Facing scalp issues can often feel like crossing a minefield of discomfort, both physically and emotionally. The journey is riddled with obstacles: a lack of awareness about the significance of scalp health, the embarrassment caused by visible conditions like dandruff or psoriasis, and pervasive misconceptions that lead many to believe these issues are untreatable or, worse, contagious. 

Additionally, fears surrounding the treatment process—concerns over potential medications, procedures, and the necessity of lifestyle changes—can significantly deter individuals from seeking the help they desperately need. It’s no wonder that so many delay or outright avoid addressing their scalp conditions, risking the exacerbation of their discomfort and the health of their hair.

However, we’d like to shine a light on these fears and help those struggling with these very issues. Specialising in the unique challenges of afro hair, the Fulham Scalp and Hair Clinic offers a sanctuary for those seeking not just treatment but understanding, compassion, and a path to recovery.

Understanding Scalp Conditions

Understanding the underlying causes and progression of scalp conditions is crucial in navigating the journey towards effective treatment and long-term scalp health. Unlike the superficial symptoms that many attempt to treat on their own, such as flaking or itching, the origins of these issues often run much deeper, entangled in a complex web of genetic, environmental, and lifestyle factors.

Genetic Predispositions and Environmental Triggers

Many scalp conditions, including the likes of psoriasis and androgenetic alopecia, have genetic components that predispose individuals to developing these issues. However, genetics alone doesn’t dictate the fate of your scalp health. Environmental triggers play a significant role, with stress, pollution, and dietary choices acting as catalysts that can exacerbate underlying conditions.

The Impact of Lifestyle Choices

Lifestyle choices, including hair care practices, can also contribute to the progression of scalp conditions. Overuse of hair products, frequent heat styling, and tight hairstyles can strain the scalp and hair follicles, leading to irritation, damage, and, in some cases, hair loss. Moreover, a diet lacking in essential nutrients can deprive your scalp of the building blocks needed for healthy hair growth.

The Role of Microbial Factors

The scalp’s microbial environment is a delicate balance, easily disturbed by various factors, leading to conditions such as seborrheic dermatitis. An overgrowth of yeast-like fungi, changes in the skin’s pH, or excess oil production can all disrupt this balance, triggering inflammation and the appearance of symptoms like dandruff.

Progression Without Proper Intervention

Without proper intervention, mild irritation or flaking can develop into more severe, chronic conditions. Ignoring the initial signs or resorting to temporary fixes rather than seeking professional advice can lead to a worsening of symptoms, impacting not only scalp health but also hair health, self-esteem and quality of life.

At the Fulham Scalp and Hair Clinic, our approach goes beyond treating symptoms; we aim to understand and address the root causes of your scalp condition. By considering your genetic background, environmental exposures, lifestyle habits, and the unique needs of your hair type, with developed expertise in afro hair, we devise personalised treatment plans. These plans not only aim to alleviate current symptoms but also to halt the progression of conditions, paving the way for a healthier scalp and hair.

Trichologist Services Unpacked

We take pride in offering an array of treatments meticulously designed to address a wide spectrum of scalp conditions with lasting impact. Our approach combines the therapeutic powers of electrotherapy, infrared light therapy, steam therapy, and a comprehensive wash phase, all enhanced by our specially formulated products. This multifaceted strategy ensures that every aspect of scalp care is covered, providing our clients with the best possible outcomes.

Electrotherapy: Stimulating Scalp Health

Electrotherapy has remained a part of our treatment regimen since we started, utilising controlled electrical currents to stimulate the scalp, encourage blood flow, and promote cellular regeneration. This method is particularly effective in revitalising struggling hair follicles, paving the way for healthier hair growth and scalp vitality.

Infrared Light Therapy: Harnessing Light for Healing

Infra-red light therapy is pivotal in our treatment arsenal, offering a non-invasive solution to reduce inflammation and improve scalp health. By penetrating deep into the scalp, infrared light helps repair damaged cells and increase circulation and lymphatic drainage, essential for nourishing hair follicles and preventing hair loss.

