FOR PATIENTS

Start wherever you are in the hair loss journey

FHI offers a first assessment, a deeper review after diagnosis, or monitoring during treatment. It is especially useful when hair loss remains unexplained, findings do not agree, or the next step is unclear.

Peter Feldman reviewing hair loss progress photographs and scalp findings with a patient.

Seven entry situations

Each entry point leads into the same structured intake, assessment, reporting, and follow-up process.

  1. At the first signs of change

    You have noticed shedding, thinning, texture change, scalp symptoms, or another change.

  2. Before diagnosis

    You want a thorough assessment before deciding what to do next.

  3. After diagnosis

    Your diagnosis explains some of your hair loss. Does it explain all of it?

  4. During treatment

    Hair loss continues or only partly improves despite treatment.

  5. When progress is unclear

    Your pattern has changed, or you are unsure whether treatment is working.

  6. For long-term monitoring

    You want ongoing tracking and a reliable record of change over time.

  7. Before or after a procedure

    You want independent baseline or follow-up assessment around a procedure.

COMMON PATTERNS OF CHANGE

Different patterns call for different questions

Similar visible patterns can have different causes, and more than one process may contribute. A pattern alone does not establish a diagnosis. FHI considers it alongside the timeline, scalp findings and treatment response to decide what needs closer assessment.

Early, persistent, recurring, or difficult-to-read change

  • Gradual thinning, increased shedding, or changing density.
  • Normal or non-explanatory laboratory results with continuing visible change.
  • Repeated cycles of improvement, relapse, or incomplete recovery.
  • Hair breakage, shaft-quality change, styling or chemical exposure, or uncertainty about true density loss.

Alopecia areata and patch-pattern change

FHI reviews where patches occur, whether they recur, photographs and treatment response. This helps identify monitoring needs and questions for the treating physician.

Scarring and inflammatory-pattern concerns

FHI considers scalp symptoms and visible change alongside photographs, trichoscopy, available biopsy or pathology findings, and treatment response. The timeline helps show how these findings fit together.

  • Fungal or other infectious and inflammatory scalp conditions, including available culture or treatment information.

Congenital, inherited, syndromic, and systemic presentations

History, family context, visible findings, prior assessments, known conditions, specialist notes, treatments, and monitoring needs are considered together.

Eyebrow, eyelash, beard, or body-hair change

The distribution, timing, symptoms, associated scalp findings, health context, and prior assessments are reviewed together.

What happens next

FHI reviews your history, changing pattern, scalp findings, treatment response and records together. Laboratory results, biopsy reports or photographs may explain only part of the picture. Conflicting findings guide the questions for further review.

You receive an integrated interpretation and a concise written consultation summary: what is supported, what remains uncertain, treatment considerations, and what to measure or review next.

Begin with a consultation request. FHI reviews your intake and confirms the assessment route. Share questionnaires, photographs and clinical records through the secure clinical workflow.