Answering your hair loss questions
UNDERSTANDING HAIR & SCALP HEALTH
What Causes Your Hair Loss?
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Hair loss is not a single condition. Changes in density, shedding, hairline shape or scalp visibility can develop for very different reasons — and sometimes more than one process is present at the same time.
Understanding the pattern and what may be contributing to it is an important first step before deciding whether your hair should be monitored, investigated, medically supported or considered for restoration.
Follicular Miniaturisation
Over time, hair follicles can produce progressively finer and fewer hairs, leading to reduced density and increased scalp visibility.
Miniaturisation and hair density
Miniaturisation gradually changes the quality of the hair produced. Affected hairs become finer and shorter over time, contributing to reduced density and greater scalp visibility.
The Hair Growth Cycle
Hair is constantly growing, resting and renewing. Each follicle follows its own cycle, which allows new growth and normal shedding to occur at different times across the scalp.
Changes within this cycle — or within the follicle itself — can affect how long a hair grows, its thickness and the density we see.
Understanding these changes helps distinguish temporary shedding from progressive forms of hair loss.
01 · ANAGEN
Active growth
The follicle actively produces and lengthens the hair shaft
02 · CATAGEN
Transition
A short transitional phase as active hair growth comes to an end.
03 · TELOGEN
Shedding
The follicle rests before the hair sheds and a new cycle begins.
When shedding increases
At times, more hairs than usual can enter the resting and shedding stages. This may be temporary and can occur for a range of reasons, which is why the pattern and timing of hair loss matter.
What Happens to The Hair?
HOW HAIR CHANGES
Small TitleHOW HAIR LOSS CAN PRESENT
HOW HAIR LOSS CAN PRESENT
Hair Loss Does Not Always Look the Same
Hair loss can appear in different ways.
Changes may develop gradually, become more noticeable over time, or affect particular areas of the scalp.
Recognising the pattern can help guide a more appropriate assessment.
COMMON CAUSES OF HAIR LOSS
Hair Loss Can Have Different Causes
Hair loss can result from a range of genetic, hormonal, medical and environmental factors. More than one factor may be involved, and understanding the underlying cause can help guide appropriate assessment and management.
GENETIC & PATTERN RELATED
Androgenetic alopecia
Follicular miniaturisation
Age-related changes
SHEDDING & INTERNAL FACTORS
Telogen effluvium
Hormonal change
Health & physiological stress
Nutritional factors
Medications
SCALP & LOCALISED CONDITIONS
Traction alopecia
Alopecia areata
Inflammatory scalp conditions
Scarring hair loss
Similar patterns of hair loss can have different underlying causes, which is why assessment considers more than appearance alone.
WHEN SHEDDING INCREASES
Telogen Effluvium (TE)
Telogen effluvium is a form of diffuse hair shedding that occurs when a greater number of hairs than usual enter the resting phase of the hair-growth cycle.
Shedding often becomes noticeable some time after a physical or emotional stressor. Illness, surgery, significant weight change, nutritional deficiency, hormonal change and certain medications are among the factors that may be associated with it.
WHAT MAY BE NOTICED
Increased shedding
Reduced overall density
More hair during washing or brushing
Telogen effluvium is often temporary, but persistent or recurrent shedding may warrant further assessment to explore possible contributing factors.
ACROSS THE SCALP
Shedding is typically diffuse rather than confined to one specific area.
OFTEN DELAYED
The change may become noticeable weeks to months after a triggering event.
DENSITY MAY APPEAR REDUCED
Greater scalp visibility can develop when increased shedding persists.
A more detailed assessment can help explore the pattern of hair loss and whether further investigation may be appropriate.
BEFORE CONSIDERING HAIR TRANSPLANTATION
What Needs to Be Established Before Surgery?
Before planning a transplant, assessment helps answer two of the questions patients ask most often.
Am I suitable for a hair transplant?
Suitability depends on your hair-loss pattern, existing hair, donor capacity and scalp health.
How many grafts might I need?
An estimated graft range depends on the area being restored, existing density, desired coverage, hair characteristics and the donor supply available.
KEY FACTORS ASSESSED
HAIR-LOSS PATTERN & STAGE
EXISTING DENSITY
DONOR CAPACITY
SCALP HEALTH