There is an excellent cosmetic treatment for alopecia areata and alopecia totalis which is shown well in the web links below. We have treated many patients with both conditions with great cosmetic results. Look for those patient examples in the scar section of this web link
Waiting ... does it affect outcomes in AA?
Waiting does not usually affect outcomes in alopecia areata in the first 12-16 months. Seeing a dermatologist is the right step. The dermatologist will review your story and examine your scalp and discuss the best "next steps" for you.Options for treatment include:1. steroid injections2. Diphencyprone3. Anthralin4. Prednisone5. MethotrexateAll patients with alopecia areata should get blood tests. In our Vancouver alopecia areata program, I generally advise blood tests for CBC, TSH, ESR, free T4, vitamin B12, Ferritin. I often do baseline celiac testing in children.