How to regrow the beard hair lost in a particular area?

Hello,

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I went through your query and understood your concern.

After going through the history provided by you and the images (attachment removed to protect the patient's identity), it looks like alopecia areata. Alopecia areata is a condition where there is a coin shape loss of hair in single or multiple hair-bearing areas, especially the scalp, mustache, and beard. Alopecia areata is an autoimmune condition wherein one's own antibodies attack against their own cells. It may also be accompanied by other autoimmune conditions like arthritic conditions, thyroid conditions, etc but not necessarily. It occurs genetically, and a single patch of alopecia areata may increase in size and spread to form multiple lesions. However, it is not life-threatening or contagious. Although hair may sometimes grow and shed on and off, the treatment is not permanent due to genetic factors. But hair growth may be stimulated and managed with medications and procedures. So, I suggest you to follow the instructions mentioned below,

1. Use Minoxidil (vasodilator) 5% solution. Apply on the affected area in a very small amount. It is to be kept overnight and washed off in the morning. Minoxidil increases blood supply to the hair follicles, thereby stimulating hair growth. Therefore, it is not advised to stop the medication abruptly since it may cut off the blood supply, causing hair loss in the already-grown hair. Therefore, it is advised to slow down the usage over the years. For example: if the gel is used seven days per week for the first year, then in the following year, it may be used six days per week and then five days per the following year, and so on.

2. Injecting intralesional corticosteroids likeTriamcinolone. They are administered in the form of mild superficial injections one centimeter apart into the affected area. They are usually done for two to three sessions every four weeks for better results. They help with stimulating hair growth and are done by a dermatologist, and I suggest you to kindly consult a dermatologist in person for undergoing the procedure.

3. Take the tablet Follihair (a multivitamin supplement) or biotin gummies (Biotin, Zinc, multivitamins, and chicory root extract) orally once daily after breakfast for two months. You can continue the tablet after a gap of two months for two months again.

4. PRP (platelet-rich plasma) and microneedling can be used to treat the affected area. Microneedling is a procedure wherein a derma roller is rolled up and down the affected area. The growth factor component from your blood (around ten to twelve-milliliter blood is withdrawn and centrifuged in a machine) is applied to the affected areas. They are also done every four weeks for six sessions. This procedure is also done at a dermatologist's clinic.

5. Use Clobetasol ointment (topical corticosteroid) 0.05%. Apply on the affected area in a very thin layer in the smallest quantity possible daily in the morning for at least three weeks and may be repeated similarly after a break of two weeks. It also helps in hair growth stimulation. Also, this ointment may only be used if the intralesional corticosteroid injection is not being used, as they both are corticosteroids. Also, they should be used with caution and in small quantities since they may sometimes cause irritation, burning sensation, itching, and redness for first-time users.

The above procedures and medications may help stimulate hair growth.

Kindly consult a specialist, talk with them and take the medications with their consent.

I hope this has helped you.

Thanks and regards.