Alopecia Awareness
Kellina Appana

Bare
& Brave

From the first patch at 15, to the razor, to regrowth. This is the story I was afraid to tell. I am telling it now for every person who has stood in front of a mirror and not recognised themselves.

Kellina
Appana

"I did not lose my hair. I lost a version of myself I thought I needed and found someone far stronger underneath."

My name is Kellina. I was fifteen years old when I first noticed something was wrong. Small patches, quiet and easy to dismiss at first. A blood test later confirmed I was anaemic, a clinical answer that explained very little about what I was actually living through. In an attempt to cover what was happening, I turned to what so many girls my age did: synthetic hair extensions, high ponytails, the L'Oreal hair cover-up spray, anything to look normal. What I did not know then was that the tension and weight of those extensions were quietly making things worse. By the end of ninth grade, my scalp told a story I was not ready to share with anyone.

I remember the day so clearly. My mom took me with her to a hair salon. The hairdresser looked at my scalp, and the question on her face said everything her words did not have to. I did not respond. I did not even fully register that I was being judged, not until I got home, went straight to my room, closed the door, and cried. That was the beginning of my fear of being judged. That kind of hurt is particular. The kind that settles in slowly, once the room is quiet enough to feel it.

I remember hearing my mom tell my dad that night that they needed to take me to a specialist. And I remember the silence that followed. My dad did not fully understand the weight of what was happening. Nothing came of it. No specialist. No real answers. I was a teenager navigating something enormous, and I navigated most of it alone.

So at sixteen, I made a decision entirely my own. I told my two best friends what I was going to do. They did not try to talk me out of it. They encouraged me, held me up, and made me feel like the bravest version of myself. That same day, I walked into a hair salon and shaved what was left. And the moment it was done, I felt something I had not felt in a long time. Free. Confident. Like myself, for the first time in years.

What I did not expect was what came next. The moment I stopped hiding, other people felt entitled to speak. The bullying started, rumours from older grades comparing me to a celebrity, comments about what I should do with my hair, opinions from people who had no idea that underneath every before photo, I had been hiding six pieces of extensions. The criticism was constant and careless. By eleventh grade I had built a wall. I stopped letting people have opinions on my choices. By twelfth grade I started growing my hair back, hoping the shave had somehow reset my follicles. I had been born with thick hair and I wanted to believe that version of me was still there. It was, for a while. And then it was not.

Out of school, the patches returned. And this time the fear was different. I was an adult now. The stakes felt higher. I stayed quiet, stayed hidden, stayed scared of being judged in a new chapter of my life. Until the end of 2022, when something shifted. I had done it once. I could do it again. That same day, just like the first time, I shaved my head completely bald. And just like the first time, I felt free.

This time I also got answers. A formal diagnosis: alopecia areata. I took the medication route. I committed to self care, monitoring my iron and vitamin D, being careful about what I put in and on my body, reviewing products for weeks before changing a single thing in my routine, because my scalp has taught me that every choice carries consequences. The anxiety around it is real. The constant second guessing is real. Living with an autoimmune condition means your body is always in negotiation, and the world does not always give you the grace to do that quietly.

The past four years have been the most honest of my life. A journey of self discovery that extended far beyond my hair into who I am, what I want, and most importantly who I allow close to me. I have learned that the people who can fully accept you, exactly as you show up, are rare and precious. That kind of acceptance does not stay contained. It spreads into every meaningful relationship in your life. Your friendships deepen. Your family bonds shift. You start to understand your own worth in a way that no one else's opinion can touch.

I still watch what I eat. I still do blood tests. I still spend weeks researching a new shampoo before I try it. I still feel a flicker of old resentment when someone offers an unsolicited opinion on my appearance. These things do not disappear. But they no longer define me.

"To anyone living with alopecia, or any autoimmune condition that has rewritten your relationship with your own body, your grief is valid, your anger is valid, and your beauty was never conditional on any of it. You are not your diagnosis. You are everything you have chosen to become despite it."

I advocate for every person navigating life inside a body that the world does not always make room for, whether it is alopecia, anaemia, or any autoimmune condition that forces you to fight battles that are invisible to everyone around you. You deserve to be seen, believed, and supported. Your struggle is not an inconvenience. It is a testament to how hard you are working, every single day, just to show up.

1 in 50
People affected globally
2%
Of the world population
Any age
Can develop alopecia
No cure
But there is hope

What is Alopecia Areata and why does it matter?

