Hair transplant in frontal fibrosing alopecia: A multicenter review of 51 patients

Vañó‐Galván, Sergio; Villodres, Emilio; Pigem, Ramón; Navarro-Belmonte, María Rogelia; Asín-Llorca, Manuel; Meyer-Gonzalez, Teresa; Rodrigues‐Barata, Rita; Moreno‐Arrones, Óscar M.; Saceda‐Corralo, David; Bouhanna, Pierre; Camps, Alejandro

doi:10.1016/j.jaad.2019.05.031

Cited by 22 publications

(19 citation statements)

References 5 publications

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“…23,76,77 In the largest study to date, Vañó-Galván and colleagues reviewed 51 patients with FFA who underwent hair transplant utilizing the strip technique in 86% and the follicular unit extraction technique in 14%. 78 After 1 year, the mean graft survival rate was 87%; after 5 years, the mean graft survival rate was 41%. 78 The authors concluded that although reported patient satisfaction was high, the result of hair transplantation in patients with FFA is temporary.…”

Section: Hair Transplantationmentioning

confidence: 92%

“…78 After 1 year, the mean graft survival rate was 87%; after 5 years, the mean graft survival rate was 41%. 78 The authors concluded that although reported patient satisfaction was high, the result of hair transplantation in patients with FFA is temporary. 78 Overall, there are few studies investigating hair transplantation for patients with FFA.…”

Section: Hair Transplantationmentioning

confidence: 92%

“…78 The authors concluded that although reported patient satisfaction was high, the result of hair transplantation in patients with FFA is temporary. 78 Overall, there are few studies investigating hair transplantation for patients with FFA. The current literature consists primarily of case reports with mixed results.…”

Section: Hair Transplantationmentioning

confidence: 99%

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<p>Optimal Management of Frontal Fibrosing Alopecia: A Practical Guide</p>

Imhof

Tolkachjov²

2020

CCID

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Frontal fibrosing alopecia (FFA) is a primary lymphocytic cicatricial alopecia that is often considered a clinical variant of lichen planopilaris (LPP) due to their shared histopathologic features. FFA is characterized by the recession of the frontal, temporal, or frontotemporal hairline; the clinical pattern is distinct and usually includes eyebrow hair loss, as well as other associated symptoms. Pruritus, facial papules, eyelash loss, body hair involvement, and trichodynia may also occur in addition to the frontotemporal recession and eyebrow loss classically seen. Early diagnosis and prompt treatment are critical as FFA is a progressive disorder that can result in permanent hair loss. FFA is challenging as patients may not present or be recognized until the disease has progressed. Additionally, there is currently no consensus or standard treatment regimen for FFA. While many different therapies have been reported as beneficial, there are a limited number of published guidelines for the treatment of FFA. This article is a review of the literature on treatment modalities for FFA and the objective is to offer a practical guide for clinicians on the evidence-based management options currently available in the literature.

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Section: Hair Transplantationmentioning

confidence: 92%

Section: Hair Transplantationmentioning

confidence: 92%

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<p>Optimal Management of Frontal Fibrosing Alopecia: A Practical Guide</p>

Imhof

Tolkachjov²

2020

CCID

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“…Similar results have been observed in eyebrow transplantation [ 211 ]. A recent study has shown a decrease in graft survival over time, independently of the period of time since clinical remission, with a graft survival rate lower than 60% after five years [ 212 ]. Therefore, a hair transplant should only be offered to selected patients with FFA to improve small areas and after first discussing with the patient the long-term survival rate of the grafts.…”

Section: Treatmentmentioning

confidence: 99%

Frontal Fibrosing Alopecia: A Review

Porriño‐Bustamante

Fernández‐Pugnaire

Arias‐Santiago

2021

JCM

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Frontal fibrosing alopecia is a scarring alopecia, the prevalence of which is increasing worldwide since its first description in 1994. The reason for this emerging epidemic may be a higher exposure to an unknown trigger, although its aethiology and pathogenesis still remain enigmatic. Clinical, trichoscopic, sonographic, and histopathologic findings are allowing clinicians to understand more aspects about this type of cicatricial alopecia. Several treatments have been used in frontal fibrosing alopecia, although the 5-alpha reductase inhibitors seem to be the most promising. The aim of this report is to provide a compilation about the published data regarding frontal fibrosing alopecia in a narrative review.

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“…In a multicentre review of 51 FFA patients, stabilized patients (no progression of the alopecia on the frontotemporal hairline after 12 months) that underwent HT experienced good but temporary results only 41% of the grafts survived after 5-year follow-up, despite maintaining the medical therapy. 15 However, 82% of patients were globally satisfied with the procedure. Hair transplantation in FFA patients is challenging, as the affected area is not well defined and the donor area should be accurately selected with dermoscopy.…”

Section: Hair Transplantationmentioning

confidence: 99%

Current controversies in trichology: a European expert consensus statement

Meyer-Gonzalez¹,

Bacqueville

Grimalt

et al. 2021

Acad Dermatol Venereol

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Introduction Hair disorders are one of the most common conditions within dermatology practice but, although new diagnostic tools and therapeutic options have arisen, the management of these patients still represents a major clinical challenge. ObjectiveThis study aimed at gathering information and achieving consensus on relevant recommendations on the latest advances in alopecia, trichoscopy and hair dermocosmetics.Methods Experts of the steering committee consulted the available evidence on trichology-related areas from the past 5 years and formulated recommendations based on the evidence and their experience. A modified two-round Delphi procedure was performed among 45 European dermatologists experts in trichology to consult their degree of agreement on twenty recommendations, using a 4-point Likert scale. Consensus was defined as >80% of participants scoring either 1 (totally agree) or 2 (agree). ResultsIn the first round of the Delphi questionnaire, 75% of the recommendations reached consensus. Those that were not agreed upon were reformulated by the steering committee and voted again after an online meeting, where consensus was achieved in all recommendations.Conclusions All recommendations reached consensus after the two-round Delphi questionnaire and may be useful in clinical practice for dermatologists. The participants agreed that besides this consensus, further clinical studies are needed to assess the benefits of the emerging tools and treatments and to clarify the controversies that still exist in the field, aiming at improving patients' quality of life.

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Hair transplant in frontal fibrosing alopecia: A multicenter review of 51 patients

Cited by 22 publications

References 5 publications

<p>Optimal Management of Frontal Fibrosing Alopecia: A Practical Guide</p>

<p>Optimal Management of Frontal Fibrosing Alopecia: A Practical Guide</p>

Frontal Fibrosing Alopecia: A Review

Current controversies in trichology: a European expert consensus statement

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