A detailed overview of this prestigious trichology course


As confirmed 01-01-2018

The College warmly welcomes English speaking persons world-wide who seek to undertake a trichology course set at this high academic level.
The anticipated course duration is three years.  Each academic year comprises 10 months of essay submissions +  clinical observation days (often as possible but at least 10 days per year) + other tutorials + 2 months vacation (December and August).
The course will be extended if topics are added to the syllabus, or if essays are not presented as required or are rejected and require re-submission.

The College (a not-for-profit academic body) has been providing distance learning courses in Trichology (the science of Human Scalp & Hair in Health, Disease and Distress) for 17 years to determined tenacious students worldwide who possess a command of the English language.  The College is managed by a committee.  The course fees are realistically low (compare its fees of £2400 per annum with UK universities that charge £9000 per annum). Course fees can be paid monthly if desired (currently 12 payments of £200).

This extensively academic diploma course + its practical element is demanding for every student. Gaining the coveted TTS Diploma (LTTS Licentiate of The Trichological Society) will require determination and tenacity.  Each student will be assigned a College appointed Mentor to whom any problems, difficulties or other questions may be addressed.

The course spans 3 years, with  each year consisting of 10 academic months +  two holiday months (August and December).
During the 10 academic months of each year the student is required to research from the recommended text books (listed herein) and reliable internet sites, write-up in his/her own words and submit to his/her appointed Mentor 20 essays from the published syllabus (below) at the steady rate of 2 per month to be received no later than 6pm on the 7th and 21st days thereof. 
The College limits its student numbers.
The College is required to transmit student essays to its independent external examiners (dermatologists and other scientists of substance) on given dates so it is essential that all essays are received by the College by 6pm on the 7th and 21st days of each academic month. Essays received late will have lost that examining slot and will be held over until the next dispatch date (approx.14 days thereafter).  Backfilling is not possible therefore the loss of an irreplaceable examining slot in this way will extend the course by 2 weeks. This is clearly a disadvantage to the student and emphasises the need to ensure that all submissions are presented in good time.
The re-presentation of an essay which has been rejected by the College examiners will likewise extend the course and thereby add to the students costs.
However unlike many other academic institutions the College does give students the chance to extend the course accordingly at modest extra cost.
The usual return time for marked/corrected essays is 10 days, however delays may occur for reasons outside the control of the College.

The College requires the examiner’s acceptance of an essay for each topic within the syllabus + any additional topics  the College Governors may include (insignificant to date) prior to the student’s admission to the end of course examination.

This overview includes the following detailed exposé of the curriculum and current syllabus, but as hair science is an area of continuing research and development, updates, additions and changes may occur at any time which may inadvertently extend the course nominally and therefore inculcate modest additional costs. The student is therefore urged to visit these pages regularly.
The coursework (published below) if rigorously adhered to should lead to graduation as a trichologist within the parameters of TTS (The Trichological Society) within the time frame given herein.  Graduates will be elected to Licentiateship and be entitled to use the post-nominal letters LTTS.  Graduates can pay reasonable annual subscriptions to TTS to gain a listing on its portal (www.hairscientists.org).

Course Notes

The academic course is distance learning from a home computer.

The course may commence on the first day of any month (excluding December and August).

UK Students are expected to attend a London clinical practice on a regular basis (at least 10 visits each year cost: £100 per visit).
UK Students are urged to plan attending one-to-one sessions with Prof Stevens for tutorials, assessments and mock viva examinations (cost; £50 per hour). 

Non-UK Students are expected to visit UK for periods of at least 4 days per year of their course (cost £400) + a day with Prof. Stevens for tutorials, assessments and mock viva examinations (cost: £200).  

A student wishing to drop out of the course can do so at any time by advising the College immediately.
A student desiring a study break must send a written request in advance to the College and thereafter take responsibility for cancelling future payments to the College (no reimbursements or allowances will otherwise be considered).
Any request for re-admission to the course will be considered on application.

