Why is the Bald Spot in My Beard Growing Back White?'

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Name: Farhan

Question: I had bald spot on my beard 9 months ago I noticed my is coming little bit but growing white not black I'm very upset my hair isn't growing back black.

Answer: Hi, Farhan. The hair loss you describe sounds like a form of Alopecia Areata - an autoimmune disorder whereby the body attacks its own hair follicles.

The type which specifically affects the beard area is known as Alopecia Barbae.

Although its precise cause has not been established, it can be triggered by various factors such as stress, illness, infection or dietary deficiencies, for example. It may also be idiopathic, meaning the reason it presents is unknown.

Alopecia Areata Barbae - Bald Patches in the Beard
An example of Alopecia Areata of the beard, known as Alopecia Barbae

Researchers have a number of theories as to the cause of autoimmune alopecia, from a genetic link to neurological involvement, but - for now - no concrete pathogenesis or pathophysiology has been uncovered to explain it.

Whilst Alopecia Areata, in its mildest form, causes patchy hair loss in the form of rounded bald spots that appear on the scalp, Alopecia Barbae presents, in most cases, as a small round bald patch around the jaw or chin area.

Normal hair growth tends to resume of its own accord within a few months.

This regrowth can be lacking pigment at the start, appearing cream or white as a result, but its original pre-alopecia colouring often returns as the beard hair keeps growing.

Belgravia specialises in non-invasive hair loss solutions and hair growth supporting products, including Alopecia Areata treatment, however these are only recommended for conditions whereby the scalp is the only area affected.

We do not treat forms of alopecia which affect other areas of the head nor the body - such as Alopecia Totalis and Alopecia Universalis and do not recommend using hair loss treatments intended for topical scalp use, high strength minoxidil, for example, for the treatment of patchy beards.

As you are experiencing facial hair loss I recommend you consult your GP or a dermatologist so they can firstly confirm the diagnosis of Alopecia Barbae, and secondly, check for any other underlying medical conditions. Once they have done this, they should be able to discuss whether any treatment is appropriate and, if so, what is most suited to you based on your medical profile.

If it is only the discolouration of the hair regrowth in your beard that you are concerned about, as before, this should return to normal within a few months, but in the meantime you could consider dying it. That way, if it is done properly, it should blend in with the rest of your facial hair while you wait for its natural colour to return. If you are unsure about doing this, a reputable barber's which offers this service - often listed as 'beard grooming' or 'beard styling' - should be able to help you.

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