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Intralesional Steroid Injection for Alopecia Areata: Do Alopecia Steroid Shots Work?

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Dr. Joel Kopelman

April 1, 2025  ⁃  7 Min read

At Kopelman Hair, we provide custom treatments backed by years of experience in hair restoration. One proven option for patchy hair loss is the intralesional steroid injection alopecia areata treatment. It helps reduce inflammation at the source of the problem.

What Are Steroid Injections for Alopecia?

Steroid injections are a local treatment for reducing the inflammation that causes hair loss in alopecia areata. These are injected directly into bald patches to calm the immune system and help hair regrow.

This treatment works best for small, defined bald spots. It’s safer than oral steroids because it targets only the affected area and lowers the chance of full-body side effects. These injections are one of several available treatment options for managing hair loss caused by autoimmune diseases like alopecia areata.

How Intralesional Corticosteroids Work

These injections calm the immune attack on hair follicles. In alopecia areata, the body mistakenly attacks its own hair roots. Steroids lower the inflammation so hair can grow again.

Because the medicine is placed right into the skin, it acts directly on the problem area. This makes it safer and more effective than pills or creams.

Triamcinolone and Kenalog Injection Types

The most common option is triamcinolone for alopecia, often given as triamcinolone acetonide. Another popular choice is Kenalog injection for alopecia, a brand of triamcinolone used in dermatology.

Doctors usually use doses from 2.5 to 10 mg/mL, depending on the severity and location of the hair loss. Both types have shown promising results.

Alopecia Areata Injection Names Explained

These treatments are often called cortisone shots, triamcinolone injections, or alopecia steroid shots. They all mean the same: steroid medicine is injected into the scalp or skin to reduce inflammation and promote hair growth.

You may also hear the term Kenalog shots for hair loss. This is simply another name for triamcinolone injections.

Effectiveness and Best Use Cases

Are Cortisone or Kenalog Shots Effective?

Corticosteroid injections work well for localized alopecia areata. Many patients see hair regrowth in 4 to 6 weeks. People with only a few bald spots tend to get the best results.

Steroid injections for alopecia are often the first choice doctors recommend for small patches of hair loss.

Who Should Consider This Treatment?

This treatment is ideal for people with new or mild hair loss. It works best when the bald spots are small and haven’t been there too long.

It’s not advised for people with skin infections or certain health issues. A doctor should always check if it’s right for you.

What Is the Best Injection for Alopecia?

The top choice is usually triamcinolone acetonide. It gives good results and has low risk when used correctly.

Both Kenalog and generic triamcinolone are safe and work well when given by trained professionals like Dr. Kopelman.

How Long Do Results Last After Steroid Injections?

While intralesional steroid injections can trigger regrowth within weeks, results may vary long-term. Some patients experience sustained hair growth, while others may face recurring patches and need maintenance injections.

Alopecia areata is unpredictable, and relapse is common. Long-term remission can occur, but it’s not guaranteed. Periodic follow-up with a hair restoration specialist helps manage the condition and track progress.

Consistency, early intervention, and combination therapy may increase the chances of lasting results. Based on patient history, Dr. Kopelman often tailors ongoing care plans to reduce recurrence risk.

Procedure, Dosing, and Aftercare

How Triamcinolone Injections Are Administered

Doctors use a fine needle to inject the steroid into the skin. Several small shots are spaced about 1 cm apart in the bald area. These are known as the injection sites and are carefully chosen to cover the affected region.

The treatment takes just a few minutes. It doesn’t require numbing, but you might feel a small pinch.

Recommended Doses for Intralesional Injections

Doses usually range from 2.5 to 10 mg/mL. Lower doses are used for the face, while higher ones are used for the scalp. Doctors repeat the treatment every 4 to 6 weeks. Most people need 3 to 6 sessions before checking progress.

What to Expect During and After the Procedure

You may feel a quick sting or pressure during the shots. Redness or swelling can happen but usually fades in a few hours. Hair often starts to grow back a few weeks after the first session. Aftercare is simple—avoid scratching or using harsh products for a day or two.

Side Effects and Safety Considerations

Common Reactions and Risks

These injections are generally safe. Some people may have mild side effects, such as pain, skin thinning, or small white marks. Serious adverse effects are rare because the medicine doesn’t spread through the whole body. Repeating too many shots in one spot can cause damage to the skin. 

While most injections used in alopecia treatment are safe, it’s important to distinguish them from the worst steroids for hair loss, which may contribute to thinning or shedding when used improperly.

When to Contact a Specialist

Call your doctor if you see signs of infection, such as redness, heat, or pus. Also, reach out if you feel pain or don’t see any new hair after a few sessions.

At Kopelman Hair, we follow strict safety steps to protect our patients and ensure the best results.

Cost and Access to Treatment

How Much Do Steroid Injections Cost?

Prices depend on the clinic and the number of areas treated. A session usually costs between $100 and $300. Some insurance plans may help cover the cost, especially for diagnosed alopecia areata.

Pricing Factors and Clinic Differences

Costs vary by the type of steroid used, like Kenalog or triamcinolone, and the details of your treatment. Hair clinics may also offer package deals for multiple sessions.

Make sure the clinic uses sterile tools and has experience treating alopecia.

Alternative and Complementary Treatments

Topical, Oral, and PRP Options Compared

Other options include creams (topical steroids), pills (oral drugs), minoxidil, or PRP (platelet-rich plasma) therapy. Each option has pros and cons. Your doctor can help you decide which one fits your needs best. For a broader understanding of how corticosteroids for hair loss work across different treatment methods, explore our in-depth guide.

Combining Injections with Other Therapies

Sometimes, injections are used along with PRP or minoxidil. These combos can speed up hair growth and improve results.

Dr. Kopelman often makes personalized plans using more than one method based on your hair loss pattern. This can include addressing related issues like female pattern hair loss or loss of body hair in certain cases.

Frequently Asked Questions About Steroid Injections for Alopecia

Can I wash my hair after the injections? Yes, but it’s best to wait 24 hours to avoid irritation. Avoid harsh products and heat styling.

Are steroid injections painful? Most patients report only mild discomfort, similar to a pinprick or slight pressure. The session is quick and typically well-tolerated.

Do injections work on eyebrows or beard alopecia? Yes. Lower doses are used on the face, and results can also be seen in localized alopecia in these areas.

Will I need injections forever? Not necessarily. Many patients experience long-term remission. Some may need occasional touch-ups depending on how the alopecia progresses.

Expert Insights from Dr. Kopelman

Personalized Hair Restoration Approaches

With over 40 years of experience, Dr. Kopelman believes in personal care for every patient. At Kopelman Hair, we assess each case carefully to choose the most effective plan.

Steroid injections are just one part of our larger strategy for the treatment of alopecia areata to help patients regain their hair and confidence. Schedule a personalized consultation today.

About Kopelman Hair Restoration

Dr. Joel Kopelman and Dr. Ross Kopelman are well-known, experienced facial plastic and hair transplant surgeons with a combined 40+ years of expertise. Dr. Joel Kopelman brings decades of experience delivering natural, transformative results

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