Scarring alopecia almost always goes away on its own.  The bald spots shrink in end-stage alopecia, and any irritation, itching, burning, or pain subsides. The skin biopsy at the end stage usually reveals no inflammation around the hair follicles. Usually, bald patches are devoid of hair follicles. Sometimes, however, hair follicles are not entirely damaged and can regenerate at the edges of bald patches.