01
Dandruff and itching of the scalp
Visible flakes with pruritus — usually seborrhoeic dermatitis in adults.
↗Concern · Hair & Scalp · 11
Scalp health restored.
Dryness, excessive oil, flaking, itching, inflammation — scalp conditions that affect comfort and, over time, hair quality. Often skin conditions in disguise. The pathway starts with a clinical diagnosis, not a shampoo swap.
Before · Irritated scalp
After · Calm scalp
Trichoscopy reading
Scalp mapped
Inflammation + oil balance
What it is
Where the hair actually starts.
Scalp concerns include various conditions that affect scalp health — dryness, excessive oiliness, flaking, itching and inflammation.
These conditions may be temporary or chronic, and are often associated with skin disorders, inappropriate haircare, unsuitable products or underlying internal factors. Differential diagnosis matters — dandruff and psoriasis look similar but need different pathways.
“A scalp problem masquerading as a haircare problem gets treated with shampoo for years. The consultation is a five-minute reset on that.”
What patients notice.
Symptoms named in the patient's own words alongside the clinical read.
02
An oily or excessively dry scalp
Sebum imbalance — either overproduction or barrier-driven under-hydration.
↗03
Redness or irritation
Sub-clinical inflammation visible on close examination — often precedes flaking.
↗04
Rapid development of scalp oiliness
Hair feels heavy within hours of washing — sebaceous overactivity.
↗05
Tightness or burning of the scalp
Sensory symptoms without visible cause — often barrier-related.
↗06
Deterioration in hair quality
Chronic scalp inflammation reduces the quality of the hair the follicle produces.
↗Common presentations.
Scalp conditions have distinct clinical pictures — differentiating them is the first job.
#ConditionWhat it looks likePathway
01Seborrhoeic dermatitis.Greasy flakes, redness and itching in the hair-bearing areas.Medicated shampoos
02Dry scalp.Small dry flakes without underlying inflammation — barrier-related.Moisturising protocol
03Product reaction.Irritant or allergic contact from a specific ingredient in styling products.Patch test + reset
04Psoriasis of the scalp.Thick silvery plaques with sharp edges — needs specialist care.Dermatology referral
05Fungal infection.Focal patches with hair breakage — needs antifungal treatment.Mycology + treatment
Diagnostics-first
We differentiate before we treat.
Most scalp conditions look similar on the surface. Trichoscopy plus a clinical exam separates them and prevents years of the wrong treatment.
- i.Medical consultation25 min
- ii.Scalp examination — differentiate seborrhoea, psoriasis15 min
- iii.Trichoscopy imaging20 min
- iv.Medical and lifestyle history15 min
- v.Referral for mycology when indicatedAs needed
Treatment pathways
How we treat it.
Prescription-based where indicated; supportive and routine-based for milder presentations. Product regime is calibrated to the diagnosis.
Lead pathway · Medical
Medicated shampoos & anti-inflammatory care.
Prescription-strength shampoos plus topical anti-inflammatory treatment — the pathway of choice for most seborrhoeic and inflammatory scalp conditions.
Duration4–8 weeks
CadenceAlternating
Review6-weekly
Mesotherapy
Vitamin infusion for selected cases — usually alongside medical treatment.
Supportive · SebumSebum regulation.
Topical treatments to regulate scalp sebum production over the course.
Supportive · Home careProduct adjustment.
Removal of triggering ingredients and selection of scalp-appropriate haircare.
Supportive · LifestyleStress & diet.
Both are documented triggers — addressing them reduces flare frequency.
Book a scalp consultation
Begin with a differential.
A specialist examines the scalp, runs trichoscopy and — if the presentation suggests systemic causes or a specialist skin condition — refers before starting cosmetic treatment.
Tumanyan St. 11 · Yerevan·
Sayat-Nova Ave. 35 · Yerevan·
Daily 10:00 — 20:00