Frontal Fibrosing Alopecia

This is specifically for frontal fibrosing alopecia sufferers. To share information and support each other.

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  • April

    Rebecca, I haven't taken cyclosporine, but I've seen it mentioned in the recent, large study that was done on FFA. They said it was effective, slightly less so then finasteride I think. Did your doctor say how long you would be on it? MJ, I am wondering about burn out too. If it exists and how long does it take! I just went through some old photos of myself looking at my hairline. I can see the beginnings of the hair loss 5 years ago. It has just gone so slow for me that I didn't even know it was happening for a long time. Now I'm wondering if the treatment I am doing is actually helping or if my hair loss is just really slow anyway...
  • MJ

    April, that is my situation exactly, but I think a very stressful episode caused a speedup which prompted me to notice it. And I wonder if now that I have changed my diet, health and no longer feel anxious, it has slowed because of that, rather than the drugs. Would really like to get off drugs as quickly as possible before new health issues arise from them. MJ
  • Jen

    I know exactly when I started FFA. It was one month after my husband's death I noticed two round spots one by the widow's peak and the other behind the right ear. There was a third tiny spot by my right temple. I did nothing for 8 months thinking it would come back. After 8 months I showed it to my derm  who diagnosed and injected immediately. Within a week, I lost my entire hairline in the injected areas. About one inch. Then later I lost around the ears. I also have a dent in the right temple. I cover it with hair that I pull forward. I do not want to take any drugs internally since my family have a history of several life threatening illness. Since the injections are causing dents and the hair is falling out anyway, I will not be seeking continued treatment. I am trying to concentrate on hairstyles to disguise the choppy hairline until I can no longer disguise it.  I am interested in hearing from anyone who have used hairpieces effectively.

    Love to all you brave girls,

    Jen. 

  • Kaz

    Hi
    I'm new to this site and I have just been told I have FFA. I have been put on Planquil and it scares me a little as it could cause a lot of side effects.
    Is anyone on here using the same medication and is it working for you.
    Thanks
  • Annie

    Hi Kaz, Welcome to our group.  Sorry to hear about your ffa diagnosis.  I was diagnosed in March 2013 & have been taking Plaquenil for almost 11 months.  My doctor started me off with one pill per day for two weeks to allow time for my body to adjust.  I have been taking it twice a day since then.  My side effects have been minimal.  I had strange (not scary) dreams and a little trouble falling asleep for the first month.  My blood work has always been fine, & I haven't had any trouble with my vision.  I think the Plaquenil and topical steroid combination I'm using are helping, but it works so slow that you barely notice.  My scalp is much less tender than a year ago.  It took me about nine months to see a change in the hair loss.  I'm still shedding, but not as much.  Good luck to you and God bless.

  • Kaz

    Hi Annie
    Thankyou for sharing your information. I'm leaning more towards fighting this with a natural paelo diet hoping this might slow it down before I take the heavy drugs. This sight has shown me I'm not alone in this, I was feeling very sorry for myself but now after reading all the posts I know it's not the end and there's wigs etc out there to help cover the hairloss.. Thankyou
  • MJ

    Jen,
    I have to wonder if the injections somehow accellerate the loss. I just had one bald spot, which seemed to expand after the biopsy. And then my front hairline loss came on faster right after i had injections. I am sorry for your loss.
    Kaz,
    It might be worth a try. I jumped into everything all at once. So it is impossible for me to tell what has stabilized me. I do anti inflammatory diet and mostly gluten and dairy free as well. Also did alot of breathing and mental imagery stuff, acupuncture,mat the same time as starting the plaquinel, clobetasol and rogaine. Having some vision changes and will see what the eye doc says next month. MJ
  • Jen

    MJ, I have continued to have hair loss, more slowly, even though I am not having injections.  The most intense losses occurred at the injection sites within one week of treatment.  I think that for me the injections are accelerating the loss plus the area is completely bald. The areas of loss where no injections were done  can be disguised somewhat effectively with dark eye shadow. 

