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TRICHOLAB FOTOFINDER

Detailed analysis of the scalp

TrichoLab is a high technology program used to analyse the scalp and the hair. It is performed using an ultra performant digital camera for macro images and a digital dermatoscope for the micro images.

Images taken are sent to the Photofinder Tricology Laboratory where they are examined by a specialized team.

All the details of the scalp, hair follicles and hair are noted in a final diagnostic report, which the treating physician will use to establish the personalized treatment.

TRICHOLAB FOTOFINDER UNIQUE FEATURES

TRICHOLAB by FOTOFINDER

TrichoLab analysis involves taking macro and micro photos of key areas of the scalp using a 20x magnification factor for the macro images and a 70x magnification factor for the micro images.

The procedure is non-invasive, painless and without adverse effects for the patient. The duration of the procedure is around 10-15 minutes. The captured images are transmitted to the Photofinder Tricology Laboratory, where a team of specialists studies in detail with quantitative analysis on the number of hair follicles, intrafollicular hairs and the characteristics of the skin.

Photography and dermoscopy of the scalp

During the investigation, three macro images will be taken, that can visualise the anterior part of the scalp (frontal area), the lateral part of the scalp (temporal area), and the posterior part of the scalp (occipital area). 

Later, a path will be made for each area of the scalp and micro images will be taken. The first micro image will have a smaller magnification and will be taken at the middle of the path, while the other 4 photos have a higher magnification, for a more detailed analysis, and are performed along the path.

Detailed scalp analysis

Trichoscopy is a highly accurate diagnostic method, being an extremely useful tool especially in those cases where the diagnostic is difficult or in patients that present synchronous disorders of the scalp or of the hair follicle of the scalp.

These images will be subjected to an extensive analysis that takes into account several parameters: the number of hair follicles in the growth phase, the number of hair follicles in the terminal phase, the average thickness of the hairs, the ratio between the hairs in the anagn stage and those in the telogen state. We can also quantify changes in blood vessels at the level of the scalp, the pigmentation pattern of the scalp, the aspect of the interfollicular skin, and the presence of scales.

Adding the information obtained from anamnesis, laboratory tests and other paraclinical exams to this examination is the way to a correct diagnosis of the disorder, and also to the most appropriate treatment.

The purpose of this examination is to aid the dermatologist in the diagnosis of the condition that results in hair loss or scalp disorders (e.g. scales, erythema, pruritus).

Detailed report with diagnosis and treatment

The images captured and analysed by the dermatologist are sent for a second opinion and analysis to a laboratory specialised in scalp disorders in Germany, thus performing a double analysis for a correct and more efficient diagnosis. This second-opinion analysis releases a trichoscopic Report within about 7 days of sending it.

This report is an important piece in the puzzle of diagnosis the underlying disease, and also in the required treatment.

Detailed report with diagnosis and treatment

The images captured and analysed by the dermatologist are sent for a second opinion and analysis to a laboratory specialised in scalp disorders in Germany, thus performing a double analysis for a correct and more efficient diagnosis. This second-opinion analysis releases a trichoscopic Report within about 7 days of sending it.

This report is an important piece in the puzzle of diagnosis the underlying disease, and also in the required treatment.

Tricholab - Device for hair transplant

The trichoscopic detailed analysis is a mandatory investigation before the hair transplant for an objective and detailed analysis of the transplanted areas, but also for the analysis of the donor area by counting the potential transplanted follicles. 

The macro photographic images, corroborated with the micro images taken, are quantitatively analysed and we will have a detailed quantitative report.

Tricholab - Device for hair transplant

The trichoscopic detailed analysis is a mandatory investigation before the hair transplant for an objective and detailed analysis of the transplanted areas, but also for the analysis of the donor area by counting the potential transplanted follicles. 

The macro photographic images, corroborated with the micro images taken, are quantitatively analysed and we will have a detailed quantitative report.

Monitoring the treatment

This analysis is performed at the first presentation of the patient in the clinic, before starting the specific treatment. Subsequently, at the end of the treatment, or even during the treatment, follow-up trichoscopies can be performed to quantify its evolution under treatment. 

Thus, with reports that follow the same parameters, we can compare the values and observe the effectiveness of the therapy, as well as subsequent indications.

Who is the right candidate for a trichoscopy?

This examination is required for patients who are experiencing severe hair loss, whether or not associated with thinning, or even the loss of hair from a certain region of the scalp, for the diagnosis of scarring or non-scarring alopecia (androgenetic alopecia, lupus alopecia, lupus alopecia, effluvium telogen, tinea capitis, lichen planar pillar, tricholitomania, etc.).

