Hair Transplantation in Frontal Fibrosing Alopecia and Lichen Planopilaris: A Systematic Review

    February 2020 in “ The Laryngoscope
    Joshua A. Lee, Dylan A. Levy, Krishna G. Patel, Emily Brennan, Samuel L. Oyer
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    TLDR Hair transplants can work for frontal fibrosing alopecia and lichen planopilaris, but results are less favorable and the conditions can develop after the transplant.
    The systematic review from 2020 evaluated the outcomes of hair transplantation (HT) in patients with frontal fibrosing alopecia (FFA) and lichen planopilaris (LPP). The study reviewed 13 articles involving 42 patients. Of these, 15 patients had been previously diagnosed with FFA or LPP, while 27 developed the disease after undergoing HT. The results showed that HT is feasible for LPP and FFA, but the outcomes may be less favorable compared to HT for other causes. Specifically, 29% of patients with FFA and 75% of patients with LPP experienced positive HT results over a follow-up period of 8–72 months. Interestingly, the study also found that FFA and LPP can develop following HT in patients without previous evidence of disease.
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