Course fees.
The current annual fee per calendar year is £2400.00.  The year describes any period of 12 months from an agreed start date. The College allows this to be paid by 12 monthly Bankers Standing Order or PayPal payments or of £200.00 each.  Payments must be received by the College on the 16th day of the month in advance. In the unlikely event of failure to deliver prompt payments, the student will be asked to make full annual payments thereafter.

Other expenses include the purchase of textbooks,  fees for attending Clinical Observation / Experience sessions / Prof Stevens one-to-one sessions.

Presentation of Essays
Each of the topics within the syllabus should be researched using carefully chosen Internet resources and the recommended textbooks (see bottom of the page), written up as  academic standard essays in the student’s own words and submitted via e-mail to his/her Mentor. All medical or scientific words / phrases / abbreviations must be explained as the work progresses in order to convince the examiner that the content is fully understood. If after the initial essays have been received it is felt that guidance is required, the College may send a sample essay.
Opinions, graphics, photographs or any material sourced from texts or internet pages must be referenced in the obligatory bibliography. Too much well presented information is never criticised. ‘A diagram or picture can paint a thousand words.’ Accurate hand drawings are highly regarded.

If an examiner’s comment (in red type) indicates that an essay should be supplemented or re-written, it should be expedited as a matter of priority and the essay submitted at the next appropriate marking slot. A revised essay will take an examiner’s time for which the College will be charged the full marking/correcting fee.
Students must therefore understand that as the College only accepts two essays per month (be they new or re-presented) and that every topic in the syllabus must be presented, marked and accepted by the College examiners, any missed or re-presented essays will create the need for extra time to complete the full course for which modest additional monthly costs will apply.

Starred (*) topics in the syllabus generally attract short answers, therefore two or three starred (*) topics may be submitted as one of the two permitted essays in any month.  All essays must include the students name, page number, date.

Work is always examined for plagiarism which is illegal and therefore regarded seriously by examiners.  Repeat offenders will be dismissed from the course.

Words guides are not generally given because written material will vary in length according to the individual student’s vocabulary and composition style. However the importance of including all relevant data and points of interest cannot be overstated.  Omissions may result in the examiner requesting additional work which should be presented without delay.

The accepted essays will collectively create the student’s own personal ‘workbook’ which should be constantly reviewed as it will be used as a basis for the Viva/Voce part of the examination (held at the conclusion of the final year’s study – usually in early May prior to the Graduation Day).
During the course Prof B Stevens (currently Head of College) will request occasional private meetings with the student during which to introduce the student to report writing and assess the student’s progress and potential for the final end of course examinations.
During the end of course examinations (usually several hours duration) examinees will be questioned (viva/voce) on a wide variety of matters contained within their own catalogue of essays and demonstrate their ability with consultation, diagnosis, prognosis and treatments (where applicable). The student’s Mentor will be present to see fair play.

It is the examiner’s responsibility to establish the student’s integrity and knowledge of the subject and whether or not he/she is capable of conducting a practice in a manner which will attract patient satisfaction and reflect the integrity of the Trichological Society.
The questions to be addressed at examination are not pre-established by the College,  They will derive from the individual examinees ‘workbook’ during the examination.

To repeat the reasons why course completion may overrun.

•  Some mature students find researching, writing-up and submitting academic material at the level required a slower than expected      process during the early months of the course – which could delay its completion by a few weeks.

•   Additional topics may be added to the syllabus which will extend the course by 2 weeks per topic.

•   Failure to submit 2 essays per month on time throughout the course will delay its completion.

•   The re-presentation of any essay rejected by the College examiners will be considered a new essay and therefore one of the students monthly submissions. Course completion will therefore overrun by 2 weeks for each such re-presentation.

•    Students must have submitted and been credited for every essay in the syllabus prior to the final examination.   

For the avoidance of doubt – It is the student’s responsibility to maintain the momentum of the course in order to complete it on time. In the unlikely event of failure to do this, the course duration will be extended subject to the additional cost for each extra month (currently £200).

