Treatment guide

Hair loss and scalp treatments: where this crosses into regulated territory

Most scalp and hair-loss services are unlicensed. Two things are different: some hair-loss medicines are prescription-only, and scalp micropigmentation is needle-based — in Wales it already requires a licence, because Welsh law treats it as tattooing.

Last reviewed · How we research and check this

Depends

Is it regulated?

No licence is required to perform this in England today. Most hair-loss work sits outside the scheme, but scalp micropigmentation is needle-based: it is already licensed as tattooing in Wales, and England's definition of skin penetration would capture it once the scheme commences.

Finasteride is a prescription-only medicine in the UK and requires a prescriber. Minoxidil is available over the counter. Neither is something a salon can supply on its own authority.

Basis: Section 180, Health and Care Act 2022 and the Government's consultation response of 7 August 2025, tracked in House of Commons Library briefing CBP-10331.

What the practitioner should hold

Trichology is a distinct field with its own training. For scalp micropigmentation, ask about needle training, bloodborne-pathogen awareness and — in Wales — the practitioner licence and premises approval.

Insurance

Scalp micropigmentation must be named on the policy. General salon treatment-risk cover will not extend to a needle-based service.

What it costs

Guide price: we do not yet have enough member listings to publish a reliable range for hair loss & scalp. We publish this figure only when there is real data behind it.

Questions to ask before you book

  1. Is this a cosmetic service or are you recommending a medicine?
  2. For micropigmentation: what needle and hygiene training do you hold?
  3. In Wales: can I see your licence and premises approval?
  4. What results are realistic, and over what timeframe?

Red flags

  • Prescription medicines offered without a prescriber
  • Guaranteed regrowth
  • Needle work with no visible sharps or hygiene procedure
  • No patch test before pigment work

Common questions

Is scalp micropigmentation regulated in the UK?

In Wales, yes — it falls within tattooing under Part 4 of the Public Health (Wales) Act 2017, so the practitioner needs a licence and the premises need approval. Elsewhere in the UK there is no specific licence, though the England scheme's definition of skin penetration would capture it once it commences.

Can a salon prescribe hair loss medication?

No. Finasteride is a prescription-only medicine and requires a prescriber. Minoxidil is available over the counter. A salon offering prescription medicines without a prescriber involved is operating outside the law.

Members offering hair loss & scalp

No members offer this yet. List your business if you do.

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