It is an extremely valuable technique for monitoring scalp therapies, and also a pre-transplant hair analysis tool for the patient who will undergo this treatment.

Monitoring the treatment

This analysis is performed at the first presentation of the patient in the clinic, before starting the specific treatment. Subsequently, at the end of the treatment, or even during the treatment, follow-up trichoscopies can be performed to quantify its evolution under treatment. 

Thus, with reports that follow the same parameters, we can compare the values and observe the effectiveness of the therapy, as well as subsequent indications.

Who is the right candidate for a trichoscopy?

This examination is required for patients who are experiencing severe hair loss, whether or not associated with thinning, or even the loss of hair from a certain region of the scalp, for the diagnosis of scarring or non-scarring alopecia (androgenetic alopecia, lupus alopecia, lupus alopecia, effluvium telogen, tinea capitis, lichen planar pillar, tricholitomania, etc.).

It is an extremely valuable technique for monitoring scalp therapies, and also a pre-transplant hair analysis tool for the patient who will undergo this treatment.

More informations about TRICHOLAB FOTOFINDER

The medical staff of Skinmed Clinic, under the coordination of the specialist doctor, takes the specific photographic and dermoscopic images, according to the technical recommendations, respecting the anatomical areas, and the indications. Each patient has a personal account in the Skinmed Clinic database. The images are uploaded and sent for a second opinion and detailed quantitative analysis in the Photofinder Laboratory in Germany, where they are analysed, and a final diagnostic report will be issued, which will be interpreted by the specialist dermatologist in the clinical context of the patient. The doctor will integrate the analysis with the anamnesis, the clinical examination, the medical / biological context of the patient, for an accurate diagnosis and personalised treatment.

This investigation does not require special training of the patient in advance. It is advisable for the patient to be freshly washed on the hair and to have no hairdressing products applied to it (so as not to present residues from them), so as to allow a fairer view of the scalp and hair.

The trichoscopic examination is performed at the first presentation of the patient in the clinic, before the initiation of the specific treatment. Subsequently, at the end of the treatment, or even during the treatment, follow-up trichoscopies can be performed to quantify its evolution under treatment.

Any patient with hair loss problems or scalp disorders should be investigated trichoscopically.

Trichoscopy is an extensive analysis that quantifies several parameters: the number of hairs in the growth stage, the number of hairs in the terminal stage, the average thickness of the hairs, the ratio between the hairs in the anagen stage and those in the stage telogen. We can also quantify changes in the blood vessels of the scalp, thee pigmentation patterns of the scalp and interfolicullar skin, and the presence of scales. It is an extremely valuable diagnostic tool for alopecia (hair loss) and scalp disorders.

The trichoscopic examination performed initially will be repeated at the end of the treatment protocol in order to quantify the response rate and determine the subsequent behaviour.

Trichoscopic / Tricholab examination is indicated for patients who are experiencing severe hair loss, whether or not associated with thinning, or even disappearance of hair from a certain region of the scalp, for the diagnosis of scarring or non-scarring alopecia (androgenetic alopecia, lupus associated alopecia, effluvium telogen, tinea capitis, lichen planopilaris, trichotillomania, etc.). Also, if you have a scalp problem, dermatoscopic / trichoscopic examination is an extremely important diagnostic tool.

The scalp will be examined by a dermoscope when it presents with conditions / lesions for a safety diagnosis and any hair loss should be studied in the Tricholab laboratory for a quantitative analysis. Thus, three macro images will be taken in order to visualise the anterior (frontal) region of the scalp, the lateral (temporal) region of the scalp and the occipital (posterior) region of the scalp. Subsequently, a path will be made for each region and an initial photo will be taken with a smaller magnification (X20) at the middle of the path and then four pictures with an enlarged magnification (X70), for further analysis. The images will be subjected to adetailed analysis with the release of an extended quantitative report and diagnosis.

The Tricholab report is mainly quantitative with the numerical estimation of the analysed parameters such as the number of hairs in the growth stage, the number of hairs in the terminal stage, the average thickness of the hairs, the rate between the hairs in the anagen stage and those found in the telogen stage. At the end of it is issued a diagnostic suggestion that the specialist dermatologist corroborates to the medical historian, the biological and dermoscopic investigations for a safety diagnosis and a targeted treatment.

In the case of patients with long hair, it is recommended to catch it during the procedure. For male patients with increased body hair in areas such as the anterior chest, abdomen, back, upper or lower limbs, it is recommended to have shorter hair before the procedure, so that the nevi can be visualized. Imagine that if you find it difficult to observe with the naked eye, it will be as difficult for the device as well.

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