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

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.

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.

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.