Your future success as a professional in this discipline will depend on a thorough understanding of the subject gained by dedicated tenacious study now.  Please remember that researching and writing an essay is just the first step,  memorising and understanding the content sufficiently to answer an examiner’s questions on it with accuracy and confidence must remain the principle objective as it will dictate success or failure.



Clinical observation / practical experience is obtained at clinical centres (currently in UK) either by a number of one-day per month attendances or less-frequent multi-day visits.   Practitioners offering such opportunities will charge students £100 per day.
Each visit will provide the opportunity for assessing the student’s aptitude and progress.  They will also provide the opportunity for one-to one conversations with the presiding consultant.
At all times the following principles are being observed:  Punctuality, Appearance, Attitude, Knowledge, Patient Care, Hygiene, Communication, Professionalism, Team work etc.  UK Students should attend as many of these clinical experience days as possible.
Students should however take special note of the paragraph on Clinical Experience Etiquette (herein).

Overseas students are required to visit the UK for at least one week’s practical experience plus other tutorials each year of their course. The Registrar is available to advise.


A prospective student seeking enrolment should email The Registrar for an Application for Enrolment Form which will be sent by email. On completion this should be returned to The Registrar by email. The College will review the application and inform the applicant accordingly.
Successful applicants will be offered a place on the course to commence on a mutually agreed month of the year (not August or December).
Having accepted the place, the student is required to pay a non-returnable registration 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.
Course fees are to be received by The College not less than 14 days prior to the commencement date.


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



Total academic fee – £7200 (£200 per month) – To complete this 3 year course within that time 2 essays per month must be submitted and credited by examiners (not August or December).
Essays may occasionally require re-presenting. Mature students who struggle to achieve this initially will be able to extend the course nominally to compensate for it.


Usually 6 months duration

Each  must be presented and accepted by examiners.

The Heart – the physiology and function of the heart together with a convincing overview of the cardiovascular system.

The Skeletal system – a detailed overview of the skeletal structure.

A detailed description of the bones and muscles of the face and cranium. Mention the numerous fontanelle and their origins.

The Muscular system – a description of muscle types with detailed description of the muscles of the face and head.

The Renal System.

The Endocrine system. This will be an extensive work detailing the numerous hormones their function and effect. Mention any known affect on hair.

The Lymphatic System.  This work will include a detailed explanation of the location, physiology and function of the respective organs.

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.

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).



Expected duration 24 months
(this may of necessity be extended if topics are added to the syllabus or essays require re-submission)

Many topics in this section will constitute major essays, which will take time to research effectively to satisfy TTS academic standards.

To reiterate:  Each must be researched appropriately, written up in the students’s own words and include a bibliography. Each must then be submitted (email) to his/her assigned Mentor for marking by highly qualified independent examiners.  Their return will usually be  within 10 days but this cannot be guaranteed. Plagiarism is forbidden in accordance with academic protocol.

Whereas the major component of this course is academic training, students also require clinical experience days arranged directly with your Mentor. There will be a daily charge of £100 for such attendances which will include the opportunity of observing consultation procedures and participating in some treatment regimes under the strict control of the presiding Consultant.
Private tutorials are available with Prof B Stevens (head of College) at a charge of £50 per hour.
As stated elsewhere herein a strict code of etiquette must be observed during all such visits.
As many of the conditions listed within the syllabus are rare, it is unlikely that students will see live examples of them during practical sessions. The recommendation is therefore that the student researches and collects an extensive personal photographic library from which to become acquainted with the visual symptoms of all conditions/diseases. Dermatology textbooks which include clear photographs of hair / scalp disease are an investment.

Topics suffixed with a star (*) indicate that short essays are expected – two or three such topics may be submitted as one of the expected two essays in any month.


Each essay must be presented and accepted by examiners.

Acne Necrotica Miliaris & Varioliformis

Acne Keloid

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 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 (erratic dieting, bulimia, anorexia nervosa)

Herpes (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 Melanomas – 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.

