Lichen planopilaris (LPP) is a rare, inflammatory type of scarring alopecia that can cause permanent hair loss. Frontal fibrosing alopecia (FFA) is considered a subtype of LPP and primarily affects postmenopausal women, causing a receding hairline and eyebrow thinning.
Causes and Risk Factors
While the exact cause is unclear, LPP and FFA are believed to be autoimmune-related, where the immune system attacks hair follicles.
Clinical Presentation
- Patchy hair loss with perifollicular redness and scaling
- Recession of the frontal hairline (FFA)
- Loss of eyebrows and sometimes body hair
- Scalp tenderness or itching
Psychological Impact
Due to its progressive and visible nature, LPP and FFA can significantly affect emotional well-being and social confidence.
Treatment Options
At Esse Dermatology Charlotte, Dr. Ada Ogunsiakan offers:
- Topical and intralesional corticosteroids
- Oral anti-inflammatory medications (such as hydroxychloroquine)
- Immunosuppressive agents
- Hair restoration procedures
If you are experiencing hairline changes or scalp symptoms, early intervention is critical. Book a consultation with Dr. Ada Ogunsiakan at Esse Dermatology Charlotte today.
