Your consultation will begin with understanding your pattern of hair loss. You will be asked when the shedding started, whether it was sudden or gradual, whether your parting has widened, whether the crown or hairline has changed, and whether there is a family history of hair loss.

Your scalp will be assessed for density, miniaturisation, inflammation, scaling, redness, scarring, tenderness or signs of infection. This helps decide whether exosome microneedling for hair is suitable, or whether further investigation is needed first.

You will also be asked about medications, recent illness, stress, diet, pregnancy or postpartum changes, menopause, thyroid disease, anaemia, autoimmune conditions, previous hair treatments and any history of poor wound healing.

Blood tests may be recommended if the cause of hair loss is unclear. These may include checks such as full blood count, ferritin or iron studies, thyroid function, vitamin D, B12, folate and other tests where clinically appropriate.

If treatment is suitable, the scalp is prepared and treated with controlled microneedling. A topical exosome-based serum is then applied to the treated area. The appointment will also include aftercare advice, expected recovery, likely treatment course and a realistic timeline for review.

Temporary redness, sensitivity, tenderness, pinpoint bleeding, tightness, dryness or mild flaking can happen after scalp microneedling. You will also be advised what to avoid afterwards, including harsh scalp products, heavy sweating, swimming, direct sun exposure and certain active treatments for a short period.