01
The condition
Alopecia areata is an autoimmune condition where the body's own immune system attacks hair follicles, causing hair to fall out in patches, sometimes entirely and without warning.
02
It is not a choice
People do not choose this. It is not caused by bad hygiene or anything the person did wrong. It can appear at any age, including during childhood and the most vulnerable teenage years.
03
The emotional toll
Alopecia carries a profound impact on mental health including depression, anxiety and social withdrawal, especially when it begins during formative years when identity is still being built.
04
The invisible weight
Hair is deeply tied to identity, culture, femininity and self image. Losing it visibly and publicly carries a grief that most people around you cannot see or fully understand.

The world does not always respond with kindness.

People living with alopecia face a form of public scrutiny that is deeply personal and often relentless. The judgement does not always come with cruelty intended. Sometimes it comes as curiosity, as pity, as unsolicited advice. But it lands the same way. Here is what so many of us quietly endure.

👁
The stares
Walking into a room and feeling every pair of eyes find you before you have said a word. Learning to brace yourself before entering any public space. The constant awareness of your own visibility.
💬
The comments
"Are you sick?" "Did you do that on purpose?" "You should grow it back." Comments that arrive without invitation, as though your appearance is public property and everyone has a right to weigh in on it.
🤫
The whispers
Overhearing things said just loudly enough. Rumours about what might be wrong with you. Being defined by something you did not choose, by people who do not know your name let alone your story.
💔
The assumptions
People assuming you must be going through chemotherapy, or that you made a reckless choice. No one stops to ask. They decide the story for you and move on, leaving you to carry the weight of their conclusion.
🪞
The identity loss
Being told through others' reactions that you no longer look the way a woman is supposed to look. That your femininity is conditional. That your worth is tied to something your own immune system took from you.
🌀
The exhaustion
The mental load of deciding every single day how to show up, what to wear on your head, whether to explain yourself, whether to care. Living with alopecia means making these decisions before you have even had breakfast.

"Nobody should have to spend their energy justifying the way their body exists. You did not ask for this. And you do not owe anyone an explanation."

Kellina after shaving her head, a powerful mirror selfie in black and white

I did not lose
the fight.
I changed the rules.

When I decided to shave my head, everyone had an opinion. Some said do not do it. Some said I was giving up. But the truth is that the razor was the first real control I had taken back over my own body in years. It was not surrender. It was reclamation.

"Hair can grow back. Dignity, once you choose it, stays."

Living with alopecia areata means never knowing what tomorrow looks like. It means making peace with uncertainty every single morning. Shaving my head was not the end of my story. It was the first honest sentence of it. And I have been writing ever since.

Every strand is a small act of defiance.

Regrowth is not just physical. It is the slow and steady reclaiming of confidence, identity and joy. Each stage below represents not just hair coming back, but a whole person returning to themselves.

Bare
First sprout
Budding
Blooming
Full bloom
Self acceptance95%
Confidence88%
Physical regrowth72%
Community connection80%

Personal measures, not medical data.

To every person who has ever hidden under a hat, a wig, or a smile they did not mean.

I see you. I know what it is to plan your whole day around whether the wind will betray you. I know the particular loneliness of sitting in a room full of people who have no idea what you are carrying inside.

You are not your hair. You are not defined by what your body does in ways outside your control. You are not less beautiful, less loveable or less deserving of space, not by a single strand.

If you are fifteen right now, noticing the first patch, terrified and confused, please hear me. It will be hard. Some people will be unkind. You will have days where you want to disappear. But you will also find yourself. And the version of you on the other side of this is extraordinary.

Shave your head if you want to. Do not if you do not. Wear a wig on Mondays and go bare on Fridays. There is no right way to carry this. There is only your way. Own it completely.

You are allowed to grieve. You are allowed to be angry. And you are absolutely allowed to be proud of every single thing your body has been through and is still standing after.

With love, Kellina

Standing for every person fighting an invisible battle.

I advocate for every single person navigating life inside a body that the world does not always make room for. Whether you are living with alopecia, anaemia, lupus, vitiligo, or any autoimmune condition that forces you to fight battles that are invisible to everyone around you, this space is for you.

You deserve to be seen. You deserve to be believed. You deserve support that does not come with conditions or a requirement to explain yourself. Your struggle is not an inconvenience. It is a testament to how hard you are working, every single day, simply to show up in a world that was not built with your body in mind.

Awareness is not enough. We need understanding. We need empathy. We need people who will sit with us in the hard moments instead of offering solutions. And we need more voices willing to say out loud what so many of us have only ever felt in private.

This portfolio is my voice. I hope it becomes part of yours too.

"You are not broken. You are becoming." — Kellina Appana