Porphria (congenital or erythropoietic) and hypertrichosis

Post-natal alopecia

Pseudo-pelade (Brocq)

Psoriasis of the scalp

Dermatophytosis Capitis (Ringworm of scalp) with special reference to 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 characteristics

Traction Alopecia


Trichorrhexis Nodosa

Trichomycosis Nodosa*









Uncombable hair syndrome*

Urticaria with special reference to scalp and effect on hair

Vitiligo with special reference to scalp and hair

Woolly Hair Syndrome



Each extensive essay must be presented and accepted by examiners.

Medicines:   An overview of OTC BTC POM medicines.  Include an in-depth description of the families of drugs (e.g. antibiotics, steroids, homeopathic, chemotherapeutic etc) together with details of any known responses relative or potentially relative to hair / scalp.

Biochemistry: (explaining briefly the structure and function of cellular components in living organisms). The work should include an overview of the structure of amino-acids, carbohydrates, fungi and other micro-organisms, lipids, monomers, nucleic acids, polymers, proteins and vitamins (the latter should also emphasise any recognised correlation with hair in health disease or distress).

Bacilli: Demonstrate a clear understanding of staphylococci and streptococci. Mention other members of the Kingdom ‘Bacteria’.  Give examples of disease (especially to scalp follicles) associated with any of these and suggest appropriate action.

Surfactants Chemistry: Demonstrate a clear understanding of the chemicals used in the manufacture of shampoos the labelling nomenclature describing content and the national laws governing their formulation and manufacture. Mention 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. This to include detailed explanations of the formulation and use of hair bleaches, tints (oxidative and non-oxidative), relaxers (hydroxides), straighteners (reducing agents), permanent waving chemicals (thioglycollates) and oxidative products e.g. hydrogen peroxide, ammonium persulphate etc.
Trichologists need to thoroughly understand the potentially damaging / injurious / even life threatening / attributes of some products which have been known to include;  allergic contact dermatitis, allergic irritant dermatitis, oxidative cleavage, trichorrhexis nodosa, bubble hair syndrome, anaphylaxis, full depth scalp burns.  The essay should mention the importance of routine testing for allergic reactions (which may present at any time in anyone), for hair-shaft intolerance. Mention the potentially adverse affects of high temperature thermal styling (irons and driers), of cornrowing, braiding, plaiting etc.

Hairdressing ObservationThe student is required to spend a minimum of 10 certified hours within a reputable hair salon observing chemical procedures (relaxing, straightening, permanent-waving, colouring, blanching, highlighting, corn rowing, plaiting, hair-extensions etc). The follow up essay to provide detailed accounts + a potential damage assessment for each. Please note this must be arranged by the student personally. 

Hair Restoration SurgeryObservation time with a TTS Registered Doctor who specialises in these procedures – followed by a fully descriptive essay. Overseas students who can only visit UK for the pre-examination week tutorials will not be required to present this essay prior to the examination.


Gray’s Anatomy (Barnes & Noble)

SUGGESTED BOOKS (confer with your Mentor)

Diseases of the Hair and Scalp (Ed. R Dawber, Published by Blackwell Science) – If available.


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


Blume-Peytavi, U. at all. Hair Growth and Disorders. Springer-Verlag Berlin Heidelberg. 2008


Skin Disease Diagnosis and Treatment  (Thomas P. Habif  and James G.H. Dinulos)  Published by Elsevier.

(one to be assigned to each student)
Each will be appropriately qualified and experienced.

 STUDY ASSISTANCE (via e-mail): Any reasonable time with the assigned Mentor – or with TTS Office.



Clinical protocol lectures:  Clinical management, Consultation procedures, Principles of diagnosis, Treatment regimes and other matters applicable to pure-trichologists in professional practice.
This part of the training involves clinical experience with actual patients and assisting with the day to day running of a successful clinical practice under the guidance of a qualified experienced Fellow of The Trichological Society.  Students residing in UK are expected to attend a clinical practice occasionally throughout the course. Practitioners who offer these clinical experience opportunities to students in UK are well qualified and willing to assist the student in their objective.  –  daily charges of £100 apply.

Professor B Stevens offers small group seminar’s at his 19 Balgores Square, Gidea Park RM2 6U practice. The charge of £50 per hour can be split between 2 attendees if desired.

