Alopecia Areata (Autoimmune Hair Loss)

Visit a dermatologist for intralesional corticosteroid injections (typically triamcinolone acetonide) directly into the bald patches. Sessions are usually every 4-6 weeks. Multiple small injections are spaced across each patch.

Discuss JAK inhibitor therapy with your dermatologist. Baricitinib (Olumiant) is FDA-approved for severe alopecia areata in adults. Taken as a daily oral tablet, typically 2-4mg.

Apply clobetasol propionate (a super-potent topical steroid) to bald patches once or twice daily as prescribed. Some dermatologists recommend applying it under occlusion (covered with a shower cap or plastic wrap) overnight for enhanced absorption.

This treatment is administered by a dermatologist in-clinic. A chemical sensitizer (DPCP or SADBE) is applied to the scalp to deliberately provoke a mild allergic reaction. Treatments are applied weekly with gradually increasing concentrations.

If alopecia areata is extensive, rapidly progressing, or not responding to dermatologic treatments, ask for a referral to an immunologist. This is especially important if you have other autoimmune conditions (thyroid disease, vitiligo, lupus).

Explore wigs, toppers, or hairpieces while undergoing treatment or waiting for regrowth. Options range from synthetic wigs to custom human-hair pieces. Many insurance plans cover wigs for alopecia areata with a doctor's prescription (written as a "cranial prosthesis").

Apply minoxidil 5% solution or foam to bald patches twice daily. Can be used alone for mild cases or as an adjunct alongside corticosteroid treatments.

Incorporate regular stress management into your routine — meditation, yoga, deep breathing, or 30+ minutes of moderate exercise most days. Consider therapy or support groups for the emotional impact of alopecia areata.

Mix 5-10 drops of rosemary essential oil with 1 tablespoon of carrier oil. Gently massage into bald patches for 1-2 minutes. Leave on for at least 30 minutes or overnight, then wash out. Apply 2-3 times per week.

Blend or grate a raw onion and strain the juice through cheesecloth. Apply the juice directly to bald patches with a cotton ball. Leave on for 15-30 minutes, then wash out with a mild shampoo. Repeat daily or every other day.