Steam Therapy: Opening Pathways to Deep Nourishment

Our steam therapy sessions are designed to improve blood circulation of the scalp, whilst also providing essential hydration and allowing for deeper penetration of our therapeutic products. This process not only helps to improve a product’s functionality but it also maximises sebaceous gland activity which improves natural moisturisation of the scalp surface and maintenance of the scalp microbiome.

The Full Wash Phase: A Foundation for Scalp Renewal

The full wash phase is an integral part of our treatment process, ensuring that the scalp is thoroughly cleansed and prepared for the application of our formulated products. This step is crucial in eliminating any existing irritants and creating a clean slate for optimal treatment efficacy.

Specially Formulated Products: Tailored to Your Needs

Complementing our therapeutic treatments, our range of specially formulated products is designed to address various scalp and hair concerns. From moisturising dry scalps to treating flaky conditions, our products work in harmony with our therapies to enhance results and ensure the health and beauty of your hair. We use high-quality ingredients, formulated in small batches by our trichologists to ensure you get the best quality in the clinic and also at home.

Precision Diagnostics for Scalp Treatment in Trichology

The journey to resolving scalp issues begins with a precise and thorough diagnosis. Trichologists, as specialists in scalp and hair health, employ a variety of sophisticated tools to uncover the root cause of hair and scalp disorders. Each tool serves a unique purpose, enabling trichologists to view the scalp and hair from different perspectives and at various levels of detail. Here’s a look at the key diagnostic tools in their arsenal:

Trichoscopy: Zooming in on Scalp Health

Trichoscopy is one of the most widely used noninvasive diagnostic techniques. Using a dermoscope or digital video dermatoscope, trichologists can conduct a detailed examination of the hair and scalp. This tool allows for the identification of specific patterns and abnormalities that are not visible to the naked eye, making it invaluable in diagnosing a wide range of hair and scalp disorders.

Global Photography: Capturing Change Over Time

Trichologists use global photography to capture high-resolution images of the scalp and hair. This technique is particularly useful for monitoring the progression of conditions over time. Quantitative software analysis complements these images, offering a detailed assessment of hair density, thickness, and other changes, facilitating a nuanced understanding of treatment efficacy.

TrichoScan: Assessing Hair Growth Dynamics

The TrichoScan method involves meticulously shaving a small area of the scalp, applying a special dye to the hairs, and then taking high-definition digital photographs. This innovative approach allows for calculating the anagen (growth phase) to telogen (resting phase) hair ratio, providing crucial data for diagnosing hair loss and evaluating treatment responses.

Polarising Light Microscopy: Exploring Hair Shaft Integrity

Utilising polarising light microscopy, trichologists can examine the structure and integrity of hair shafts. This technique is especially useful for diagnosing hair shaft disorders, such as trichothiodystrophy, by revealing details about the hair’s cortex, medulla, and cuticle that are indicative of specific conditions.

Trichogram and Unit Area Trichogram (UAT): Evaluating Follicle Health

The trichogram and Unit Area Trichogram (UAT) are methods that provide insights into hair growth and follicle health. By carefully plucking hairs from specific areas of the scalp and analysing them, trichologists can assess various growth phases and follicle conditions. These semi-invasive techniques are crucial for understanding the nature of hair loss and the scalp’s response to treatment.

These diagnostic tools are used where appropriate to enable trichologists to identify and understand various scalp and hair conditions accurately. 

What Do Trichologists Treat?

Trichologists at the Fulham Scalp and Hair Clinic specialise in treating a wide range of scalp and hair issues, with a particular emphasis on conditions that disproportionately affect afro hair. Understanding these common problems and their causes is the first step toward seeking effective treatment and achieving optimal scalp health. Here are some of the most prevalent scalp problems, especially pertinent to those with afro hair:

Alopecia Areata

This condition is characterised by sudden, patchy hair loss. It’s believed to be an autoimmune disorder where the immune system mistakenly attacks hair follicles, leading to hair loss on the scalp and possibly other parts of the body.

