Which specialist performs trichoscopy?

Trichoscopy uses a magnifying device with light to view structures that are difficult to see during an ordinary scalp examination. The clinician may inspect hair shafts, follicle openings, scaling, redness, or patterns of breakage and loss. It is an examination rather than a treatment. Findings can help the clinician decide whether your concern needs observation, a scalp examination, laboratory testing, or a treatment plan.

Book with a dermatologist who lists hair and scalp disorders or trichology among their clinical interests, or with a qualified trichology service that works within an appropriate medical referral pathway. Before the visit, note when shedding, thinning, itching, or soreness began and whether it is changing. Mention recent illness, pregnancy, dietary changes, medicines, chemical treatments, and family patterns of hair loss. Arrive with the scalp free of heavy styling products if the clinic gives that instruction.

Arrange prompt medical review for sudden or rapidly progressing hair loss, painful scalp inflammation, pus, widespread crusting, bleeding, or patches with scarring. Seek urgent help for facial swelling, breathing difficulty, or a severe allergic reaction after a product applied to the scalp. Trichoscopy can support assessment, but a concerning or inflamed scalp still needs a clinician to examine the person as a whole.

Ask: What pattern do you see on trichoscopy? Does it suggest shedding, breakage, inflammation, or scarring? Do I need blood tests, a scalp sample, or another examination? What changes should I record before follow-up?