Does anyone else have these facial papules? And if so, are there any treatments??? My derm told me, there is no help concerning this problem ...
It's all so frustrating
I really hate all of this (sorry, having a bad day..)

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I was told accutane users were not good candidates for microbladig. Must affect the skin somehow so it doesn't take. Not really sure. The Retin A product must be kept away from the eyebrows. It will fade them.

You may want to research the accutane prior to takin it.

I find that the salicylic facial washes and astringents help a lot with reducing the papule inflammation.

One thing I'm curious about is asprin. It is a salicylate, related to salicylic acid. Would regular doses of asprin help?? Any baby asprin user out there that could give us some feedback??
Thanks for your help. I ll definitively try the salicylic products

Hi Ruth. I was recently diagnosed with FFA, and while my skin's texture has become rougher, I don't have the papules. However, I have been doing a ton of research and trying to read original studies in hopes of finding what it most likely to slow progression. While doing so, I came across this study. It appears the use of oral isotretinoin was very successful in the treatment of facial papules of three individuals with FFA. I'm attaching the pdf, but if you can't read it, go to Google scholar and search for "frontal fibrosing alopecia papules" and filter the results so only those from 2016 or later are showing.

Attachments:

I am so appreciative of all I learn from all of you on this site. I don't really have the facial papules/bumps but the texture of my skin seems very different now? Along my temples it looks very mottled and scarred? And I have some white spots? My dr said that it is common with FAA. Ugh

I'm 60 and I had been thinking of getting some IPL photo facial treatments done? My dr said that my FAA is currently stable but now I'm worried that IPL could activate things?? I'm not sure I want to take that chance. Have any of you done any cosmetic treatments or procedures and what are your thoughts?

Just hate that we all are dealing with this. . .

 

Dear SallyWess,
Thanks for sharing your beautiful picture. I feel braver because of it! Your eyebrows look great! Have you had something done to them?
My question is about the papules. I wonder if this is what I have around my jaw line. The derm says they are sebaceous cysts but I've never had them before. Acne meds haven't helped. I also have Lichen Planus in my mouth, no hair on legs or arms. Does anyone have burning mouth? Mine started with the hair loss a few years ago and the Dr has no answers.
This is a weird disease!

Hi

For me, I think everything started with oral lichen planus. My GP thought it was shingles in my mouth at first - VERY painful and sore, with blister-type spots popping up all over my mouth and throat and the tell-tale white striata. Once I got to see a dermatologist, however, he immediately diagnosed LP. No treatment, just manage the symptoms. Great.

I then got severe gut problems - so much so that I ended up in hospital nil by mouth for five days as they were convinced they were going to find something they needed to operate on. All the tests under the sun - nothing. I was convinced at the time that it was linked to the LP, but they said there was no link. 15 years on, it is acknowledged that LP can be in your gut, so I was right.

I also had at the same time a severe rash on my forehead, which they thought was linked to lupus. Wrong again.

All of that gradually faded, although I still get LP on occasion on my shins (I have it now). And then about five/six years ago I noticed my eyebrows were falling out - GP told me it was my age. Thanks. And then the hair, the FFA.

I am absolutely convinced all of these things are linked and symptoms of one underlying issue - a problem with the immune system. I think treating everything in silos, which is what seems to happen generally, misses the fundamental problem. 

One day, I am sure, someone, somewhere will come up with something that gets to the bottom of it all, but it very much seems to me that unless they start looking much more holistically rather than focusing on the one thing, in this case FFA, we will always have the problem of treating the symptoms rather than the cause.

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