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

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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Research cited in this study

3 / 3 results

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

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Some people with pattern hair loss may also have scalp inflammation and scarring similar to 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”

Frontal fibrosing alopecia is a hair loss condition in postmenopausal women, similar to lichen planopilaris, with ineffective treatments.

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community DUPA/Retrograde might not be DHT based...GET A BIOPSY QUICK or permanent Hair Loss!

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DUPA and retrograde alopecia may not be solely DHT-based, and a biopsy is crucial for accurate diagnosis and treatment. Treatments mentioned include dutasteride, oral minoxidil, pioglitazone, clobetasol, calcipotriol, ketoconazole, and doxycycline, depending on the specific condition.

community Scalp tension and thickness of the galea aponeurotica, inflammation and potential treatment pathways

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community Opinions on Scalp fibrosis and DHT?

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community Fibrosing alopecia in a pattern distribution

in Research/Science 14 upvotes 11 months ago

A user has been experiencing hair loss for 4 years, with treatments like minoxidil, finasteride, and various supplements proving ineffective. They were diagnosed with fibrosing alopecia in a pattern distribution, a condition that may require a combination of anti-inflammatory and hair growth treatments.

community 1 and a half years on fin - hair is way worse.

in Finasteride/Dutasteride 9 upvotes 1 year ago

The user reported worsening hair loss after 1.5 years on finasteride, questioning if chronic iron deficiency could be a cause. They noted no side effects from finasteride.

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