Photographic methods for hair evaluation are frequently proposed as an
alternative to more invasive methods (trichogram or biopsy). The reli
ability in terms of quantitative follow-up of hair growth has not been
evaluated properly. We report results of comparative studies of scalp
hair evaluation with various photographic methods. Statistically sign
ificant findings were a better detection of scalp hairs using the orig
inal enlargement x 3 as compared to x 2 (212 vs. 167 hair follicles/cm
2) and a more acceptable estimate of linear hair growth rate with 'sca
lp immersion proxigraphy' (SIP) (0.317 mm/day) as compared with classi
cal phototrichogram pictures where this variable was underestimated by
30% on average (0.27 mm/day). SIP-generated linear hair growth rates
were very close to the micrometric method (0.37 mm/day). Therefore SIP
x 3 images appear preferable for hair growth monitoring during clinic
al trials.