  • Kaz

    Hi MJ
    Thankyou for sharing , i will let you know if it slows down within the next 6 mths being on this healthier eating regime , fingers crossed or I will be searching for wigs :(
    I have already had my eyebrows tattooed and it was the best thing.
    Here's hopeing everyone's treatment works x
  • Mandy

    Ladies just had to share.Saw consultant today.No signs of more hair lose new hair growth was confirmed. Biopsy showed no Lupus antibodies and very small signs of active FFA. He feels it is very very slow progressing or maybe starting to burn out. He has discharge me and told me to carry on what I am doing because it is working for me. I can see him any time in the future if I have concerns. I was diagnosed with out a biopsy last March but this new consultant wanted the biopsy so the took three samples in February. I have not taken any medication since January 2014 but use Protopic now and then.I do use teatree and rosemary oil once a week, Healthy diet, Lots of walking and a multi vitamins etc. I know this May be only short lived but it's all good for now
  • MJ

    Mandy, that is so exciting and encouraging! Thanks for sharing your good news. MJ
  • Mary

    Great news Mandy. Encouraging. Thanks for sharing
  • Classical Anne in NC mountains

    Mandy, thanks for the long anticipated encouragement!  We all want to know someone whose condition has stabilized.  So happy for you.

    On a historical note, I imagine many may have already noted the obvious resemblance to FFA seen in portraits of Queen Elizabeth the First, of 16th century England.  Just thought I'd share with you a link to a series of her portraits, as it appears she was already losing hair at a very young age.  In 1546, when she was just 13, she had begun looping her side hair forward, in an attempt to cover the bald temples.  Just for fun: http://www.luminarium.org/renlit/elizface.htm

    I suppose it's a plus to be related to Royalty?!?

     

  • Jules UK

    Hi all, thought I'd let you know about my new hairpieces. I'm "lucky" in that my hairloss so far has been from above my ears mainly so I can still cover it with my own hair. I've had made 2 pieces that fit onto the bald patches. From Pam's hairdresser in Cheltenham they stay wonderfully secure and can be washed and dried. I plan on leaving them in place until I see my hairdresser in June. They have made a huge difference to me! I no longer feel like I'm hiding something, even though I still am... They tend to be frizzy because of course there are no natural oils, so I apply Boots Botanics serum which tames them. I call them my spaniel's ears!
    Interesting about Elizabeth I. But I think her hairloss may have been connected to using lead makeup. Still, if only we could start a similar fashion trend with high foreheads!
    Best wishes from rainy Cornwall. X
  • Jen

    Hi Jules,

    Thank you for letting the group know about the hairpieces. I was thinking of you only yesterday and wondering how you were doing with it. You must have heard me thinking.  How do you think the piece would have worked if it was placed in a more conspicuous place. You mentioned that you still comb your hair over the piece. My hair loss is at the temples mostly with a bit at the top.

  • Pam

    I am still very pleased with my hair pieces, and have got used to them. They have really helped my confidence a lot. Just had a photo taken on a windy ferry to Calais, and it was wonderful not worrying about bald sides and hairline!!

  • Jen

    Hi Pam,

    Thanks for your comment. You have had your pieces for a few months now so I am happy that you have gotten accustomed. Are the edges (here they meet your face) invisible or visible? Can you comb your hair back and have a natural look? I live in Canada and I am not sure where I can get a service like what you and Jules were able to access.

  • Jules UK

    Hi, I can't reply regularly at the moment since there's no wifi in the cottage we're staying at.
    My hairpieces need some fine-tuning. For me, I wonder whether synthetic would be better than human hair since my own hair is quite fine and silky. Also, the positioning and shape is not quite right but I can go back to a Rob to sort that out.
    I can't stress enough how much this has helped both appeance and confidence. I no longer wake in the morning and instantly reach to cover my bald bits!
    I have a roll of wig tape to refresh when necessary, but apparently, there's a breathable wound dressing that allows the hairpiece to stay in place for weeks. I really don't know it's there! X
  • PamW San Diego, CA, USA

    Jules and Pam, how long does the hair last?
  • Jules UK

    It should last about a year apparently. So a bit like the eyebrow tattoos, an annual service is required! But I fear I may need a more extensive hairpiece by then. Sadly. X
  • Pam

    It should last about a year, so far I have had it for six months and all is OK. I have had my hair cut and coloured, along with the hairpiece, and its honestly impossible to see the difference between my own hair and the piece. I need to comb it out slightly more carefully after I have washed it, and use a conditioner to stop it tangling up. Just like you would use anyway really. It is actually so nice to have some more hair to play with, I can use heated tongs and blow dry it in waves!

    The edges are not visible, but if I scraped my hair back then they might be visible to the trained eye!  I just think of it as my own, and no different from other cosmetic enhancements such as hair extensions, breast implants or botox - just a great beauty aid to make me look a lot better and feel good about myself!

