Frontal Fibrosing Alopecia

Frontal Fibrosing Alopecia

Overview

Frontal fibrosing alopecia (FFA) is a form of scarring (cicatricial) alopecia characterized by progressive recession of the frontal and temporal hairline. It primarily affects postmenopausal women and is considered a variant of lichen planopilaris. The condition destroys hair follicles permanently, so early treatment is important to slow progression.

Key Symptoms

• Progressive, symmetric recession of the frontal and temporal hairline
• Loss of eyebrows (often an early sign) and eyelashes
• Pale, smooth, scarred skin where hair has been lost
• Perifollicular redness or scaling at the active margin of hair loss
• Lonely hairs — isolated hairs remaining within the area of loss
• Facial papules may occur along the hairline

Affected Areas

Frontal hairline, Temporal hairline, Eyebrows, Eyelashes, Body hair

Care Instructions

1. See a dermatologist early for evaluation and treatment to slow progression.
2. Topical or intralesional corticosteroids can reduce inflammation at the active border.
3. Hydroxychloroquine or other immunomodulators may be prescribed to slow the disease.
4. 5-alpha reductase inhibitors (finasteride or dutasteride) may help stabilize hair loss.
5. Avoid traction on the hairline from tight hairstyles.
6. A scalp biopsy may be performed to confirm the diagnosis.

Medical Disclaimer: This information is for educational purposes only and does not replace professional medical advice. Always consult a qualified dermatologist for diagnosis and treatment.

Prevalence: Increasingly recognized; predominantly affects postmenopausal women, though premenopausal women and men can be affected