Living and working with trichotillomania ~ from hairdresser and client perspective 

Sarah & Liz:

Sarah Sullivan is a hairdresser & educator. She trained in extensions, which led her to train in hair systems and wigs. This then inspired her to further train in trichology, and she now runs a private hair salon and separate air loss clinic. 

Liz has had trichotillomania since she was 10. She lost all her hair after witnessing a traumatic car accident. As her hair grew back, she began to focus on it and notice its different textures. She didn't like it as the hairs grew back curly. 

Over the years she has been able to manage her compulsion and recognise the triggers. Sometimes she is able to control the compulsion and sometimes she is not.

Liz always dreaded going to the salon to get her hair done. She had high anxiety and people used to point and stare at her which made her feel intimidated.

Since she has found a hairdresser with a knowledge and understanding of hair loss who has a private environment, she says it has taken the stress out of getting her hair done. She now enjoys getting her hair done.

We discuss the best way to approach a client or family member with this condition, and various areas of treatment.

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Travelling to Turkey for a hair transplant ~ is it the answer? 

Dr Anthony Bared has a background in plastic surgery, with over 15 years as a surgeon.

He trained as a head & neck surgeon and now also specialises in hair restoration. He concentrates on just these few areas, so that he can develop and perfect his craft.

Dr Bared stresses the importance of communication to manage expectations. He also conducts follow ups after hair transplant surgery, seeing his patients back for upto a year afterwards, and how this may mean that travelling internationally for treatment can lead to less reliable, or even unsatisfactory long term results. 

We also discuss over- harvesting the donor areas, and how aggressive procedures are not beneficial long term.

He shares how the surgery can necessitate a certain level of artistry, including considering the angulation and depth of each individual hair follicle for the most natural look.

The use of PRP to support the hair growth and expedite healing is also shared.

We look at Minoxidil and Finasteride, the side effects and how you can test to determine whether these would benefit you.

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Supporting women in the hair industry

Kat McEwan is 37, a hairdresser of over 20 years, who is now a coach who focuses on supporting working women and working mothers.

She suffered with postpartum depression & found it really difficult to get help, and to try to balance work and motherhood. We also discuss the pitfalls of hidden employment. She has been a single parent herself, and loves to help others set boundaries in their lives and thrive.'

She has created a coaching programme to help others on a similar journey. She looks at mindset, setting boundaries, and balancing work & parenting. 

Kat wants to challenge the stigma around single working parents. 

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What is PRP and can it be effective in treating hair loss? 

Ruth Collis is a clinical trichologist who began hairdressing at the age of 14. She followed a few different career paths, but was always drawn back to hair.

She also has her own experience of hair loss, which led to her researching the causes and factors related to hair health, and becoming interested in trichology.

She then began studying with the Institute of Trichology and she now has a trichology clinic in Haywards heath.

She offers PRP, a treatment that uses your body's own natural resources to help to support hair growth. it can help to increase the diameter and density of hair over time.

Ruth shares her journey, along with some great advice and information!

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The Good Hair Tribe ~ Could Hair Coaching be for you? 

Atilola Moronfolu is a Certified Trichologist & a Cosmetic Scientist, After developing hair products, she wanted more knowledge to be able to help people with hair & scalp concerns.

After completing her Trichology training in 2014, she set up a hair clinic and also developed a love for teachign & education, sharing her knowledge on products & techniques.

She offers 'Haircare literacy' for corporations and individuals.

She created the Good Hair Tribe which offers memberships and courses which are open to everyone in the world. You can learn hair science, hair loss, scalp disorders, growing hair and looking after your edges. She also has a course where you can learn to be a hair coach. 

Atilola is running a FREE 3 Day Hair Coaching Business Intensive Bootcamp where you can learn about hair science, frameworks and business. Apply now to secure your spot!!

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The importance of skin testing & the consequences

Adam Haste is a specialist insurance broker, who has been in the industry for over 24 years. He works with very large companies with huge turnovers and high service expectations.

After helping a large number of salons gain payouts for loss of earnings during COVID, he began to work with Sentio salons to build more sector specific insurance policies for salons that better suited their needs.

Adam has helped to update the rulebook on allergy alert testing, and he shares the do's and don'ts to ensure that you comply with insurance and regulations.

We discuss the cosmetics directive and how this dictates the requirements of product companies regarding labelling & ingredients.
We look at PPD & its derivatives, and how these can cause alergies.

He shares why skin testing is so important, and the potential consequences of not carrying this out.

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Lichen Planopilaris ~ Living with cicatricial alopecia

Rebecca is a third generation nurse, who works in mental health nursing with young people, offering trauma therapy. She also has an interest in crime and forensics.

Two years ago her hairdresser noticed a couple of small bald spots, She recommended a hair loss shampoo which triggered a huge allergic reaction, resulting in painful, rapid hair loss and infected hair follicles. This led to boils and spots on the scalp which can flare up and be very painful at times.

She has been diagnosed with Lichen Planopilaris, a condition which has left her scalp with areas of scarring and permanent hair loss.

We talk about different treatments, if they have shown results, and any side effects, and Rebecca shares her story as she wants people to know that there are positive sides to alopecia too.
She has made connections with others through her instagram and youtube accounts, as well as alopecia support groups, and now hopes to work with young people affected by hair loss.

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Anorexia, eating disorders & hair loss

Dr Laura is a GP in Leeds, and also has a focus on functional medicine.
She says sometimes she feels rushed and struggles to build the relationship with patients that she would like to have. She has to focus on time critical conditions rather than those who may be seen as less serious.

As a young person, she had eczema and acne, and was bullied for this. She then later experienced anorexia, which led to hair loss. eventually she began to investigate what was causing her hair loss, and discovered that it can often be multi factorial.

Dr Laura has a great perspective of disordered eating from both a Doctor's and patient's point of view. She shares the difference between  anorexia and disordered eating, and how even those who are overweight can still be malnourished and could experience hair loss.

We also look at how to manage stress and high cortisol levels and the impact it can have on the hair.

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Strategies to reduce stress & help to combat hair loss

Lisa West has been in the hair industry for over 40 years, and is the owner of Synergy Hair Loss in Portsmouth.
She began to take an interest in trichology after she trained in hair systems, but soon realised that without the underpinning knowledge on hair loss, she risked her clients missing out on getting help, or possibly even making their condition worse. She wanted to have answers for her clients and likes to take a holistic approach.

Lisa describes how to recognise high cortisol levels, and how hair loss can be impacted by stress. She shares her tips on starting off 2025 in a calmer, healthier state by making small, sustainable habits rather than unrealistic & unachievable New Year's resolutions. 

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Mohs surgery & skin cancer ~ how to recognise the signs

Dr Rex, a dermatologist who treats skin & scalp conditions is back once more to discuss the different types of skin cancer, and what to look for if you notice something suspicious on a client or patient's skin or scalp.

We discuss Mohs surgery, and how it is used to incrementally remove skin cancer without removing large areas of skin, leading to reduced scarring & better healing.

Dr Rex describes how to recognise lesions such as basal cell & squamous cell carcinomas and melanomas, so that you will know when to advise a patient or client to go and get their mole or lesion checked out.

We also discuss how skin cancers may appear differently on darker skin types along with common traits.

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