Hair Transplant in a Patient with Frontal Fibrosing Alopecia Associated with Vulvar Lichen Sclerosus

    May 2011 in “ Dermatología argentina ”
    Adriana Gurfinkiel, Horacio García Igarza, José Guadalupe Casas, A Kaminsky
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    TLDR A 62-year-old woman with hair loss and skin condition had successful hair transplant surgery lasting 6 years, and medications helped reduce hair fall and promote growth.
    In 2011, a 62-year-old female with Frontal Fibrosing Alopecia (FFA) and lichen sclerosus of the vulva underwent successful hair microtransplant surgery in the frontal and frontoparietal areas, with results lasting 6 years post-operation. She was also treated with finasteride (1 mg/day) and 2% topical minoxidil, showing a good response with decreased hair fall and observed hair growth within six months. The case highlights the potential of hair microtransplants as a non-conventional treatment for FFA, a variant of lichen planopilaris, especially when there is at least two years of clinical inactivity of alopecia and no acute inflammatory phenomena. Other treatments for FFA, such as corticosteroids, tacrolimus, and hydroxychloroquine, have only temporarily halted disease progression, and hormonal replacement therapy has not been effective.
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