Help with Bald Spots

A smooth, sharply defined patch may occur with [Alopecia Areata](/conditions/alopecia-areata/). A patch with scale, broken hairs, or swollen areas can occur with [Scalp Ringworm](/conditions/scalp-ringworm/). Repeated tension from tight braids, extensions, or ponytails can contribute to traction-related loss. The same visible symptom can therefore have different causes and treatments.

Arrange a scalp assessment, especially if the patch is enlarging or new patches appear. Until then, avoid tight styles, scratching, harsh chemicals, and sharing combs, brushes, hats, or towels if infection is possible. Photograph the area and note itch, scale, tenderness, or hair breakage. A [Hair Transplant](/treatments/hair-restoration/hair-transplant/) is not a first step for an unexplained active patch; the cause and scalp health should be addressed first.

Seek prompt review for a rapidly spreading patch, pain, pus, crusting, swollen glands, or a scaly patch in a child. Early assessment matters when infection or ongoing traction may damage follicles. Seek urgent help if widespread swelling or breathing difficulty accompanies a new product exposure.

Does the patch look smooth, inflamed, scaly, or broken? Do I need a fungal test or other examination? Should I stop a hairstyle or product? Which treatment aims to regrow hair, and when would a transplant be considered?