Frontal Fibrosing Alopecia

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

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  • Liz

    Debs, you look lovely. I want one! That's just the style I'd go for. It would give the hair that I've always wanted :o)
    I am going to see Dr Harries next Friday. I am travelling up from Brighton for the day. I've never been to Manchester before so it's a shame I wont have more time there. Are there any questions that anyone feels it important that I ask, either for myself or for all of us. I'm a bit crap at talking when I'm nervous. I want to get as much out of this appointment as I can. Anything you all think I should ask would be helpfull :o)
    xx

  • Debs

    Liz, if you check the previous page I posted some info for you a couple of days ago, I saw a page band wig that looks just like your hair in the photo on this site, on sale at the wigtrendz website. I have just got this new wig from them and have also ordered a page band wig too. I know you had mentioned you were looking at wigs a little while ago. I don't have any questions for Dr Harries, I stared on the hydroxchloroquine a few days ago. Take it with breakfast and dinner. No problems with it. Dr Harries is very nice Liz so you don't need to feel anxious talking to him, he is very understanding or our situation.

  • Alice

    Rebecca, the excimer laser treatment you referred to sounds very exciting, especially since it doesn't involve drugs w/ negative side effects. See http://archderm.jamanetwork.com/article.aspx?articleid=1105344
    I agree that would be a great question for Liz to ask Dr. Harrise.

  • Debs

    Wow, I like the sound of this laser treatment. There don't seem to be side affects using it either.
  • Jules UK

    I don't know if anyone noticed, but one of Dr Harries' papers is referenced in the article, which suggets he may be aware of the research. It's exciting and at the same time frustrating to know something might help our condition but we can't get at it (yet)!

  • Debs

    Jules, yes I went back and looked his name is referenced but he may not be aware of the article if the Dr doing the researched was only referencing Dr Harries earlier work.
    Liz, can you run this past Dr Harries on Friday please - EXCIMER LASER treatment with Alice's link below.

  • Liz

    Hi Debs. Yes I will mention it to Dr Harries on Friday.
    Have any of you heard of 'Hair In XS'? They specialise in a mesh hair loss system apparently. I realised last week that thier shop is about a 5 minute walk from my home. I popped in to thier shop on Saturday and thier before and after pictures are very impressive. Anyway I have an appointment on Wednesday to learn more about it :o)
    x

  • Simone NJ USA

    Hi Liz:

    Let me know how it went & what they suggest...xx
  • Debs

    Liz, I have not heard of that specific hair system but I have met a lady with FFA wearing a hair system, it was excellent, she goes to a place in London www.greatlookinghairlondon.com mob 07949 207848 I would go to your place and maybe check these guys out too and see their prices. I met this lady in December at a support group meeting run by alopecia UK. I can definately recommend this salons work having seen how it looked on her.

  • PamW San Diego, CA, USA

    Hi, Liz. good luck with your doctor this week. if you get a chance can you ask the doctor if he recommends shampooing more often or less. is it better or worse for our scalps? Also, I have noticed that I can go for days with minimal hair loss and then all of a sudden if I run my hand through my hair, I will lose hair. it is not from the front or sides, nut rather an all over thinning. Is that typical,of what others are experiencing?
  • Liz

    Thanks Pam. I have an all over thinning of my hair. It's a lot different now than it was. I notice it especially before I do anything with it in the morning. It sticks out like there is electricity running through it. Also there is a lot more noticable shorter length hair thats about 3 or 4 inches long and this shorter hair sticks up!
    xx

  • Jules UK

    Liz, good luck Friday! I believe there is an excimer laser in Birmingham. I read about a man who had treatment for psoriasis. Would you ask Dr Harries if he knows of anywhere we could get treatment, even if it might not be available on the NHS? Are you staying overnight?
    My hair is also feeling generally thinner but is receding more than ever at the front, in spite of all the treatments I'm trying. I feel as though I'd go anywhere and try anything sometimes. X
  • Alice

    Liz, the static electricity look and shorter hairs sticking out sounds as though your hair may be dry and breaking off. There are products available that are supposed to help this. Perhaps you could ask your stylist to recommend something. I've noticed that my hair is a lot drier than it used to be. Don't know if it's related to the FFA or not.

