Can I use a derma roller in addition to 2.5% hydrocortisone ointment for traction alopecia? (photos)

Question

Hi, I have had traction alopecia for years now. My hair line grows out slightly then seems to break off in an instant if I sleep the wrong way or have product build up. I was prescribed 2.5% hydrocortisone ointment which seems to be helping but I still have a few smooth spots that are not producing hair. Will a derma roller help kick up my hair growth or do I need to opt for a transplant?

Jason Emer, MD · Answer

My suggestion is to use prp and progesterone but there is no reason you cannot use a microneedling/roller to get more deeper penetration of your topical cream/solution. Although I do not feel hydrocortisone does much for alopecia. See an expert.  Best, Dr. Emer.

Jeff Rapaport, MD · Answer

In my opinion, micro needle rollers are not suggested for African American hair. I find that the hair gets pulled by the rollers. Usage of hydrocortisone Maybe somewhat effective, although it is not very promising for regrowth . We have been using platelet rich plasma to treat traction alopecia. We've had partial results in many people and excellent results in some. Find an expert in platelet rich plasma. Check websites or Realself for photos. Hope this helps. Good luck.

Jeff Donovan, MD, PhD · Answer

Keep in mind that if an individual has had traction for a few years, it's unlikely they will get a lot of regrowth. For traction, the most effective options are minoxidil with steroid injections. After 6 months of treatment, the individual will have reached the maximum they are going to regrow. Thereafter, hair transplants are the consistently only good option.

Michael Meshkin, MD - Account Suspended · Answer

To get the proper treatment you need to see a hair restoration specialist. Cortisone cream and rollers do not work. A hair restoration specialist can make an evaluation and put you on a treatment that would actually be proven to work for you.

William Rassman, MD (retired) · Answer

The treatment of traction alopecia is not the dermaroller and cortisone. It is getting rid of the cause of the problem and then seeing a hair expert who can recommend treatments that work

Can I use a derma roller in addition to 2.5% hydrocortisone ointment for traction alopecia? (photos)

Answers (5)

Answer: Traction alopecia what are the treatment options

Answer: Traction alopecia what are the treatment options

Answer: Dermaroller and cortisone

Answer: Dermaroller and cortisone

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Everything you need to know about Hair Loss Treatment

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Can I use a derma roller in addition to 2.5% hydrocortisone ointment for traction alopecia? (photos)

Answers (5)

Answer: Traction alopecia what are the treatment options

Answer: Traction alopecia what are the treatment options

Answer: Dermaroller and cortisone

Answer: Dermaroller and cortisone

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Recommended reading

Everything you need to know about Hair Loss Treatment

Our mission is to create a world where every investment in modern beauty is Worth It.