Frontal Fibrosing Alopecia: A Decade of Insights

A decade ago, the document discussed Frontal fibrosing alopecia (FFA), a type of cicatricial alopecia primarily seen in post-menopausal women, characterized by hair follicle loss and scalp tissue scarring due to inflammation. FFA, considered a form of lichen planopilaris (LPP), was associated with diseases like vitiligo, Sjogrens disease, and vulvar lichen sclerosus et atrophicus, and could also affect pre-menopausal women and men. Medical treatments for FFA were largely ineffective, and while surgical treatments initially seemed promising, they could prove ineffective as the disease could reactivate post-transplant. The document recommended that hair restoration surgeons recognize this disorder, evaluate the patient, and suggest medical therapy or suitable referral before considering surgical treatment.