  • Sigga

    Hallo I'm new here and I have had LPP for 3 years.I am happy to have found this group.Here I see that some of you have tried the same drugs and creams as me.

  • Lorn. New York, USA

    Liz. Good luck with Dr Harris. From the sound of it he seems like a great dr who is up on the latest regarding this dreadful disease.
  • Lorn. New York, USA

    Oops. Spelling... Dr Harries
  • Debs

    Yesterday I posted on another alopecia website did anyone know about excimer lasers... 2 guys have replied that they are aware of several small scale studies and it is being talked about as helping alopecia areata, they don't know if it is going to be offered as a treatment option on the NHS in the UK but it has been shown to be effective. Lets see what Dr Harries has to say about it. Good luck Liz, thinking of you today. xxx

  • Heidi Short UK

    Hope everything went well yesterday Liz, I was thinking of you. He probably won't tell you anything new but a Friendly professional opinion will hopefully keep you positive!x

  • Liz

    Hallo :o) What a lovely man Dr Harries is. He was friendly and considerate and listened to all my concerns. I didnt feel at all rushed and I sat talking to him for about 40 minutes. He told me the same things that he has told those of you that have seen him, that they dont know why and who this conditin affects or the eventual progression. We talked about medication etc. He looked at my hair now and compared it to the clinical photographs I had taken back in September. We both agreed that I have lost more hair since then. He also checked my nails which are very pitted.
    He wants me to take Doxycycline until I see him again in 3 months time. He wants me to double it to 200mg daily. He injected steroids in one area of my hairline and says if that goes ok he will inject all along the hairline next time, it didn't hurt at all (hopefully to stop the inflamation underneath). He also suggests that I use mens strength of minoxodil (Regaine) because I have thinning over the top (which may not be related to the FFA).
    I asked him a few other questions. Swimming is fine. There is no evidence to suggest that diet has any impact on this condition. I mentioned the Excimer laser treatment and he said that there is no evidence that it works. He said that me and my mum both having FFA is very rare.
    For any of you in the uk who are thinking of getting an appointment with Dr Harries, I recommend it. He knew about the forum :o)It was so nice to meet with a professional who has a real passion for this condition and who is happy to sit with you for as long as you want to talk.
    xx

  • Caro UK

    Hi everyone. So glad your appointment with Dr Harries went well Liz. Good luck with your treatment.
    I've not felt at all well for several days. Burning pain in my stomach and abdominal cramps. My husband has had similar symptoms otherwise I would think it was the hydroxychoroquine that was causing the pain. I've noticed that after I take the drug I have stomach pain but that it passes off quite quickly. I always take the tablets just after a meal.I've missed several doses as I haven't felt well enough to eat much.

  • Debs

    Liz I am do pleased you are now also seeing Dr Harries. I am relieved that the injections don't hurt as he did say he might give me some next time.

    Liz, thanks for asking about the laser, the poor man must wonder what our group are going to throw at him next.

    Caro, I take my hydroxy with food, sometimes that is just a couple of pieces if fruit for breakfast and I drink a glass of water to wash it down, I have not felt any queasiness at all, maybe me drinking a glass of water helps to calm my tummy down. But as your

    hubby also feels a bit poorly then like you say hopefully it isn't the drug.
  • Caro UK

    Hi Debs,thanks for the advice. Sounds like your diet is really healthy and you work out a lot. You must be very fit! I am feeling better today. I went to work on friday which didn't help my recovery. I really should have called in sick but I didn't want to let the team down. By the way, I've just read one of your posts that said you had been advised to use Dermovate for only two weeks. Was that from Dr Harries?
    Liz I think you are very brave to have the steroid injections into your scalp. I do hope this works for you. Dr Harries is clearly the expert on this condition so you are in excellent hands.

