This treatment is most appropriate for patients with limited, patchy alopecia areata affecting isolated areas of the scalp, eyebrows, or beard. It is most effective when patches are recent and the follicles have not been dormant for an extended period. Patients with extensive or rapidly progressing alopecia areata, alopecia totalis (complete scalp hair loss), or alopecia universalis (total body hair loss) may require additional or alternative systemic treatments. A dermatologist assessment determines disease extent and treatment suitability.

Intralesional corticosteroid delivery offers highly targeted suppression of the autoimmune inflammation driving follicle damage, enabling regrowth in the affected patches without the side effects associated with oral steroids. When initiated promptly after onset, ILT often leads to significant regrowth within two to three months of treatment. The treatment is quick, well-tolerated, and can be repeated until adequate regrowth is achieved.

No specific preparation is required before the injection sessions. Inform your dermatologist of any systemic medical conditions, current medications, or history of hypersensitivity to corticosteroids. Patients with active scalp infections in the treatment areas may need these resolved before ILT can proceed.

A fine needle is used to inject diluted triamcinolone acetonide solution into multiple points within each alopecia patch, spaced approximately 1 cm apart. The procedure takes 15–20 minutes depending on the number and size of patches being treated. A mild stinging sensation and temporary skin blanching at injection sites are normal. No anaesthesia is typically required, though a topical numbing cream can be applied for comfort.

There is no specific post-treatment restriction. The injection sites may feel mildly tender for a day or two. Avoid vigorous scalp massage in the treated areas for 24 hours. Continue any other prescribed treatments for alopecia areata — such as topical immunotherapy, minoxidil, or systemic therapy — as directed. Follow-up appointments to assess regrowth and plan further injections are scheduled at four to six week intervals.

Intralesional triamcinolone is a well-established and safe treatment for alopecia areata when administered by an experienced dermatologist. Temporary skin indentation (atrophy) at injection sites can occur, particularly with higher concentrations, but is usually reversible. Mild post-injection tenderness and temporary blanching are expected. Systemic corticosteroid effects are minimal due to the small localised doses used.

The cost per session depends on the number and size of patches being treated. Multiple sessions are typically required to achieve satisfactory regrowth. A personalised treatment plan and cost estimate will be provided at your consultation with Dr. Rajat Kandhari.