Frontal Fibrosing Alopecia

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

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  • Lauren

    So I have a question to you all who have had inflammation, itching or both. Before I was diagnosed my scalp at the front would get itchy and scaly so occasionally I would end up picking the scaly skin off, I'm sorry if that is gross. What happened is that it would just get raw. My reasoning was that i thought i just had dandruff/dry scalp because that was what hairdressers and derms had said. So I thought if I got the scales off it would be better and go away, but obviously it just exacerbated it. Now I'm worried that maybe that picking actually made me lose hair. The loss is more on the left side and the inflammation scaling was usually more towards the right. Idk, I hate to think I may have actually caused more loss then I would have actually had if o had just not touched it. Also , when I would pick I was careful and never pulled any hair out and hair never just fell out after that I noticed.
  • Lauren

    I should also add that there were other places on my scalp I would itch and pick too but never any hair loss there
  • Lauren

    So I realized I didn't even ask the question, has anyone else itched their scalp really badly where inflammation was or what do you think about this?
  • MnM

    Lauren, I doubt you lost more hair by scratching, I wouldn't worry yourself. My inflammation/scaling/itching is on my front hair line and that hair loss has been the slowest. My temples, where I have lost more than an inch have never even itched, I just had pimple looking things at the hair follicle. I think FFA symptoms vary from person to person and even within the same person. Don't worry yourself about having made it worse. Either way I hope it slows for you!
  • Lauren

    Do you think the scratching would have given a false positive for the biopsy, like the biopsy showed the type of inflammation from LPP/FAA simply from having been scratched enough?
  • Liz

    MnM. Yes it a system from Lucinda Ellery. I've had a lot of lovely comments about my hair over the past few days, since having it done. I'm also getting used to having hair blowing in my face for the first time in about 4 years!

  • Kat

    oh Liz, that sounds so exciting. Can I ask if the systhem only covers the parts that are bald? and do they use your hair for the pieces or other real/fake hair? i do start missing my frontal hair more and more and often find the efforts around getting ready to show myself to the outside world quite tiring and stressfull and sometimes upsetting. I have managed to get some of my eyebrows back and add and fill in with the eyebrow kit from benefit which works well so far. But - this lace systhem does sound promising, though i fear also very expensive... currently i wear a wide headband like you on your photo. but i always worry that it has moved after wild hugs of my kids or wearing a hood and so on. i am lucky to have lots of curly hair on the rest of the head, so most people dont notice. its weird when they comment on the nice hair - it sometimes actualy chokes me as I know that it actually isnt and how stressful it is to maintain it looking 'normal'... I havent been actuve on this board much , but reading the posts does make me feel less alone with this stupid 'illness'! :) so: Thanks to all you brave ladies out there on this forum that comment and discuss!! xx
  • Liz

    Hi Kat. The system covers the bits that are bald but also, due to the length of my own hair, it covers the remainder of my own hair. There is a mesh covering the bald bit and they pull your own hair through at the edges to secure it. They then connect and sew in real hair which closely matches your own. I wanted a natural hairline so right at the front I do have to put a little piece of tape to hold it down. The system is expensive. It's around £2000 for the initial system which should last for 2 years. However you have to have the connections adjusted every 2 months and they charge an hourly rate. A friend of mine has the same system. She has had it for a few years and her hair looks lovely. She swims in the sea every day and so it seems quite strong. If you would like me to email you some photos message me and let me know your email. xx

  • Kat

    Thanks Liz! it sounds amazing (besides the price) ;) I think I will have a look into it and also ask my derm if there is any funding available to help with cost. I cant even imagine going swimming and getting the hair wet in public anymore... wow! I have seen that you are also from Brighton! :) yes, i would love to see a picture if you are OK with that? no worries if you change yiur mind! i will try and message you my email! Thank You!! :) x
  • Liz

    Hi Kat. Thanks for the friend request. I see that you sent me your email. When I pressed yes to accept your request your email address disappeared. Please can you send me it again. How fabulous that you live in Brighton too! :) xx

  • Jen

    LIz,

    Congratulations on finding a solution. It is wonderful that you share this with us. Happy Holidays.

  • SJC

    Can anyone share whether they have multiple types of alopecia  in addition to FFA?  I was originally diagnosed with FFA only, yet now my derm believes I have a secondary form of alopecia which is resulting in major shedding on my whole head.  There are days where I truly wish I had the courage to shave it or that it would simply all fall out.  At least then I wouldn't worry any longer nor would I feel in limbo with one foot in and one foot out of the alopecia doorway. 

  • Marilyn

    My derm also said I may have other hair loss issues like thinning but didn't mention any alopecia except the diagnosed ffa!!   I'm in the age group where I believe many have thinning issues-ugh!  Hope this helps.