  • Liz

    The steriod injections didnt hurt at all. Dr Harries told me that they can be uncomfortable and I braced myself for pain but they were not painful at all.I would be happy to have them all the way along next time.
    x

  • Jules UK

    Celia, I really agree with your sentiments. And was disappointed with the reply that Liz had to her enquiry about the the laser treatment. Like you, the answer to all my questions was ' we don't know', and I value honesty about the situation. But any trial , however small, that has shown some success is surely worth consideration. Perhaps Caro could mention it to Dr Rajpar? I've been taking doxycycline since Dec and noticed no slowing of hairloss. Feeling resigned to what will be and pretty fed up at the moment.
  • Caro UK

    Jules I am sorry you are feeling low. I am taking hydroxychloroquine but Dr Rajpar has said there is no guarantee it will halt my hair loss. It does seem to have worked for some women. I'm seeing Dr Rajpar agin in three months. Wish I could pack up work as my job is pretty stressful and I'm sure that's not helping. In fact it may well have been the trigger that set this thing off in the first place.
    It is worrying that the steroid injections given to Celia and Rebecca have caused ridges and indentations but not actually helped reduce the hair loss.

  • Lorn. New York, USA

    Hi. I have had injections for 7 months now. It is hard to tell what is working or not. I don't see as many raised red dots around the hair follicles or as my hair dresser says the doll head hair but I definitely have veins showing on my forehead and in the temple region. The skin on my forehead is thinner as well. The injections in my eyebrows have caused dents as well as bruising. I have been told they go away once you stop. The thinner skin will not get thicker. At times i feel pretty badly about it. I feel like i'm getting beat up with this regimen. Having said all ghat, I do feel this has all slowed the hair loss and I got a little bit of regrowth in the temple area. My fear is if my skin gets too thin, I won't be able to do a hair system. Also, the Dr has told me not to use the desonide cream on the eyebrows and hairline. Instead I am to use rogain on the eyebrows. Regarding the steroid shots. I had them by my original Dr and they weren't too bad, but with this last dr, they hurt like heck (I go to a teaching hospital where I see different dermotologists under the direction of a top dermotologist). I have used the doxycycline in combination with the shots and I think it has all helped. The question for me is how long will I have to do this regimen. When I see the Dr, that will be one of my questions. One more thing, the doxycycline has made me very sensitive to the sun (which they do warn you to stay out of the sun). I remember last summer the sun hurting my scalp and last weekend being outside, watching a parade, my lips got burnt.
  • Debs

    Caro - I only used the dermovate lotion for 7 days in the end. Dr Harries did not prescribe it to me, another local dermatologist gave it to me, it was really only to stop any itching/redness if I had any - which I did not!!! Dr Harries did say that he has not found the dermovate to be effective for FFA.

    I really don't like the thought of having permenant marks left by these steriod injections, my skin is nice and smooth where the hair has gone, it is not unsightly (although of course I would prefer it to be covered with hair), I wear a wide headband to the gym and for casual times and I intend to just wear a scarf tied up in a bow sometimes in the summer so I really don't want any marks appearing on my head. I think I might just stick to the hydroxychloroquine sulphate and give these injections a miss. I feel after reading your posts that they might cause more harm to my overall appearance than the hair loss.

  • Sigga

    Hi I have used Thymuskin,Stimulant serum,Actigener(scalp and body treatment,Flagyl,Protopic,Dermovat,Actos,Plaquenil,Metronidazol creme,Regaine forte nothing of this have workd for me.Doxoycycline workd for my forehed it was so swollen.But now the skin on the forehed is so thinn and if I go in the sun I have to use a sunscreen 50+ and wear scarf.I have lost 3,5cm of my hear on my forehed and my skin feel like it is burning on the forehed and the eyebrow.And I also have bald spots on top of my head.I hope my Englis is ok..

