Alopecia and Hair Loss Causes & Treatment Options | London

Alopecia and Hair Loss

When changes in your hair begin to change how you feel about yourself

Noticing more hair in the shower, a widening parting or greater visibility through your scalp can feel deeply personal. You may find yourself checking photographs, changing your hairstyle or wondering whether other people have noticed too.

Alopecia and hair loss can affect women and men at different stages of life. Sometimes the change develops gradually. In other cases, shedding appears quite suddenly, leaving you unsure about what is happening or what you should do next.

Hair loss has many possible causes, which is why treatment should never begin with assumptions. At Skin Perfection London, we help you understand whether your pattern of thinning may be suitable for cosmetic scalp treatment or whether you should seek medical assessment first.

For suitable patients with active hair follicles, our Dermapen hair loss treatment combines Dermapen 4 scalp microneedling with carefully selected professional scalp formulations and Dermalux LED phototherapy.

The aim is to support scalp health and suitable areas of thinning. We will never promise overnight regrowth or suggest that every form of alopecia responds in the same way.

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The small changes that can become difficult to ignore

Hair loss is not always a completely bald patch. It may begin with changes that seem subtle at first:

  • More hair collecting in your brush or shower
  • A parting that gradually appears wider
  • Greater scalp visibility under bright light
  • A ponytail that feels thinner than it once did
  • Recession around the temples or hairline
  • Reduced density across the crown
  • Hair that feels finer or less resilient
  • Patchy areas of hair loss
  • Increased shedding following illness, stress or hormonal change
  • Having to arrange your hair carefully to disguise certain areas

It is understandable to want an immediate solution. Still, the most useful first step is to consider why the change may be happening.

A product or cosmetic treatment cannot correct an undiagnosed medical condition, and delaying appropriate medical advice may allow some forms of hair loss to progress.


What is alopecia?

Alopecia is the medical term for hair loss. It is not one single condition.

Hair loss may affect part of the scalp, the entire scalp or hair elsewhere on the body. It may develop gradually or suddenly, and it can be temporary, progressive or permanent depending on its cause.

Some types of hair loss leave the follicles intact and may be capable of producing hair. Others damage or destroy the follicles, resulting in permanent loss within the affected area.

The NHS explains that hair loss can have many causes and recommends speaking to a GP if you are worried about it. A medical professional may investigate factors such as family history, medication, illness, hormonal changes or nutritional deficiencies.


Common types and causes of hair loss

Pattern hair loss

Androgenetic alopecia is commonly described as male-pattern or female-pattern hair loss.

In women, it may appear as a widening parting or reduced density across the top of the scalp. In men, it commonly affects the temples, hairline and crown.

Genetics and sensitivity to hormones can influence its development. Pattern hair loss usually progresses gradually and may respond differently depending on how advanced it has become.

Telogen effluvium or excessive shedding

Telogen effluvium causes more hairs than usual to enter the shedding phase of the growth cycle.

Possible triggers include:

  • Significant physical or emotional stress
  • Illness or fever
  • Surgery
  • Childbirth
  • Rapid weight loss
  • Nutritional deficiency
  • Hormonal changes
  • Certain medications

Shedding may begin several weeks or months after the original trigger, which can make the connection difficult to recognise. Medical investigation may be needed to identify and address the underlying cause.

Alopecia areata

Alopecia areata is an autoimmune condition that commonly causes smooth, round or oval patches of hair loss. It can also affect the beard, eyebrows, eyelashes or other areas of the body.

This is a medical condition requiring assessment by a GP or dermatologist. Cosmetic microneedling should not be presented as a replacement for appropriate diagnosis or medical care.

Traction alopecia

Traction alopecia develops when repeated tension pulls on the hair and follicles. Tight ponytails, braids, extensions, weaves and other styles that place continual strain on the hairline may contribute.

Changing the source of tension early may help prevent further damage. Long-standing traction can lead to scarring and permanent hair loss, so early medical advice is sensible if the affected area is painful, inflamed or continuing to recede.

