As revised 24-03-2017

To enrol please e-mail the This email address is being protected from spambots. You need JavaScript enabled to view it.

Trichology is the science of Human Scalp & Hair in health, disease and distressed circumstances. This course provides the vehicle to obtaining The Trichological Society's Diploma in Pure-Trichology (with entitlement to use the post-nominal letters LTTS and the opportunity to be listed on its Portal).

The Society extends a welcome to medical practitioners, graduate nurses and others with medical qualification and invites the examination of this training program.

Dermatologists / Surgeons are welcomed into subscription membership by TTS under the listing Physicians / Surgeons without further requirement. However, where a listing under Trichologists is sought the candidate is required to present a series of essays on the hair and scalp conditions / diseases (syllabus is provided below) and at the conclusion to submit to a viva examination held in London annually during May.



This course is primarily conducted by distance learning, employing internet and email facilities (an up-to-date computer equipped for internet and email is therefore an essential). Where possible attendances at local dermatological practices for observational study are encouraged.

As a significant number of hair deformities / diseases exist, and many are very rare, it is unlikely that live subjects suffering each will be available for study during the lifetime of this course. It is therefore a necessity that each participant in this course collects an extensive personal library of pictures from which to become familiar with each disease/condition.

The course is part-time and has 2 Sections, each must be completed fully. The course which takes 2 years requires that 20 essays are submitted during each academic year at a constant rate of 2 per month (except December and August). Essays are to be received by the College appointed Mentor on the 7th and 21st day of each of the 10 months of each academic year.  Each essay should be an extensive academic work (where possible containing pictures) which has been researched using Internet and textbooks.  All essays must be written in the author's own words for submission (via e-mail) to the assigned Mentor (plagiarism testing is conducted). All essays relative to scalp and hair conditions/diseases must (where possible) include an aetiology, diagnosis and prognosis together with any recommendations as to treatment regimes. In the event that an examiner’s comments suggest further work is required on any essay, this should be carried out as a matter of priority. This study period can be extended if required (at additional cost relative to the extra time taken).

End of course Viva Voce and Practical Examinations are held in London usually during early May each year prior to the President's Day / Graduation Day. 



Each essay must be accepted by examiners prior to the examination invitation. Any three starred* topics may be submitted as one essay.  



COURSE FEE £4800.00 - may be paid as £2400 per annum or £1200 per six months.

The course fee is based on the participant completing the course within the assigned 24 month period.It includes the setting and marking of 20 assignments per year at the rate of 2 per month (excluding December and August) and the examinations., but excludes expenses involved with travel and hotels associated with visits to London UK for the examination. Fees paid are non-returnable unless notice of cancellation is received 28 days prior to the commencement of any agreed term be it a one month, six-month  or 12 month period. Courses commence on the first day of any month by arrangement (not August or December).



A prospective student seeking enrolment should email This email address is being protected from spambots. You need JavaScript enabled to view it. for an Application for Enrolment Form.

This will usually be sent by email.

On completion this is to be returned to This email address is being protected from spambots. You need JavaScript enabled to view it. by email.

The College will then review the application and inform the applicant accordingly.

Successful applicants will be offered a place on the course to commence on the first day of any preferred month (not August or December).

Having accepted the place, the student is required to pay a non-refundable holding fee of £200 within 5 days to secure it and guarantee that he/she will honour the reservation. This sum will be deducted from the first course fee paid. This holding fee will not be refunded if the student cancels his/her course.

Accept for the holding fee all course fees are to be received by The College not less than 14 days prior to the commencement date. Please ensure that The Trichological Society receives the full fee (without transference deductions).



It is to be understood that no refunds of academic fees will be considered where a student drops-out or otherwise fails to complete any part of the course.



Hair science is an area of continuing research, therefore there may be updates and additions to the syllabus at any time:

Too much well-presented information is never criticised. Diagrams / pictures are encouraged.  Words guides are not generally given because written material will vary in length according to individual composition styles. However the importance of including all relevant data and points of interest cannot be overstated.

