hair transplant or seeking to maintain one, surgery is only half the battle. Without addressing the underlying causes, even a transplant can be temporary.  This clinic specializes in Regenerative Aesthetics—including Exosomes and  Polynucleotides—to support surgical results and promote long-term scalp health.

Comprehensive Care: From Clinic to Home

The approach balances advanced aesthetic treatments with high-performance daily maintenance.  Dr Wilson has a curated selection of specialist home care products, including:

  • Targeted Shampoos & Scalp Therapies: Formulated to optimize the follicular environment.

  • Cosmetic Camouflage Solutions: Professional-grade products to provide immediate density and confidence while your treatment plan takes effect.

  • DNA-Personalized Topicals: Bespoke medications and supplements tailored to your genetic profile.

  • Targeted Nutraceuticals & Supplements: Bespoke nutritional support to address internal deficiencies and optimize the hair growth cycle

The Benefit of Doctor-Led Care

In the UK, the majority of Trichologists are not medically qualified. At this clinic, your journey is led by a practising Doctor with advanced specialist training in Trichology. This dual expertise allows us to bridge the gap between clinical medicine and aesthetic excellence, offering a level of diagnostic depth that is rare in the industry.

To better understand Dr. Wilson’s holistic philosophy on hair health, we recommend listening to his appearance on The Doctor’s Kitchen Podcast: “Eat for Your Hair. This episode explores how nutrition and lifestyle form the essential foundation for any successful hair restoration plan.

The Crewe Hair & Skin Difference

A service that prioritizes the client over the clock:

  • Time & Attention: While private dermatology appointments often last only 20 minutes (Dr Wilson is not a dermatologist), the service provide extended initial consultations to ensure you feel heard and fully understand your options.

  • Inclusive Expertise:  Dr Wilson specializes in non-surgical hair restoration for all hair types, including extensive experience with afro-textured hair.

  • Total Diagnostic Detail:  Both virtual and face-to-face assessments. For those visiting us in person, the gold-standard TrichoLab report  is used for microscopic scalp analysis.

  • Beard & Eyebrow Health: Hair loss isn’t limited to the scalp. Beard thinning and eyebrow loss, which can often be early indicators of wider  hair loss conditions.


The Critical Distinction: Mapping Your Path

The most vital goal of your initial consultation is to determine whether your hair loss is scarring (permanent) or non-scarring. This distinction is the single most important factor in the success of any treatment or transplant.

  • Non-Scarring Hair Loss: We develop a robust, multi-stage plan to stimulate regrowth and density focussing on regenerative methods

  • Scarring Alopecia: If a scarring condition is suspected (such as Frontal Fibrosing Alopecia), you should be overseen by a dermatologist.  You will be equipped with information which should help if you need a referral to a Consultant Dermatologist for biopsy or potent medical intervention.  (Please note that direct communication with a GP is outside the scope of the service)


Evidence-Based, Ethically Driven

The  philosophy is rooted in science. Your personalized “360° Plan” integrates:

  • Medical & Aesthetic Treatments: From prescription topicals to regenerative procedures like Exosomes and  polynucleotides

  • Nutraceutical Optimization: Targeted supplements and “lifestyle tweaks” to support the hair growth cycle from within.

  • Home Care & Confidence: High-performance shampoos and professional cosmetic camouflage to support you daily.

  • Empowering Your Healthcare: Most GPs receive very limited training in hair loss.  Dr Wilson will provide you with the consultation findings and  and vocabulary needed to discuss your concerns effectively with your GP should you require further NHS investigation.

Optimizing Your Hair Transplant Investment

A hair transplant is a significant investment. We work with both men and women to ensure the “soil” is as healthy as the “seed.” By stabilizing the scalp environment and managing underlying causes, we help you achieve the most resilient, natural, and long-lasting surgical results possible.

Tricholab Imaging - High magnification using polarized light

The first face to face consultation includes TrichoLab imaging to help with precise imaging, automated analysis, and expert-assisted assessments.  The technology involves Trichoscopy which is a form of high magnification using polarised light. This allows structures to be viewed below the surface of the skin which would be missed by high power magnification alone. There is a second opinion service also.

