Frontal Fibrosing Alopecia

Frontal fibrosing alopecia (FFA) is a type of scarring hair loss first described in 1997, primarily affecting postmenopausal Caucasian women, but also observed in premenopausal women and African Americans. The exact cause of FFA is unclear, and while it shares some histological similarities with lichen planopilaris, it is considered a separate condition due to differences in pathology and treatment response. Family groupings with shared HLA-D have been noted, though inconsistently. This overview highlights the increasing recognition of FFA in dermatology and hair restoration practices.