Fibrosing frontal alopecia

What is it?

Frontal alopecia is a type of scarring hair loss, characterized by hair loss in the frontal area of ​​the head (areas of the forehead and sides), as well as the loss of the eyebrows and even the hair of the rest of the body. This is an increasingly common form of hair loss that has no known cause and is difficult to treat.

There are a series of signs to be aware of that could warn us that we present this type of alopecia, such as: hair loss from the eyebrows, which in many cases is the first warning; later it is followed by the hair in the headband area (forehead and temples); in addition to lesions in the temples and marked blood vessels on the forehead or redness of the cheeks.

Who is affected?

It affects both sexes in adulthood, although it tends to affect women more after menopause.

The exact cause of fibrosing frontal alopecia is unknown, although several factors are believed to play a role:

  • Hormonal: Women will experience fibrosing frontal hair loss beginning at menopause, which is believed to be due to the hormonal effects the body experiences during this time. It is important to know how to differentiate this class from another type of alopecia, since early prevention will be necessary for effective treatment.
  • Hereditary: Sometimes there is a family history of this type of alopecia, although most cases occur sporadically.
  • Others: Autoimmune diseases, such as hypothyroidism, may have a possible relationship with this pathology.
  • Environmental: although there is still no clear evidence, it is believed that this factor could explain the large increase in the number of cases of the disease in recent years


In cases of fibrosing frontal surgery, there is no definitive solution, but there are medical treatments that can delay the progression of hair loss. It is variable depending on each patient and it is necessary to individualize the therapy according to the characteristics of each person and some parameters such as their degree of inflammation and extension:

  • Oral drugs and topical treatments: such as antiandrogens, minoxidil, oral retinoids, or microinjections with triamcinolone.
  • Hair mesotherapy: This capillary biostimulation treatment acts directly on the hair follicle, managing to stop hair loss.

In cases of significant loss of density and as long as the process has been medically stabilized, hair transplantation can be used to regain density

  • Hair graft with FUE technique: Although it is technically possible to perform this intervention, it is not always recommended. Therefore, the opinion of a professional and the characteristics of each patient must always be taken into account.