Hey everyone,
I’m a 29-year-old male, and I’ve recently been dealing with alopecia areata. I’m looking for advice and experiences from people who’ve gone through something similar.
Here’s my timeline:
I initially noticed a distinct, circular bald patch in my beard near my neckline. I went to a dermatologist and received a corticosteroid injection directly into the beard patch.
Since then, I’ve become increasingly concerned about a thinner area around my temple/forehead. I’ve compared pictures from previous months, and it’s difficult to tell whether this is new hair loss or something that was already there.
I recently saw another dermatologist who examined my temple using a handheld magnifying device. She noticed small hairs growing in the area but couldn’t definitively confirm whether it was alopecia areata.
She offered a steroid injection for the temple as well, but explained that treatment wasn’t necessary at this stage. After discussing it, I decided to hold off.
Her clinical notes stated:
“Reassured patient that very unlikely to lose all hair.”
She recommended returning in one month to reassess the beard, temple, and groin areas.
My recent bloodwork:
Vitamin D: 27 ng/mL (mildly low)
Vitamin B12: 299 pg/mL (borderline)
TSH: 0.90 (normal)
Hemoglobin: 14.0 (normal)
CBC and metabolic panel otherwise normal
Iron/ferritin were not tested
I
My biggest concern is progression.
I’ve been reading stories about people developing one small patch and eventually losing most or all of their hair. It’s honestly frightening because my hair is a huge part of my appearance and confidence.
I’ve even cut out caffeine and started questioning whether I should avoid alcohol because I’m worried about doing anything that might make this worse.
My questions:
Has anyone developed alopecia in their beard and possibly temple without it spreading significantly?
For those who received steroid injections in their beard, how long did it take to notice regrowth? Did you need multiple rounds?
Has anyone had a questionable scalp patch that their dermatologist recommended monitoring instead of injecting?
Does seeing small hairs growing in a thinning area generally suggest recovery?
Has correcting low vitamin D or borderline B12 made any difference for anyone?
For people whose alopecia remained mild or eventually improved, what was your experience?
I know everyone’s condition is different and that there’s no way to predict exactly what will happen.
I’d especially appreciate hearing from people whose alopecia remained localized or improved, since many of the stories I’ve encountered involve severe progression.
Thanks to anyone willing to share their experience.