Frontal Fibrosing Alopecia: Understanding the Causes and Symptoms

Harman Kaur
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Dr. Kaushal

Review medical content on WOW Rx Pharmacy, so that accurate drug use information is easily accessible to everybody.
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A man with early stage of Frontal Fibrosing Alopecia

The reality is that you are edgy and looking for solutions to your Frontal Fibrosing Alopecia (FFA) at a time when all your practices fail. This is the reason why we are concerned. 

FFA, like any other genus of hair loss, can hurt the self-esteem and personality of the patients. 

FFA destroys the follicles of hair, which is the beginning of hair opening. 

It may lead to complete hair loss. 

However, if you get in touch with your dermatologist, it is possible that you can overcome this condition. 

FFA often starts slowly, seeding a thin band of balding skin that runs along the front and sides of the hairline.

Diagnosis of FFA in women generally takes place after menopause. There is a possibility that most women can develop this from two to 12 years after menopause. 

FFA develops gradually. The first sign of FFA hair loss is visible through your eyebrows. 

Between 80% and 95% of women diagnosed with FFA have lost some of their eyebrows.

Here are some of the causes and symptoms which lead to Frontal Fibrosing Alopecia.

Frontal Fibrosing Alopecia causes

FFA is a condition that has recently come to notice, along with the causes which lead to FFA. 

It is believed that hormones can partially cause FFA as it affects post-menopausal women. It also occurs along with genetic hair loss

Although blood tests that check hormone levels could be trustworthy, we know lichen planopilaris affects the body’s immune system, especially white blood cells called T-lymphocytes.

White blood cells are part of the immune system and help the body fight off infections. 

When the body’s immune system reacts, it causes inflammation, destroying the hair follicles. 

Environmental factors may play a role in FFA, but this is still being considered.

Early-stage Frontal Fibrosing Alopecia

The first sign to detect your Frontal Fibrosing Alopecia is your hair loss towards the front and sides of your hairline. 

Even though it starts slowly, but worsens gradually with time. Your skin in this area can appear shiny, pale, and scarred. 

You can also notice a loss of hair from your eyebrows. It can start taking place before your scalp hair loss. 80% to 90% of women who face FFA experience eyebrow loss. 

Other early symptoms include:

  • Pain on the scalp or itchy skin (Pruritis) 
  • Hyperpigmentation, dark brown, flat, or gray areas of skin on your neck and face
  • Rosacea
  • The forehead will see large veins 
  • Small bumps that look like pimples and are yellow or skin colour near your hairline or on your face or scalp

Frontal Fibrosing Alopecia eyebrows

Eyebrows are seen as an essential facial feature. It shapes the physical appearance of a person. It is also a good communicator of non-verbal communication.  

Complete to partial eyebrow loss is witnessed in most patients who suffer from Frontal Fibrosing Alopecia

Although regrowth of eyebrows has been seen with Topical Bimatoprost and Intralesional Triamcinolone. There are limited options for treatment, and shreds of evidence also remain bounded. 

Recently, low-dose of Oral Minoxidil has successfully treated Androgenetic Alopecia in women and men.

The authors have also used Oral Minoxidil (OM) to increase hair volume in patients with FFA. Interestingly, partial to complete regrowth of eyebrows was noted in a small cohort of patients after OM commencement.

Vitamins for Frontal Fibrosing Alopecia

Vitamins for Frontal Fibrosing AlopeciaSource: JUSTSTOCK_from_GETTY_IMAGES
Vitamins for Frontal Fibrosing Alopecia

Different vitamins have different roles to play when treating any particular issue. 

Hair loss can be treated with the intake of specific vitamins and minerals, which are necessary for the hair to grow strong. However, Vitamin D is considered the most effective while treating Frontal Fibrosing Alopecia

Vitamin D can alter the immune response by increasing the autoreactive cells known as T cells. 

People with lichen planopilaris had an average vitamin D level of 24.6 ng/mL. They were 8.3 times more likely to have severe vitamin D deficiency.

FFA is a subtype of lichen planopilaris that tends to affect postmenopausal women. These women are more likely to have low bone mineral density and would benefit from taking vitamin D.

Hairstyles for Frontal Fibrosing Alopecia

Even though people have long suffered from this condition, this condition of hair loss was first tracked down in the early 1990s. Today it has become widespread. 

Although there are hairstyles, which can help you in dealing with your FFA. 

Hairstyles for covering AlopeciaSource: Juptierimages_from_Photo_Images
Hairstyles for Frontal Fibrosing Alopecia

Messy ponytail

Most of the time, women take up ponytails as their go-to hairstyle. You don’t need to bother a lot with this type of hairstyle. It can be dressed according to your suit or needs. 

Try to make your ponytail as carefree as possible. If you try to mess that up, there are chances that your hair will start to fall.  

If your hairline is not so strong, it will help conceal while adding volume to your hair. The best part of this look is that it gives you a decent look with little effort.  

Teased ponytail

It is an excellent choice for women who are in a situation with an FFA condition. 

This hairstyle has an opposite impact in contrast with a typical ponytail and its effects. The effects include the appearance of the hairline. 

You can get this look by pulling back the top layer of your hair, giving it a puffy face. 

After that, pull your hair into a loose, high ponytail. Puffing out the top of your hair is a great way to draw attention away from your hairline and can be worn on any occasion.


Frontal Fibrosing Alopecia (FFA) is a condition where hair loss occurs on the scalp and the front sides. You may also have hair loss on your Eyebrows, eyelashes, and other body parts. 

FFA is found in women aged 50, but men and younger people too can have this condition. 

Researchers are not yet sure about the exact cause of FFA. 

Although they believe genetics, an autoimmune reaction, or hormones could be a reason.  

A physical exam and a skin biopsy are used to figure out if someone has frontal fibrosing alopecia.

To know more:
Please visit our WowRxPharmacy Blog, where you can read related articles.

Frequently Asked Questions

What causes Frontal Fibrosis Alopecia?

Researchers are still determining the exact cause of FFA. Although they believe genetics, an autoimmune reaction, or hormones could be a reason.  

What is Frontal Fibrosing Alopecia?

FFA is a particular type of hair loss. It destroys the follicles of hair, from which the hair opening starts. It is known for damaging the hair follicles permanently, which leads to complete hair loss.

Is frontal fibrosing alopecia caused by stress?

Stress can trigger FFA, as research has also shown hair loss when they experience a stressful situation.  

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