Frontal Fibrosing Alopecia Developing After Hair Transplantation for Androgenetic Alopecia

January 2005 in “ International Journal of Dermatology ”

Steven Kossard, Richard C. Shiell

frontal fibrosing alopecia androgenetic alopecia hair transplantation telangiectasia scalp biopsies lichenoid inflammation perifollicular fibrosis lichen planopilaris FFA AGA hair transplants

Studysummary This report discusses cases of frontal fibrosing alopecia developing after hair transplantation for androgenetic alopecia, without presenting new clinical findings. Our plain-language summary of this paper — not a Tressless recommendation.

This study is about a 75-year-old man who developed progressive recession of his frontal hairline associated with loss of follicular orifices and development of telangiectasia over an 18-month period after receiving hair transplants for androgenetic alopecia. Multiple scalp biopsies were analyzed, revealing lichenoid inflammation and perifollicular fibrosis in a pattern typical of lichen planopilaris. The results indicate that the destruction of hair transplants by lichen planopilaris may present as subtle patterns other than just frontal FFA.

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research Frontal Fibrosing Alopecia Associated with Cutaneous Lichen Planus in a Premenopausal Woman

89 citations , February 2002 in “Australasian journal of dermatology”

This case report describes the first known instance of fibrosing alopecia associated with cutaneous lichen planus, suggesting fibrosing alopecia may be a variant of lichen planopilaris.

research Fibrosing Alopecia in a Pattern Distribution

158 citations , February 2000 in “Archives of dermatology”

This study reports that some patients with androgenetic alopecia may also exhibit clinical and histological features of inflammation and fibrosis, similar to those found in lichen planopilaris.

research Postmenopausal Frontal Fibrosing Alopecia: A Frontal Variant of Lichen Planopilaris

329 citations , January 1997 in “Journal of the American Academy of Dermatology”

This study reports that progressive frontal fibrosing alopecia, a distinct and gradually stabilizing form of lichen planopilaris affecting elderly women and often involving eyebrow hair loss, lacks effective treatments.