Alopecia areata (AA) is a multifactorial autoimmune hair loss disorder with few treatments. We report five cases of AA refractory to conventional therapy who exhibited remarkable hair regrowth after adding scalp rolling as an adjuvant to topical clobetasol and minoxidil. These patients, two males and three female aged 7–36 years, achieved upwards of 95% hair regrowth over 13–17 months of follow-up. No side effects were reported. These findings support scalp rolling as a safe, accessible, and effective adjuvant treatment option for cases of refractory AA.