How long does it generally take for a small patch of alopecia areata to recover?

Written by Liu Jing
Dermatology
Updated on April 29, 2025
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Alopecia areata, commonly known as "ghost shearing", is often related to immune factors in its causes and mechanism of onset. It is important to rest and provide symptomatic treatment with immune modulation. Generally, recovery can be expected within about a month. Oral medications such as cysteine tablets, folic acid tablets, vitamin B6 tablets, and pimecrolimus granules can be taken. In the area affected by alopecia areata, topical application of dermatan sulfate polysaccharide cream, tacrolimus ointment, combined with the use of minoxidil solution is recommended to promote local circulation and thereby facilitate hair regrowth. Additionally, other physical therapy measures can be supportive, including traditional Chinese medicine treatments such as plum-blossom needle tapping and local intense pulsed light therapy. (Medication should be used under the guidance of a doctor.)

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Written by Liu Gang
Dermatology
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How long does it generally take for hair to regrow from alopecia areata?

The causes of alopecia areata are numerous, including reduced immunity, long-term consumption of spicy and irritating foods, frequent anxiety and stress, poor mood, or prolonged lack of nutrition. For milder cases of alopecia areata, hair can usually regrow within 1 to 3 months through self-adjustment of diet and lifestyle habits, along with increased exercise. However, for more severe cases, where hair loss covers a larger area, in addition to standard medical treatments, enhancing exercise, strengthening immunity, consuming more vegetables and fruits, and diversifying the diet are recommended. Typically, one treatment cycle lasts at least 3 months, and for severe symptoms, treatment may be needed for half a year or even longer. Persistence is crucial in managing this condition.

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Written by Liu Jing
Dermatology
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What should I do if a patch of alopecia areata doesn't grow back?

Alopecia areata, commonly known as "ghost shaving," is a type of immune-related skin disease. It is important to rest, provide immune modulation and other symptomatic treatments, eat more black-colored foods, and maintain a good mood. Take oral thymopeptide enteric capsules, cysteine tablets, vitamin B6 tablets, folic acid tablets, and other medications. For the bald areas, apply a 5% concentration of minoxidil spray and heparin polysulfate mucopolysaccharide cream. The purpose is to improve scalp microcirculation to stimulate hair follicles and promote hair regeneration. Simultaneously, supplementary physical therapy measures can be used, including traditional Chinese medicine techniques such as plum-blossom needle tapping and local treatment with 308 nm excimer laser radiation, three times a week, for a total of ten sessions per treatment course.

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Written by Liu Gang
Dermatology
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What are the causes of alopecia areata?

The causes of alopecia areata are numerous, and the contributing factors may vary from person to person. Decreased immunity, frequent staying up late, anxiety, tension, poor mood, or long-term drinking and smoking, consuming spicy or strongly flavored foods, and lack of vitamins and trace elements, as well as local injuries, or frequent occurrences of folliculitis, abscesses, and cysts are all primary factors. Only a small number of cases may be related to genetics. Once diagnosed, it is essential to seek treatment from reputable medical institutions. Follicular tests can also be conducted to check for atrophy or necrosis. Generally, with persistent treatment, it is entirely curable.

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Written by Liu Gang
Dermatology
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The differences between alopecia areata, alopecia totalis, and androgenetic alopecia

Alopecia areata generally occurs only on the scalp with patchy hair loss, usually mild, affecting just a few patches. Total alopecia is an extension of alopecia areata, where hair loss progresses to complete baldness. Universal alopecia is more severe, involving not only complete hair loss on the scalp but also potential loss of eyebrows, armpit hair, pubic hair, and even all body hair. These three conditions represent a progressive worsening, with alopecia areata being the mildest and universal alopecia being the most severe. The treatment plans for these conditions are roughly the same, but the duration varies; long-term persistence is necessary, along with proper medication from a dermatology department in a reputable hospital.

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Written by Liu Gang
Dermatology
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Causes and Prevention of Alopecia Areata

Alopecia areata can be caused by a variety of factors and can occur at any age. Generally, alopecia areata in children is mostly related to picky eating or an imbalanced diet, including excessive snacks. Among adolescents or middle-aged individuals, alopecia areata can be related to high stress levels, vigorous sebaceous gland activity, or the frequent consumption of spicy and stimulating foods. For middle-aged and elderly people, it could be related to other diseases within the body, such as liver or kidney disease. Therefore, it is important to foster good dietary and lifestyle habits, strengthen physical exercise to boost immunity, include more legumes in the diet, and regularly massage the scalp, all of which can serve as preventive and therapeutic measures.