Alopecia totalis is complete loss of scalp hair – body hair is usually intact. Similar to alopecia areata, alopecia totalis is an autoimmune health condition, which typically falls between alopecia areata and alopecia universalis. The hair loss could be abrupt or sudden, or happen over time gradually. The problem could affect any individual irrespective of age, but the population usually getting affected is below 40 years of age.   

Alopecia totalis may also affect nails, lending them a pitted, brittle, or ridged look. As aforementioned, alopecia totalis is an autoimmune disease. It means the immune system inadvertently attack hair follicles, misinterpreting them as pathogens.

Like most other hair loss conditions, alopecia totalis isn’t painful or sickening. It isn’t contagious, and the affected are usually in good health condition. Chances of hair recovery certainly exist. In fact, there have been complete hair restoration cases too.


The treatments recommended usually focus on the autoimmune problem, and only the symptoms are suppressed. A complete cure is often not possible, since the condition is genetic. The treatments include topical corticosteroid lotions and cream, corticosteroid injections, immunotherapy, minoxidil lotion, ultraviolet light therapy and dithranol cream.

Scalp Micropigmentation is a unique method to create an illusion of a head full of hair. The procedure entails applying natural pigments to the scalp’s epidermal level. This makes the scalp look as if it has got real hair strands or follicles. The treatment is of different kinds and a particular variant is chosen based on the patient’s preferred look and hair loss level.