Q It's been 3 months since a single bald patch appeared on my scalp, and I heard it can heal on its own. Should I just wait?
A About 50% of single-patch alopecia areata recovers on its own. However, the other 50% may worsen or recur, so responding actively in the early stage is more favorable for the prognosis than leaving it alone.
Detailed Answer
Single-patch alopecia areata has a relatively high chance of natural recovery when it is within one year of onset, confined to the scalp, and without a family history. However, if the bald patch spreads or signs appear such as loss of the eyebrows or eyelashes, it can progress to the alopecia totalis or universalis type, so early intervention is important. The general recommendation is to begin treatment if there is no sign of natural recovery after 3 months.
Korean Medicine Clinic Perspective
Even an early single patch carries the risk of spreading to multiple patches if blood deficiency or stress persists. Replenishing Qi and blood early with blood-nourishing and moistening herbal medicine and stabilizing the immune response helps speed natural recovery and prevent recurrence.
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