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Hair problem
Losing a few hairs every day is normal. It becomes a concern when more fall than usual, over several weeks, or when the scalp starts to show. Here we explain how to tell the difference, why it happens and what the clinic can do for you.
Reviewed by Dr Michelle Campagnoli, clinical director
How to recognise it
Some hair loss is part of the normal cycle. What matters is how much, for how long, and what changed in your life around that time.
Tick what you recognise
Tick the signs you recognise in your hair. This is not a diagnosis; it only gives you an idea.
You recognise some signs. It may be temporary hair loss or have another cause. Only a medical assessment can say for sure.
Several signs suggest hair loss that is worth assessing. The sooner the cause is understood, the simpler the plan usually is. Only a medical assessment can confirm it.
Book an assessment consultationOnly a medical assessment can confirm it. Sudden, patchy hair loss, a painful scalp, sores, pus or heavy scaling should be seen without delay, as there may be another cause.
Hairline. The hairline rises at the corners of the forehead. It is one of the first areas where thinning shows.
Crown. Hair gradually becomes sparser at the top and the scalp starts to show.
Parting. When the parting widens over the months, the hair loss is usually diffuse, across the whole scalp.
Temples. Thinning near the ears, which may correspond to more localised hair loss.
Why it happens
Hair loss rarely has a single cause. Choose one of the most common to see what makes it worse and what helps.
A period of severe stress, an illness with fever or surgery can make many hairs enter the shedding phase at the same time. It is usually noticed two to three months later.
Prolonged stress, high fever, anaesthesia or recent surgery, and poor sleep.
Resting, sleeping well and discussing with the doctor if the hair loss does not ease.
Hormonal changes, such as the postpartum period, menopause or a change of contraception, alter the hair cycle and may increase hair loss for a while.
Thyroid changes, intense hormonal phases and a change of contraception.
Understanding the cause with the doctor, who may request blood tests.
Hair needs energy, protein, iron, vitamins and minerals. Very restrictive diets or deficiencies can weaken the strands and increase hair loss.
Very restrictive diets, low protein, iron or vitamin deficiency.
A balanced diet and, if the doctor considers it useful, blood tests to see what is lacking.
When relatives have baldness or thinning hair, the hair loss may be hereditary: the follicles become thinner over time. It usually starts gradually.
Age, hormones and family predisposition.
Assessing early: it is simpler to slow down the loss than to recover what has already been lost.
An irritated scalp, with heavy dandruff or inflammation, weakens the follicle. Tight hairstyles and frequent dyeing also contribute.
Persistent dandruff, itching, very tight hairstyles and harsh chemicals.
Gentle washing, caring for the scalp and treating the cause of the irritation.
Types of hair loss
Hair loss can spread across the whole scalp or concentrate in one area. The difference helps the doctor understand the cause.
What it looks like. The hair becomes sparser everywhere, without marked bald spots. The parting widens and the ponytail gets thinner.
Common causes. Stress, illness, childbirth, diets, deficiencies and hormonal changes.
What the clinic does. The doctor looks for the cause, examines the scalp and proposes the plan.
At home. A balanced diet, rest and gentle scalp care.
What it looks like. Areas with less hair or bald patches, at the hairline, crown or in patches.
Attention. Round bald patches, sudden hair loss or a painful or sore scalp call for prompt assessment.
What the clinic does. The doctor distinguishes the type of alopecia and chooses the way forward with follow-up.
Tell us at the consultation. When it started, whether there are cases in the family and what changed around that time: it helps in choosing.
Have you already tried several products without results? Tell us when booking the consultation, so the doctor can adapt the plan.
Book an assessment consultationWhat the clinic can do
These are the treatments the clinic may propose to strengthen the follicle and reduce hair loss. They are not chosen by name: the doctor proposes the way forward after understanding the cause.
Regeneration
Platelet-rich plasma, obtained from your own blood and applied to the scalp, to stimulate the follicle and reduce hair loss.
Suitable when
the hair loss has a treatable cause and the doctor considers PRP suitable.
Find out more→
Regeneration
Vitamins, amino acids, minerals and hyaluronic acid, to nourish the scalp and strengthen the hair strand.
Suitable when
the hair is weak or thin and the scalp needs to be nourished.
Find out more→
Advanced regeneration
Regenerating solution to support the follicle's repair mechanisms and improve strand thickness.
Suitable when
the doctor considers it useful to reinforce the plan with a regenerating active ingredient.
Find out more→What about photobiodynamic therapy, microneedling and oral therapy? They may form part of the plan, alone or combined with these. The doctor decides after understanding the cause of the hair loss, and results are gradual and require maintenance.