  • Wyobalance

    I know of someone that has ffa and androgenic loss.  Her hair was thin most of her life.  Minoxidil has worked wonders for her thinning, though she continues to have the ffa loss.  It's amazing.  She has additional hair throughout her scalp, about an inch long now.  That worked for her (androgenic only).  May not work for everyone as we are all different.  

  • Lauren

    Wondering if anyone has sebhorreic dermatitis the or rosacea along with FFA. I've always had what derms said was sebhorreic derm. One bad area was around the inner corners of eyebrows where it will get flaky and red bumps. I have now noticed a bit of thinning here and am worried that I may have contributed to this by flaking the scaly skin off and squeezing the bumps. For anyone who has had eyebrow loss, how did yours start? Did it start in one particular area, one eyebrow in particular etc? And who has noticed an association with having seb derm or rosacea along with FAA?
  • SJC

    Thanks for the replies about other alopecias in combination with FFA.  I continue to shed, but since a brief prednisone pulse and starting finesteride (1 month in), I'm seeing less shedding; I would also swear I seen new  growth (could it be?) at my temples and just above there at the frontal/side hairline.  I'm also using Cordran lotion on my entire head overnight with a shower cap every other day.  I may try minox on the off days, although my doc has never even mentioned trying it.  FFA is a chore!  If I see results and slow progression until burn out, it will be well worth the hassle.   Best to all fighting this fight.

  • Luisa

    Hello everybody. This is my first comment on the site.
    I was diag. in 2013 but probably started with eyebrown loss on 2012. After two years of steroid injuctions I am now under hidrossiclorochine and tracolimus. It seems help but does not stop hair loss.
    I need your comments and experience on effects of salon air dye. It seems to me that it worsen the hitching....
  • Wyobalance

    I know of one woman that swears hair dye triggered her hair loss.  She also has a number of other allergies and sensitivities.  I don't know of anyone else that has said that they thought hair dye was related to their hair loss.  

    Looked up hidrossiclorochine, apparently that is the same as Plaquenil which is used in the U.S.

  • sallylwess

    Dear FFA Friends,

    I hope your Christmas was a great one.  One of the best things I did for myself this year was to have this custom hairpiece made.  It is designed to cover just the front portion of my forehead and the hair in the back covers the bald places I have developed at the crown.  It is handmade, synthetic hair with a lace front.  The hair strands were picked to match my own hair.  The side curls are my own hair. If you look at the back of the hair in the mirror, you can see my own hair in the back.  I love it!  Thanks to Jennifer at Strands for this.   http://www.strandsmedicalwigs.com

  • Jen

    Hi Sally,

    you look wonderful!  No one could ever guess. It came together seamlessly. Thank you for sharing this triumph with us.  Please tell me the process of attaching it, and how long do you wear it before removal. I love hearing (and seeing) stories of people who have figured out how to live with this awful condition. 

  • sallylwess

    Jen 1, thank you.  I attach it with sewn in clips on the sides near the top and a bit of two sided medical tape in the front.  I wear it during the day.  I style my hair as usual, attach the hair piece, blend it together, and I'm on my way.  

  • Jen

    Thanks Sally. I am looking at the photo (the front) and trying to figure out which is the piece and which is your own. Is it the side swept bangs and the upper portion of the temple area all the hair on the hairpiece?

  • sallylwess

    Yes, Jen 1.  The side swept bangs, which I have sense had cut into bangs, and the upper portion of the temple area are hairpiece.  The curls below in the front are mine.  The piece is not a topper.  A pattern was drawn on paper of the portion of my scalp without hair.  This was used to form the base where the hair was attached for the hair piece.  I experimented by cutting up old wigs before we made the final piece.  

  • sallylwess

    Should say, "since cut into bangs."

  • silversurfer

    Wow it looks so natural.
  • Jen

    Sally,

    This piece seems to really fit the needs of our group. Great job.

  • Marian

    Wow! You look so wonderful and I can tell by your smile you feel great. Thanks for sharing that with us!
  • LoriO

    Thank you for sharing sallylwess!  I am just at the point of investigating getting something like this.  It looks great!

  • Sad in chicago

    Ladies, congratultions to Sallylwess!  I have been mentioning and offering advice on a custom clip in piece since I joined.  They save the day and I feel so much better while wearing mine that I won't leave the house without it.  However Sally, yours looks even better and more natural than mine.  Great job!  Happy Holidays.

  • Luisa

    Hello everybody. Has someone ever heard of hair transplants in FFA cases? My derm thinks that it may work for three four years.
    thank you
  • MJ

    Louisa, we are not candidates for hair transplants as the procedure would cause inflammation and activate the condition.
  • Sad in chicago

    yes my research indicates it could happen all over again, and the expense is huge.