Personalizing your treatment options using DNA testing

The same medication will have different effectiveness in different people. For example, Regaine, which is topical minoxidil is only thought to work in 40% of some populations with balding.  Your response to it can be predicted based on your genetic profile.

Topical minoxidil is licensed for balding, but is also widely used for a variety of hair loss conditions. To help stop you wasting time on treatments that are not likely to work, it can be worthwhile to have a TrichoTest DNA test which will help to personalise your treatment options.  It is however likely that you will need to use a combination of approaches to tackle hair loss.

This is most useful if you are experiencing early Male or Female Pattern Hair Loss, Telogen Effluvium (Hair Shedding) or early Alopecia Areata (an autoimmune condition).   The clinic will be able to prescribe the necessary medications if you have had a diagnostic hair loss consultation

Customers who have had a consultation may be suitable to have a Fagron Nutrigen DNA test.

The Fagron NutriGen™ test, by providing personalized dietary recommendations based on your genetic predispositions, could offer indirect but potentially significant benefits for improving the results of a hair transplant.

Before the first consultation

  1. When you book the first  appointment with the Calendly link you will be asked to answer some questions as part of the booking process.  This helps to make the best use of the time available. This is an online form which should take around 8 minutes to complete.  Please be open and honest about what treatments you have tried before. There is no judgement here, and the aim is to get the best outcome for you.
  2. It is also helpful if you are able to share important medical information including any important diagnoses and investigations such as blood tests before the consultation.  You may not think it is relevant, but it can help to see all the investigations you have had so far. It is now easier to access this information from your GP using an App.  This could be Evergreen Life PHR, Patient Access or the NHS App.  If you are unable to manage that technology you could alternatively request a Summary Printout  from your GP  via email  which includes the results of recent blood tests that would be ideal. You are entitled to this information free of charge under the General Data Protection regulations.  Even if the blood tests have been reported as normal it is helpful to have this information.
  3. It  is essential to have good quality photographs of your hair loss/scalp condition before the consultation.   Photographs of the scalp from the front, side, top and back views showing the condition that you are concerned about should be be emailed to info@crewehairandskinclinic.uk.  

Blood Tests

If you have not had any blood tests for your hair loss, you may wish to wait until the appointment to get advice about which blood tests to ask for.  Some types of hair loss can be made worse by biochemical imbalances so you may be advised to have a blood test.  

At the moment due to the pressure on General Practice an alternative way to access routine blood tests would be to access them privately. This clinic will not directly communicate with GPs to request blood tests, however you are welcome to forward the email from this clinic (which will be sent to you within 2 weeks of the consultation) to your GP which should help to explain why the suggestion has been made.

Please ensure that you have stopped taking any supplements containing Biotin at least 48 hours before the test as this can interfere with the results.

  • Hair Loss Private Blood Test  covers the more common contributors to hair loss and can be done at home using a skin price test.  It has 7 biomarkers including vitamin D and ferritin. The price is around £85. 
  • Ultimate performance blood test. This includes most tests except for a lupus screen
  • Ultimate performance blood test is extremely comprehensive with 56 biomarkers  and includes most tests except for a lupus screen.  A clinic has to be visited from their network to have the blood taken.  The main difference from the hair health perspective is that this test includes vitamin B12.

The initial consultation

You will be asked for proof of identity.  It is really important that you are open and honest about what products you are using and  what treatments you have had from other hair loss establishments.  There is no judgement and the process is confidential.

30 – 60 minutes  will be spent finding out about your hair loss/scalp concern,  its effect on you, your past medical history, medication history, hair care practices history, family history, nutrition and lifestyle.

Some of the questions may seem unnecessary and personal, but they are asked to ensure that as much information relevant to your hair loss or scalp problem is obtained.  

If you attend the consultation face to face, your scalp will be examined at high magnification and your hair and scalp will be examined.  Photographs will be taken.  It is a condition of using this service that you agree to images being held in your client record. This is for insurance purposes. Your images will not be shared elsewhere without your express permission.