  • Judy

    Caro, regarding the hydroxycloride and nausea. I also had stomach problems for about 2 weeks. Was eating only rice, chicken noodle soup, etc. But it did go completely away. However, I still always take it after a meal or with food.
    I saw my demeratologist today and we both agreed that the hairloss has probably stopped (at least for now) and irritation is gone plus quite a few eyebrow hairs are growing back. Amazing! I've been taking it for about 4 months so it is worth a try.

  • Sigga

    Hi Rebecca the Doxoycycline workd on my swollen forehed but my hair is still fall off.And Yes it is Wonderful in Iceland.Ok and What is the writer name..And now I'm not on any medication...

  • PJ - MN, USA

    Saw my Dermatologist today. She said things looked pretty mild for me today with the FFA and my rosacea. They now have the Excimer laser treatment. I forgot about the article someone posted on this treatment, so I didn't ask her to much about it. They have only had it a month or so I think. Currently it is used on the scalp for inflammatory skin conditions. She wants to try it on my eyebrows since my scalp is not that bad yet. Don't think it has been used on eyebrows yet. Very experimental. It is also very expensive - around $3000 per treatment,not covered by insurance and you have to go twice a week. Needless to say, I can not afford to do that. Plus I'm concerned about the safety of the laser so close to the eyes. You do have to wear goggles. I got steroid injections on my scalp and eyebrows. They are painful on the eyebrows, not to bad on the scalp. I get the indentations on my head, but so far none on the eyebrows. Not sure how long I will continue with the injections. I have been on doxyclycline a month now so to soon to tell if that is helping. I now am to use only the clobetasol foam the night before and night after I dye my hair. I also asked about diet. There is no scientific proof that shows diet helps with inflammatory skin issues. So nothing different recommended there except to try to eat healthy. Sigga - my husband and I were just talking the other day how we want to travel to Iceland. We hear it's a beautiful country. Judy - How do you know your hairloss has stopped? Have you had that happen before and then start up again?

  • Lorn. New York, USA

    Hi Celia, I have been thinking about eyebrow tattoos for a long time - but am a little nervous about it looking natural - or as natural as can be.
    That is encouraging that yours have turned out well. I'm not going to say money isn't a factor - but I am willing to pay the price for a good job - I just have to find one in my area who is very good. How long have you had yours and have you had any touch ups?

  • Debs

    Lorn - re eyebrows, Celia and I go to the same lady in Chertsey, Surrey. You get touch-ups approx every 18 months. The cost is £410.00 for people with medical conditions. You have a consultation first. Then go back for your first treatment, then a second treatment a month later. She is excellent, it does not hurt (some other practioners go too deep and it is painful) the healing process is really quick because she only works on the upper layers. I had my brows done by another practitioner before and she was not anywhere near as skilled.

    Check out the website www.belindahayle.com and you can see photos of clients.

  • Debs

    Judy, delighted that your hair loss has stopped, I have only just started on the hydroxychloquine. Can I ask please; are you using any other drugs?? also you posted a few months ago your Dr advised using probiotics every day, what are you taking ?? as I would like to also be proactive in safeguarding my health now I have an autoimmune condition. Ta xx

  • Sigga

    Ok Rebecca,Arnaldur and Yrsa they are really good writers.I have to but some more picturs so you can see how my hair has become...

  • Simone NJ USA

    Hi Judy:
    You me ruined that your eyebrows are growing back(yeah, great!)..were you putting anything on them or just started to grow back?
  • Simone NJ USA

    Judy..
    Sorry..that message made no sense..lol..you mentioned that your eyebrows are growing back...did you put anything on them?
  • Liz

    I'm feeling rough. Im not sure if I've caught a bug or if it's the antibiotics or the steriod injections. Anyone else feel rough when they've taken Doxycycline and does it get better?
    x

  • Lorn. New York, USA

    Hi Deba. Thank you for the eyebrow info. I would love to go to the person who did yours because judging by your picture they look really good I would never have quessed. I probably didn't put it out there but I live on Long Island New York. So if anyone knows a good perminent make up person let me know. Although - it could be. Great excuse to visit the uk
  • Simone NJ USA

    Hi Lorn:

    I live in New Jersey and there is a place that offers the embroider tatoo(fine hairlike strokes for natural appearance for the brows). It's called The Whitney Center for Permanent Cosmetics. They have branches in NY/NJ/FL. If you go to their website there are several pictures of their work and it's amazing and natural looking!! The cost I believe is between $1000-1200. I hope this helps...
  • Debs

    Lorn, that is funny, I just got it in my head your were in the UK too. The hairlike strokes that Simone has just posted are what my lady does too. Very realistic.