An essay for each and every topic listed herein must be submitted.  The essays will form the basis for the Viva examination usually held in London during early May prior to the President's Day/Graduation day.



 HAIR and SCALP CONDITIONS (time allowed - 24 months)  Fee - £4400

Many of the topics in this section will constitute extensive essays which will take time to research effectively to satisfy TTS academic standards.
it is also important that candidates undergo some clinical experience. Where convenient they are welcome at their mentor’s clinical practice in UK. Non UK candidates are advised to gain observational experiences from local dermatology departments where possible.

As many of the conditions listed herein are rare, it is unlikely that candidates will see live examples of them during the course.  The recommendation is therefore that the candidate collects an extensive  photographic library from which to become acquainted with the visual symptoms of all conditions/diseases. Illustrated dermatology textbooks are therefore recommended.

In order to alleviate confusion generated by the addition of topics to the syllabus, credit scoring has been discontinued.  Candidates will however need to acquire the College examiners approval of every essay submitted prior to the end of course examination.

It is possible that additional topics will appear on the syllabus during the duration of the course which may extend it to a limited extent. 


Topics suffixed with a star * indicate that essays will generally be short. In these circumstances two or three such topics may be submitted as one essay. 

The Skin. This work will include a detailed explanation of its structure and function but will exclude any detailed description of the pilo-sebaceous follicle, nails and hair/skin diseases/deformities, which will each be the focus of future individual assignments. Dermatologists are excluded from this essay.

The Hair. This extensive work will include a detailed morphology from conception, in-depth accounts of hair type (Afroid, Caucasoid Mongoloid) physical / chemical structure, development, growth cycles (anagen, catagen, telogen and exogen) and follicular re-genesis, post puberty development, pigmentation, genetic factors, natural curl, density and other specific characteristics but exclude diseases which will each be the focus of future individual assignments.

The Nails - include a detailed account of physical structure, growth cycles. Mention pigmentation and diseases (with photographs were possible). 

Acne Necrotica Miliaris & Varioliformis

Acquired progressive kinking*

Alopecia areata, totalis and universalis.

Androgenetic alopecia in males –include details and discussion regarding modern drug therapies, surgical hair replacement techniques, and non-surgical hair replacement.

Androgenic alopecia in females - include details and opinion on currently used drug therapies and suitability to surgical hair replacement. Discuss non-surgical replacement methods.

Bubble Hair Syndrome*

Canities Leucotrichia Poliosis*

Eczema's - with special reference to scalp and effect on hair.

Effluvium's (anagen, telogen, loose anagen syndrome)


Folliculitis Decalvans*

Frontal Fibrosing Alopecia*

Hair colouring/decolouring using oxidative tints and bleaches. Mention oxidative degradation of cystine to cysteic acid and the potential for serious adverse reactivity to certain tints/bleaching products.

Hair cycle.

Hair Pigmentation Chemistry - Mention the chemistry, function and source of melanin, its distribution and the consequences of its absence.

Hair fall associated with fever *

Hair fall associated with eating disorders (bulimia, anorexia nervosa).

Herpes (mention trigeminal shingles).

Hirsutism (include differential diagnosis with hypertrichosis).

Hypertrichosis (include reference to congenital hypertrichosis, congenital syndromes and metabolic disorders, prepubertal and X-linked hypertrichosis)

Idiopathic Trichoclasia*

Impetigo - with special reference to scalp and effect on hair

Lichen Planus (Planopilaris)

Lupus Erythematosus (discoid and systemic)

Malignant Melanoma - with special reference to scalp
Non-Melanoma skin cancers - with special reference to scalp



Nutrition and hair health

Pediculus capitis - mention the body and pubic louse and discuss the treatments available

Pemphigus - with special reference to scalp

Pityriasis ('Seborrhoeic dermatitis') with special reference to scalp and effect on hair. (Include graphic descriptions of each together with recommendations as to treatment regimes - include photos where possible.

Plica Polonica.

Porphyria (congenital or erythropoietic) and hypertrichosis. 