  • Tessa

    Hi,

    I'm new to this site and found the comments very helpful in terms of 'not being alone'.

    I developed FFA 2-3 years ago, age 51, at exactly the same time I was diagnosed with coeliac disease, although the FFA was only recently identified. I started by losing all the hair on my arms and legs, then gradually more typical symptoms appearing around my face, most recently the eyebrows. Sounds pretty standard from reading the comments below.

    I'm wondering if anyone else has the same connection between these auto-immune conditions and

    if high levels of stress make it worse? Seems to for me.

  • MJ

    Tessa,
    I think many of us have cited stress as a factor. Do your best to reduce your stress level as I really believe it is the way to calm down your immune response. Easier said than done, I know.
  • Luisa

    Hello Tessa. Upon my first derm and diagnosis the ffa was due to hogh level if stress of my condition of working mother of three little children etc. The following derm, who has reputation in Eu and Us in scalp diseas,prof. Tosti, the cause if the diseas is unknown but most likely due to environmental factors. High level of stress work to get it worse. I am personally fighting it with yoga. Do your treatment,find a doctor you can trust and who knows this diseas and keep on doing your best to smile and enjoy your life.
  • Elizabeth

    Hi all, I'new to the site I was diagnosed with frontal fibrosing alopecia almost 16 years ago.
    I was prescribed & have been using Plaquin since diagnosis. Around 6 months ago small red bumps started appearing on my scalp however in the last month these are now covering my scalp are sore itchy & appear like white head pimples. I have also recently had burning & itching & have now been prescribed protopic.
    My hair had previously fallen out as expected in a type of hair band shape around the front of my head. More recently however i have started losing hair from the previous frontal loss towards the middle / crown of my head. I'm wondering if this is the norm with this particular type of alopecia or if anyone else has experienced this?
  • BBQueen

    Wyobalance- I received a very bad hair dye job that I thought may have triggered it. Interesting that your friend thought that too.
  • SJC

    I've never equated my FFA with dying my hair.  I do, however, have long thoughts about my use of Sambucol/Elderberry Syrup (an immune system booster that is a flu and cold preventative) as triggering/progressing this autoimmune disease.  Also, and I see a lot of buzz about this on the web in a frenzied fashion, I used WEN hair products for a while and then started having major hair loss.   I don't know...if I could figure out why some people's immune systems go haywire, I'd be a wealthy woman! 

    Stephanie

    Diagnosed 4/15.  48 y/o.  Not menopausal.  Have lost 1 to 1.5  inches at front, and over 50% thinned throughout.  Currently on prednisone pulse to stop a major shed that began in October, Cordran lotion and finesteride 5 mg.  Tried doxycycline (gave me ulcers) and plaquenil (started the second big shed in October) prior to current regimine.

  • BBQueen

    I heard about Wen products causing alot of hairloss but I'd think it would grow back once one stopped using it. I may have also heard about the flu shot as a possible cause of hairloss. I will not be getting one next year! I just started finastride, with metforium (for insulin resistence and "it works" hair growth vitamin. Praying for a miracle!!!
  • SJC

    I wanted to share something I learned today with all of you.  For those who may be interested in an interwoven hair system such as Linda Ellery, but would find it impractical to travel far for initial and maintenance visits, a hairdresser friend told me about Evolve hair systems.  This is also an interwoven system (integrates with your hair, no shaving, no tape, etc...)  meant for volumizing at the crown, yet it looks like it would certainly work with many stages of FFA too.  It is semi-permanent and acts as your own hair (swim in it, wash it, dye it, curl it, etc...).  Another great thing about it is you don't have to travel to a proprietary hairdresser to have it put in or maintained.  Even in my non-cutting-edge state, there are 7 salons who have hairdressers trained in working with the system!   And new salons are adding the product all the time.   If interested, go here and click the Volumizer tab:  https://www.evolvinghair.com.  For those that need something that fits into/doesn't disrupt an active lifestyle, this may be an option.  I have seriously considered Linda Ellery's product and wondered how I'd find the time and money to fly back and forth to either California or New York every couple of months. 

  • LoriO

    Thanks for the link SJC that looks like the best thing I've seen so far, and you're right, there is a salon in my area!

