Hair Alopecia Fibrosing Frontal Alopecia (FFA)

Fibrosing Frontal Alopecia (FFA)

Frontal fibrous alopecia (FFA) is a form of alopecia that affects the front area of ​​the head. It is known to have a genetic component, with a higher incidence in women. Although known for many years, it was only after the advent of the trilogy as a science that people began to feel more comfortable with the subject. Due to the different taboos for women to express their baldness problem, it was not possible to achieve a cure for this condition without performing invasive and complicated methods. However, now the field of medicine is advanced enough to handle it and, at the same time, treat it effectively. Now there are diagnoses that can help find out if you have frontal alopecia or not.

symptom of Fibrosing Frontal Alopecia (FFA)

The patient with Fibrosing Frontal Alopecia (FFA) may experience low frontal hair loss, which is usually symmetrical. Receding of hair lines is not uncommon with this disease. Additionally, affected patients may also suffer from some of the other symptoms of female pattern baldness, including puffy eyes, droopy eyelids, fine eyebrows, dry skin, and droopy skin.

The normally thick and durable front skin becomes thin and hairless, leaving red spots along the sides of the face. This condition can also occur in both men and women. Symptoms vary from person to person and may differ depending on age, sex, and genetics.


What causes Frontal Fibrosal Alopecia? There are a number of factors that can trigger this condition. Stress, hormonal changes, inherited conditions, nutrition, pregnancy, and parasites are the most common causes. Abnormalities in the body's hormones, such as abnormalities of the pituitary gland, are also involved in this condition. In most cases, alopecia of frontal fibrosis is a progressive condition, and can progress to an irreversible stage if not properly treated.


Frontal fibrous alopecia (FFA) is one of the most common genetic disorders in women in the United States. It can be caused by a mutation of a gene on chromosome 20. The genetic factors that contribute to this condition have been extensively studied. These include autosomal recessive traits, X-linked disorders, and syndromes. In many cases, family members, both parents and children, are affected by this condition. As a result, it is important to diagnose this disorder early, before the damage has been done.

Diagnosis of Fibrosing Frontal Alopecia (FFA)

The diagnosis of FFA is usually found by looking at the progression of the lesions. Rash or flash points usually have a linear or curved appearance, varying degrees of severity, characteristic colors of the lesion, location, and degree of inflammation of the lesion.

In the milder forms of FFA, only a few spots on the skin may appear. These can be discolorations of the skin and areas with permanent injuries. In the most severe forms of FFA, symptoms appear throughout the head, neck, face, and chest. Sometimes there can be many injuries to the scalp. This is known as plates. There may also be "double luster" or pigmentation spots on the skin, hair, nails, and scalp. These also vary in color from light to dark.

The use of the dermatoscope for diagnosis

Dermoscopy and biopsy can be used to verify the diagnosis. However, dermoscopy is not the most accurate method of diagnosis. The dermatoscope may miss or misinterpret the injury. It is difficult to determine which lesions are caused by Fibrosing Frontal Alopecia and which are only on normal parts of the skin. 

Biopsy for diagnosis

Histology and laboratory tests will determine if a diagnosis of FFA has been made. A basal cell biopsy may be performed from the frontal area of ​​the patient to confirm the diagnosis. A trichologist The dermatologist will need to examine the biopsy under a magnifying microscope to determine if the basal cell is malignant or benign.

Therefore, FFA is diagnosed through histology, laboratory tests, and an examination of the extracted hair follicle.

Treatment for Frontal Fibrosing Alopecia

Treatment methods include the use of topical ointments or lotions that contain Minoxidil or high doses of steroids.

Often times, frontal alopecia can be easily treated and at the same time, it is more manageable than most people thought. This is because it is more common in young women than older women, and because young women are less aggressive in their treatment. The treatment of frontal alopecia that you may receive depends on the severity of your case. In mild cases, treatment will be done on a regular basis. However, for the most severe cases, the treatment can be done by surgical methods, if this were possible, once the disease has remitted. However, most clinical trials for FFA do not use hair transplantation.

Some doctors also use lasers in affected areas, but only a few patients have responded to this type of treatment.


If you think you have fibrosing frontal alopecia, you should visit a specialist. He medical specialist He will take a look at your scalp and then discuss all the possible causes of the disease with you. They will also discuss all the treatments that can be taken for treatment and the advantages and disadvantages of each of them. The first thing your doctor will do is run some tests. These tests will help your doctor understand the type of treatment you need for frontal alopecia. You will also learn more about your family history and make sure your family history has always been alopecia free. Once the tests are done, your doctor will give you the best treatment that is right for you.

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Dr. Enrique Orozco
Dr. Enrique Orozco
General Director, Specialist in Trichology and Hair Transplantation Certified by ABHRS. Only ABHRS Certified with residence in Mexico.


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Dr. Enrique Orozco
General Director, Specialist in Trichology and Hair Transplantation Certified by ABHRS. Only ABHRS Certified with residence in Mexico.




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