A Comprehensive Approach to Hair Loss: Q&A with Dr. Dina Strachan

Experience the full interview on the SKNV DermTalks Podcast below.

Hair loss is one of the most common, yet most misunderstood, conditions dermatologists treat. It is not merely a cosmetic issue but often a complex medical puzzle involving genetics, autoimmune factors, and overall health.

In a recent episode of SKNV DermTalks, our own Dr. Dina Strachan, Director of Aglow Dermatology, sat down to discuss her unique journey into medicine and why a “one-size-fits-all” approach to hair loss simply doesn’t work. Below are the highlights from this insightful conversation.

From the AIDS Epidemic to Aesthetic Dermatology

Q: Dr. Strachan, your background is quite unique. How did you originally get started in the field of dermatology?

Dr. Strachan: It was actually during the height of the AIDS epidemic. At that time, many patients were presenting with severe skin manifestations as part of the disease. That was my entry point—I saw how skin disease wasn’t just “surface level”; it was a window into internal health.

That experience taught me to look deeper. Today, whether I am treating acne or hair loss, I still carry that diagnostic rigor with me. We don’t just treat the symptom; we look for the root cause.

Why Diagnosis is the First Step in Hair Restoration

Q: Many patients try over-the-counter shampoos or vitamins before seeing a doctor. Why is a professional diagnosis so critical?

Dr. Strachan: The biggest mistake people make is assuming all hair loss is the same. It isn’t. You cannot effectively treat hair loss until you know exactly why it is happening.

Hair loss can stem from a variety of causes:

• Genetics: Androgenetic alopecia (pattern baldness).

• Autoimmune Conditions: Like Alopecia Areata, where the body attacks hair follicles.

• Nutritional Deficiencies: Lack of iron, Vitamin D, or other essential nutrients.

• Stress & Hormones: Telogen effluvium.

If you are using a treatment for genetic hair loss but you actually have an autoimmune condition, you are losing time and money. A comprehensive hair loss treatment plan must start with an accurate medical diagnosis.

The Future of Hair Loss: AI and Topical Solutions

Q: What advancements in hair loss technology are you most excited about right now?

Dr. Strachan: Technology is changing how we diagnose and treat patients. I am particularly interested in the use of Artificial Intelligence (AI) in diagnostics. AI tools are becoming incredibly adept at analyzing scalp health and hair density patterns, helping us track progress with precision that wasn’t possible before.

We are also seeing great results with Red Light Therapy (LLLT), which can stimulate hair follicles at a cellular level to encourage growth.

Q: There is often hesitation about taking oral hair loss medications due to side effects. What is your take on topical alternatives?

Dr. Strachan: This is a major area of improvement. Many patients are wary of oral medications (like finasteride) due to potential systemic side effects.

I am a strong advocate for customized topical medications, such as the SKNV Finapod Solution. These allow us to deliver the active medication directly to the hair follicle where it is needed, rather than circulating it through the entire body. This often maintains the efficacy of the treatment while significantly reducing the risk of unwanted side effects. It’s a game-changer for patient compliance and comfort.