  • steph

    Hi all, heres a couple of links about shampoos and hairloss I've just seen. I've been using tresmee for years and wondered if it was the cause of my hairloss. http://wwwtresemmecausesalopecia.blogspot.co.uk/2009/02/tresemme-sh... https://answers.yahoo.com/question/index?qid=20071202014138AAH9kMs I recently saw a trichologist, she was amazing and it was nice to have someone understand and give me advice. The nhs just don't have time and weren't very helpful about FFA. I told the trichologist I didn't want to use steroid cream, she recommended I did use it or at least use an antiseptic mask. At the moment I'm alternating between her homemade antiseptic mask and warm salt water before washing my hair. I'm washing my hair gently and only twice a week now still using dandrazol shampoo (which I find stops the itching) and I'm also using her homemade shampoo and conditioner as im frightened of using normal shampoos and want to avoid perfume or fruit enzymes as they can aggrivate the scalp. She informed me that doctors might say iron and thyroid levels are ok and they are ok for other people but not for someone with hair loss. So I spoke to my doctor about my blood tests again and I'm now taking iron supplements for a couple of months. Iv also recently learnt its best to avoid using face creams too close to eyebrows and hair line as this can prevent growth. Hope some of this helps :-)
  • Let's Solve This

    It has been a while since I've commented on here, although I check periodically and catch up on all the comments. I am saddened by how many more women are being diagnosed with FFA and I continue to think there just has to be an answer to what is causing this disease. Several weeks ago I had another idea that I wanted to bounce off everyone. As I was about to fall asleep one night I realized that the areas where I've lost the most hair (for me, the sides of my face and outer eyebrows) are the areas that are pressed into my MEMORY FOAM PILLOW when I sleep. Crazy thought I told myself, but the next morning I started googling the Internet, and sure enough, memory foam as well as the chemicals used on it, are known to cause allergic reactions and to cause problems with immune systems for some people. Does anyone else sleep on memory foam pillows and/or mattresses? Do you think there could be a connection to FFA?
  • MJ

    I never used a memory foam pillow but just bought on a couple of weeks ago so I hope that is not the case! For me it was not the cause of my FFA but ?I don't want to worsen things!
  • DW

    Interesting thought. And I think we have to think along those lines. I have never used or owned a memory foam pillow so I know that's not the cause of my FFA. However,I agree there has to be some external factor that's causing an allergic type reaction and it must be either some new product or something that's changed since the late 80's or early 90's. I've wondered if it might be the plastic frames of eyeglasses. Most of us are of the age where we would be wearing eyeglasses and the frames are made of different plastics/composites which have changed since the early 90's which is when this disease was first diagnosed. Don't just think eyeglasses, think sunglasses as well. And what about when we wear them up on top of our heads/foreheads...
  • steph

    DW and let's solve this, really interesting points....plastics and what we sleep on are def things to think more about.
  • Elizabeth

    Hi, some very good points I wonder if allergic reactions could be the cause. I have never had a memory foam pillow however do wear glasses.
    Myself I thought perhaps it was linked to a hysterectomy I had which caused me to lose 7 pints of blood, it was after this that I began to get all my ailments.
  • Ann Wilson

    Wow, plastic eyeglasses! That's a thought! I have wore glasses since 6th grade although not all that time was I wearing plastic frames but many of those years I was and am! That just puts a new spin on things,doesn't it!

    Anyway I was wondering if anyone has used this product before? Looks interesting....

    http://www.justnaturalskincare.com/hair-loss/alopecia-hair-loss-tre...

  • sallylwess

    Let's Solve This, I think you and I have been on the same wave length.  I recently have been having such neuropathy that has really bothered me at night.  I also wake up so hot that I can't tolerate it.  I sleep on memory foam bed and used a memory foam pillow for a long time.  I recently stopped using the pillow because I wondered if it had anything to do with the hair loss.  Quite honestly, I think there are many factors that play in to FFA/LPP.  I don't think it is any one thing.  I think some of us are more sensitive to environmental/social/stress stimulants that cause our systems to go haywire.  I think genetics play into it. If eyeglasses caused the problem then I'd see many more in my social group with the same hair loss.  I personally rarely wore glasses until my late early 50's, and then I only wore them to read.  I dyed my hair, but so did my sis.  She has her hair.  I never had a hysterectomy.  I did take hormones.  The list goes on.  I do wish we had answers.

    Ann Wilson, I think that product might help soothe.  I see it has the same ingredients as others have suggested in the past.  

  • Maz

    I'm sceptical about plastic in something which really doesn't touch the scalp but wouldn't discard the idea that something you put your head on for hours every night could cause a problem. However, in my case I could easily believe that it was the HRT I was on (and still am on). Specifically the testosterone which was apparently at too high a level for some time. Having cut it back I definitely am not noticing so much hair loss. Of course that may just be a coincidence but I have read that if testosterone levels aren't properly balanced by oestrogen there are likely to be side effects. I had none except, maybe, the hair loss. Seeing many of us are at an age when hormone levels are likely to fluctuate wildly it may be that this is one reason (but only one of many). I hope not because I'm not sure that I'm ready to give up the benefits of testosterone and having experimented with the dose I know it works for me.