  • Marian

    Thanks for being the hair piece pioneer for us. I am feeling like I need to be looking down that route ...soon. Would it be possible for you to take a couple of pics even just of the piece itself if you are uncomfortable with one of you wearing it. Jen I am in Canada too and am thinking of calling compassionate beauty which provides services to cancer patients to see if they can help. I am in Calgary where are you situated?
  • Meme

    Hello everyone, Iam sorry for not replying earlier to you MJ, I have been away.

    Yes I have had FFA for 10 years now. I suppose I have lost about one and a half inches from one side of my head to the other. So I suppose you could say it has gone slowly. So slowly that friends and work colleagues that see me every day haven’t really noticed a problem until recently. I do wear my hair with a side parting and flick  it over my forehead, which works to a point.

    I find that the loss goes in phases, but I cannot say it has ever been in remission.

    I met Pam earlier this year and I can confirm being absolutely staggered at her hairpiece. You really could not tell it wasn’t her normal hair. My daughter thinks its time for me to face the next phase and contact Pam’s hairdresser, which I have promised myself I will do this summer.

    Best wishes to all

    lying

  • Rita - Canada

    Pam, what would you call this hairpiece?  I called 2 wig salons asking them if they carry something for this condition and described the loss and was told a full wig sounds best.  I don't agree.  I purchased a full wig and rarely wear it finding it binding and was not that cheap $450.00 CA.  It does look good so only on special occasions.

  • Jen

    Marian I am in Toronto. Rita I went to Trade Secrets in the mall and was told to chop off my hair and purchase a wig. They did not seem interested in helping my specific situation. I purchased Jessica Simpson bangs as they recommended and it does not work for me. I think the best solution is Jules's and Pam's solution if I can find someone to replicate. It has been 4 years for me and I have lost about 1.5 inch at the sides and top and more around the ears. There is also a big patch between the nape of the neck and the right ear. I do not really worry about the last one because of the location.  Jules, I was thinking of you and how the piece was a bit dry. My natural hair is corkscrew curly and very dry. I have to put oil and leave in conditioner. I also wear a headband around the hairline to bed even before FFA. This way I do not rough up the hairline while I sleep and cause more frizz. This headband is useful now that I have ffa because I comb wisps of hair forward and place the hairband over them to keep them in place while I sleep. I also add dark eye shadow in strategic spots and pull the wisps over the eye shadow. Those are the tricks that I use that work for me right now. later on I may have to resort to more drastic measures. Thank you Jules and Pam for sharing and thank God for your hairdresser.

  • Marian

    Jen, I would check out Continental Hair website. It looks like they do a lot of custom hair pieces. I will be in Toronto this summer and may try and get in for a consult but would really like to find somewhere closer. When I had my eyebrows done I flew to Vancouver for a particular person to do them but when you add flights and hotels every time you need a retouch or a hair piece adjustment it becomes really costly. If you do try them out let us know how it goes!
  • Rita - Canada

    May be a good idea to just check/enter the Continental Hair reviews, then choose

    Continental Hair topper HerAlopecia.  Can't hurt to be aware of any pushy salespeople.

  • April

    Pam, does this hairpiece stick to the head?  If so, would you have to shave off any stray hairs in order to apply it?  My hair loss is all right smack in the middle, front of my head.  Do you think a hairpiece would work for me?  Not to that stage yet, but just preparing myself.  Thanks!

  • Marian

    Rita
    Yikes just checked. There goes my back up plan. We may have to go to England.
  • Classical Anne in NC mountains

    Questions about WIGS - I've been following the discussions and have 2 questions. I have not yet begun even looking for a wig, but these 2 thoughts pop up every time I think about it.

    What is meant when anyone says 'it will last 6 months' [or whatever timing].  What exactly happens that tells you it's the end of that piece's useful life?

    And something I've not  heard anyone mention: what does your head/hair look like when you remove it at night [your hair, not your head!].  Are you embarrassed to face your husband or partner?  I think from the very beginning my sadness was not so much for me and my hair as it was for my sweet husband, to wake up with an old balding lady.  He is very supportive, and would deny that it bothered him at all.  But  I think, of course he would at least inwardly wince.

    Right now, my hair loss is not visibly significant, so I don't need a hairpiece.  But the texture of my hair has changed to the point that I'd probably look better in a wig than anything I'm able to do with my hair.

