Beyond AlopeciaUnderstanding comes first.

Questions

Things people ask.

Straight answers, including the ones that are “it depends”. If yours isn’t here, just ask me. I answer my own email.

01 Questions

About trichology

What is a trichologist?

A specialist in hair and scalp health. We take a long, detailed history, examine the hair and scalp closely, and help you understand what may be happening and what to do next. It is a certified professional field, and a separate one from medicine: naming a condition and prescribing for it belong with a doctor, and I’ll always tell you when that’s the step you need.

Is trichology the same as dermatology?

No, and you may well want both. A dermatologist is a medical doctor: diagnosis, prescriptions, biopsies. A trichologist has the time a fifteen-minute appointment doesn’t: the full history, the whole picture, the explaining. They work best together, which is why I refer often and stay involved afterwards.

Do I need a referral?

No. You can book directly. If what you describe points to something medical, I’ll ask you to see a doctor too, sometimes before we go further, and I’ll make that as easy as I can for you.

Can a trichologist diagnose alopecia?

The diagnosis itself has to come from a doctor. What I can do is recognise the patterns, tell you what your presentation is and isn’t consistent with, and send you to the right person with the right questions instead of waiting months to find out. Most people find that’s the part that had been missing.

02 Questions

About consultations

What happens during a consultation?

A long history first, then a structured assessment of your hair and scalp, then a conversation about what I am seeing and what it may mean, then next steps. Afterwards you receive a written summary. The full breakdown, with timings, is on the consultations page.

What should I bring?

Nothing on the day. It’s all done beforehand. When you book you’ll get a questionnaire and a one-page prep sheet: a rough timeline of the last eighteen months, any blood results, your medications and supplements with start dates, and seven photographs taken in daylight following the instructions I send. I read all of it before we meet, so we don’t spend your hour on admin.

Can consultations be online?

All of mine are. There are things video cannot do, and I have written about those honestly on the consultations page rather than glossing over them.

How many consultations will I need?

Often just one, plus a review if results come back or something changes. Some situations are slow and layered enough that six months of company genuinely helps, and if yours is one of those I’ll say so at the end of the consultation, never before you’ve met me, and never as a condition of being helped.

How much does it cost?

€140 for a 60 minutes consultation, including the written summary. A review later, if you want one, is €70. There is no obligation to book one. Six Months Alongside, where it genuinely fits, is €390. Payment is taken once we have agreed a start date, and I keep 2 reduced-fee places each month for people who need them.

What if I need to cancel or move my appointment?

More than 48 hours’ notice: reschedule free, as often as you need, or take a full refund. Inside 48 hours it gets a little stricter, and if something serious has happened I’ll almost certainly waive it anyway. The full policy is on the consultations page.

03 Questions

About conditions and treatment

Can you help with hair shedding?

Yes. Understanding it, at least. Shedding has a wide range of causes and the useful first step is establishing which kind you are dealing with. Sometimes that means asking your GP for specific blood work before we go further.

Can you help with scalp problems?

Yes. Assessing what’s going on, explaining it, and getting your routine right, which is where most people are going wrong. Several common scalp conditions also need a prescription to settle properly. If yours looks like one of those, I’ll tell you early and help you get it.

Do you work with autoimmune hair loss?

Yes, alongside medical care rather than instead of it. If you have or may have an autoimmune form of hair loss, you need a doctor involved. What I can offer is context, scalp and hair care, help understanding your options, and someone with the time to explain things properly.

Will you recommend supplements?

Sometimes, cautiously, and only where there is a reason, usually something in your history or your blood results. I do not sell supplements and I have no arrangement with anyone who does. If I cannot tell you why you are taking something, do not take it.

Do you prescribe medication?

Prescribing belongs with a doctor. If what I’m seeing points that way, I’ll say so clearly and write out what to ask for, so you walk into that appointment prepared rather than hoping for ten good minutes.

Will my hair grow back?

I won’t promise you that, and I’d be wary of anyone who does before they’ve met you. Some kinds of hair loss recover well, some are managed rather than reversed, and some depend on things nobody can predict yet. What I can do is help you find out which of those you’re likely dealing with, which is the thing that actually changes what you do next.

When should I see a dermatologist or a doctor?

If hair has come out in patches; if the scalp is painful, sore or has sores; if the skin where hair has been lost looks smooth, shiny or scarred; if loss is rapid or accompanied by other symptoms; if the person losing hair is a child. See Start here for the full list.

04 Questions

Practical

What if I’m not the right fit for you?

Then I’ll say so, and I’ll tell you who is. I’d far rather send you to the right person than take your money for a plan that was never going to work. You won’t leave empty-handed either way.

Where are you based, and does it matter?

I am based in Barcelona and work online with clients anywhere. Consultations are held on Google Meet or Zoom, whichever you prefer, Monday to Saturday between 11:00 and 20:00 Central European Time, and booked in your own time zone rather than mine.

What are your qualifications?

VTCT Skills (ITEC) Level 4 Certificate in Trichology for Hairdressers, awarded by Trichocare in 2025, plus ongoing CPD in hair and scalp disorders. Trichology is a certified professional field but not a medical one: I am not a doctor and I do not diagnose or prescribe. More on the about page.

Do you sell products?

No. I have no product line and no affiliate arrangements. Any recommendation I make, you can take anywhere.

Still have a question?

Ask it before you book. That’s not a sales call, it’s an email.

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