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SCARRING HAIR LOSS · PERTH

Scarring Hair Loss Assessment in Perth

Scarring hair loss, also called cicatricial alopecia, can permanently damage hair follicles. If you notice patchy loss, a changing hairline or scalp symptoms, the priority is timely assessment. Carmen can assess visible hair and scalp changes and help you understand appropriate next steps.

Private consultation · Trichoscopy where appropriate · Perth CBD

Woman looking at her hairline in a hand mirror

Suspected scarring may need medical assessment.

Arrange a prompt appointment with your GP or dermatologist if hair loss comes with burning, tenderness, redness, scaling, pustules or smooth shiny areas. Do not wait for a trichology appointment before seeking medical advice.

SIGNS TO TAKE SERIOUSLY

Changes worth taking to your doctor.

Smooth or shiny patches where hair has been lost.

Redness or scaling around individual hairs.

Burning, itching, pain or scalp tenderness.

A receding front hairline or thinning eyebrows.

Small bumps or pustules with hair loss.

Patches or crown changes that are spreading. Symptoms can also be absent.

UNDERSTANDING SCARRING ALOPECIA

Different conditions need different medical care.

Scarring alopecia describes several conditions, rather than one diagnosis. These examples show why the pattern and scalp findings need careful medical assessment. Similar-looking hair loss can have another cause.

1

Frontal fibrosing alopecia

Often affects the front hairline and temples, sometimes with eyebrow loss. Redness, scale or discomfort may occur, but symptoms can be absent.

2

Lichen planopilaris

Inflammation around follicles can cause patchy hair loss, with redness, scale, itching, burning or tenderness. Some people have few symptoms.

3

Central centrifugal cicatricial alopecia

Often starts at the crown and spreads outwards. Breakage or reduced density may appear alongside itching, burning or tenderness.

Other causes include discoid lupus affecting the scalp, folliculitis decalvans and advanced traction-related damage. A GP or dermatologist can investigate the cause and advise medical treatment. Early treatment may help limit further loss; hair cannot regrow from follicles that have been destroyed and replaced by scar tissue.

CARMEN’S SUPPORTING ROLE

A trichology assessment supports your next steps.

Hair being gently separated with a comb for scalp observation

1

History and changes

Carmen asks when the concern began, how it has changed, your symptoms and any previous diagnosis or treatment. Bring relevant results and a list of medicines.

2

Hair and scalp examination

Visual examination and trichoscopy, where appropriate, can help document the pattern, follicle openings and visible scalp changes. These findings do not replace medical diagnosis.

3

Medical care and support

Suspected scarring may need GP or dermatologist assessment. A scalp biopsy may be needed. Blood tests are chosen for your history and do not diagnose every scarring condition.

Clearer information for the care ahead.

✓ Your visible changes and history discussed
✓ Guidance about appropriate medical care
✓ Practical hair and scalp care advice
✓ Monitoring discussed alongside your medical plan

COMMON QUESTIONS

Questions about scarring hair loss.

Related information

Trichoscopy and scalp analysis

Trichology consultation

Blood tests and hair loss

Traction alopecia

What to expect

Support alongside appropriate medical care.

Arrange prompt GP or dermatologist assessment if scarring hair loss is suspected. You can also book a trichology consultation for a careful review of your hair, scalp and history. An appointment with Carmen should not delay medical care.

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