  • Jules UK

    Hi Classical Anne (I love your name!). I felt exactly as you do about removing hair pieces / wigs at night. This is why I'm particularly grateful to Pam for finding Rob. My new hair is brilliant through sleep, washing and drying. I really am unaware that I'm wearing anything false. I just rub in a leave in hair serum before blow drying. I haven't yet removed it - I'll do that when my hairdresser next calls in June. But Rob said that the skin underneath should not look dry or wrinkled. Then I'll re-attach them with wig tape. The hairpieces stick to my smooth bald bits but as yet, I can cover them with my own hair so any small gaps don't matter. I hope you can sort out something similar. X
  • Liz

    Hi ladies. I have a clip on fringe, half wig and full wig. I am happy to send  before and after pictures to anyone who is interested in how they work, what they cover and how they look. I love my clip on hairpiece. For me it has changed my life and would recommend it. I no longer post pictures on here because once posted they show up in any google image search but I'm happy to email to anyone who is interested ;o) 

  • MJ

    Liz, i am interested in seeing pics. It is so good to hear that you are happy. It gives me comfort to know there are options down the road. If I put my email address in this post, will it be out on google as well? Is there a way to privately message you with it? MJ
  • Classical Anne in NC mountains

    Wow, Jules!  I never imagined you could keep it on that long!  Very encouraging!

    Liz, I will leave a message on your profile page, if you really don't mind sending me pics.  You are so kind to offer.  And I am so glad to know just how happy you are with all your new hair!  Thanks!

    Anne

  • silversurfer

    Liz I. Would love to see your pics especially of the clip on before and after . I am about to get a wig as I am now not going out unless I can wear a hat as I am so self conscious about my Hairloss sandra
  • Liz

    Hi. I had 3 friend requests this morning 2 of whom had written their email addresses for me to email some pictures to. Unfortunately as soon as I had accepted the friend requests the email addresses disappeared :o( Please could those who want pictures message me their email address again.

    MJ, if you request me as a friend and then message me privately the message stays private. 

    Thanks xx

  • Classical Anne in NC mountains

    Hi All.  Not sure what happened, but my link to this discussion has not pulled up ANY posts since last Saturday.  Can't believe all you ladies have been silent that long!  Any idea how to rescue presumed lost posts?

  • Jen S.

    Test post - hi y'all -- just seeing if the post goes through.  No need to reply. 

  • Classical Anne in NC mountains

    Thanks, Jen.  Came thru alright.

  • Celia

    Must have been a blip.  All that talk of Avodart !!  I lost all prompts to look at posts for a while too.  I go to an old message to get back in - strange.

  • Celia

    Ladies, we are approaching 2 years now of communicating on this site............................. June 2012 it began.

    I believe we have all learnt from each other and have given and received wonderful support.

    It would be great to hear from friends who haven't spoken for a while here.  Perhaps you have moved on somehow - that's good.

    Best wishes to all.

  • Jen

    Cekia,

    Thank you for creating this forum for us to use. It is much better to have contact with FFA sufferers and share coping skills. Thanks everyone for your input.

  • Jean

    Hi everyone

    Reading comments from fellow sufferers has kept me sane!  We've just returned from Italy and I've been bitten to pieces by mozzies (no hair on arms or legs).  I had to get antibiotics when I got home because I seem to have a reduced capacity to fight infection.  The FFA is very slowly advancing but I'm determined that it won't take over my life.  The information on 'part wigs' has been particularly welcome so thanks to you all for your helpful and positive comments.

    Love Jean

  • MJ

    Hi all, Has anyone had minor surgery without a flare up of FFA? i somehow managed to jam my big toe nail back into the nail bed. It was initially swollen ans painful but subsided. Went to foot doc amd she said probably need to have nail removed, but is ok just watching it. Well, with actvity, it is sore again. I am nervous about any even fairly minor procedure reactivating FFA.
    If the goal is to avoid inflammatory response from surgery, then leaving it as is, with a sort of chronic inflammation is probably not a good option either. Any insights? MJ
  • Jules UK

    Hi, can I just check with C, Sammi, Caro and Pam please, whether they had a message from me? I've asked you all whether you'd mind piloting our hairloss steering group survey. Please would you check your messages? Thanks so much...x
  • Celia

    Jules - I have completed this but have no idea how to send it on - or to whom. 

  • Maddy, California, U.S.

