Frontal fibrosing alopecia (FFA) is a disorder that causes hair loss (alopecia) on the front and sides of your scalp. FFA may also influence the hair on your body in other places, most often your brows.

Typically, frontal fibrosing alopecia becomes worse with time. Treatments may be used by medical professionals to slow frontal fibrosing alopecia. However, the procedures will not replace any hair that has already fallen out.


Frontal fibrosing alopecia causes hair loss along the hairline. This area’s skin might seem normal or:

  • Pale
  • Scarred
  • Shiny

Eyebrow loss is the other main sign of FFA. Other early signs of FFA could be:

  • Hyperpigmentation or the dark brown or gray patches of skin on your face and neck
  • Pain or itching on your head (pruritis).
  • Your face has a lot of veins.
  • Rosacea.
  • Small bumps that look like pimples near your hairline or on your face or head

Some of the less usual signs of frontal fibrosing alopecia are:

  • Legs or arms
  • Eyelashes
  • Face
  • Pubic country
  • Underarms


Your healthcare provider will ask about the following:

  • Health history
  • Drugs you take
  • Symptoms, such as when your hair loss started and where on your body it happened.

Will examine you physically and closely watch for:

  • Eyebrows
  • Hairline
  • Scalp

A skin biopsy may be performed. When they do the test, they’ll:

  • Make a small part of your head feel numb
  • Take off a little bit of skin
  • Examine the skin using a microscope

May do other tests as well, such as:

  • Hair pull test
  • Fixing a small bump on your face

Your doctor may use these tests to rule out problems like:

  • Traction alopecia
  • Androgenic alopecia


The condition of frontal fibrosing alopecia is incurable. However, some treatments may delay its development. Your doctor could advise taking a number of drugs at once, such as:

  • Antibiotics, like doxycycline or minocycline
  • Corticosteroids
  • Finasteride (Propecia┬«) or dutasteride
  • Hydroxychloroquine
  • Minoxidil

Other treatments might be:

  • Hair grafts, which might aid with hair growth when FFA has inhibited its development.
  • Laser treatment may be used to lessen itching and swelling.

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