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Last Updated on September 25, 2023

Facial hair is a symbol of masculinity and identity for many men. A well-groomed beard can enhance your appearance and boost your self-confidence. However, when bald spots start appearing in your beard, it can be disheartening and impact your self-esteem. One common condition responsible for these bald spots is Alopecia Barbae. In this blog, we will explore this condition in depth, its causes, and most importantly, how to treat bald spots on your beard effectively.

Understanding Beard Hair loss

Beard bald spots are a specific type of hair loss that affects the beard area. It is a part of the broader condition known as Alopecia Areata, which can affect hair on any part of the body. In this condition, the hair loss is limited to the beard region, resulting in bald patches or spots. This condition presents a sudden onset of hair loss, often in small, round, or oval patches.

Alopecia Barbae Causes

While the exact cause of beard Alopecia remains unknown, it is known to be an autoimmune disorder. As a result of autoimmune conditions, the body’s immune system attacks its tissues, in this case, the hair follicles. Genetics may play a role, as individuals with a family history of Alopecia Areata are more likely to develop beard hair loss.

Additionally, stress and certain environmental factors may trigger or exacerbate the condition. It’s important to note that hair loss in the beard is not contagious, and it doesn’t result from poor hygiene or grooming habits.

Identifying Alopecia in Beard

The first step in addressing Alopecia Barbae is recognizing its symptoms. Here are some common signs to look out for

Bald Spots

Small, circular, or oval bald patches appear on your beard, usually without any prior warning.

Sudden Hair Loss

Hair loss occurs rapidly and can progress over a short period.

Smooth Skin

The skin within the affected areas is usually smooth, with no visible signs of inflammation or scarring.


Sometimes, hair may spontaneously regrow in the affected areas, but it can also fall out again.

If you notice these symptoms, it’s essential to consult a dermatologist for a proper diagnosis. They can confirm whether you have Alopecia Barbae and rule out other potential causes of beard hair loss.

Treatment Options for Alopecia Barbae

While there is no known cure for hair loss in the beard, several treatment options can help manage the condition and stimulate hair regrowth. The effectiveness of these treatments varies from person to person, and what works for one individual may not work for another. Here are some of the most common treatment approaches:

Topical Corticosteroids

Topical corticosteroids are anti-inflammatory creams or ointments that can be applied directly to the affected beard area. They suppress the immune response and reduce inflammation around the hair follicles. This can help promote hair regrowth in some cases. Dermatologists often prescribe low-potency corticosteroids for facial use to minimize side effects such as thinning of the skin.

Intralesional Corticosteroid Injections

For more severe cases of Alopecia Barbae, dermatologists may recommend intralesional corticosteroid injections. This involves injecting corticosteroids directly into the bald patches on your beard. The injections are usually administered every 4-6 weeks. This treatment can be effective in stimulating hair regrowth, but it may also have potential side effects such as skin thinning and pigmentation changes.

Topical Immunotherapy

Topical immunotherapy is another treatment option for hair loss in the beard. This involves applying a chemical irritant, such as diphencyprone (DPCP) or squaric acid dibutyl ester (SADBE), to the bald spots on your beard. This irritant triggers an allergic reaction in the skin, which can lead to hair regrowth. However, this treatment requires careful monitoring by a dermatologist and can have side effects like severe itching and redness.


Minoxidil is an over-the-counter topical medication commonly used to treat androgenetic alopecia (male pattern baldness). While it’s not explicitly approved for Alopecia Barbae, some individuals have reported success in using minoxidil to stimulate beard hair growth. You can apply minoxidil directly to the bald patches on your beard, but results may vary, and it can take several months to see any improvement.


Microneedling is a minimally invasive procedure that involves using a device with fine needles to create tiny punctures in the skin. This process stimulates collagen production and blood circulation, which can help encourage hair regrowth. Microneedling can be combined with topical treatments like minoxidil for better results.

Platelet-Rich Plasma (PRP) Therapy

PRP therapy involves drawing a small amount of your blood, processing it to concentrate the platelets, and then injecting the platelet-rich plasma into the bald spots on your beard. Platelets contain growth factors that can promote hair regrowth. PRP therapy has gained popularity for treating various types of hair loss, including Alopecia Barbae.

Hair Transplantation

In cases where other treatments have been unsuccessful, hair transplantation may be considered. During a hair transplant, hair follicles are taken from other areas of your body (typically the back of the head) and implanted into the bald spots on your beard. This surgical procedure is a more invasive option and should be discussed thoroughly with a qualified surgeon.

Coping with Alopecia Barbae

Dealing with hair loss in the beard can be emotionally challenging, as it can affect your self-esteem and self-image. Here are some tips for coping with the condition:

Seek Support

Reach out to friends, family, or support groups to share your feelings and experiences. Sometimes, talking to others who have gone through similar challenges can be reassuring and helpful.

Experiment with Styles

If you’re uncomfortable with the appearance of bald spots, consider experimenting with different beard styles that can help camouflage them. Consult a professional barber for advice on grooming techniques.

When to See a Doctor

Knowing when to see a doctor for Alopecia Barbae or bald spots on your beard is crucial for proper diagnosis and treatment. Here are some guidelines to help you determine when it’s time to consult a healthcare professional:

Sudden Hair Loss

If you experience sudden and unexplained hair loss in your beard, especially if it results in bald spots or patches, it’s a clear indication to see a doctor.

Persistent Hair Loss

If the hair loss in your beard continues for an extended period, typically more than a few weeks, despite trying home remedies or over-the-counter treatments, it’s essential to seek medical advice.

Visible Skin Changes

If you notice any unusual changes in the skin within the affected beard areas, such as redness, scaling, or signs of inflammation, consult a dermatologist.

Family History

If you have a family history of autoimmune disorders or Alopecia Areata, you may be at a higher risk of developing Alopecia Barbae. In such cases, it’s a good idea to discuss your concerns with a healthcare provider, even if you haven’t experienced hair loss yet.

Emotional Impact

Hair loss, especially in a prominent area like the beard, can have a significant emotional impact. If you find that hair loss is affecting your self-esteem, mental health, or overall well-being, it’s advisable to consult a therapist.

Treatment Consideration

If you are considering treatment options for beard hair loss, it’s crucial to consult a healthcare professional.

Recurring Hair Loss

If you’ve experienced Alopecia Barbae in the past and it has regrown but is now recurring, it’s important to consult a doctor.

Unexplained Symptoms

If you notice other unexplained symptoms accompanying your beard hair loss, such as fatigue, joint pain, or weight changes, it’s advisable to see a doctor.


Alopecia Barbae can be a challenging condition to manage, but with the right treatment approach and support, many individuals see improvements in their beard hair regrowth. It’s important to consult with a dermatologist to determine the best treatment plan for your specific case.

Remember that while treatment options exist, there is no one-size-fits-all solution for beard hair loss. Be patient, stay positive, and focus on your overall well-being. Your beard does not define your identity, and with time and effort, you can successfully manage this condition and regain your confidence.

In the journey to treat bald spots on your beard due to hair loss in the beard, remember that you are not alone, and there is hope for regrowth and self-acceptance.


MetroBoston Clinical Partners is a well established and experienced research center in the greater Boston area. Under the leadership of qualified physicians and medical professionals, we coordinate a range of clinical research trials in Dermatology and Internal Medicine.

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