    MJ, I had surgery (not real minor either) in early March and had no flare-up of my FFA. My surgeon had me take Arnica and Bromelain a few weeks prior to and after surgery (and had me stop all other supplements) to reduce the inflammatory response. It worked wonders for me.

    Jean, That is interesting about your reduced capacity to fight infections. I posted a long post under the topic "Could Antibiotics be a Trigger for FFA," regarding the fact that I was recently diagnosed with Common Variable Immune Deficiency," Subclass 2 and 3 deficiency...which my doctor indicated could, at some point, make me have a reduced capacity to fight infections. So far, it hasn't, because my other two immune systems (subclass 1 and 4) have been compensating, but at some point that will probably stop. 

  • Jules UK

    Thanks, C! Would you just email it back to me as an attachment please? Sorry, I should have said. There's another telephone conference on Thursday and I think we'll be discussing the pilot survey and people's responses to it.
    By the way, I had a bout of cystitis this week and rather than opt for antibiotics as I've always had to before, a friend recommended Piriteze. It worked! So I'm going to take it regularly now as I think some of you do already. X
  • Classical Anne in NC mountains

    Jules & all, there's a good reason the cetirizine [generic for Zyrtec, Alleroff, Piriteze] seemed to work for your bladder infection.  But you'll also need to remain somewhat vigilant to your bladder's cues. 

    One of my most difficult autoimmune diseases is Interstitial Cystitis [IC].  It was diagnosed 17 years ago, though it evidently began sooner.  Throughout adulthood I suffered with chronic bladder infections, as many as 6, 8, 10 a year.  As a result, I was prescribed way too many antibiotics, developed allergies to some, total resistance to others.  It is thought this may have contributed to my developing IC, in addition, of course, to my susceptibility to autoimmune disorders, including FFA. This goes to the Discussion thread that Anne Louise began about the use of antibiotics.  I just hadn't gotten to writing it out on that one, but feel compelled to now, based on Jules' current problem.

    The result is a sort of laceration of the bladder lining, with intermittent minor hemorrhaging. The symptoms are very much like what most people call "cystitis", i.e. a bladder infection.  Except in IC the discomfort never leaves, there is NO infection, and no cure.  So there won't be that tell-tale proliferation of white blood cells in your urine.  And in fact, a urinalysis will show nothing, and a urine culture will be totally inconclusive.  The only way IC can be diagnosed is by cystoscopy with hydrodistension.  Don't need to go into that.

    But the important common factor is that the physical symptoms of urgency, burning, etc. are caused by a histamine / mast cell overreaction.  So any antihistamine will calm your bladder down [but of course, only temporarily with IC].  I have been on 100mg hydroxyzine antihistamine [brand names Vistaril, Atarax] since 1998, and still have considerable break-through pain, for which I take many other meds. 

    The benefit of that strong and constant antihistamine is that I think it has spared me the relentless itching scalp which is FFA's histamine reaction.  [not to say my head never itches, because it does fairly regularly, all around the active areas, but not to the same degree some of you seem to experience, particularly PamW I think].

    Yet taking all that antihistamine so long obviously did not spare me developing FFA in the first place, as that is a fairly recent development [diagnosed 10 months ago].  Which confirms [in my mind] that the histamine reaction is a symptom, not a cause.

    By the same token, Jules, you need to be aware that taking antihistamine for a bladder infection, you may be eliminating the histamine reaction, and therefore eliminating the symptoms.  But you have not necessarily eliminated the infection. [to be continued] ...

     

  • Classical Anne in NC mountains

    CONTINUATION

    For any of you ladies who have frequent bladder infections, I strongly recommend insisting on a urine culture [not just a urinalysis] to determine if there is any live bacteria causing an infection.  If there is not, please DO NOT take broad spectrum antibiotics "just in case".  By all means, take over the counter [or even prescription strength] antihistamines, and also Phenazopyridine [brand name Pyridium] or others that color the urine bright orange, in order to calm the bladder.  [One of my other prescriptions turns my urine bright blue!  But it has no effect on the IC disease, just helps control the symptoms.] 

    Sorry to have gone on so long with this, but as we all now know, when susceptible to one autoimmune disorder, we are susceptible to many others.  I would hate for Jules to feel 'cured' of the bladder issue through the use of antihistamines.  There may still be infection lurking.  And on the other hand, if the symptoms keep returning, you need to be certain that there IS infection before you start taking multiple antibiotics.

    Whew!  Off my soapbox now.

    Best wishes to All,

    Anne