Pregnancy and hair status - include post-natal alopecia

Pseudo-pelade (Brocq)*

Psoriasis of the scalp.

Dermatophytosis Capitis (Ringworm) with special reference to scalp and effect on hair. Include details of anthropophilic and zoophilic fungi, microspora, trichophyta, epidermophyta.

Serum Ferritin, Serum Iron, Vitamin B12 and hair status.

Thyroid functions and hair status - mention hair loss and changes in its characteristics.

Traction Alopecia 

Trichokinesis *

Trichorrhexis Nodosa*

Trichomycosis Nodosa*





Trichotillomania  Trichoteiromania Trichotemnomania Trichophagy

Uncombable hair syndrome*

Urticaria with special reference to scalp and hair

Vitiligo with reference to scalp and hair

Woolly Hair Syndrome*



Diseases of the Hair and Scalp (R Dawber)

Disorders of Hair Growth Diagnosis and Treatment by Elise A Olsen (2nd Edition)

 Blume-Peytavi, U. at all. Hair Growth and Disorders. 


MENTORS (to be assigned)
Each will be appropriately qualified and experienced.

                               STUDY ASSISTANCE (via e-mail): Anytime with the assigned Mentor - or withThis email address is being protected from spambots. You need JavaScript enabled to view it..





Detailed  essays are required on the following topics.

Surfactants Chemistry: Demonstrate a clear understanding of the chemicals used in the manufacture of shampoos and the national laws governing their formulation and manufacture. Mention known adverse reactions with hair or scalp. 

Hair Processing:  Demonstrate a clear understanding of the chemical and physical procedures viz bleaching, dying, permanent waving, hair relaxing, extensions, braiding corn-rowing etc involved in current hairdressing procedures. 

Hair Processing Observation (minimum 10 hours) The areas of interest are: chemical procedures including permanent waving, relaxing, straightening, bleaching and colouring techniques. Verification is required.

Hair Restoration Surgery - Observation time with a surgeon who specialises in these procedures - followed by a fully descriptive essay.  




Overseas students will be expected (where possible) to attend a specialist clinical practice or dermatology department in their locality.  Well illustrated dermatology textbooks are highly recommended. The Registrar will be happy to discuss any problems you may have (UK 07742 336 337 or This email address is being protected from spambots. You need JavaScript enabled to view it.




Candidates who have completed the academic work are entitled to enter the examination which will consist of an extensive viva  based on the individual student's coursework + the execution of real-life trichological procedures (consultation, diagnosis, prognosis, discussion regarding treatment options and the performance of any recommended treatment (excluding surgery) with patients in the presence of examiners. The examinations take place each year in May, prior to the Graduation Day ceremony.





Graduands will have completed the academic course work and satisfied the viva examiner that they are competent in all aspects of the discipline thus examined. 



The President's Day & Graduation Ceremony is held annually at Hunton Park (Hertfordshire) - a delightful Queen Anne Mansion set in parkland. Graduands (wearing the academic robes and colours of TTS) receive their Diplomas from the President in the presence of Family and Friends.


                                                     RDO BOOK AWARD (at the Graduation Ceremony)

The Robert D Olding Book Award. This is a valuable volume occasionally presented where a student has demonstrated an outstanding performance throughout the course.




MENTORS will be appropriately qualified and experienced persons

                             STUDY ASSISTANCE (via e-mail): Anytime with the assigned Mentor - or withThis email address is being protected from spambots. You need JavaScript enabled to view it.

This overview represents the current syllabus (as revised 24-03-2017).  As the science of pure trichology advances the College reserves the right to implement changes to the curriculum as appropriate. Students are therefore asked to refer to this page from time to time.



Reasonably priced accommodation (to be funded by the student) can be arranged via The Society at local Hotels (please email This email address is being protected from spambots. You need JavaScript enabled to view it. with any requests.


                 We hope this overview has been helpful and informative.  Please address any questions to This email address is being protected from spambots. You need JavaScript enabled to view it.


© The Distance Learning College of Trichology


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