What the journey looks like
No treatment starts without an assessment consultation with the doctor. This is how it works.
The doctor asks since when the hair has been falling, what changed, your medication and diet, examines the scalp and, if useful, performs a trichoscopy.
She explains the most likely cause, the options, what to expect and how long it may take, and chooses the way forward with you.
The treatment is done during the consultation and you receive clear instructions for home, with the right care for your scalp.
We look at the scalp again, adjust the plan and agree on maintenance, because the hair cycle is slow and results appear gradually.
Day to day
Home care does not replace assessment, but it helps avoid making the hair loss worse. These are the ones that matter most.
The golden rule
Gentle washing, delicate handling and a diet that gives the follicle what it needs. In hair loss, understanding the cause is as important as starting treatment.
A clean, calm scalp is the basis of stronger hair.
In practice: use lukewarm water and a mild shampoo, and massage with your fingertips, without nails.
The strand is made of protein and needs iron, vitamins and minerals.
In practice: include protein at every meal and avoid very restrictive diets.
Stress and poor sleep weigh on the hair cycle.
In practice: keep regular hours and set aside time to rest.
It helps the doctor understand when it started and what changed.
In practice: note when the hair loss increased and what happened beforehand: illness, stress, diet or medication.
Repeated traction weakens the follicle and can cause hair loss.
In practice: avoid ponytails, braids and buns pulled very tight every day.
A very hot hairdryer, flat iron and frequent dyes make the strand fragile.
In practice: use moderate heat, space out dyeing and protect your hair.
Changing shampoo or "tonic" without knowing the cause delays the assessment.
In practice: before trying new products, talk to the doctor.
Pulling, scratching hard or plucking hairs irritates the scalp.
In practice: leave your scalp alone and talk to the doctor if there is persistent itching.
Who will look after you
At Luxmed, the first step is always an assessment consultation with Dra. Michelle Campagnoli. She examines your scalp, looks for the cause of the hair loss and designs the plan with you, taking the time needed and without rushing.
Hair medicine
When hair loss is normal, when it is a concern and what options exist to recover density.
Read the article →
Hair medicine
Which nutrients matter for strong hair and when blood tests help understand what is lacking.
Read the article →
Hair medicine
What it is, how it is done and what the doctor can see to understand the pattern of hair loss.
Read the article →Other hair problems
Book a consultation
Choose how you prefer to get in touch. We will arrange the assessment consultation with Dr Michelle Campagnoli.
New Life Miraflores, Algés · Office Center, R. Santa Teresa do Menino Jesus n.º 6, 9.º C, 1495-048
Your details are used only for this contact. Any treatment depends on a prior medical assessment.
It is normal to lose some hairs every day, usually a few dozen, because hair renews itself in cycles. It becomes a concern when the hair loss clearly increases, lasts for weeks or the hair starts to look sparser.
There are several causes: heredity, hormones, stress, illness, childbirth, menopause, restrictive diets, certain medications and scalp problems. That is why the assessment starts by understanding the cause, which cannot be told apart on your own.
It depends on the cause. Some hair loss, such as that following a period of stress or an illness, usually eases with time; other types, such as hereditary hair loss, tend to continue without treatment. The doctor explains what to expect in your case.
Intradermotherapy and hair microneedling, with regenerative actives such as PRP, PDRN, NCTF and exosomes, photobiodynamic therapy and conservative oral therapy. The doctor defines the plan after the assessment and may combine several.
The price depends on the plan chosen, so it is given at the assessment consultation, after the doctor has seen your scalp. Discomfort varies from person to person and from treatment to treatment, and the doctor explains what to expect before starting.
Hair grows slowly, so results are gradual and are usually noticed after a few months. No treatment gives the same result to everyone, and maintenance is part of the plan.
Not always. When the doctor considers it useful, she requests blood tests to understand the state of the body, for example hormonal changes or deficiencies.
When the hair loss increases, lasts more than a few weeks or the hair looks sparser. Sudden, patchy hair loss, a painful scalp or sores should be seen without delay. The earlier it is assessed, the simpler the plan usually is.
Some treatments are not indicated at these stages. If you are pregnant or breastfeeding, say so when booking, so the doctor can propose suitable options.
Over-the-counter products can help with scalp care, but they do not treat the cause. If the hair loss continues, it is worth having it assessed by the doctor rather than switching products.
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The assistant does not give diagnoses or replace a consultation. The plan and cost of any treatment are set at the medical assessment.