Alopecia Areata Treatment Case Study – 5-Month Hair Regrowth Journey with Kenacort Injection

Alopecia Areata Treatment Case Study – 5-Month Hair Regrowth Journey with Kenacort Injection

Written by: Dr. Kiran Chotaliya Editorial Team  ·  Reviewed by: Dr. Kiran Chotaliya, M.D. Dermatologist & Chief Hair transplant Surgeon  ·  Hairfree & Hairgrow Clinics, India  ·  Updated Oct 2026

This case study documents the 5-month treatment journey of a 25-year-old female patient with localized alopecia areata. At baseline, the patient presented with clearly visible patchy areas of scalp hair loss with significant scalp exposure. Serial photographs document progressive changes at 1 month, 2 months, 3 months, and 5 months, with increasing hair regrowth and improved scalp coverage over time. Pasted markdown

The patient was treated with Kenacort Injection (triamcinolone corticosteroid injection) as advised by the treating dermatologist. For accuracy, Kenacort injections can also be used medically for conditions such as hypertrophic scars, but in this case the treatment is being documented for alopecia areata, not for a hypertrophic scar.

Patient Consent Notice

This case study has been published with the patient’s informed consent for educational and informational purposes. Appropriate measures have been taken to maintain patient privacy while presenting the scalp condition, treatment process, and documented progress.

Individual alopecia areata outcomes vary. Hair regrowth can depend on the extent and activity of the condition, duration of hair loss, response to corticosteroid treatment, recurrence, and individual biological factors. The outcome shown in this case should not be considered a guarantee of similar results for every patient. Pasted markdown

Patient Case Overview

Patient Details

Information

Age

25 years

Gender

Female

Condition

Alopecia Areata

Pattern

Localized patchy hair loss

Affected Area

Scalp

Treatment

Kenacort Injection

Treatment Type

Intralesional corticosteroid treatment

Documented Follow-Up

1, 2, 3 and 5 months

Latest Documented Progress

5 months

 

ATIYA SHAIKH

Case Overview

Age, City

47 Years,
Pune, India

Hair Loss Duration

12–15 Years

Baldness Grade

Norwood
Grade 4–5

Areas Affected

Hairline,
Mid Scalp,
Crown Thinning

Techniques

Big FUE

Grafts

3220+

Patient Concerns

The patient presented with well-defined localized patches of scalp hair loss, creating noticeable areas of scalp visibility surrounded by comparatively dense hair. The main concern was the visible contrast between the affected patches and the surrounding normal hair. Pasted markdown

Her main concerns included:

  • Clearly visible localized bald patches
  • Increased scalp visibility
  • Uneven hair coverage
  • Cosmetic concern related to patchy hair loss
  • Desire to encourage hair regrowth
  • Improvement in overall scalp coverage

Clinical Assessment

The patient’s alopecia areata was assessed based on the location, appearance, and extent of the localized patches.

Clinical evaluation focused on:

  • Number of alopecia patches
  • Location of affected areas
  • Degree of visible scalp exposure
  • Existing hair around the patches
  • Evidence of developing regrowth
  • Response to treatment at follow-up
  • Presence of new or recurrent patches

Serial photographs were used to document the visible treatment response over a five-month period. Pasted markdown

Personalized Alopecia Areata Treatment Plan

Following clinical assessment, the patient was advised Kenacort Injection treatment for the alopecia-affected scalp areas.

Kenacort contains triamcinolone, a corticosteroid that may be administered intralesionally by a dermatologist in selected alopecia areata cases. The dosage, concentration, injection interval, and number of treatment sessions should always be determined according to the treating dermatologist’s clinical assessment.

The treatment goals included:

  • Managing localized alopecia areata
  • Encouraging hair regrowth within affected patches
  • Reducing visible scalp exposure
  • Improving overall scalp coverage
  • Monitoring response to treatment
  • Identifying recurrence or new alopecia patches

The photographic follow-up was documented at baseline and at approximately 1, 2, 3, and 5 months. Pasted markdown

Detailed Graft Breakdown for NW3 Restoration

Single Hair Grafts
530
For Natural Hairline
Multi Hair Grafts
2480
Mid Scalp Coverage
Total Grafts Done
3010
Total Grafts Transplanted: (add case specific number)
Parameter
No. of Grafts
Details
Single hair grafts
530
For natural hairline
Multi hair grafts
2480
Mid scalp coverage
Total grafts done
3010

Kenacort Injection Treatment Procedure Overview

Kenacort Injection was administered to the affected alopecia areata patches according to the dermatologist’s treatment plan.

The injection is directed carefully into selected areas of the affected scalp. Treatment is generally performed in a controlled manner, with the amount and spacing of injections individualized according to the size and location of the patches.

Regular follow-up was used to assess:

  • Early hair regrowth
  • Changes in patch size
  • Improvement in scalp coverage
  • Hair density within treated areas
  • Development of any new patches
  • Need for further treatment

The photographic sequence indicates that hair regrowth occurred gradually over several months rather than immediately. Pasted markdown

Month-by-Month Alopecia Areata Treatment Progress

Before Treatment – Baseline Condition

At baseline, the patient had clearly visible localized bald patches with significant scalp exposure. Pasted markdown

The affected scalp showed:

  • Clearly defined areas of patchy hair loss
  • Reduced visible terminal hair
  • Significant scalp visibility
  • Strong contrast between affected and unaffected scalp areas

This stage served as the baseline against which later treatment progress was compared.

After 1 Month – Early Treatment Response

At the 1-month follow-up after Kenacort Injection treatment, the alopecia patches remained clearly visible, but early short hairs appeared to be developing in portions of the affected scalp.

