Many women experiencing hair thinning ask us:
“Do I need a scalp biopsy to figure out what’s causing my hair loss?”
The answer? In most cases, no.
When a Biopsy Isn’t Necessary
For the majority of patients, we can determine the cause of hair loss through your medical history, a physical examination, and lab tests. This allows us to create a personalized treatment plan without the need for a biopsy.
When We Might Recommend a Biopsy
There are certain cases where a biopsy can provide valuable information, particularly if:
- The diagnosis isn’t clear based on history and examination.
- We suspect a rare or scarring form of hair loss (such as lichen planopilaris or central centrifugal cicatricial alopecia).
- You’re considering a medication that could significantly benefit you, but we need to rule out potential risks first.
A biopsy is a simple, in-office procedure where a small sample of scalp skin is analyzed under a microscope. It can help confirm a diagnosis and guide treatment decisions when necessary.
Our Approach: Only When It’s Truly Beneficial
At Northwestern Hair, we only recommend a biopsy if we believe it will directly impact your treatment plan and improve your results. If we can confidently diagnose and treat your hair loss without one, we prefer to take that approach.
If you’re unsure whether a biopsy is right for you, we’ll discuss your specific case in detail and make the best recommendation for your hair health.
