Understanding Frontal Fibrosing Alopecia: Causes, Symptoms, and Treatment

Frontal Fibrosing Alopecia (FFA) may not be a household name, but for those affected by this type of hair loss, its impact can be profound. FFA is a form of scarring alopecia characterized by the progressive recession of the frontal hairline, often accompanied by hair loss along the temples and eyebrows. While the exact cause of FFA remains unknown, it is believed to involve a combination of genetic predisposition and autoimmune factors. This condition predominantly affects postmenopausal women, although it can occur in men and premenopausal women as well.

FFA was first described in Australia in the 1990’s by Dr Steven Kossard. Dr Kossard’s pioneering work shed light on this previously unrecognized condition, highlighting its distinct clinical features and associations. Along with the characteristic pattern of hair loss, FFA may also present with symptoms such as itching, burning, and redness of the scalp. These symptoms can be distressing for individuals experiencing FFA, impacting their self-esteem and quality of life.

While there is no cure for FFA, various treatment options are available to help manage symptoms and slow the progression of hair loss. Corticosteroids, both topical and injected, are commonly used to reduce inflammation and halt hair follicle destruction. Other therapies, such as oral medications (e.g., hydroxychloroquine, finasteride) and topical immunomodulators, may also be prescribed depending on the individual's response and disease severity. Additionally, cosmetic camouflage techniques, like hair fibers and wigs, can help conceal areas of hair loss and boost confidence. By raising awareness about FFA and offering comprehensive treatment approaches, the consulant dermatologists who service Beachside Specialist Group support individuals affected by this challenging condition on their journey to hair restoration and self-acceptance.