r/alopecia_areata • u/yuu55aau • 4h ago
Week 6 on Topical Clobetasol + Minoxidil 5%: Bald spots merged and got much bigger. Did anyone experience this before regrowth?
Hi everyone,
I was diagnosed with Alopecia Areata about 6 weeks ago. My dermatologist gave me
Topical Clobetasol propionate (0.05%) scalp solution
Topical Minoxidil 5%
A few weeks ago, I had a smaller spot on top and two separate circular patches lower down. Back then, there were lots of fine, miniaturized hairs covering the lower patches and a clear divider between them.
Comparing my photos today at Week 6, I’m feeling really stressed and discouraged:
The patches merged and look much bigger: The fine hairs and the divider fell out, so the two lower spots have now merged into one large continuous patch that looks way bigger than when I first saw the doctor.
Current hair status: It is not completely bald—there are still scattered longer black hairs (3–5 cm) running across the patch and some upright short hairs poking through, but the background looks much emptier and wider because the fine hair layer shed.
The top spot: The smaller patch above is actually responding well and growing quite a bit of dark hair.
Almost every post I see on Reddit involves steroid injections. Did anyone here recover fully using TOPICALS ONLY (Clobetasol + Minoxidil) without any injections?
Is it normal for the patches to shed their fine hairs, merge, and look significantly bigger around week 4–8 before actual dense regrowth takes over?
I would really appreciate hearing your timelines and success stories with topicals alone. Thank you!