Is this alopecia areata? (Photo)

Is it possible to complete these areas with thick beard without beard transplant? I have thick beard in all areas, except these on the photos.

Doctor Answers 2

You're the same guy

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You're the same guy posting same photos asking "if you think this is this or that".  You recently asked if the same photo was cicatricial alopecia.

Trying to solve your medical issues or even find a diagnosis on the Internet may cause increased confusion and delay in treatment. Make an appointment with a doctor if you are concerned about your beard hair.

Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 102 reviews

Beard AA

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The photos are too 'close up' to get a sense of whether this could be alopecia areata. In addition, more medical history would be needed to understand how your beard has changed over the past 5 years. This information is helpful to determine if this is aloepcia areata ("AA") or whether this is just patch beard growth that many men experience. 

One can not conclude this is alopecia areata.

But here are a few general points about beard alopecia areata:

1. Patients with beard alopecia areata benefit from steroid injections. This is a safe procedure and can stimulate growth in many individuals
2. Hair transplantation is not an option for patients with alopecia areata. It is an autoimmune condition and the immune system would attack transplant follicles.
3. If steroid injections are not effective, other options may be helpful such as topical steroids, topical sensitizing medications or oral medications.
4. Hair loss can recur again at any time, despite initial growth. 

Jeff Donovan, MD, PhD
Vancouver Dermatologist

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.