Special indications — Hair loss beyond the routine
Some forms of hair loss do not fit into the "androgenetic or telogen effluvium" scheme. Scarring alopecias, postpartum changes, post-chemotherapy treatment, transitions—these topics deserve their own specialized medical depth. Here you will find our special pillars.
Scarring Alopecias
Unlike androgenetic alopecia, scarring forms permanently destroy hair follicles. Early detection and stopping the disease are crucial — lost areas usually do not recover.
Frontal Fibrosing Alopecia (FFA)
Receding hairline with characteristic eyebrow thinning, often postmenopausal. The therapeutic goal is to stop progression.
Lichen Planopilaris (LPP) and Other Scarring Forms
Related diseases with similar pathophysiology. Require specialized dermatological diagnostics with trichoscopy and, if necessary, biopsy.
Autoimmune Hair Loss
Alopecia Areata
Sudden, sharply defined hair loss due to an autoimmune reaction. Can occur at any age — modern therapies, including JAK inhibitors, have significantly improved the prognosis.
Hormonal and Endocrinological Causes
Postpartum Hair Loss
Telogen effluvium starting 2–4 months after birth. Usually reversible, but prolonged in cases of deficiencies or breastfeeding.
PCOS and Hair Loss
Polycystic Ovary Syndrome as a common endocrine cause in young women.
Thyroid and Hair Loss
Hashimoto's thyroiditis and other thyroid disorders — a frequently overlooked cause.
Telogen Effluvium (Stress-Related)
Diffuse loss after severe stress — illness, surgery, emotionally distressing event, strict diet.
After Chemotherapy and Oncological Treatment
Reversible and, in rare cases, persistent forms. When and how hair medical therapy after oncological treatment is advisable.
→ Hair Loss After Chemotherapy
Transitional Hair Medicine (FTM and MTF)
Gender-affirming Hair Treatments as a central component of transition — beard transplantation for FTM, hairline feminization for MTF.
→ Hair Medicine in Transitions
When to Consult a Specialist?
- Sharply defined bald patches
- Visibly receding hairline without the classic androgenetic pattern
- Loss of eyebrows or eyelashes
- Accompanying skin changes (redness, scaling, smooth shiny skin)
- Diffuse hair loss without a recognizable trigger
- Progression despite conservative therapy for 6–12 months without improvement
- Family history of autoimmune diseases
- After oncological therapy
- As part of a transition
What a Specialized Consultation Provides
- Complete medical history including pre-existing conditions and family history
- Extended trichoscopy with targeted differential diagnosis
- Extensive laboratory diagnostics (hormones, autoimmune markers, micronutrients)
- If necessary, biopsy in case of suspected scarring alopecia
- Interdisciplinary coordination with endocrinology, gynecology, oncology, or gender specialists
- Individualized treatment plan with short-, medium-, and long-term goals
Our Approach
Special cases require time, patience, and diligence — no standard solutions. We work interdisciplinarily and take the time your diagnosis deserves. Sometimes the honest recommendation is: "A transplant is not the right choice for you right now" — this is not renunciation, but responsible medicine.