Central Centrifugal Cicatricial Alopecia (CCCA)

CCCA is a type of scarring alopecia that’s common in individuals with afro hair, primarily affecting women. It’s thought to be caused by a combination of genetic factors, hair care practices (such as the use of high-tension styling and chemical relaxers), and possibly an underlying inflammatory process that destroys hair follicles, leading to permanent hair loss.

Traction Alopecia

This condition results from tension on the hair shafts caused by certain hairstyles like tight braids, dreadlocks, or extensions. Over time, the constant pull can lead to hair loss, primarily around the hairline and temples.

Seborrheic Dermatitis

Often manifesting as dandruff, seborrheic dermatitis is more severe and can cause red, scaly, itchy patches on the scalp. There will tend to be a history of allergies or eczema in the patient’s history, but factors like an overgrowth of yeast on the skin, stress, and changes in weather can exacerbate the condition.


Scalp psoriasis presents as red, itchy, scaly patches on the scalp. It’s an autoimmune condition that speeds up the lifecycle of skin cells, causing them to build up rapidly on the surface of the skin. It can be particularly challenging to manage in afro hair due to the potential for hair breakage and the difficulty in applying topical treatments.


This condition is characterised by inflammation of the hair follicles, leading to pimples or pustules located around hair follicles, including the scalp. It can be caused by bacterial or fungal infections and is often aggravated by certain hair care practices, such as frequent use of oils and greases that can trap bacteria or extremely close-cut shaving techniques.

Trichologists play a crucial role in diagnosing these conditions and developing tailored treatment plans that address both the symptoms and underlying causes. 

Expertise and Experience

Our team of trichologists is not only highly qualified but also passionate about scalp health. With years of experience diagnosing and treating various scalp conditions, they bring empathy and professionalism to each consultation, making them trusted allies in your hair care journey.

Client Testimonials

The impact of their work is best reflected in the words of their clients:

“I struggled with alopecia for years before I found the Fulham Scalp and Hair Clinic. Their personalised treatment has not only improved my condition but also my confidence.”

“Dealing with psoriasis was a nightmare until I started treatment at the clinic. I’ve seen a dramatic improvement, and it’s all thanks to their expert team.”

These testimonials underscore the clinic’s role in transforming lives through expert scalp treatment in London.

Comparison with Dermatologists

While dermatologists offer a broad spectrum of skin care services, trichologists in London focus specifically on the scalp and hair. This focus allows them to provide in-depth knowledge and treatment for hair and scalp conditions, distinguishing their practice from general dermatology. For more on how trichologists complement dermatologists in the care of your scalp and hair, read more about a trichologist vs dermatologist.


Are scalp treatments worth it? 

Absolutely. They can significantly improve scalp health and, by extension, hair quality.

How do I know if I need a scalp treatment? 

Look out for symptoms like persistent itching, flaking, or unusual hair loss.

Can scalp treatment regrow hair? 

Yes, many conditions causing hair loss can be treated, resulting in hair regrowth.

What are the four scalp types? 

The four types are normal, oily, dry, and combination.

What does an unhealthy scalp look like? 

Signs include redness, scaling, excessive oiliness, constant itching or dry, brittle hair.

Professional Scalp Treatment, London and Surrounds

For those in and around London looking to address their scalp concerns, the Fulham Scalp and Hair Clinic is at your service. To schedule an appointment for a consultation and scalp treatment in London, visit our website or contact us directly. Your scalp health is our priority, and we’re here to ensure you receive the care and treatment you deserve.

This comprehensive guide aims to enlighten and assist individuals in navigating their scalp and hair health with the support of London’s experienced and qualified trichologists. With a focus on personalised care, especially for those with afro hair, the Fulham Scalp and Hair Clinic is dedicated to providing treatments that not only address specific conditions but also promote overall scalp and hair vitality.