Scarring alopecia

Scarring or cicatricial alopecia damages and replaces hair follicles with scar tissue. It can cause permanent hair loss and sometimes involves itching, pain, inflammation, scaling or changes in scalp texture.

This requires assessment and treatment by a dermatologist. We do not perform cosmetic scalp microneedling over suspected active inflammatory or scarring alopecia.

Hormonal, nutritional and medical factors

Changes in thyroid function, iron levels, hormones and general health may influence the hair-growth cycle. Pregnancy, menopause, polycystic ovary syndrome, restrictive diets and some medications may also contribute.

These factors cannot be confirmed through a cosmetic consultation alone. If your history or pattern suggests an underlying medical cause, we may recommend speaking to your GP before considering treatment.

Understanding the hair-growth cycle

Each follicle follows its own repeating cycle. This is why every hair does not grow or shed at the same time.

How does the hair-growth cycle work?

Anagen: the growing phase

During the anagen phase, the follicle actively produces hair. Scalp hairs can remain in this phase for several years.

The length of the growing phase influences how long the hair can become before it naturally transitions into the next stage.

Catagen: the transition phase

Catagen is a relatively short transitional stage. Active growth stops and the follicle begins preparing for its resting phase.

Telogen: the resting and shedding phase

During the telogen phase, the hair rests before eventually shedding. A new hair may then begin developing within the follicle.

A certain amount of daily shedding is normal. However, a noticeable increase, prolonged shedding or a visible reduction in density deserves further attention.

Can cosmetic scalp treatment help alopecia and hair loss?

Dermapen scalp treatment may be considered when active follicles remain and the scalp is healthy enough for microneedling.

It may be suitable for selected patients experiencing:

  • Early or gradual pattern thinning
  • Reduced density across the parting or crown
  • Finer-looking hair in areas where follicles remain active
  • A generally healthy scalp without active inflammation
  • Cosmetic hair concerns that have already received appropriate medical assessment
  • Hair shedding where an underlying cause has been addressed and treatment is considered suitable

Treatment is unlikely to help where follicles have been permanently destroyed or replaced by scar tissue. It cannot create new follicles, cure an autoimmune condition or correct an untreated hormonal, nutritional or medical cause.

If we do not believe cosmetic treatment is appropriate, we will explain why.


How does Dermapen 4 scalp treatment work?

Dermapen 4 creates controlled microchannels across suitable areas of the scalp.

This controlled process initiates a natural healing response within the treated skin and allows professionally selected topical scalp formulations to be applied as part of the treatment protocol.

Scalp microneedling aims to:

  • Support a healthier scalp environment
  • Complement the care of suitable areas of thinning
  • Improve the delivery of selected topical formulations
  • Support hair quality where follicles remain active
  • Form part of a longer-term, personalised scalp-care plan

The procedure does not generate new hair follicles. Any improvement depends on the cause and stage of hair loss, follicle activity, general health, consistency and individual response.

What does our hair restoration protocol include?

Step 1: Scalp assessment and preparation

Before recommending treatment, we discuss how your hair has changed, the areas that concern you and any relevant medical or family history.

We also examine the visible condition of your scalp. This is not a medical diagnosis, but it helps us recognise when treatment may be unsuitable or when further medical assessment should come first.


Step 2: Dermapen 4 scalp microneedling

Your practitioner moves the Dermapen 4 systematically across the selected treatment area using a depth and technique appropriate for your scalp.

You may feel vibration, scratching or prickling. Temporary redness, tenderness and pinpoint bleeding can occur.


Step 3: Selected professional scalp formulation

A professional topical formulation is selected according to the treatment protocol and applied to the scalp.

This may include a product from the EXO-GROW range where suitable. We will explain the formulation being used, why we have selected it and the available information about its intended cosmetic role.

