The Hair and Scalp Clinic

Consultant Trichologist Shirley McDonald

Fellow of the Institute of Trichologists

  • Male pattern baldness, or androgenetic alopecia, is a prevalent form of hair loss in men characterized by a predictable pattern of receding hairline and crown thinning due to the genetic sensitivity of hair follicles to dihydrotestosterone (DHT), a hormone derived from testosterone. As follicles shrink over time, hair growth cycles are affected, leading to progressively shorter and finer hair until some follicles cease hair production altogether. While not a serious medical condition, male pattern baldness can have emotional impacts.

  • Female hair loss, or female pattern hair loss (FPHL), is a common condition characterized by the gradual thinning of hair, particularly on the top of the head and along the part. Unlike male pattern baldness, which often results in a receding hairline and bald spots, female hair loss typically manifests as diffuse thinning.

  • Patchy hair loss, known as alopecia areata, is a condition where hair is lost in distinct, well-defined areas, leaving smooth, bald patches on the scalp or other parts of the body. It is an autoimmune disorder where the immune system mistakenly targets hair follicles, causing them to shrink and slow down hair production.

  • Diffuse hair shedding refers to a type of hair loss characterized by the widespread and even thinning of hair across the scalp rather than distinct patches or localized areas. Unlike conditions like alopecia areata, which cause specific bald spots, diffuse hair shedding results in a general reduction in hair density.

  • Seborrheic eczema, also known as seborrheic dermatitis, is a common inflammatory skin condition characterized by red, itchy, and flaky patches, often occurring on areas of the body with a high density of oil glands, such as the scalp, face, and chest.

  • Contact dermatitis is a skin condition characterized by inflammation of the skin that occurs when it comes into contact with substances that trigger an allergic reaction or irritate the skin. There are two main types of contact dermatitis: allergic contact dermatitis and irritant contact dermatitis.

    Allergic contact dermatitis is an immune system response to an allergen, which is a substance that the body mistakenly identifies as harmful. Common allergens include certain metals (like nickel), fragrances, latex, and certain plants like poison ivy.

    Irritant contact dermatitis, on the other hand, is caused by direct irritation of the skin by a substance, such as harsh chemicals, soaps, or cleaning agents. This type of contact dermatitis does not involve the immune system but rather results from the physical damage or irritation caused by the irritant.

  • Psoriasis is a chronic autoimmune skin condition that accelerates the life cycle of skin cells, causing a rapid buildup of cells on the surface of the skin. This results in the formation of thick, silvery scales and itchy, dry, red patches that can be painful. Psoriasis is not contagious and can vary widely in severity, with some individuals experiencing mild, localized symptoms and others having more extensive involvement.

  • Scaling conditions of the scalp refer to skin disorders characterized by the presence of scales or flakes on the scalp. These conditions can range from mild dandruff to more severe and chronic conditions. Some common scaling conditions of the scalp include:

    Dandruff (Seborrheic Dermatitis): A common and often mild condition, dandruff is characterized by small, white flakes of dead skin on the scalp. It can be caused by a variety of factors, including an overgrowth of yeast on the scalp, hormonal changes, and certain skin conditions.

    Psoriasis: Psoriasis can affect the scalp, leading to the formation of thick, red patches covered with silvery scales. This chronic autoimmune condition accelerates the turnover of skin cells, resulting in the rapid buildup of cells on the skin's surface.

    Tinea Capitis (Ringworm of the Scalp): This is a fungal infection that can cause scaling, redness, and hair loss on the scalp. Despite the name, it is not caused by a worm but by a fungus.

    Eczema (Dermatitis): Eczema on the scalp can lead to scaling, redness, and itching. It is an inflammatory skin condition that can be triggered by various factors, including allergens and irritants.

    Lichen Planus: Lichen planus is an inflammatory condition that can affect the scalp, leading to redness, scaling, and the development of shiny, flat-topped bumps.

  • An itching scalp, or scalp itchiness, is a common symptom that can be caused by various factors. Itchy scalp can be temporary and benign, or it may be a sign of an underlying condition.

  • Folliculitis is a common skin condition characterized by the inflammation of hair follicles. It can affect any part of the body where hair grows, including the scalp. Folliculitis is typically caused by bacterial or fungal infections, although it can also result from non-infectious factors such as friction, shaving, or certain skin conditions.

    Common signs and symptoms of folliculitis include red or inflamed bumps or pustules around hair follicles, itching, tenderness, and sometimes pain. In more severe cases, folliculitis can lead to the formation of larger, painful boils.

  • Scalp infections, caused by fungi, bacteria, viruses, or parasites like head lice, can result in symptoms such as itching, redness, and hair loss. Conditions like tinea capitis, folliculitis, and viral infections can lead to distinct manifestations. Treatment involves antifungal, antibiotic, or antiviral medications, depending on the specific infection. Maintaining good scalp hygiene and seeking prompt medical attention for persistent symptoms are important for effective management.

What we do

We take a holistic look at a range of factors based on an individual patient in order to diagnose and treat various issues such as:

About Me

Shirley McDonald is a Consultant Trichologist with over 30 years experience. Her aim is to adopt a holistic approach with attention given to lifestyle, diet, hair care and other factors which may contribute to the patient’s condition. Shirley deals in all hair types including those with Afro textured hair at her London practice. She is a clinical tutor and a board director with responsibility for professional practice and ethics (Chair of Ethics) for The Institute of Trichologists (IoT). Alongside this she has been featured in a number of journals including the Metro newspaper, Black Hair magazine, Business Insider and appeared on different news television and radio items for both the BBC and ITV stations. Currently research scarring hair loss in young men and women.

 

In-person and virtual clinics

For physical appointments the practice is located in Hendon, north-west London with close-by transport links. Can’t make it into the clinic? No worries – we’ve got you covered with virtual appointments.

Services

  • Consultation

  • Clinical Treatments

  • Treatment Plans

“My aim is to adopt a holistic approach with attention given to lifestyle, diet, hair care and other factors which may contribute to the patient’s condition. There are so many people out there that need good hair care advice but are confused by the wealth of information.”

— SHIRLEY MCDONALD

Begin your hair and scalp journey, today.