The TrichoLab image taken at the appointment is a highly specialised form of imaging of the hair and scalp. It uses polarised light at high magnification, and there is the added benefit of a second opinion from specialist hair loss doctors based in Europe.  

Can I bring someone with me to the appointment?

You are encouraged to attend alone, but if you would like to bring someone with you, you are requested to let the clinic know in advance.  It may not always be possible to accommodate this request.

Sometimes a family member may have paid for the appointment.  All communications are with you as the client, and questions and queries must come through you.  You must therefore ensure that the contact details you provide are for you, and not someone else.

Can you look at my skin?

The aesthetics/skin care consultation service is a separate service.  All skin care consultations begin online.  Once progress has been made on agreeing a skin care plan, you will then be invited to the clinic for Observ images and the opportunity to sample some skin care products.

After the consultation

At the end of the consultation you will be given a verbal opinion of the condition and recommendations as to  what needs to be done next.  This could include:

  • In clinic treatments available from this clinic
  • Suggested blood tests to discuss with GP (These can be arranged via the clinic if needed)
  • For some hair loss or scalp conditions it may be more cost effective for you to seek a prescription from your GP.  The clinic does not communicate directly with your doctor, but you can use the email communications from the clinic to help inform your discussion.
  • TrichoTest may be advised to personalise which can be prescribed treatment
  • If there is a possibility of a scarring form of hair loss a referral to a dermatologist will be recommended
  • Suggested haircare products.  These personalised recommendations will be uploaded to the Get Harley portal. A member of the team will get in touch with you via email/WhatsApp/Phone call/text. The products can then be sent to your home.
  • Dietary tweaks for hair and scalp health
  • Scalp camouflage methods including wigs, hair pieces and scalp concealers
Within 2 weeks of the consultation you will be sent a detailed email which summarises the consultation and provides you with detail on the recommended next steps.
 
You can email further questions which will be answered at the first follow up appointment, which is usually online and is of up to 15 minutes’ duration.   

Why does it take up to 2 weeks to get an outcome email?

The  main reasons are because:

  1. The evidence base around the management of hair loss and scalp disorders evolving rapidly, so the effort is made to ensure that  resources are checked to ensure that you have up-to-date recommendations
  2. It can take up to 2 weeks for the TrichoLab report to be reported on
  3. Personalising your plan takes time and consideration.

Complementary Follow up appointments - 2 x 15 minutes in year 1

This is a journey, so you are encouraged to touch base with during first year.

You will usually be emailed a written summary of the consultation and initial advice  within 7 -14 days.  

Everyone is different, and will want to take a personalised approach which takes into account treatment preferences and budget.

The purpose of the second appointment is to address any issues which there may not have been time to cover in the first appointment and to discuss your personalised management plan.

The package includes a second follow up consultation within the first year.

If you do not use your 2  complementary follow up appointments within 12 months of the initial consultation you will need to book a 30 minute follow up appointment for which a fee applies.  This will usually be done virtually.

Once you have had the 3 appointments in the consultation and follow up package, then a fee will apply for subsequent advice appointments which will be charged by the half hour.

You may wish to book a follow up TrichoLab image to assess how your hair and scalp are progressing.

What if I need advice again after the first year?

You are encouraged to stay on the clinic mailing list so that you can be made aware of information that could be relevant to you.

If more than 12 months have passed since the first appointment consultations are charged per half hour whether in person or online.  You may wish to have a follow up TrichoLab image to quantify what is happening with your hair.

From January 2025, if more than 1 year has passed since the last follow up consultation, the process begins again with a new consultation.

Can I claim back the cost of the consultation?

Some clients have been able to claim back some of the cost of the initial consultation with their insurer.  Payments have been discretionary and are not guaranteed. They have been based on the fact that Dr Wilson is on the Specialist Register for Public Health Medicine and General Practice (not dermatology).  Regrettably it is not possible to alter the  receipt as this is a cosmetic service.

