Alopecia Totalis Treatment

Causes, symptoms, and medical management

Alopecia Totalis is a severe autoimmune form of alopecia areata, causing complete scalp hair loss. Management focuses on reducing immune activity and encouraging regrowth when possible. Assessment considers age, health, disease duration, and previous treatments.

• Topical corticosteroids to reduce scalp inflammation under dermatology supervision.
• Intralesional corticosteroid injections for targeted immune suppression in hair follicles.
• JAK inhibitors, oral or topical, for severe or resistant cases.
• Topical immunotherapy with DPCP or SADBE to create a controlled scalp reaction.
• Minoxidil solutions to support regrowth.
• Low-level laser therapy (LLLT) to improve scalp circulation.

Regenerative and supportive approaches

When regrowth potential exists, regenerative trichology methods may be used. These include platelet-rich plasma (PRP), injectable platelet-rich fibrin (i-PRF), Hair Mesotherapy, exosome therapy, stromal vascular fraction (SVF), and autologous cellular micrografts. They aim to improve follicle health and may help modulate immune response.

Scalp micropigmentation (SMP) offers cosmetic improvement for those preferring non-regrowth solutions. Each option is discussed in consultation to match goals and medical suitability.

Hair transplantation considerations

Hair transplantation is avoided during active disease due to graft loss risk. In stable cases with partial regrowth or remission, procedures like Male Hair Transplant or Female Hair Transplant may be planned. Repair and correction work can address prior unsuccessful surgeries.

Surgical planning covers timelines, possible adjunct medical therapy, and risks. Patients can book a preliminary consultation online or in-clinic to review suitability and prepare for treatment stages.

About Alloroots

Alloroots is a doctor-led hair restoration clinic in India, offering surgical hair transplantation and regenerative hair science. Led by Dr. Alok Kumar Sahoo (MD Dermatology, AIIMS New Delhi), services include personalised diagnosis, natural hairline design, advanced FUE-based transplants, and non-surgical treatments. Consultations are available in-clinic and online for pan-India access. The clinic prioritises privacy, safety, realistic outcomes, and evidence-led care, documenting patient journeys only with consent. Learn more at Alloroots.