Types of Alopecia & Hair Loss Treatments | Charlotte Dermatology Blog
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blog

Learn About Alopecia (Hair Loss)

April 23rd, 2025 | By: Admin

Understanding the Types of Alopecia

Did you know there are multiple types of alopecia? Alopecia is an umbrella term that refers to hair loss, and in fact, there are more than ten distinct types. As dermatologists, our role is to identify the specific type of alopecia a patient has and recommend treatments tailored to that type.


Two Main Categories of Alopecia

There are two major categories of alopecia: non-scarring alopecias and scarring alopecias.


Non-scarring alopecias do not involve permanent damage or scarring of the scalp. These types of hair loss are often temporary and potentially reversible. They may be triggered by stress, dietary changes, or certain autoimmune conditions. Common examples include:

  • Telogen effluvium
  • Male and female pattern baldness
  • Early traction alopecia
  • Alopecia areata (patchy hair loss)

Scarring alopecias, on the other hand, involve permanent damage to the hair follicles due to inflammation within the deeper layers of the skin. This inflammation can be caused by autoimmune diseases, such as lupus, or by long-term use of harsh chemicals, relaxers, or excessive heat. Early diagnosis and treatment are crucial, as scarring can lead to irreversible hair loss.


Diagnosing and Treating Alopecia

In many cases, the type of alopecia can be diagnosed clinically through a detailed examination. However, a scalp biopsy may be necessary to confirm the diagnosis. Treatment varies depending on the subtype and may include:

  • Topical or injectable anti-inflammatory medications (e.g., corticosteroids)
  • Topical minoxidil (e.g., Rogaine)
  • Oral antibiotics for inflammatory or infectious causes
  • Procedural options, such as PRP (platelet-rich plasma) injections or hair transplantation

What Should You Do If You Have Alopecia?

Don’t wait to “see what happens” or rely on over-the-counter beauty supply products. Early evaluation and treatment are key to preventing further hair loss and promoting regrowth when possible. Visit us at Charlotte Dermatology in one of our Charlotte, NC or Myrtle Beach, SC offices to have your scalp and hair thoroughly evaluated. An accurate diagnosis and timely treatment plan offer the best chance for a successful outcome.


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