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Question: I’ve just noticed a bald patch on the top of my head. It’s round and about the size of a 2 pence piece. It’s strange because I’ve never noticed it before and it’s quite big – it must’ve literally come up over night! I’ve read up about bald patches on the internet and it seems it might be alopecia but I’m really worried because I don’t want to lose all my hair. Please help!

Answer: I wouldn’t say there’s too much reason to worry. It is understandable that a sudden patch of hair loss of this size (Alopecia Areata) can be a shock but from experience I can tell you that most of the time it will not progress into Alopecia Totalis or Universalis (loss of all scalp hair or all body hair respectively). With Totalis or Universalis the initial loss is generally more extreme than just one patch – people will experience a vast amount of hair being lost at once.

For patchy Alopecia we find that minoxidil cream grows the patches of hair back most of the time.

More information on ALOPECIA AREATA
See some Alopecia Areata photo-scans
Read a previous post on Alopecia Areata

Alopecia Patch Alopecia regrowth
Alopecia Patch                            Regrowth after 4 months

Alopecia Areata of some form affects 2-3 per cent of people worldwide at some point in their lives. The condition involves small patches of hair being lost suddenly for most people, but for many it can develop into large areas of hair loss on the scalp and occasionally, loss of all hair on the head (Alopecia Totalis) or loss of all head and body hair (Alopecia Universalis).

Football Referee Pierluigi Collina

Former international football referee Pierluigi Collina is one of the most famous faces that experiences Alopecia Universalis

In this post I wanted to talk to you about the success we see when treating mild-to-moderate Alopecia Areata. Although There has been no treatment officially approved by the FDA for the treatment of Alopecia Areata, we find that most cases of patchy hair loss we see at Belgravia are improved up by the use of topical applications of high strength minoxidil.

The most common treatment for Alopecia is steroid injections to the scalp. Not only is this an invasive and highly uncomfortable procedure, but from what we have seen the success is no better than that seen from the use of high strength minoxidil for growing back patches of Alopecia. You can see the kind of results experienced by Belgravia’s clients by taking a look through our Alopecia Areata Treatment Success Stories. All of these patients were treated with a high strength minoxidil.

This Belgravia Alopecia Areata Client Has Seen Positive Regrowth from Treatment

Just one example of a Belgravia Alopecia Areata Client who has seen positive regrowth from treatment

Alopecia Areata treatment using high strength minoxidil involves applying it directly to the bald patches once a day, probably before bed depending on the user’s preference, which takes between 20-30 seconds. Hair will usually begin to grow back within 3 to 6 months of starting treatment if it is used consistently, as directed. As soon as the hair re-grows fully, treatment can be stopped and the hair will usually remain without the need for further treatment.

If you are experiencing Alopecia Areata please give us a call on 020 7730 6666 or send us an email at info@belgraviacentre.com with any questions you have, or if you would like to arrange a free, no obligation consultation – we’ll be more than happy to assist you. Alternatively, treatment can be prescribed for Alopecia Areata without the need to visit the centre – all you have to do is complete our online consultation form. As soon as the form is submitted, another Belgravia trichologist or I will diagnose your condition and recommend the most effective course of treatment, after which you will be contacted by one of our advisors who will take you through your personalised list of recommended options and answer any questions you may have.


Circ - The Belgravia Centre Treatment for Hair LossThe Belgravia Centre

The Belgravia Centre is the leader in hair loss treatment in the UK, with two clinics based in Central London. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the UK or the rest of the world. View our Hair Loss Success Stories, which are the largest collection of such success stories in the world and demonstrate the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time for our hair loss helpline or to arrange a free consultation.


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Name: Ali

Question: I have had a bald patch in my stubble for around 1 year. It is around 1 cm in diameter. There is no associated skin condition.  I think (it is hard to tell!) another bald patch has developed – this is only 5mm diameter – in my stubble. Is this alopecia? Assuming it is alopecia, can this spread to my scalp and what are the chances of me losing all of my head hair?

Alopecia Areata Barbae - Bald Patches in the BeardAnswer: The condition that you have sounds like Alopecia Areata Barbae or Alopecia of the beard.

Alopecia of the beard is often referred to as a herald patch, meaning it’s possible that it could spread to other areas such as your scalp. Bear in mind though that it’s common for people to experience patches of Alopecia Areata without the patches progressing. I’d say in the great majority of cases it will not progress to the extent of total hair loss and much of the time the hair will grow back on its own.

Your GP may be able to prescribe a steroid based cream that could help grow back the hair.  Here at the Belgravia Centre we are only permitted to prescribe treatments for the scalp.


The Belgravia CentreThe Belgravia Centre

The Belgravia Centre is the leader in hair loss treatment in the UK, with two clinics based in Central London. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the UK or the rest of the world. View our Hair Loss Success Stories, which are the largest collection of such success stories in the world and demonstrate the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time for our hair loss helpline or to arrange a free consultation.


Good afternoon from Korea. Just to let your team know that after using your treatment for 6 weeks my hair is growing back slowly and steadily. My bald patches are not as noticable and sightly as before and my confidence has been restored.

Thanks you for your centre’s support. I have been reccomending Belgravia to colleagues here at Hankuk University where I am teaching for a year.

Best regards,
Miss Shahnaz Khan

Diagnosis: Alopecia Areata

Question: I have been diagnosed with Alopecia Areata. I only have one bold spot. At first it was the size of 50 pence, and in 3 weeks it got bigger. Now it’s the size of 3 hand fingers put together. The doctor recommended Clobetasol Propionate but it didn’t do anything. Is there any other treatment that I can try? If so will I need a prescription? If yes where can I get it from? I’ve had this condition for 3 months now with no signs of hair regrowth.

Answer: Here is an earlier post that will answer your questions. Following a free consultation with one of our hair loss specialists, and assuming you are declared suitable for treatment, Belgravia can provide you with a prescription for high strength minoxidil which should help.

Name:  Edwin 

Question:  A small bald patch has come up on my beard in like the last day!  Do you have any idea what it could be?  What can be done?

Answer:  This sounds like Alopecia Barbae – Alopecia Areata of the beard.  Alopecia Areata is a condition that causes patchy hair loss and in very few cases spreads to the whole head or body – the patches of hair loss can be found anywhere on the body but are most common on the scalp.  More information on Alopecia Areata.