Eyebrow Hair Transplantation in Frontal Fibrosing Alopecia: Warning About the Short- and Long-Term Results

In a study from 2019, 10 patients with frontal fibrosing alopecia (FFA) underwent eyebrow hair transplantation, with each eyebrow receiving 120-270 single-hair follicular units from the occipital scalp. While 80% of patients experienced excellent hair growth within 6-12 months, showing satisfactory short-term results, the long-term outcomes were less favorable. After 3-4 years, the majority of patients began to lose the transplanted hairs, with only 1 patient maintaining hair growth beyond 4 years. The study concluded that while short-term results of eyebrow transplantation in FFA patients can be positive, there is a high likelihood of progressive hair loss over time, indicating that short-term success does not ensure permanent graft survival. Patients considering this treatment should be informed about the potential for long-term graft loss.