Treatment Of Frontal Fibrosing Alopecia

    January 2023 in “ Dermatologic Therapy ”
    Amir Mohammad Beyzaee, Mohammad Goldust, Anant Patil, Bahare Ghoreishi, Tahoora Ghahremanloo, Ghasem Rahmatpour Rokni
    TLDR Intralesional corticosteroids and 5-alpha-reductase inhibitors are the best treatments for frontal fibrosing alopecia.
    A systematic review of 50 studies involving 1,478 patients found that intralesional corticosteroid injections and 5-alpha-reductase inhibitors (finasteride/dutasteride) are the most effective treatments for frontal fibrosing alopecia (FFA). Oral isotretinoin shows promise for improving facial papules but has minimal impact on hair regrowth or stabilization of hairline recession. Topical calcineurin inhibitors are useful in combination therapies, while oral antimalarial drugs and systemic corticosteroids are less effective. Emerging treatments like tildrakizumab, oral minoxidil, and PRP injections show potential but require further clinical trials. Hair transplantation offers temporary satisfaction but long-term results are disappointing.
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      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.
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      in Research  830 upvotes 1 year ago
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      in Treatment  2 upvotes 1 day ago
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      community almost 6 months of progress :)

      in Progress Pictures  535 upvotes 1 year ago
      The user shared their 6-month hair regrowth progress using finasteride, minoxidil, biotin, and iron supplements, along with occasional microneedling and specific shampoos. They reported minimal side effects and no retrograde alopecia, attributing their success to a combination of treatments.

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