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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do Bald Patches On Chin Indicate?

Hi, I recently shaved with a razor on my chin and upper lip. Now I have these bald spots when my stubble grew in a bit. Did I permanently damaged my hair follicles? Will the bald spots grow hair still? I used to use a electric shaver where there was hair before the razor use and bald spots.
Thu, 22 May 2014
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Dermatologist 's  Response
Hello and welcome to healthcaremagic

I would keep a possibility of Alopecia Areata. Alopecia areata is an autoimmune condition and commonly present as focal patches of hair loss, most commonly over the scalp but also can involve the beard as well as moustache, eyebrows, eyelids etc.

Various treatment options in Focal patch of alopecia areata include:

--Intra-lesional Triamcinolone acetonide is first line treatment in adults followed by other modalities like:
--Topical potent steroids
--Topical Minoxidil
--Topical Anthranalin
--Topical PUVA(psoralens +UVA therapy).

While minoxidil forte 5% is commonly used for male pattern androgenetic alopecia but it is also used for alopecia areata in both males as well as females. Since it has to be applied only over the bald spot, unlike in androgenetic alopecia where it needs to be applied throughout the scalp, therefore it is unlikely to cause side effect(facial hair growth) that can sometimes result from its use over the entire scalp in females.

However I prefer Intra-lesional steroid in my patients of Alopecia areata. It can be repeated after 3 -4 weeks and usually hair regrow after 2 injections, given 3 weeks apart.

regards.
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What Do Bald Patches On Chin Indicate?

Hello and welcome to healthcaremagic I would keep a possibility of Alopecia Areata. Alopecia areata is an autoimmune condition and commonly present as focal patches of hair loss, most commonly over the scalp but also can involve the beard as well as moustache, eyebrows, eyelids etc. Various treatment options in Focal patch of alopecia areata include: --Intra-lesional Triamcinolone acetonide is first line treatment in adults followed by other modalities like: --Topical potent steroids --Topical Minoxidil --Topical Anthranalin --Topical PUVA(psoralens +UVA therapy). While minoxidil forte 5% is commonly used for male pattern androgenetic alopecia but it is also used for alopecia areata in both males as well as females. Since it has to be applied only over the bald spot, unlike in androgenetic alopecia where it needs to be applied throughout the scalp, therefore it is unlikely to cause side effect(facial hair growth) that can sometimes result from its use over the entire scalp in females. However I prefer Intra-lesional steroid in my patients of Alopecia areata. It can be repeated after 3 -4 weeks and usually hair regrow after 2 injections, given 3 weeks apart. regards.