Trichoscopy

To diagnose growth problems, scalp diseases, as well as to determine the hair structure and monitor the treatment, our doctors at the K+31 clinic use modern informative methods – Trichoscopy is one of them.

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About the service

Trichoscopy is a computerized diagnostic method in trichology, which is used to determine the condition of the hair structure and growth system: scalp, cuticle, bulbs, follicles, sebaceous glands, bursa. Finding the exact cause of problems allows you to choose the most effective means of treating them.

Hair trichoscopy is part of a group of non-invasive hardware techniques used in dermatology. Very often this study is called dermatoscopy, because it examines not only the hair cuticle itself, but also the scalp as a growth zone.

Diagnosis is carried out using a special device - a dermatoscope.

The study is performed in the office of a doctor - trichologist, dermatologist. Considering that this is a hair trichoscopy, the object being studied is the head and hair. The procedure is non-invasive, painless, and does not require the use of any contact means.

About the service

Indications for implementation

Diseases of the scalp, like all pathologies, have causes, symptoms, and complications. The consequences will not be life-threatening, but may leave an irreparable cosmetic defect - baldness, including focal baldness, thinning hair, dullness of color. Like all diseases, trichopathology must be accurately diagnosed and treated in a timely manner; computer diagnostics of the scalp helps with this.

In what situations is examination necessary?

  • Complete, focal baldness; receding hairline.
  • Alopecia, the appearance of areas of discoloration.
  • Dandruff, crusts, peeling.
  • Excessive sebum production.
  • Skin itching, rash of the scalp.
  • Pustules, inflammation on the head.
  • Deterioration in the appearance of hair: split ends, dull color, lack of volume, sticking of strands.
  • Severe hair loss, noticeable thinning of curls.
  • Defects caused by coloring, perming, salon, or home procedures.

What is trichoscopy? This is a comprehensive examination of the hair and scalp to find the causes of their poor condition. However, screening is also worthwhile for those people who want to choose the optimal care products and receive recommendations from a trichologist on how to prevent problems in the future, even if they are not observed now. As you know, diseases are easier to prevent than to treat, and this step is very wise.

Do you need to get tested right now?

Trichoscopy is usually prescribed by a doctor, but you can sign up for diagnostics yourself if you want to find out about the condition or hidden pathologies.

You may be concerned about the following points:

  • After washing, the hair becomes greasy very quickly, so you have to wash it often.
  • Cosmetics and folk recipes do not help eliminate dandruff, itchy skin, or stop hair loss.
  • Hair, even washed, smells unpleasantly of rancid lard.
  • There are a lot of hairs left on the pillow after sleep. The same situation occurs after combing: there is always a large bun on the comb.
  • There are increasing bald patches around the forehead, on the temples, behind the ears.
  • By the parting, “fluff” is noticeable on the temples.
  • Early gray hair has appeared.
  • The hair has changed its structure and appearance.
  • When dyeing, the hair is colored unevenly.

The examination is mandatory if you are already seeing a doctor and following his recommendations. The results will allow you to track the dynamics after treatment measures, their effectiveness, and adjust treatment if necessary.

The trichologist will prescribe an examination if the treatment program does not bring the desired effect. Perhaps the reason is different, and this will help identify it.

diseases
What diseases does the study help detect?
  • Alopecia: focal, total, cicatricial, androgenic, fibrous, etc.
  • Trichotillomania, or hair breaking
  • Mycosis, or fungal infection
  • Alogenous alopecia as a result of taking toxic agents, drugs, chemotherapy
  • Follicular lichen planus
  • Folliculitis
  • Discoid lupus erythematosus
  • Hereditary pathologies of the scalp
General information about the Trichoscopy procedure

Types of trichoscopy

  • Normal. The study is carried out without the use of additional equipment; only a device is needed for the session. FTG, or phototrichogram. Preparation and implementation are more difficult, but in some cases it helps to save hair. Digital screening detects androgenetic alopecia even at the earliest stage, when the symptoms are not very pronounced. The doctor determines how many hairs are in the telogen phase and how many are in the anagen phase.
  • FTG, or phototrichogram. Preparation and implementation are more difficult, but in some cases it helps to save hair. Digital screening detects androgenetic alopecia even at the earliest stage, when the symptoms are not very pronounced. The doctor determines how many hairs are in the telogen phase and how many are in the anagen phase.

