Frontal Fibrosing Alopecia Developing After Hair Transplantation for Androgenetic Alopecia

April 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

TLDR Hair transplant destroyed by lichen planopilaris.

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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