Frontal Fibrosing Alopecia Treatment

Medical and procedural options for frontal fibrosing alopecia

FFA is a scarring alopecia. Treatment aims to stabilise hair loss and limit follicle damage. Early action may help maintain hairline and eyebrow coverage. Therapies can be combined for better control.

• High-potency topical corticosteroids to reduce scalp inflammation.
• Calcineurin inhibitors such as tacrolimus for local immune modulation.
• Oral 5-alpha reductase inhibitors, including finasteride or dutasteride, to slow progression.
• Intralesional steroid injections for targeted anti-inflammatory effect.
• Topical minoxidil to encourage growth in non-scarred follicles.
• Regenerative procedures including PRP, i-PRF, GFC, autologous cellular micrografts for scalp revitalisation.

Follow-up visits allow Dr. Sahoo to review tolerance and response, adjusting dosage or delivery as needed.

Regenerative trichology and hair restoration

When disease activity is stable, hairline reconstruction may be planned using Hairline Design & Restoration or Long Hair FUE Transplant. Growth Factor Concentrate (GFC) therapy can support scalp health in ongoing care. Surgical plans avoid placing grafts in areas with active inflammation to reduce risk of further loss.

Pre-procedure consultation assesses disease activity, donor hair quality, and post-surgery maintenance options.

Diagnosis and monitoring

Diagnosis includes clinical examination, dermoscopy, and sometimes scalp biopsy to confirm scarring. Follow-up tracks disease stability and informs treatment changes. With consent, photographs measure progress and are stored securely.

• Signs include frontal hairline recession, eyebrow loss, perifollicular redness.
• Dermoscopy checks follicular openings and inflammation.
• Biopsy confirms diagnosis when signs are unclear.
• Monitoring involves periodic scalp assessment and medication review.

Patients may bring prior medical records and current hair care products for review. Parking and appointments are available at main branches, with teleconsultations offered for remote assessments.

About Alloroots

Alloroots is a doctor-led hair restoration clinic in India specialising in surgical hair transplantation and regenerative hair science. Led by Dr. Alok Kumar Sahoo (MD Dermatology, AIIMS New Delhi), services include personalised diagnosis, natural hairline design, FUE-based hair transplants, and non-surgical treatments. Consultations are offered in-clinic and online across India. Care follows patient privacy, safety protocols, and evidence-based planning. Learn more at alloroots.com.