These products should not be interpreted as medication, a cure for alopecia or a guarantee of hair regrowth.


Step 4: Dermalux LED phototherapy

Dermalux LED phototherapy may be included after microneedling as part of the clinic protocol.

Red and near-infrared wavelengths are used to support the treated scalp and post-procedure recovery. LED treatment is painless and does not involve ultraviolet light.


Step 5: Home and scalp care

We will explain how to care for your scalp after treatment and when you can wash your hair or resume active products.

Where appropriate, we may recommend professional home-care products. These support the treatment plan but cannot replace medical investigation or guarantee regrowth.

What results can you realistically expect?

Hair responds slowly because every follicle is at a different stage of the growth cycle.

Where treatment is suitable and follicles remain active, the aim may be to support:

  • A healthier-looking scalp
  • Improved appearance of hair quality
  • Greater visual density in suitable areas
  • Reduced visibility through the scalp
  • Stronger-looking existing hair
  • A more confident relationship with your hair and appearance

Some patients may notice changes in shedding or hair quality before visible density changes. Other patients may experience limited or no meaningful improvement.

Results cannot be guaranteed, and treatment will not work for every cause or stage of alopecia and hair loss. Maintenance may be recommended because pattern hair loss and ageing-related changes can continue.


Before & After – Results of real patients – Hair Restoration Dermapen Treatment

before and after dermapen

alopecia before and after

HAIR LOSS DERMAPEN TREATMENT

Why beginning with the cause matters

When hair starts thinning, it is tempting to try multiple supplements, serums and treatments at once. The problem is that this makes it difficult to know what is helping and may distract from an underlying cause that requires medical attention.

A responsible plan may include:

  • Medical assessment or blood tests through your GP
  • Addressing a nutritional deficiency
  • Reviewing medication with the prescribing professional
  • Reducing tension from hairstyles or extensions
  • Medical treatment prescribed or recommended by a doctor
  • Cosmetic scalp treatment where appropriate
  • Consistent home care and progress monitoring

You do not need to choose between medical care and cosmetic support. In many cases, the two can complement each other, provided everyone remains clear about what each part of the plan can achieve.


Why choose Skin Perfection London?

Hair loss deserves thoughtful guidance, not frightening deadlines or promises that sound too good to be true.

At Skin Perfection London, you will receive:

  • A detailed, private consultation
  • Honest guidance about whether cosmetic treatment is appropriate
  • Dermapen 4 scalp microneedling performed by trained practitioners
  • Professionally selected scalp formulations
  • Dermalux LED phototherapy as part of the clinic protocol
  • Clear preparation and aftercare advice
  • Progress photographs and ongoing monitoring
  • Realistic expectations without guaranteed regrowth claims
  • Referral back to medical care when your symptoms require investigation
  • Treatment in a Central London clinic licensed by Westminster City Council

We understand that hair loss can feel vulnerable. You will be listened to without judgement or pressure.

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You deserve a clear answer, even when treatment is not the answer

Hair loss can leave you feeling as though you need to act quickly and try everything. In reality, the best next step is usually calmer and more considered.

Understand what may be happening. Rule out anything that requires medical care. Then explore cosmetic support if it is genuinely suitable for you.

Book a no-obligation consultation at Skin Perfection London and let us help you understand whether Dermapen scalp treatment has an appropriate place in your hair-care plan.

Book a Consultation Not ready to book? Enquire now

Frequently Asked Questions


Is alopecia the same as hair loss?

Alopecia is the medical term for hair loss. It includes several different conditions, causes and patterns rather than describing one specific disease.

Can Dermapen 4 cure alopecia?

No. Dermapen 4 cannot cure alopecia.

Scalp microneedling may support selected areas of thinning where follicles remain active, but it is not suitable for every form of hair loss. Autoimmune, inflammatory, scarring and medically unexplained hair loss require appropriate medical assessment.

Which types of hair loss may be suitable for treatment?

