What can be done about the blonde patches on my head? (Photo)

Question

So ive got blonde streaks/patches on the side of my head. The rest of my hair is brown. Is there any treatment/surgery that can remove some of these patches via excision etc? Even if its just one or two of the small patches would help alot.

Jeff Donovan, MD, PhD · Answer

What’s important here is whether these are new or you’ve had them all your life. There are inherited pigment issues (poliosis is the name) that can cause whitish hairs. It’s hard to tell if yours fits that definition. Some individuals with poliosis can have other associated issues like vitiligo so your doctors can carefully review your entire story. If the patches are new on the scalp and you only recently notices this pigment issue, then diagnoses like alopecia areata might be considered. If the patches are new, treatment may be easier than if the patches have been present a long time. A really good evaluation is important as there are many questions that need to be evaluated in someone with poliosis (including eye health, skin health, nervous system health, etc). Be sure to see a doctor.

Matt Tahsini, MD · Answer

Hello and thank you for your question. It seems to me the easiest way to correct this is by dyeing your hair. I’m not sure surgery is the right solution for you. Good luck to you.

Artur Kierach, MD · Answer

If the areas of concern are around the back and side of the head. This is considered a traditional safe zone for a hair transplant. The patches could be the result of a auto immune hair loss condition, alopecia areata. The hair can regrow with this condition and on occasions can regrow finer or a different colour or texture compared to the surrounding hair. If a concerns a hair color could be used to blend with the surrounding hair.

Greg Williams, FRCS (Plast) · Answer

It is possible that the different coloured hair patches might actually be areas of alopecia areata. This would be determined by an expert dermatologist taking a history, examining your scalp, and possibly performing a biopsy.If that is the diagnosis then there are some non-surgical treatments that might change the hair colour back to normal.If you have true piebaldism then transplanting darker hair to the area could help camouflage the colour discrepancy. Of course, you could just dye the lighter patches.

Neil Verma, HBSc, MD, FCFP - Account Suspended · Answer

There is no procedure to change the hair colour. You could colour your hair so that all the hair would be uniform.

William Rassman, MD (retired) · Answer

There is no point to do a surgery for these blonde patches, just use a hair dye and keep them colored.

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What can be done about the blonde patches on my head? (Photo)

Answers (6)

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