Scarring (cicatricial) alopecias destroy hair follicles and replace them with scar tissue. Lichen planopilaris (LPP) and frontal fibrosing alopecia (FFA) are the best known. Treatment aims to stop the process, so early diagnosis is important.
Because follicles that are destroyed cannot regrow, the goal of treatment is to stop inflammation early and protect the hair you still have.
Inflammation around follicles, often with scalp itching, pain or burning, redness and scaling.
Slow recession of the frontal hairline, often with eyebrow loss, mainly in postmenopausal women but also seen in others.
Several less common types exist, including discoid lupus and folliculitis decalvans, each treated differently.
A small skin sample may be advised to identify the exact type, which decides the treatment.
Your dermatologist chooses topical and oral medicines to calm the disease.
A transplant is considered only after the disease has been stable for a long time, and results are less predictable.
Treatment is long term, and regular review is essential.
Dermoscopy and examination of the scalp, hairline, eyebrows and nails.
Visit 1Biopsy if needed and blood tests, to identify the type.
Week 1Anti-inflammatory medicines and scalp care to stop progression.
Month 1Review for symptoms and signs of activity, with photographs.
Months 2–6Long-term monitoring for relapse.
Ongoing
Scarring alopecias are easy to miss or mistake for ordinary hair fall. That is why dermatologist examination matters.
HairSense has two clinics, in Vashi (Sector 17) and Kharghar (Sector 13), open Monday to Saturday, 10 am to 10 pm. Call +91 86938 84488 (Vashi) or +91 86938 86688 (Kharghar).
Patchy hair loss: diagnosis and treatment.
Dandruff, itching, infection, psoriasis and more.
Hair fall, thinning, baldness and regrowth treatment.
Medicines and scalp care plans.
Diagnosis and treatment of female hair loss.
Vashi and Kharghar clinics, hours and phone numbers.
Book a dermatologist consultation to check your scalp for scarring alopecia.
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