Treatment may be considered for selected patients with gradual pattern thinning, reduced density and active follicles.

Suitability cannot be decided from the appearance of the hair alone. Your history, scalp condition and any existing medical diagnosis must also be considered.

Can treatment help alopecia areata?

Alopecia areata is an autoimmune condition and should be assessed by a GP or dermatologist. We do not present cosmetic microneedling as a cure or replacement for medical treatment.

Can treatment help scarring alopecia?

Microneedling cannot restore follicles that have been destroyed and replaced by scar tissue. Suspected scarring alopecia requires assessment by a dermatologist because early medical treatment may help limit further permanent loss.

Can treatment help female-pattern hair loss?

Selected patients with female-pattern thinning may be suitable if active follicles remain and there is no contraindication to treatment.

However, female hair loss may also involve hormonal, thyroid, nutritional or other medical factors. We may recommend speaking with your GP before beginning cosmetic treatment.

Can treatment help male-pattern hair loss?

It may support selected areas of early or established thinning where active follicles remain. It cannot restore areas in which follicles are no longer functioning or create a new hairline where follicles have been permanently lost.

What if I am shedding hair after stress or illness?

Excessive shedding following illness, stress, childbirth, rapid weight loss or another physical change may be telogen effluvium.

Because the underlying trigger matters, speak to your GP if the shedding is substantial, prolonged or unexplained. Cosmetic treatment should not replace this investigation.

Do I need blood tests before treatment?

We cannot request or interpret medical blood tests. However, your GP may consider investigations where symptoms or history suggest factors such as iron deficiency, thyroid changes or another underlying condition.

How many Dermapen hair loss treatments will I need?

A minimum of three sessions may be recommended, but hair changes occur slowly and many patients require a longer course.

We assess progress over time rather than promising a fixed result after a particular number of appointments.

When will I see a difference?

Hair grows slowly, so visible changes should not be expected immediately. Where treatment is successful, changes may develop gradually over several months.

Progress photographs can help us assess whether the programme is providing a worthwhile improvement.

Will I experience shedding after treatment?

Some patients may continue to shed because of the condition already affecting their hair cycle. This does not automatically indicate that treatment has caused the loss.

Unexpected, severe or persistent shedding should be discussed with your practitioner and medically assessed where appropriate.

Does scalp microneedling hurt?

Most patients describe vibration, scratching or prickling across the scalp. Some areas may feel more sensitive than others.

The scalp can feel warm, tender or tight for a short time afterwards.

Can I wash my hair after treatment?

You will need to follow your practitioner’s aftercare guidance. This normally includes leaving the scalp undisturbed for a specified period and avoiding irritating products, heat and excessive sweating while it settles.

We will give you instructions based on the formulation and treatment intensity used.

Are exosomes used during hair loss treatment?

A professionally selected cosmetic scalp formulation, which may include an exosome-related product, can form part of the protocol for suitable patients.

We will explain exactly which product is being used. It should not be interpreted as stem-cell therapy, medication or a guaranteed way to regrow hair.

What does Dermalux LED add to the treatment?

Red and near-infrared Dermalux LED phototherapy may be included to support the scalp following microneedling and form part of the overall treatment protocol.

It is not a standalone cure for alopecia and does not guarantee new hair growth.

Are the results permanent?

Not necessarily. Pattern hair loss, hormonal influences, ageing and other underlying factors may continue.

Maintenance and ongoing home or medical care may therefore be recommended.

Who should not have scalp microneedling?

Treatment may be unsuitable if you have an active scalp infection, uncontrolled inflammatory condition, open wounds, certain medical conditions, impaired healing or another contraindication.

Patients with suspected alopecia areata, scarring alopecia or unexplained sudden hair loss should receive appropriate medical assessment first.

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21-22 Great Castle Street,
4th Floor,
London,
W1G 0HY

Tel: 020 7629 4116
WhatsApp: 447591420257
Email: info@skinperfectionlondon.co.uk