Telogen effluvium
- Sudden, diffuse shed
- Follows illness, surgery, childbirth
- Usually 3 months after the trigger
- Corrects with the cause
Hair falls for reasons: thyroid, iron, hormones, a fever three months ago, genetics. Find the reason and the treatment is obvious. Skip that step and you are buying a package and hoping.
Most people arriving with hair fall have one of four things, and they need opposite treatments. Telogen effluvium: a shed following a fever, a surgery, a crash diet or childbirth. Resolves on its own once the cause is corrected. Pattern hair loss is progressive and needs long-term therapy. Alopecia areata is autoimmune and patchy. Scarring alopecias destroy the follicle and are the one group where delay costs you permanently.
Telling them apart is a consultation, a scalp examination and, usually, a small blood panel: thyroid, ferritin, vitamin D and B12. Iron deficiency in particular is common, easy to correct and routinely missed.
It is also the reason nothing is quoted before you are examined. What a plan costs depends on what the diagnosis turns out to be.

Dr. (Lt Col) Khagendra Varada
Reg. No. 10461, Hyderabad State Medical Council
Full background →“Dr. Varada is an incredibly patient, knowledgeable and wonderful doctor. He sorted out an issue that I had been dealing with for years in one appointment and there’s been no looking back since!”
“Dr. Varada was excellent. Clearly knowledgeable and thorough, took time to explain what they saw and why. Office staff were friendly and the visit felt unrushed. Highly recommend for anyone wanting a dermatologist who really knows their craft.”
Pattern hair loss is not follicles disappearing. Each affected follicle grows a little smaller and a little finer each cycle, so the shaft it makes gets thinner and shorter until it barely reaches the surface.

Treatment works by holding follicles at the stage they are currently at, which is why starting earlier gets more. It also explains the wait: change at the root takes months to become visible above the scalp.
Illustration, not a photograph.
Narrowband UVB is two to three sessions a week. Excimer is usually twice a week. Both run for months, not weeks. That means somewhere between forty and eighty separate trips before the course is finished, and the single commonest reason a course is abandoned is not that it stopped working. It is that the journey stopped being possible.
Which is why this page leads with the address rather than the equipment. If you live on the Secunderabad side, a clinic in Karkhana is a fifteen-minute problem. The same course booked across the city is a ninety-minute problem twice a week, and the difference between those two numbers decides how much of your skin repigments.
Every locality, and how farAdherence is the variable a patient controls most and hears about least. Distance is most of it.
Consulting runs mon–sat, 11:30 am – 5:00 pm, so a session slots into a lunch break rather than costing an afternoon.
| Locality | Distance | Practical for 2–3 visits a week |
|---|---|---|
| Karkhana | the clinic’s own locality | Yes |
| Vikrampuri Colony | walking distance | Yes |
| Trimulgherry | about 2 km | Yes |
| West & East Marredpally | about 3 km | Yes |
| Bowenpally | about 4 km | Yes |
| Bolarum | about 5 km | Yes |
| Alwal | about 6 km | Yes |
| Tarnaka | about 7 km | Yes |
| Begumpet | about 7 km | Yes |
| Malkajgiri | about 8 km | Yes |
| Kompally | about 9 km | Yes |
| Sainikpuri & A.S. Rao Nagar | about 10 km | Yes |
Hair follow-up is every eight to twelve weeks rather than weekly, so a longer journey is workable. The distances matter most if your plan turns out to include phototherapy or a graft with staged reviews.
A scalp that is itchy, tender, scaly or reddened alongside the shedding may be a scarring alopecia. Those destroy the follicle, and what is lost does not come back. It is the one presentation worth bringing forward rather than watching for another few months.
One consulting location, formerly BNR Skin & Vitiligo Hospital. The practice has held this address for years.
Plot No 13D/B, Wellington Rd, Vikrampuri Colony, Karkhana, Secunderabad, Telangana 500009.
On WhatsApp: one number, answered by the clinic team, who confirm a time and say what to bring.
A history, a scalp and hair-pull examination, dermatoscopy where useful, and usually a blood panel: thyroid, ferritin, vitamin D and B12. A plan and its cost follow the diagnosis, not the other way round.
No. Packages are sold before anyone knows what is wrong, which is why they so often treat the wrong thing. You are quoted after the examination.
Hair is slow. The first honest review is at eight to twelve weeks, and meaningful change usually takes longer. Anything promising a visible difference in a month is promising something it cannot deliver.
Yes, by the dermatosurgeon rather than a technician, and only where medical therapy has been given a fair trial first and the loss has stabilised.
Plot No 13D/B, Wellington Rd, Vikrampuri Colony, Karkhana, Secunderabad 500009, formerly BNR Skin & Vitiligo Hospital. Monday to Saturday, 11:30 am to 5:00 pm.
The clinical statements on this page follow the guidance and evidence below. They are independent sources. None of them is connected to this clinic, and none of them sells the treatments described here.
Not a treatment plan sold on the spot. Message the clinic and bring your history.