Trichological Hair Analysis: Finding the Cause of Hair Loss — Istanbul
Trichological hair analysis is a medical assessment of hair and scalp: history, examination, trichoscopy, a pull test and, when indicated, blood tests. It aims to identify the type of hair loss so treatment matches the cause. Veneta in Nişantaşı offers it; a physician plans any tests, supplements for proven deficiencies and treatment.
Last updated: October 2026
At a Glance
Type
Medical hair and scalp assessment
Methods
History, examination, trichoscopy, pull test, photos, blood tests if needed
Sessions
A first visit, then follow-up reviews
Results
A diagnosis in most cases, and a written plan
Downtime
None
Referral
Scarring alopecia: dermatologist and biopsy
What Is Trichological Hair Analysis?
Hair loss has many causes, sometimes several at once. A physician asks when it began and about illnesses, childbirth, diets, medicines and hairstyles, then examines the scalp, nails and other affected areas.
Trichoscopy magnifies the scalp about 20–160 times: hairs of varying thickness suggest pattern hair loss, exclamation-mark hairs alopecia areata, and missing follicle openings scarring. In the pull test, about 40–60 hairs are tugged gently; more than 10% coming out suggests active shedding.
Blood Tests: What Is Checked and When
| Test | Why | When |
|---|---|---|
| Ferritin, iron, blood count | Iron stores, anaemia | Diffuse shedding, especially in women |
| Thyroid (TSH) | Thyroid disease can cause shedding | Unexplained shedding, thyroid symptoms, alopecia areata |
| Vitamin D | Low levels linked to several types | Shedding, pattern hair loss, alopecia areata |
| Vitamin B12, folate | Not clearly linked to hair loss | Only if a deficiency is suspected |
| Zinc | Can be low in pattern loss and alopecia areata | Those conditions; not telogen effluvium |
| Testosterone, DHEAS (women) | Androgen excess | Irregular periods, excess facial or body hair |
What the Analysis Can Find
- Androgenetic alopecia (pattern hair loss): the most common type, usually inherited and gradual, in men and women.
- Telogen effluvium: diffuse shedding 3–5 months after illness, childbirth, surgery or some medicines; it usually resolves within 2–6 months.
- Alopecia areata: an autoimmune condition with round bald patches that often regrow; a dermatologist treats it.
- Traction alopecia: caused by tight hairstyles; it can become permanent if the pulling continues.
- Scarring alopecias, such as lichen planopilaris and frontal fibrosing alopecia: permanent loss that needs a dermatologist and, usually, a biopsy.
Who It Suits — and Who Should Wait
- New shedding, thinning or patches, before supplements, PRP, medicines or a transplant.
- Women with irregular periods or excess facial or body hair: hormone tests may be added.
- A red, inflamed or scarred scalp, or smooth bald patches: see a dermatologist first.
- Taking biotin? Say so before blood tests: the US FDA warns high doses can distort some lab results.
- Pregnancy, or plans for one: finasteride and spironolactone are not used.
How the Analysis Works at Veneta
Assessment
A physician reviews your history, medicines, supplements and hair care.
Examination and trichoscopy
The scalp is examined, magnified and photographed; a pull test checks for active shedding.
Blood tests and diagnosis
Tests follow the findings; suspected scarring alopecia is referred to a dermatologist for a biopsy.
Aftercare and follow-up
You receive a written plan; progress is reviewed with repeat photographs and trichoscopy, as treatments take months.
Hair Treatments: Average Prices in Istanbul
Average Istanbul market prices compiled in October 2026, for orientation. Your price is confirmed after your consultation.
| Treatment | Unit | Average price | Typical range |
|---|---|---|---|
| FUE hair transplant | package for international patients | 125,000 TRY≈ €2,240 | 72,000–325,000 TRY≈ €1,290–€5,820 |
| DHI hair transplant | package for international patients | 140,000 TRY≈ €2,505 | 86,000–325,000 TRY≈ €1,540–€5,820 |
| Long-hair transplant | package for international patients | 180,000 TRY≈ €3,220 | 86,000–360,000 TRY≈ €1,540–€6,445 |
| Hair PRP | per session | 7,000 TRY≈ €125 | 4,000–12,000 TRY≈ €70–€215 |
Average Istanbul prices compiled in October 2026, for orientation only. Your personal price depends on the product, the amount and the plan agreed at your consultation. Euro amounts are approximate, converted at 55.86 TRY = 1 EUR.
From Diagnosis to Treatment
For pattern hair loss, topical minoxidil usually needs 6–12 months and works only while used; low-dose oral minoxidil is an off-label option, avoided in some heart conditions. Finasteride, for men, takes about 4 months; side effects include reduced libido. In 2025 the European Medicines Agency's safety committee confirmed suicidal thoughts as a side effect of finasteride tablets, of unknown frequency; patients with mood changes should seek medical advice and stop finasteride 1 mg. Spironolactone works in about 40% of women with pattern hair loss, says the American Academy of Dermatology (AAD).
PRP, usually given monthly for 3 months and then every 3–6 months, raised hair density in a 2024 meta-analysis, though the evidence was low-certainty. Hair mesotherapy rests on few small studies, with infections and scarring reported. Low-level laser therapy improved hair density in a few small studies but needs frequent sessions for months.
Supplements are used only for a proven deficiency. A hair transplant needs stable, patterned loss and enough donor hair; scarring alopecia should first be in remission for at least 1–2 years.
Related treatments
Frequently Asked Questions
What does a trichological hair analysis include?
Which blood tests are needed for hair loss?
Is my hair loss temporary?
Should I take biotin for hair loss?
Do PRP, mesotherapy or laser therapy work for hair loss?
Am I a candidate for a hair transplant?
This page is general information and does not replace a medical consultation. Whether trichological hair analysis suits you is decided by our physicians after an assessment.
Free Consultation — Hair Analysis in Istanbul
Send us a WhatsApp message or book a video call; the consultation is free. You receive a written plan with the method, number of sessions and price before treatment.
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