I had a scalp biopsy in Nov. I now have no insur. because husband lost his job. I started out when 1 spot and now have several and they have merged into about 3 large spots.Silver dollors size I would say. My dermo. told me in nov I had human pampilloma virus on my head from the biopsy. But these bald spots keep coming and I lose quite a bit of hair every day and they usually have some scalp on them when they fall. I can't go back to the doctor, because no insur don';t qualify for aid. The bald patches are not smooth, they are somewhat scaly.