Ifẹ A
Ifẹ A
This place has genuinely changed my life! I went from relying on the daily use of wigs to finally being able to understand and appreciate my natural coils. I would never have been able to wear my natural hair out a year ago (mostly due to the fact that I had so many bald spots and basically no hairline!) so I am shocked daily at how far I’ve come in such a short space of time. If you decide to visit, please do listen to the advice of these wonderful experts, it really does work! I’ve also realised how much we over complicate black hair, healthy black hair is actually super simple to achieve. Thank you everyone at Fulham Scalp & Hair Clinic! Each day I wear my hair out, I’m appreciative of the day I discovered this wonderful place!
Beth L
Beth L
I’ve been getting desperate with my 4C hair situation, so I’m so glad I found this clinic. Eleanore and Ashley were so accommodating and nice! I learned a lot of new things. Now, my hair has improved a LOT after following Eleanore's advice. Highly recommend.
Judith Worrell
Judith Worrell
I feel and look confident after my treatment and trim from Fulham Scalp and Hair Clinic and recommend anyone struggling with traction alopecia to confront the issue and contact the clinic as I did I have no regrets just new hair growth and a great look.
Booked a consultation and the information I received was life changing. Didn't realise how badly I was maintaining my hair. Since getting my hair treated and trimmed, I have been given a healthy hair routine that has given me confidence and happiness. For anyone thinking about it definitely do it. Your not just paying for the treatment but also the knowledge. Customer service and attention to detail was 5*
Cabir TOPO
Cabir TOPO
My hair was damaged from keratin treatments. After doing some research I found this place online. I was nervous about contacting them for fear of judgement and blame. In May 2022 I got in touch. Even before I arrived the receptionist really reassured me and was very kind. Eleanor did my consultation. Her and Teresa are professional, empathetic, warm, supportive and knowledgeable. I didn't really know how to look after natural hair. However this has revolutionised things for me. My hairs unrecognisable to before. Its grown a lot and is the healthiest it's ever been. I'm so glad I found this place. I attend regularly for treatments. I can't recommend this place enough!!
Nadine McKenzie
Nadine McKenzie
I became a patient of the Fulham Scalp & Hair Clinic two years ago on the advice of my dermatologist who suggested that I find a trichologist. One of the reasons for choosing this clinic was due to their extensive knowledge of differing medical conditions that cause issues with scalps and hair. I was made to feel so welcome and after an examination of my scalp, hair and lifestyle a proper treatment plan was started. I am so pleased about the progress I have made, how my scalp inflammation has decreased and how I have been taught to take care of my scalp and hair. I still regularly have my scalp examined and receive treatment in order to ensure that no flare ups on my scalp recur. I am thrilled that my dermatologist recommended that I see a trichologist and I am glad that I chose Teresa and Eleanor due to their expertise, care and genuine interest and pride in seeing their patients' progression.
I had my initial consultation with Eleanor. from the moment I met her she was professional, empathic, extremely knowledgeable and warm in rapport. For context I have thick 4C hair, and I was in good hands. Eleanor knew exactly what she doing, saw the beauty in my hair and did not feel anyway swayed by hair in its natural state. I would highly recommend bringing any blood test results to your consultation. I was as at loss as to why my hair was shedding, thinning in places and not retaining length when I appeared to be doing all the right things to prevent this. Eleanor was able to read my blood test results and examine my hair throughly to make a diagnosis. We discovered that my hair shedding/loss was due to my extremely low iron and vitamin D levels. I travelled from the West Midlands for this appointment and will be happy to travel again for treatments. Do try to be open to the advice and insight given, as a lot of it is new to us a community. Thank you to the team for your work and professional approach in helping black women learn about maintaining healthy flourishing hair.
Juliana Gracia
Juliana Gracia
I had my initial consultation today and was very anxious about it due to historical hair trauma. Eleanor was kind, knowledgeable and informative. I did not feel judged for the condition of my hair and was given realistic expectations and simple steps to manage my hair issues. Would highly recommend! Will be back for a treatment
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