Understanding Hair Loss: What are the 6 Types of Alopecia?

Hair loss is a condition that afflicts countless individuals worldwide, presenting itself in various forms, each with distinctive features, root causes, and possible treatments.

Collectively, these diverse manifestations are classified under the term "alopecia".

This widespread issue impacts people of all genders, age groups, and ethnicities, highlighting the universal need to understand it and find effective solutions.

Here we'll look at the complexities of alopecia, focusing on six commonly diagnosed forms.

From the patchy hair loss characteristic of alopecia areata to the total hair loss affecting the scalp and entire body, as seen in alopecia totalis and alopecia universalis.

We'll discuss how all types of alopecia pose distinct challenges, including physical symptoms, psychological impacts, and social perceptions.

This article aims to offer readers a thorough understanding of the different types of alopecia, enabling more precise diagnosis, tailored treatments, and ultimately improving the quality of life for those impacted.

So let's start, but please remember that if your hair loss is causing you distress, don't hide away. Contact us at Harley Street Healthcare. We are here, ready to assist you with expert advice or treatment for your hair loss concerns.

Table of Contents:


The term alopecia denotes hair loss in various forms, affecting anyone, regardless of age or gender, and understanding the distinct types of alopecia is crucial in managing hair loss and finding suitable treatment.

1. Alopecia Areata

Alopecia Areata is an autoimmune condition where the body's immune system erroneously targets its own hair follicles, resulting in hair loss.

This form of alopecia often manifests as persistent patchy hair loss, where one or more round bald patches abruptly appear on the scalp.

Although the hair may regrow, the hair growth and loss cycle can recur, leading to an ongoing battle with hair loss.

​2. Ophiasis Alopecia

Ophiasis Alopecia is a subtype of alopecia areata, distinct due to its unique pattern of hair loss.

In this case, hair loss occurs in a band-like pattern around the sides and lower back of the scalp. As with all forms of alopecia areata, Ophiasis alopecia results from an immune system attack on the hair follicles, causing patchy hair loss. This variant of alopecia can be more challenging to treat and may have a lower probability of complete recovery.

​3. Cicatricial Alopecia

Cicatricial alopecia, often referred to as scarring alopecia, is a category of hair loss disorder that leads to permanent baldness.

It's a condition marked by a destructive process where the hair follicles are systematically destroyed and replaced with scar tissue, which lacks the capacity to produce hair, thereby resulting in irreversible hair loss.

This type of alopecia comes in several forms, including lichen planopilaris, an inflammatory condition which shows as small white patches on the scalp. Each patch is characterised by hair loss, along with tell-tale signs of redness and scaling.

This patchy hair loss may initially be subtle, often leading to delayed diagnosis and treatment.

The progression of lichen planopilaris tends to vary between individuals. For some, the condition remains largely static after the initial hair loss. For others, the disorder might gradually spread over time, leading to more widespread hair loss.

Recognising the symptoms of lichen planopilaris early and seeking prompt medical attention is pivotal in managing the condition.

Early intervention allows for aggressive treatment strategies that can halt further follicular damage and prevent additional hair loss.

Treatments typically involve anti-inflammatory medications to suppress the immune system and halt the destructive process.

However, it is essential to remember that even with early diagnosis and treatment, hair loss in areas already affected by cicatricial alopecia, including those affected by lichen planopilaris, is generally permanent. This is because the scar tissue that has replaced the hair follicles is incapable of hair production.

So, for individuals dealing with cicatricial alopecia, the focus is not just medical treatment but also coping strategies for dealing with permanent hair loss. This may involve exploring hair replacement options, such as wigs or hairpieces, or considering hair transplant surgery in certain cases.

4. Alopecia Totalis

Alopecia totalis is an advanced form of alopecia areata, leading to hair loss from the entire scalp.
This condition can develop rapidly or progress gradually over an extended period. Alopecia totalis results in a fully bald scalp, substantially impacting a person's appearance and self-esteem.

​5. Alopecia Universalis

Alopecia Universalis, the most severe form of alopecia areata, results in complete hair loss across the entire body, including eyebrows, eyelashes, and pubic hair.

Like alopecia areata and alopecia totalis, this condition is an autoimmune disorder wherein the immune system attacks the hair follicles. The extent of hair loss can present significant emotional and psychological hurdles.

6. Male Pattern Baldness

Male pattern baldness, or androgenetic alopecia, is men's most common type of hair loss. This condition is typically characterised by a receding hairline and thinning hair on the crown of the head. Though often linked with ageing and has a strong genetic component, it can start as early as the late teens or early twenties.

Several treatment options can slow the progression of male pattern baldness and even stimulate new hair growth.

Addressing the Emotional Impact of Alopecia

The mental and emotional strain accompanying any form of alopecia is significant and should not be underestimated.

Hair often signifies an integral part of a person's self-expression, identity, and self-confidence, so unexpected and uncontrollable hair loss can trigger a wave of emotional responses, including anxiety, depression, and a significant decline in self-esteem.

The unpredictability of hair loss and substantial changes in appearance often exacerbate these feelings of distress. Furthermore, the stigma surrounding hair loss can magnify these emotions, leading to social isolation and loneliness.

Many people dealing with alopecia often conceal their struggle, even from close friends and family.
This 'silent battle' can intensify the emotional burden, often making it more daunting than the physical manifestations of the condition. So recognising, addressing, and supporting the mental health implications of alopecia is essential.

Charitable organisations like Alopecia UK are working to improve the lives of those affected by alopecia by providing a supportive network and facilitating research. Seeking help is not a sign of weakness but a step towards resilience. Addressing these emotional challenges is critical to managing alopecia and improving your overall well-being and quality of life.

Frequently Asked Questions

Q: Can hair grow back after alopecia?

A: The potential for hair regrowth after alopecia largely depends on the type of alopecia. With conditions like alopecia areata, hair often grows back but may fall out again. However, in cases of cicatricial alopecia, where hair follicles are permanently destroyed, hair loss is irreversible.

Q: What causes alopecia?

A: The causes of alopecia are diverse and can include autoimmune disorders, genetic predisposition, severe stress, or inflammation of the hair follicles.

Q: What are the treatment options for alopecia?

A: Treatment options for alopecia depend on the type and severity of hair loss and range from topical treatments and oral medication to corticosteroid injections or hair transplant surgery.


Dealing with hair loss can be tough, but it's crucial to remember that you're not alone.

Healthcare professionals are ready to assist you in understanding your situation and provide treatment options tailored to your needs.

Reaching out for expert assistance is a crucial step in managing your journey with hair loss.

Determining your specific type of alopecia is pivotal for effective treatment, so
if you're experiencing hair loss, don't hesitate to contact us at Harley Street Health Care.

Our specialists are here to assist you with your condition and discuss the most suitable treatment options for your particular case.

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