Overseas students will be expected (where possible) to attend a dermatology department in their locality, or attend UK trichology practices for periods of 5 working days per year of study.  Well illustrated dermatology textbooks are very helpful. The Registrar will be happy to discuss any problems you may have (UK 07742 336 337 or email).


Whereas clinical experience is a requirement there are certain matters which must be understood by the student attending a practice:

The clinic will be privately operated and therefore the student must respect the etiquette imposed by the owner who will be a qualified respected practitioner.

Students must reflect the dignity of the practice by adopting a conservative, smartly dressed demeanour (Jeans, unwashed or untidy hair, dirty finger nails or chipped varnish, obvious facial piercings etc are taboo).  The student may be required to bring a smart laundered white lab coat.

Students are there to observe and learn, but are invitees only, the practice is essentially the Consultant’s domain – therefore his / her requirements must be respected absolutely.

Students must not under any circumstances offer advice or opinions to patients.  Speak if spoken to is the motto.

Students must never discuss a patient’s diagnosis, condition or treatment other than in private with the Consultant.

There will be occasions during the day for one-to-one short conferences with the Consultant.  At all other times the student must be unobtrusive and aware that patients generally do not welcome ‘being gazed at’.


Subject to the candidate’s successful progression during the course the College Committee will invite a candidate to attend this examination.

This examination will include:

An extensive Viva / Voce Examination (live verbal questions and answers) based on the individual student’s coursework. Photographs of conditions will be shown and students asked to provide diagnoses, recommendations as to treatments (where appropriate), and prognoses.

The execution of real-life trichology procedures (consultation, diagnosis, prognosis and discussion regarding treatment options
and the performance of any recommended treatment with new patients in the presence of examiners.

Examinations are usually conducted in London during May, prior to the Graduation Day ceremony, but may in extenuating circumstances  be conducted at certain other times by special arrangement with the College Governors.

Examinees are hereby informed that whereas the initial examination is paid for by The Society, any re-examinations are student funded.

THE PRESIDENT’S DAY (annually in May)

This prestigious event offers an opportunity to meet with colleagues and other inspiring academics (old and new) and to attend the lectures presented. The lunch and dinner is good too.

All UK students are expected to attend these events.


Graduands will have presented and gained the examiners acceptance of all essays listed in the syllabus and satisfied the requirements of the end of course examination held annually in London during late April / early May prior to the Graduation Ceremony.


The President’s Day & Graduation Ceremony is held annually at Hunton Park (Hertfordshire) – a delightful Queen Anne Mansion set in parkland.
Graduands wearing academic robes with the TTS Hood (Red, White and Black) receive their well-earned Diplomas from the President in the presence of Family and Friends.

    Robert D Olding  BOOK AWARD (at the Graduation Ceremony)

A volume may be presented where one student has demonstrated an outstanding performance throughout the course.
Such awards are occasional. Where there is more than one contender citations are given instead.

 JOHN A HARWOOD CITATION (at the Graduation Ceremony) 

This Citation is  awarded annually in memory of the illustrious Founder and Past President
to the student who has made outstanding progress during the course.


MENTORS will be appropriately qualified and experienced persons

 STUDY ASSISTANCE (via e-mail): Anytime with the assigned Mentor – or with TTS Office

This overview represents the updated syllabus (as at 01-01-2018)
As the science of pure trichology advances the College reserves the right to implement changes to the curriculum as appropriate
which may inevitably extend the period of study.
Students are therefore required to make regular reference to this page throughout their period of study.



N.B.  The Trichological Society reserves the right to make changes / revisions to any aspect of its published trichology courses and hair transplant technician’s course at any time. For the avoidance of doubt Candidates / Students should  make regular visits to the respective course overviews to acquaint themselves with any changes to the courses – this  may include the actual number of essays listed on the syllabus being undertaken and other matters as directed by the Governing Councillors.
London Office:
97 Gray's Inn Road
The Trichological Society
The Registrar:
19 Balgores Square
Gidea Park