Services

ALOPECIA

Alopecia causes devastating hair loss that profoundly impacts self-esteem and daily life through various autoimmune and hormonal mechanisms. This complex group of hair loss conditions ranges from small patches to complete baldness, requiring expert evaluation and personalized treatment approaches. At Potozkin + Ellis Dermatology in Danville, our expert dermatology team provides comprehensive alopecia diagnosis and cutting-edge treatments, including the latest FDA-approved therapies, to help restore hair growth and confidence.

What Is Alopecia?

Alopecia encompasses a diverse group of hair loss disorders that can affect anyone, regardless of age or gender. The most common types include androgenetic alopecia (pattern hair loss), alopecia areata (autoimmune hair loss), and various forms of scarring alopecia. If you’re experiencing sudden hair loss, patchy baldness, or progressive thinning that doesn’t respond to over-the-counter treatments, professional evaluation is essential for proper diagnosis and effective treatment.

Alopecia areata, an autoimmune condition, occurs when the immune system mistakenly attacks hair follicles, leading to sudden hair loss in round patches. This condition can progress to total scalp hair loss (alopecia totalis) or complete body hair loss (alopecia universalis). Androgenetic alopecia, the most common form, results from genetic predisposition and hormonal factors.

Key characteristics of different alopecia types:

  • Alopecia Areata: Sudden, patchy hair loss with smooth, round bald spots
  • Androgenetic Alopecia: Gradual thinning and pattern baldness
  • Alopecia Totalis: Complete scalp hair loss
  • Alopecia Universalis: Total body hair loss, including eyebrows and eyelashes
  • Scarring Alopecia: Permanent hair loss with follicle destruction

Recent advances in understanding alopecia have led to breakthrough treatments, particularly FDA-approved JAK inhibitors that offer hope for patients with moderate to severe alopecia areata.

How Do We Diagnose and Treat Alopecia?

Diagnosing alopecia requires comprehensive evaluation, including medical history, physical examination, and often specialized testing such as dermoscopy, biopsy, or blood work to identify the specific type and underlying cause. Treatment approaches vary significantly based on the type of alopecia, severity, and patient factors. We utilize the latest evidence-based treatments, including FDA-approved JAK inhibitors for alopecia areata, combining traditional therapies with cutting-edge options like platelet-rich plasma (PRP) and emerging treatments. Our Danville patients benefit from personalized treatment plans that address both hair regrowth and the psychological impact of hair loss.

What Treatment Options Are Available?

We offer comprehensive treatment options tailored to each type of alopecia:

For Alopecia Areata:

  • JAK Inhibitors: FDA-approved oral medications (Olumiant, Litfulo, Leqselvi)
  • Intralesional Injections: Steroid injections directly into affected areas
  • Topical Immunotherapy: Contact sensitizers to redirect immune response
  • Oral/Topical Minoxidil: Growth stimulants for enhanced regrowth

For Androgenetic Alopecia:

  • Topical or oral Minoxidil: Hair growth stimulant
  • Oral Finasteride/Dutasteride: DHT blockers
  • Oral Spironolactone: Anti-androgen for hormone-driven hair thinning
  • Platelet-Rich Plasma (PRP): Growth factor therapy
  • Low-Level Laser Therapy: Photobiomodulation for follicle stimulation

Advanced Therapies:

  • Combination Treatments: Multiple modalities for enhanced results
  • Nutritional Assessment: Addressing deficiencies that impact hair growth
  • Scalp Health Optimization: Creating optimal environment for regrowth
  • Psychological Support: Addressing emotional impact of hair loss

Our treatment selection depends on alopecia type, severity, patient age, and individual goals.

Background texture

Who Is a Good Candidate for Alopecia Treatment?

Ideal candidates for alopecia treatment include individuals who:

  • Have been diagnosed with any form of alopecia
  • Experience distress or reduced quality of life from hair loss
  • Are motivated to follow treatment regimens consistently
  • Have realistic expectations about treatment outcomes
  • Are in good overall health for systemic medications if needed
  • Want to explore both traditional and cutting-edge treatment options
  • Understand that hair regrowth takes time and patience

If you’re in the Danville area experiencing hair loss, our expert team can evaluate your specific condition and recommend the most appropriate treatment approach during a comprehensive consultation.

Patients with certain medical conditions, those taking specific medications, or individuals with unrealistic expectations may need modified treatment approaches or additional evaluation.

Why Dermatologist Expertise Matters

Choosing a team led by board-certified dermatologists for alopecia treatment ensures expert diagnosis and access to the most up-to-date therapies. Alopecia can be complex, often requiring careful evaluation to determine the specific type and underlying causes. At Potozkin + Ellis Dermatology, our board-certified dermatologists and experienced PAs and NPs stay current with evolving treatment options—including newly approved medications and emerging therapies—so you receive the most effective, personalized care available.

Personalized Consultation and Treatment Plan

During your consultation, we will conduct a thorough evaluation of your hair loss pattern, medical history, and contributing factors. We may recommend additional testing to confirm the diagnosis and rule out underlying conditions. Based on our findings, we’ll create a personalized treatment plan that may include single or combination therapies, taking into account your lifestyle, preferences, and treatment goals.

Frequently Asked Questions About Alopecia

What's the difference between alopecia areata and male/female pattern baldness?

Alopecia areata is an autoimmune condition causing sudden, patchy hair loss that can potentially regrow, while androgenetic alopecia (pattern baldness) is a gradual, hereditary condition following predictable patterns of thinning and requires ongoing treatment to maintain results.

Are the new JAK inhibitor medications safe?

FDA-approved JAK inhibitors for alopecia areata (Olumiant, Litfulo, Leqselvi) have been extensively studied and shown to be effective, but they do carry potential risks, including increased infection susceptibility and other side effects that we’ll discuss thoroughly during consultation.

How long does it take to see results from alopecia treatment?

Hair regrowth timelines vary by treatment type and individual response. JAK inhibitors may show results in 3-6 months, while other treatments may take 6-12 months. It’s important to have realistic expectations as hair growth is a gradual process.

Can alopecia be cured permanently?

Most forms of alopecia are chronic conditions requiring ongoing management rather than offering permanent cures. However, some patients with alopecia areata experience spontaneous remission, and sustained treatment can maintain hair regrowth.

Will my insurance cover alopecia treatment?

Coverage varies by insurance plan and treatment type. FDA-approved medications for alopecia areata are more likely to be covered, while some treatments may be considered cosmetic (ex. PRP). We’ll help verify coverage and explore options for accessing needed treatments.

What Our Patients Have to Say

Doctors Ellis and Potozkin

Why Choose Potozkin + Ellis Dermatology

Patients from San Francisco, Lafayette, Walnut Creek, Orinda, Moraga, Alamo, and Blackhawk choose Potozkin + Ellis Dermatology for our unparalleled expertise and results.

We combine the science of dermatology with the artistry of aesthetics to deliver natural-looking enhancements that build confidence. With board-certified dermatologists performing all injections and a comprehensive range of laser technologies delivered by skilled providers, we provide both safety and excellence in a sophisticated yet approachable environment.

Unlike other practices, we complement our advanced treatments with physician-selected medical-grade skincare products and begin every aesthetic journey with our signature DermDesigned consultation. Whether you're seeking cosmetic enhancement or medical dermatology care, our commitment to natural-looking results and excellence ensures you'll receive the highest standard of care in the East Bay.

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Experience world-class dermatology care right here in the East Bay.

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Monday-Friday: 8:00 AM - 5:00 PM

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925.838.4900