Fibrosing frontal alopecia is a chronic inflammatory disease related to lichen planus pilaris. Initially, the skin on the frontotemporal line of the scalp becomes thicker and red. The inflammation then gradually develops into scarring alopecia. There are no definitive treatments for frontal alopecia fribrosa at this time. In most cases, it will eventually stabilize spontaneously after several years.

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What is the objective of the treatments?

The suggested treatments aim to slow down the disease’s progression.

What are the recommended medications for frontal fibrosis alopecia?

There is no therapeutic protocol for treating frontal fibrosis. Some of the common medications prescribed by physicians include:
  • local CS injections
  • prednisolone
  • hydroxychloroquine
  • cyclins
  • mycofenolate mofetil
  • retinoids (in combination with local corticosteroid injections)
  • Finasteride

Can scarring alopecia caused by frontal fibrosis be corrected?

Scarring alopecia resulting from frontal fibrosis is irreversible and the only ways to correct it are :
  • hair transplant, which consists of extracting grafts from the occipital area and implanting them in the affected areas
  • restorative trichopigmentation, which mimics the presence of hair by medical micro-tattooing on the scars left by the disease
  • hair systems, which covers all or part of the head