  • PamW San Diego, CA, USA

    I have tattoos also, with hairline strokes and the cost for me was much less. You need to get a recommendation from someone who has already used the cosmetician. Also, I asked my dermatologist. They know who to recommend. By the way I grew up on LI and moved from E. Northport to San Diego.
  • Alice

    I have had very good results using Elidel (pimecrolimus) cream on my eyebrows. After about 6 months of use, they have almost completely grown back. It's quite expensive but the samples I got from my derm lasted a long time. I still use a light pencil/powder to fill the sparse areas but don't bother if I'm just going to the gym or something. I would recommend trying this before resorting to tattoos.

  • Lorn. New York, USA

    Pam - I live in huntington. I appreciate the advice from everyone. When I see the dermotologist, I am going to ask him if he can recommend a good professional tattoo cosmetician. Alice, I am also going to ask him about using elidel. I was using desonide but stopped that because of extended use and eye health.
  • PamW San Diego, CA, USA

    My scalp is really pink today. Wish I knew what makes one day different from the next. Has anyone received any advice about the frequency of shampooing?

    Also, I feel like most of my hair loss is now around my center part and not the temples and front hairline. Liz, when you went to Dr. Harries, did he think the Rogaine would help with this type of hair loss. Chris, did you try Rogaine (minoxidil)? Anyone else?
  • Simone NJ USA

    Hi Alice:

    I thought using Elidel is only for very short term use? So I'm surprised that you have been using for 6 months. Have you had any side effects and did you put the cream basically all over your brows? How how did you use the Elidel on the brows? Thanks...
  • ChrisC. Chicago, IL

    Hi Pam and all,
    I feel just like you, Pam. . . one day I think I can manage all this, since activity around the follicles seems less "angry". Then I get relaxed for a bit. . . I just got back from Florida where I didn't think about it at all. Now today I notice my hairline at the top of my forward is red, itchy and more sparse. I was religious about applying the Minoxidil 2X daily for months and the hairloss kept progressing. So I reduced to 1X in the AM before styling my hair. I'm thinner at the top as well and I'm not convinced that it is helping. I keep it up as I'm afraid if I stop outright, then who knows what would happen. So for now I am taking Plaquenil 2X day, with Protopic at the hairline at night and Minoxidil most mornings.

    I see less irritation at the temples, but the front hairline is still active. Yuck. . . my part seems OK and I had heard that FFA was just along the leading edges.

  • Debs

    I used Nizoral shampoo for a few months as that is recommend for inflammation but I have now switched to a very gentle shampoo that some people on another alopecia support website were using : Faith In Nature, Seaweed shampoo. I got it off Amazon for less that £6.00 It feel nice after I wash my hair and it does not have any paraben or sles and is fragrence/colour free. I am washing my hair less, I used to wash it every day but now a couple of times a week. I dont use any hair dye or styling products at all, just shampoo and leave it to dry naturally. I am of course wearing wigs so I don't need to style my hair. Apart from my front hair line I am not losing hair or having any thinning on any other part of my scalp, although that of course doesn't mean that I wont get that in the future.

  • PJ - MN, USA

    Debs you look great in your new picture. You look great in all the styles your trying, and you always have such a big smile on your face. Very encouraging for when that time comes for me. My Derm says to wash your hair every day to keep the follicles from clogging up. Which you don't want to happen with FFA. Shampoos/conditioners can leave residue on the scalp.

  • Chrisy, MA USA

    Lorn what side effects desonide gave you?? I'm using it for about 2 mo and I think it works for me.