There are two microinvasive types of FTG:

  • With contrast to visualize hairs in any growth phase.
  • With contrast and micropigmentation for control examination of the same area after 4-6 months.

The techniques are performed using contrast and special equipment, which allows us to examine in detail the structure of the “growth zone” - hair follicles, follicles, and shaft. They are more difficult to carry out, but they provide accurate results about pathological processes and their causes. The price of trichoscopy is small, but the diagnostic procedure gives a complete picture of the condition and the causes of hidden or obvious problems.

Preparation for trichoscopic screening

Diagnostics are performed on a clean head. But you need to wash your hair 24 hours in advance; you shouldn’t wash it on the day of the procedure. The smaller the hair cuticle and the skin are nourished with cosmetics, the better for reliable results. Therefore, you need to follow simple preparation rules:

  • Coloring, perming, and other salon procedures must be performed no later than three to four weeks before the session.
  • For 2-3 days you should not use varnish, foams, peelings, apply gels, tint balms.

If any procedures, including therapeutic ones, needed to be performed on the scalp before the study, you should inform the doctor about this. Also, be sure to tell the trichologist if you have any disease - psoriasis, eczema, urticaria, allergies.

Contraindications

All patients are allowed to undergo trichoscopic examination; there are no contraindications. However, you should not undergo it during an exacerbation of a chronic disease, in the acute stage of the disease, or immediately after cosmetic procedures - coloring, lamination, perm.

Execution algorithm

If there is a need for FTG, two days before the main session the patient must visit a doctor for examination and shaving of a small area (or areas in two zones, on the back of the head and crown, if a comparative analysis needs to be done).

After asking the patient about complaints, clarifying personal data, and collecting anamnesis, the doctor sets up a hair trichoscope or equipment for a photographic trichogram.

Executed according to plan:

  1. For phototrichography, the shaved area is stained with ammonia-free dye and micropigmentation is performed. This is in order to better see the hairs in all growth stages and to mark the selected area for subsequent tracking of dynamics.
  2. Using a sensor, the doctor visualizes the field under study, sending an image to the computer screen. The patient can also see them.
  3. Session time - 20-30 minutes, depending on the volume of problems.

Based on the results, the doctor can make a diagnosis and prescribe therapy. If the results require clarification, the trichologist will refer you for additional diagnostics, prescribe consultations with other specialists, and recommend a full medical examination of the body.

Spectrogram

In different situations, the doctor uses different types of diagnostic techniques, which he considers optimal and most indicative in a given case. Modern devices in cosmetology and trichology allow them to be performed, providing results of high diagnostic value.

A spectrogram is an additional diagnostic method used in complex trichological screening, based on a laboratory study of a blood sample. The content of 33 vitamins and microelements is considered, which directly affect metabolism, the condition of hair, skin, and nails.

Based on the result of the analysis, which is often performed simultaneously with a trichoscopic examination, expanding the results, the doctor will determine which elements are missing in the body. Deficiency can provoke organic disorders, including hair loss and deterioration of the properties of the skin.

Read more about devices and technologies for trichoscopy

A dermatoscope can be:

  • manual, portable;
  • stationary dermoscopic system with video camera, monitor, computer processing and recording of media files.

Hand-held devices increase the field by 10 times, while digital generation video dermatoscopes increase the field by 10-50, 60-200 and more times, it all depends on the power. The second group of equipment creates photo and video documentation; these devices allow you to see the slightest defects that are no longer visible on portable samples.

The latest generation of dermatoscopes are created by manufacturers specifically for examining the hair structure. They make it possible to measure the size of the bulb, the thickness of the hair, and take successive photos of the problem area.

