Alopecia Areata Treatment
Noticed a sudden bald patch or patchy hair loss?
Alopecia areata commonly causes smooth, round patches of hair loss on the scalp, beard or other areas. Hair may grow back, but the condition can affect each person differently.
A medical assessment can determine whether the bald patch is caused by alopecia areata or another form of hair loss and whether treatment may help.
What is alopecia areata?
Alopecia areata is an autoimmune condition. It happens when the immune system mistakenly attacks the hair follicles, causing hair to fall out.
It usually appears as one or more round or oval patches of hair loss. The skin within the patch often looks smooth and normal. Alopecia areata most commonly affects the scalp but can also affect the beard, eyebrows, eyelashes or other parts of the body.
It is not contagious and is different from male or female pattern hair loss. As other conditions can also cause patchy hair loss, a medical assessment is important before starting treatment.
Common concerns we hear from patients
A patch appeared suddenly
Alopecia areata can develop quickly. Some patients first notice a patch while washing, styling or cutting their hair.
Concern that it will spread
Some patients develop only one or two patches. In others, the hair loss may become more extensive or affect other areas.
Uncertainty about hair regrowth
Hair can grow back, but it is difficult to predict when regrowth will begin or whether it will be complete.
Unsure which treatment to choose
Different causes of hair loss require different treatments. A proper diagnosis is needed before deciding what may help.
Can hair grow back after alopecia areata?
Yes, hair can grow back after alopecia areata. Some patients with a small number of recent patches may experience regrowth without treatment. For others, treatment may help support hair regrowth.
Early regrowth may appear fine or lighter in colour before becoming thicker over time. However, results vary, and permanent regrowth cannot be guaranteed. Alopecia areata can return after the hair has grown back, and new patches may develop.
The outlook depends on factors such as how much hair has been lost, how long it has been present and which areas are affected.
Treatment options for patchy hair loss at Skinscape
At Skinscape, steroid injection is the main treatment option for patients with localised alopecia areata. Supportive treatments may also be added as part of the treatment plan.
Intralesional steroid injections
Small amounts of steroid medication are injected directly into the patches of hair loss. The treatment helps reduce the immune activity around the affected hair follicles, giving them an opportunity to resume hair growth. Several treatment sessions may be required, with progress reviewed over time.
Healite LED light therapy
Healite is a gentle, non-invasive light treatment that may be added as a supportive scalp treatment.
ExoHair Restore+
ExoHair Restore+ combines scalp microneedling with an exosome-based topical treatment. It may be included as an adjunct to support the scalp and create a more favourable environment for hair growth.
Why this treatment approach is recommended
1. Addresses the underlying inflammation
Alopecia areata occurs when the immune system mistakenly attacks the hair follicles. Steroid injections help reduce this immune activity, giving the follicles an opportunity to resume hair growth.
2. Treats the affected patches directly
Steroid medication is injected into the affected patches, allowing it to act directly around the hair follicles and encourage regrowth.
3. Provides additional scalp support
Healite LED light therapy and ExoHair Restore+ may be added to support the scalp and hair-growth environment. These adjunct treatments will be prescribed by the doctor where appropriate after reviewing the patient’s condition and response to the main treatment.
Discuss your patchy hair loss concerns with Skinscape
What alopecia areata treatment at Skinscape is like
01
Consultation and scalp assessment
The doctor examines the areas of patchy hair loss and reviews when they started and how they have changed. This helps confirm whether the condition is consistent with alopecia areata.
02
Steroid injection treatment
Small amounts of steroid medication are injected into the affected patches, allowing the medication to act directly around the hair follicles and reduce the immune activity contributing to hair loss.
03
Progress review
Follow-up appointments allow the doctor to assess hair regrowth, monitor existing or new patches and determine whether further injections are needed.
04
Adjunct therapies
Healite LED light therapy or ExoHair Restore+ may be added to support the scalp and hair-growth environment. These treatments will be prescribed by the doctor where appropriate after review.
FEES
Steroid Injection for Alopecia Areata
Consultation (starting from)
SGD 80
before GST
Per Session
SGD 220
before GST
A consultation is required before treatment. The number and frequency of steroid injections will depend on the areas affected and the response to treatment.
OUR DOCTORS
Meet our medical team
Every Skinscape doctor is guided by the same commitment — to listen carefully, recommend honestly, and deliver results that respect your natural appearance.
Frequently asked questions
What causes a sudden bald patch on the scalp?
A smooth bald patch that appears suddenly may be alopecia areata, but other conditions can look similar. Fungal infections, tight hairstyles, hair-pulling and scalp inflammation can also cause patchy hair loss. An examination helps identify the cause rather than relying on appearance alone.
Is patchy hair loss always alopecia areata?
No. Patients often assume that any round bald patch is alopecia areata, but several hair and scalp conditions can cause a similar pattern. The appearance of the scalp, surrounding hairs and way the hair loss developed help the doctor make the correct diagnosis.
Is alopecia areata caused by stress?
It is common for patients to notice a bald patch after a stressful period and wonder whether stress caused it. Stress may trigger or worsen alopecia areata in some people, but many patients develop it without an obvious trigger. It is an autoimmune condition—not something you caused or could necessarily have prevented.
Is alopecia areata contagious?
No. Alopecia areata cannot spread from one person to another. It is not caused by poor hygiene, sharing personal items or using the wrong hair products, so there is no need to avoid normal contact with other people.
Can hair grow back in an alopecia areata patch?
Yes, hair can grow back, either naturally or with treatment. Patients may first notice fine, short or lighter-coloured hairs within the patch before thicker hair appears. Regrowth differs from person to person, and the condition can sometimes return after the hair has grown back.
How is alopecia areata treated in Singapore?
Treatment depends on how many patches are present, how long they have been there and whether the hair loss is progressing. For suitable patients with a limited number of patches, steroid injections may help reduce the immune activity affecting the follicles and encourage regrowth.
How do steroid injections help alopecia areata?
Steroid medication is injected into the affected patches, allowing it to act directly around the hair follicles. It helps calm the immune response contributing to the hair loss and gives the follicles an opportunity to start producing hair again.
How many steroid injection treatments will I need?
There is no fixed number because each patient responds differently. Several treatment sessions may be required, with appointments spaced according to our doctor’s recommendation. Progress is reviewed over time to decide whether further injections or changes to the treatment plan are needed.
Are steroid injections for alopecia areata painful?
Patients usually feel a series of brief pinpricks during treatment. Discomfort depends on the size, number and location of the patches, but the injections are generally completed within a short time. Our doctor will explain the process and what to expect before treatment begins.
Can alopecia areata return after treatment?
Yes. Some patients experience one episode and do not have another, while others develop new patches months or years later. A recurrence does not necessarily mean the earlier treatment failed; it reflects the unpredictable nature of the condition.
Can alopecia areata affect the beard or eyebrows?
Yes. Alopecia areata can affect any hair-bearing area, including the beard, eyebrows and eyelashes. Patients sometimes first notice a gap in the beard or thinning in one eyebrow rather than a patch on the scalp.
When should I see a doctor about a bald patch?
Many patients first discover a bald patch during a haircut or when it is noticed by a family member. It is advisable to see a doctor after discovering a new unexplained bald patch, particularly if it is enlarging, additional patches are appearing, or there are associated scalp symptoms. An early assessment can confirm the cause and determine whether treatment or monitoring is appropriate.
Concerned about a patch of hair loss?
A consultation allows our doctor to examine your hair and scalp, determine whether the presentation is consistent with alopecia areata and advise whether treatment or further investigation is appropriate.
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