Active Trichotillomania (photos)

This is a patient who has been picking at his hair for 20 years.  Although a hair transplant can put normal hair back, it is a psychiatric problem because even if transplanted, this man will continue to pick and pull out his hairs.  These hairs are shown as cut off by his fingernails by arrow and this is what makes the diagnosis for the physician.  This man after psychiatric care and medications, grew his hair hair back without surgery.