Will the clinic write to my GP or a dermatologist?

The email you receive approximately 14 days after the consultation will explain the opinion about what is likely to be going on with your hair and scalp.  It will contain a copy of your TrichoLab report and information leaflets.

You will be advised about what further investigations may be helpful.  You can share this information with your GP or dermatologist, but the service does not include further communication with your GP or dermatologist. Their decision to investigate further, or whether to refer is at their clinical discretion.   If you are thought to have a scarring alopecia, your GP should be willing to promptly refer you to a dermatologist to prevent chances of future permanent hair loss.

Can I get advice on camouflaging my hair loss?

Yes – please do ask as there is not always the time to cover this in the initial consultation.   Wigs, head coverings and hair pieces  can be purchased.

This clinic recommends Doctor Trichology Hair fibres for people with curly/coily hair which are available in black or  dark brown. Additional colours are available as MS Hair fibres are available in grey, blonde and auburn. Toppik hair fibres (Discount code Crewe1) seem to suit people with straighter hair.

Hair Fibre applicator – Doctor Trichology – Shop for hair and scalp care and Hairline optimiser comb – Doctor Trichology – Shop for hair and scalp care fit the above bottles

What should I do if I don't want a consultation, and just want a treatment?

This clinic will  only offer treatments to clients who have had a diagnostic hair loss consultation with this clinic.  This is because clients may have seen other hair loss practitioners and received a diagnosis, but their approach to management will be different, and the hair loss condition could have changed.

The hair loss treatments available at this clinic have different indications, different price points and different time commitments:

  • Polynucleotide –  another Regenerative Treatment which is trending in the aesthetics arena.  4 treatments are initially recommended repeated in 7- 14 days (different intervals for skin). After that a further 4 treatments are recommended every 3 weeks. Maintenance treatments are recommended every 2 months.
  • Pharma Hermetic Hair Recovery Programme  – A   peptide treatment with a wide variety of indications. 1 treatment is usually done every 10 days for a total of 6 treatments
  • Calecim professional advanced hair system treatment –  home based  treatment programme
  • WOW fusion hair loss treatment  –  Good for sweaty scalps “Scalp Botox”. Treatments are done 12 weeks apart with Botulinum Toxin, 6 weekly treatments without Botulinum Toxin
  • Purasomes – Exosome treatment. One treatment a month for 3 months, which can be repeated if results are seen.
  • Dermaroller XCellaris Pro Twist – automated microneedling every 4 weeks which can be combined with other microneedling treatments e.g. ageing. stretch marks, acne scarring
  • Low Level Laser Light Treatment.  – 20 minutes twice a week ongoing.  It is recommended that if suitable the device is purchased from either Theradome using this link https://www.theradomeforhairloss.co.uk/?affiliates=9  (Discount code CREW50) or using  on www.hairmax.co.uk which has a wider range of devices (discount code INGRID15)

Which scalp cleansing product do you recommend?

The clinic’s first choice for maintaining scalp health and supporting hair growth. Suitable for all hair types. Protects  hair from pollution. Contains antiageing and anti-dandruff ingredients.

I live a long distance from the clinic. Can I start the process remotely?

You are encouraged to attend the first consultation in person so that your hair and scalp can be examined closely because this may change the management plan.  If you take the option of attending the first appointment remotely, it is on the understanding that you accept the possibility that some causes of hair loss cannot not be identified as readily without close examination of the scalp at high magnification.  

This can result in there being a delay in starting on the correct plan.  Clinic treatments will not be arranged  without face to face trichoscopy first, including prescriptions. After the remote first consultation, follow up appointments,  are arranged and paid for separately.

You will receive an email detailing a suggested plan within 2 weeks of the consultation. If you have further questions relating to the plan, you can put them into an email for Dr Wilson to consider and discuss at the follow up appointment which is paid for separately.  The questions will not be responded to by email.  

Crewe Hair and Skin Clinic 110 Nantwich Road Crewe, Cheshire, CW2 6AT Company Number 1089 4687