Software for trichoscopic equipment:

  • XairXPPRO. Allows you to assess the condition of the skin, measure the density of the hair shaft, diameter.
  • Trichoscience. Thanks to convenient functions, the trichologist determines the density of hair growth in an area of 1 cm², the ratio of fully pigmented and fine vellus hairs. It is possible to measure the diameter of the rod at different lengths, compare the thickness of different ones, and perform a phototrichogram for fixation.
Read more about devices and technologies for trichoscopy
Our doctors
Zakirova
Gulnara Shokirovna
Head of department, dermatologist, cosmetologist
Ivlieva
Maria Georgievna
Head of the Department of Dermatology and Aesthetic Medicine, dermatologist, cosmetologist, trichologist
Anoiko
Olga Yuryevna
Dermatologist, cosmetologist
Lebedinskaya
Darya Alexandrovna
Dermatologist, cosmetologist, trichologist
Katz
Ksenia Vladimirovna
Dermatovenerologist, oncologist
Ilyina
Ekaterina Vladimirovna
Cosmetologist, dermatologist, trichologist
Andriyako
Daria Alekseevna
Dermatovenereologist, cosmetologist
Stepanova
Yulia Sergeevna
Dermatologist, cosmetologist, trichologist
Shumanov
Vladimir Arturovich
Traumatologist-orthopedist, podologist
Makhin
Egor Evgenievich
Dermatovenereologist, cosmetologist
Marchenko
Elena Viktorovna
Head of the center for podology and mycology, dermatovenerologist, podologist, cosmetologist
Sukhanova
Alexandra Sergeevna
Dermatologist, cosmetologist, trichologist

Dermatologist, cosmetologist, trichologist
Muzhetskaya
Anastasia Gennadievna
Dermatovenereologist, cosmetologist
All specialists
Make an appointment at a convenient time on the nearest date

Diagnosis and treatment of hair diseases in Moscow

In the multidisciplinary medical clinic “K+31” they perform photo and video trichoscopy using modern trichoscope devices. Visualization and recording of documents allow for accurate diagnosis and prescribing effective therapy.

You can make an appointment with a doctor by calling the clinic or using the feedback form; Current contacts are listed on the official K+31 website. You can ask the administrator for more information about medical and cosmetic services.

The price of hair trichoscopy is indicated in the open price list. The exact cost of your diagnostic and treatment program can be found out at your initial appointment, since the complex may include various procedures and examinations, according to individual indications.

We manage to keep the prices of medical services at the K+31 Center at an affordable level. There are often discounts and promotions, and there are profitable comprehensive programs that every patient can take advantage of. To find out more, read patient reviews about cosmetology, trichoscopy, and come to your initial appointment.

Diagnosis and treatment of hair diseases in Moscow

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03.04.2024
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When I was young, I got a tattoo with my husband’s name. After the divorce, there was a desire to remove it. Clinic K+31 attracted my attention because they use modern and reliable equipment, and all the doctors are experienced and certified. At the preliminary consultation, the cosmetologist carefully examined the tattoo and said that the tattoo artist had introduced the pigment deeper than necessary, and this would complicate the process of removing it. It took me 8 procedures to completely cleanse my skin. The redness after the sessions went away within 4-5 days. The result met my expectations.
05.10.2023
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I would like to leave a review about the most amazing doctor in Moscow!!! I can’t put it into words, first of all, I’m sharing the result of the procedures performed: I did “Ultraformer”, “Radiesse” and “Xeomin”. I want to say that these are not new procedures for me, but I have never had such an amazing result as from Dr. Makhin, how important it is to find a specialist who really knows how to make it “WOW”, I left the office completely delighted and with the result, and after a couple of weeks I simply didn’t recognize my face, I began to look 20 years younger. In addition, it was as if I had been to an appointment with a psychotherapist, arrived in a depressed mood, and came out as if I had started a new life again, the doctor’s energy, approach to the client cannot be expressed in words, a very positive, smart, well-groomed doctor, just sunshine! Thank you Egor Evgenievich for everything and I will repeatedly return only to you and advise all my girlfriends and friends!!!
17.09.2023
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17.09.2023
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30.08.2023
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Clinic K+31 was recommended to me by a friend. After looking at photos of other patients’ results on the website, I decided to remove the hated tattoo I got 8 years ago. Before the procedure, the doctor applied an anesthetic, so I did not experience much pain. The result pleased me.
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