How to Choose the Right Trichologist or Dermatologist

Trichologist examining a hair loss patient

Because your hair deserves expert care — and so do you.

If you’re dealing with hair loss, thinning edges, shedding, or scalp issues, it can be hard to know who to turn to: a trichologist? A dermatologist? Google?

Choosing the right hair health professional is one of the most important steps in your hair recovery journey. Here's how to make an informed, confident decision.

Trichologist vs. Dermatologist: What’s the Difference?

🔹 Trichologist

A hair and scalp specialist trained in hair science (trichology)
Focuses on non-medical causes of hair loss like:
- Scalp inflammation
- Product buildup
- Styling habits
- Diet, stress, and lifestyle
Offers treatments like scalp detox, microneedling, low-level laser therapy

🔸 Not a medical doctor, so they cannot diagnose or prescribe medication

🔹 Dermatologist

A medical doctor (MD or DO) specializing in skin, hair, and nails
Can diagnose and treat medical causes of hair loss such as:
- Alopecia areata
- Hormonal imbalances (PCOS, thyroid)
- Autoimmune disorders
- Scalp infections or dermatitis
Can prescribe medications like minoxidil, finasteride, or steroid injections

🔸 Often the best first step if you suspect a medical issue

How to Choose the Right Professional for You

1. Identify Your Symptoms

Start by asking yourself:

Is my scalp itchy, flaky, inflamed, or painful?
Am I experiencing patches, thinning, or sudden shedding?
Have I had recent hormone changes, illness, or stress?
Do I want medical treatment, holistic care — or both?

Go to a dermatologist for diagnosis if it’s sudden, aggressive, or paired with other health changes. Go to a trichologist if you're managing chronic thinning, scalp irritation, or looking for holistic care

2. Check Credentials

For dermatologists:

Look for board certification in dermatology
Search on AAD.org or Healthgrades

For trichologists:

Look for certification from respected institutions like:
- The International Association of Trichologists (IAT)
- The World Trichology Society (WTS)
- The Institute of Trichologists (UK)

3. Read Reviews and Ask Questions

Look for professionals who:

Take time to explain conditions and treatments
Offer customized care, not cookie-cutter solutions
Listen to your concerns without rushing
Have experience working with your hair type and texture

💬 Questions to ask before booking:

What kinds of hair loss do you specialize in?
What is your approach to treatment (medical, holistic, combination)?
What should I expect from the consultation?
Are there before/after case studies available?

4. Trust Your Gut

You should feel safe, respected, and heard. If you feel dismissed, pressured, or uncomfortable — it’s okay to keep looking.

Bonus Tip: Consider a Team Approach

Sometimes the best care comes from working with both a dermatologist and a trichologist. One can diagnose and prescribe, while the other supports with scalp care, nutrition, and non-medical therapies.

Final Thoughts

Choosing the right specialist is about more than credentials — it’s about finding someone who sees you, supports you, and works with you on your hair healing journey.

Your scalp tells a story — make sure the person reading it knows what they’re doing.

Books by Joy White: https://www.amazon.com/author/joywhite