Keto4S is an antifungal and mild steroid cream, which is ineffective for alopecia barbae because it is an autoimmune condition. The most effective, gold-standard treatment is intralesional corticosteroid injections (like triamcinolone) administered directly into the bald patch by a dermatologist to calm the immune system's attack on your hair follicles. Other effective options include high-potency topical corticosteroids (such as clobetasol propionate) and topical Minoxidil (5%) to stimulate hair regrowth. Please consult a dermatologist to stop using Keto4S and start these targeted therapies.