Observed changes included:

  • Persistent alopecia patches
  • Early fine or short hair growth
  • Limited density at this stage
  • Significant scalp visibility still present

This remained an early treatment stage, and the visible response did not represent the final outcome. Pasted markdown

ATIYA SHAIKH

After 2 Months – Developing Hair Regrowth

At approximately 2 months, developing hair growth became more apparent within previously sparse areas.

Compared with the earlier stage:

  • More short hairs were visible
  • The patches appeared less completely bare
  • Early coverage had begun developing
  • Scalp visibility was still present but reduced in portions of the affected areas

The regrowing hairs remained relatively immature and varied in thickness and distribution. Pasted markdown

After 3 Months – Progressive Improvement

By the 3-month follow-up, further visible improvement was documented.

The affected patches showed:

  • Increased hair presence
  • Improved coverage
  • Better blending with surrounding hair
  • Reduced appearance of completely bare scalp
  • Longer and more noticeable regrowing hairs

This stage showed progressive regrowth, although continued improvement was still expected. Pasted markdown

After 5 Months – Significant Hair Regrowth

At the 5-month follow-up, the photographs demonstrate a marked improvement compared with the baseline condition.

Visible changes included:

  • Significant reduction in scalp visibility
  • Increased hair growth within the alopecia patches
  • Better overall scalp coverage
  • Improved blending with surrounding hair
  • More mature and noticeable regrowth
  • Considerably reduced prominence of the original bald patches

The five-month stage represents the latest documented follow-up for this patient rather than a guaranteed permanent final result. Pasted markdown

Final Documented Results

The documented treatment journey shows a progressive response following the Kenacort Injection treatment program:

Before Treatment: Clearly visible localized alopecia patches with significant scalp exposure
1 Month: Early fine hair growth with patches still clearly visible
2 Months: Developing regrowth and improving coverage
3 Months: Progressive increase in visible hair and reduced scalp exposure
5 Months: Significant improvement in hair coverage and reduced prominence of the affected patches

The photographic record demonstrates a gradual improvement over the documented five-month period. Pasted markdown

Aftercare & Maintenance

Following Kenacort Injection treatment, the patient should continue dermatologist-directed follow-up and scalp care.

Recommended maintenance may include:

  • Follow the prescribed treatment schedule
  • Avoid scratching or irritating injected scalp areas
  • Avoid unnecessary harsh chemical treatments on affected scalp
  • Maintain a balanced, nutritious diet
  • Monitor previously affected areas for renewed thinning
  • Watch for development of new alopecia patches
  • Attend scheduled dermatologist follow-ups
  • Inform the doctor about sudden or increased hair shedding
  • Continue any supportive treatment only as advised
  • Do not repeat or discontinue corticosteroid injections without medical supervision

Long-term follow-up helps determine whether further treatment is necessary and whether regrowth remains stable. Pasted markdown

The Change: A New Beginning

For this patient, Kenacort Injection treatment for hypertrophic scar focused on reducing the raised appearance, thickness, and firmness of the scar while helping improve the overall texture and appearance of the affected skin.

The treatment involved carefully administering Kenacort (triamcinolone) injection directly into the hypertrophic scar according to the dermatologist’s clinical assessment. The injection was targeted to the raised scar tissue, with the treatment plan individualized according to the scar’s size, thickness, location, and response to previous sessions.

Throughout the treatment period, the patient followed the recommended aftercare and attended regular follow-ups to monitor changes in the scar. Over time, the hypertrophic scar gradually became flatter, softer, and less prominent, helping improve the overall appearance and texture of the treated area.

 
 
ATIYA SHAIKH Alopecia

What Our Patients Says

Why Choose Dr. Kiran Chotaliya for PRP Hair Treatment

  • Expert Hypertrophic Scar Care: Dr. Kiran Chotaliya provides personalized Kenacort Injection treatment plans based on the scar’s size, thickness, location, duration, symptoms, and overall skin condition.

  • Customized Scar Treatment Planning: The concentration, amount of medication, injection points, treatment interval, and number of sessions are decided according to the individual characteristics of the hypertrophic scar and the patient’s response.

  • Precise Intralesional Kenacort Injection: Kenacort is carefully injected directly into the raised scar tissue using a controlled intralesional technique to target the thickened area while minimizing unnecessary treatment of the surrounding skin.

  • Focus on Scar Flattening & Softening: Treatment is planned to help reduce the height, firmness, thickness, and prominence of the hypertrophic scar, while supporting a smoother and more even skin appearance.

  • Symptom-Oriented Scar Management: When hypertrophic scars are associated with discomfort, itching, tightness, or tenderness, the treatment plan may also focus on improving these symptoms based on the dermatologist’s clinical assessment.

  • Regular Follow-Up & Maintenance: Follow-up assessments help monitor changes in scar thickness, texture, softness, symptoms, and overall appearance. Further Kenacort sessions or additional scar-management options may be advised according to the patient’s progress and clinical response.

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FAQ'S

1. What treatment was used in this alopecia areata case?

The patient was treated with Kenacort Injection, an intralesional corticosteroid treatment administered according to the dermatologist’s assessment.

Kenacort contains triamcinolone, a corticosteroid. Intralesional corticosteroid injections may be used by dermatologists for selected conditions, including localized alopecia areata and hypertrophic scars, although the technique, dose, and treatment plan differ according to the condition being treated.

Early short hairs were visible during the initial follow-up period, with progressively better coverage documented at 2, 3, and 5 months.

Not necessarily. Five months represents the latest documented follow-up. Alopecia areata can recur, and continued monitoring is recommended.

There is no fixed number for every patient. The treatment frequency and number of sessions depend on the size and activity of the patches, response to previous treatment, and the dermatologist’s clinical assessment.

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