The first step for anyone with a hair or scalp problem is to visit a full-time, credentialed hair restoration physician with experience and expertise in accurate diagnosis, successful treatment and long-term follow-up required in the medical management of hair loss patients. A medical hair loss “work up” starts with a detailed medical history, including family history, history of medical illness, poor nutrition, current medications, hair care regimen, recent surgeries and a detailed history of the hair loss situation. A scalp biopsy, blood work or other testing (like a HairDX genetic test) may be performed if indicated by the history and physical symptoms. Physical exam would include evaluation of the scalp for signs and symptoms of hair loss and any concurrent problems, such as inflammation. HairCheck cross sectional trichometry is used to measure Hair Mass in the relatively permanent areas of the scalp compared to the non-permanent or at-risk areas. Video dermoscopy with a HairCam device is used to determine if there is decreased numbers of follicles in the affected
areas, a decreased caliber of follicles in the affected areas, or a combination of both.