Fibrosing Alopecia in a Pattern Distribution After Hair Transplantation: A Case Report and Literature Review

May 2025 in “ Journal of Clinical Images and Medical Case Reports ”

N Avina-Padilla

fibrosing alopecia scarring alopecia androgen-dependent areas hair transplants Follicular Unit Extraction immunomodulators antiandrogens laser therapy FUE

TLDR Hair transplants can trigger a rare scarring hair loss that is hard to treat.

Fibrosing alopecia in a pattern distribution (FAPD) is a rare scarring alopecia affecting androgen-dependent areas, potentially triggered by procedures like hair transplants. This case report details a 28-year-old male who developed FAPD after a Follicular Unit Extraction (FUE) hair transplant. Despite treatments including immunomodulators, antiandrogens, and laser therapy, the patient showed only moderate improvement. The condition is underrecognized, lacks standardized treatment, and requires further research to understand its pathogenesis and improve therapeutic strategies.

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