Alopecia areata is identified by the loss of hair on one's scalp in patchy, sporadic spots from one to three centimeters in diameter. It is believed to be a hereditary condition affecting hair follicles and can begin to show up as early as puberty in both men and women. In rare cases, individuals may experience alopecia totalis, which means all of the follicles in the scalp are destroyed. While alopecia is most commonly thought of as small spots of balding on the scalp, it can actually develop with any hair follicles on the body. Over six million Americans suffer from alopecia so it is likely that you or someone you know will be affected eventually. Thankfully, there are many available methods to help treat and manage alopecia, which could slow the progression of your hair loss or even stimulate new hair growth. At Pacific Skin and Cosmetic Dermatology in San Francisco, CA, board-certified dermatologist Tracy Evans and her team provide some of the most effective alopecia treatments on the market. Schedule a consultation at Pacific Skin and Cosmetic Dermatology San Francisco to see how we can help you.
"Dr. Evans has performed Mohs surgery on my face twice and I could not be happier with the results. For the past couple decades, I have spent almost every Summer in the South of France because I have family and friends there. Of course it is a sunny place with lots of gorgeous beaches and other outdoor activities. I guess I got a little too much sun exposure on these trips, especially since I have fair skin and blue eyes. When I first found out I had a basal cell spot on my face I was very upset, but Dr Evans and her staff are absolutely amazing!!! I had never had any surgery on my face and I was worried about it, but I truly felt I had the kind of empathy and care that you would get from a family member or a great friend, from Dr. Evans and everyone else on her team. Dr. Evans did such a great job on both surgeries and they have healed so well, so much so that no one even notices that I have had two surgeries on my face. I have been going to her office for years now with regular skin checks and I have to say I am extremely impressed with the entire staff. In addition to the Mohs surgery, and after I had basal cell a second time, I decided to get Fraxel Laser done at Dr. Evans office. A lot of people do this for cosmetic reasons, but I did it because I found out that Fraxel can help reduce the chance of getting basal cell in the future. As a guy, I did not see myself spending thousands of $’s on laser for my face the first time, but after I got the 2nd basal cell on my face I decided it was worth the money if it reduced the chance of more basal cell in the future. I was very pleased with the Fraxel procedures and I have not had another basal cell issue since I had it, so I am very happy with the decision. The Fraxel laser procedure also evened out the toning on my face, so that was great as well. I highly recommend the Fraxel Laser to anyone who wants to potentially reduce the chance of basal cell, and I also have been taking Nicotinamide (a special form of vitamin B) which can also potentially reduce future basal cell issues, and I use a DNA enzyme repair cream at night which reduces the chance of basal cell. As I said before, I have not had basal cell since I had the Fraxel and I think taking Nicotinamide and using the DNA enzyme repair cream all have helped. After all this I realize how important skin care is and I am grateful that I got such great care. Most of my friends never go to a dermatologist and have an ignorance is bliss attitude, but with Dr. Evans and her amazing team, I am much more aware of how important it is to get regular checks and what can be done to maintain my skin going forward. My skin looks great and people think I look much younger than my actual age. One final point: I also have a couple friends that have HMO insurance that also have had basal cell. They have had surgeries at their HMO and I can tell you the care and the results they received are not even close to the care and outstanding results I have had with Dr. Evans. In some cases, the HMO made my friends wait a long time before they could even get the Mohs surgery and they also made mistakes, and their results in terms of scarring and healing were not the best. There is no way I would trust an HMO to do this surgery. At this point, I would only trust Dr. Evans with something this important. Thanks to Dr. Evans, Clarence, Shantelle, Kirstie, Danielle, Leslie, and the entire team! You all have helped me in a difficult situation more than once and I got through it as if nothing ever happened because of your amazing care and skills!"- E.R. / Yelp / Sep 25, 2021
"I want to write this review for Dr Evans’ staff and specifically for Krystal and Ava. I have been treated there 4 times this year. Each time I go I feel like my health and happiness is the most important thing in the world to both medical and administrative staff. I am not just the next person in their busy day that needs treatment and a means for the practice to make money. I am made to feel the same way as when I fly first class or stay in a world class hotel. The entire experience from the time I walk in the door until I walk out again is unlike anything I have experienced at any doctor or dentist or any medical facility. They are professional and compassionate with a great "bedside" manner. I am cared for as a patient and valued as a human each visit."- S.G. / Yelp / Sep 01, 2021
"Dear Tracy Evans M.D. Thank you_Thank you_Thank you. For your amazing expertise and talents. I could not be happier with my care. Everyone on your staff is so competent and awesome. So grateful, Deb Protheroe"- D.P. / Google / Jul 11, 2021
"Excellent, thorough medical care for the skin. I appreciate the fact that Dr Evans monitors my skin every 6 months for medical issues and catches anything amiss early. Knowledgeable staff to help with skin care products after medical needs met. Beautiful relaxing spa like waiting area."- B.F. / Google / Jun 11, 2021
"I was in desperate need of a quick remedy to extract my pores and hydrate my face. Mallory recommended the hydrafacial treatment for me. The whole treatment was quick, only taking about 30 minutes, and very affordable with NO down time! Mallory was an absolute gem! Prior to the treatment, she explained the process and made sure I was comfortable. I would highly recommend Dr. Evans team at Pacific Skin Dermatology. Can’t wait for my next treatment!"- K.K. / Yelp / May 30, 2021
The hair loss associated with alopecia areata is believed to be the result of an autoimmune disorder that causes the body's immune system to mistakenly attack hair follicles. It has been associated with other autoimmune diseases, like vitiligo, lupus, and rheumatoid arthritis, though these diseases do not cause alopecia or vice versa. About one in five people with the condition have relatives who also suffer from it, meaning it is likely hereditary. There is evidence that reducing a person's anxiety or stress can alleviate alopecia-related hair loss, but there is no strong evidence that stress actually causes the condition.
Hair loss is the main indicator of alopecia. A person with alopecia may notice small round patches of baldness on the scalp or clumps of hair on their pillow or in the shower. It is also common that a hair stylist is the first to notice the small bald patches, which are usually about the size of a quarter or smaller. The hair loss associated with alopecia is unpredictable and random. The hair may grow back at any time and then may fall out again. The extent of hair loss and regrowth varies greatly from person to person. However, hair loss alone shouldn't be used to diagnose alopecia because other types of diseases can also cause hair to fall out in a similar pattern. Alopecia needs to be diagnosed by a dermatologist who may be able to determine the cause of the hair loss right away or may need to have a tissue sample laboratory tested.
At Pacific Skin and Cosmetic Dermatology San Francisco, Dr. Evans and her team provide corticosteroid treatments and/or immunotherapy to manage alopecia. These methods are shown to be quite effective in slowing or stopping hair loss and even producing new hair growth in many cases. Corticosteroid treatments can be topical creams or injections, based on the extent of the hair loss, and work as anti-inflammatory drugs. Immunotherapy is usually applied in a topical solution and works by changing the immune system's response to your hair follicles.
Diagnose, then Treat
Sudden hair loss resulting from alopecia or any other condition can be frustrating, embarrassing, or even frightening. If you think you may be experiencing alopecia, we encourage you to schedule an appointment at Pacific Skin and Cosmetic Dermatology San Francisco. Dr. Evans and her team of professionals can help put your mind at ease by getting you a true diagnosis and starting you on the most effective treatment plan.