Frontal Fibrosing Alopecia

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

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  • Debs

    SAMMI - as you have been seeing Dr Harries for 2 years you are well ahead of the rest of us in the UK that having only been seeing him for a few months... Can I please ask you to post what treatment you have received ? and any side effects and whether it worked ? Any info we share with each other really helps us to make informed decisions about what we are prepared to try. Thanks you.

  • PamW San Diego, CA, USA

    Just saw my specialist at UCSD, who reiterated that plaquenil is the safest of the immunosuppressants to use for the treatment of the disease. He said that most people who take it, stabilize over time. He does not see people have remission for the disease. He did say to be careful with the clobetasol to be checked for hair thinning. He did see inflammation on my scalp and said there could be inflammation under the skin as well. He also thought using minoxidyl for women was worth a try. He did say that studies have shown that the women's strength was just as effective as the men's strength but had less of the side effects that can occur from this product. He took pics again and I have to go back in 3 months, so I guess things are status quo for me. He also wants me to have my eyes checked because I am on the Plaquenil. I asked about the excimer laser and he said that it has helped people with other skin diseases such as vitiligo, but he said it wouldn't help me. he also said that he expects that someone will find a cure in the next ten years, and that he was going to try to find out if anyone is working on a topical cream with the active ingredients that are in Actos. He still worries about prescribing Actos because it can cause congestive heart failure and because there is no proof that it works. He said stress doesn't help us and stressing over our hair, obviously, isn't good. He said that sometimes support groups are good and sometimes it can make things worse because they can make us more aware and worried. He suggests keeping busy and trying to put it on the back burner. I apologize for the length of this post, but I know we all look forward to hearing news.
  • Caro UK

    Hi everyone, Ive been keeping up to date with recent posts. All very informative. Glad to say I have not had any stomach irritation since I changed from the generic hydroxychloroquine to Planquenil.
    Hi Ellen, interesting that you have Rosacea and eczema, both of which I suffer from. I also have Vitiligo.
    I can't style my hair properly any more so I've bought a wig and I had it cut yesterday. Then I wore it to the shops. I was very nervous and kept checking myself whenever I came across a mirror! No-one gave me any funny looks so I guess it looked OK. It was very windy out and I was really worried it would blow off! Managed to get back to the car without misshap! Fed up with spending ages trying to pencil in my eyebrows to make them look natural. As luck would have it, there is someone local to me who is an expert in semi-permanent makeup so I'm going to take the plunge and have eyebrow micropigmentation. I've booked an appointment for next week.

  • Kath UK

    Pam, thank you very much for all your information. My dermatologist says she will prescribe plaquenil for me when I next see her so I am glad to hear as much as possible about other people's experience of taking this medication. I intend to ask my dermatologist how many people she has prescribed plaquenil for FFA and what the success rate has been. Good luck with your treatment!
    Caro, it was good to hear about your first experience as a wig wearer. I'm getting my first wig next week and I feel a bit apprehensive. I was worried about the possibility of it blowing off on a windy day but you said yours stayed on ok. It does feel like finally accepting that I need to wear a wig is a big step but what you experienced seems reassuring. Thanks for sharing. I bet you felt nervous stepping out to the shops wearing one for the first time. I'm sure nobody noticed and you looked great, though. Did you wear a full wig or a hair piece? How comfortable was it?

  • Chrisy, MA USA

    Hi everyone! I'm reading a lot about this disease and still have questions. Why the eyebrow hair fall and come back again but the scalp hair once it falls the follicle dies and never comes back again. I find it weird. Also is there a possibility of hair transplant once the inflammation goes away?? Lastly If the plaquenil work for you why would you stop it? I would be afraid to stop taking it in case the shredding start again and then I have to wait for couple of months before kicks in again. One more... how often can you do the injections?? So confused.....
  • Debs

    www.wigsupport.com

    I use this website to get info on my wig wearing. A support group of fab ladies that know everything there is to know re wigs. They are great fun and very very kind.

    Also PATTI'S PEARLS is a lady that sells wigs and has posted several great videos on her online shop showing how to wash, put on and style a wig. She is a cancer survivor and really inspirational.

    And, NO it won't blow off in the wind.

    Enjoy your new hairdo Caro.
  • Caro UK

    That's really useful info Debs. Thanks! Will check out both sites.
    Kath, good luck with your new wig. Mine is a lace front and synthetic so it's lighter than human hair. Even so, before it was cut it was too thick and felt heavy on my head. Probably because my own hair is so fine and thin it felt strange, like wearing a hat. Since it's been properly cut it feels a lot lighter and more comfortable. Re the chance of it blowing off in the wind (!) the stylist said I could have a clip sewn into the lining near the base to clip to my own hair at the back which would help me feel more secure when wearing it. She showed me what the clip looked like and where it would be attached. My hair has not been affected at the back of my head. Anyway, for now I've decided to try wearing it without having the clip and see how I get on. I went for synthetic hair because the colour will not fade when washed. It is a pretty good match for my own hairt, which is coloured anyway. Mine wig also be heat styled on a low heat, though I haven't tried that yet.
    Really exited about having my eyebrows done (by Noveau Contour). Have to do a patch test first to make sure I have no reaction to the dyes used. I'm going to go for the hairstroke brows as I want a natural look and I have very fair skin so I don't want anything too dark which will not suit me.

  • PamW San Diego, CA, USA

    I visited Patti in her shop and she is very remarkable, and so calming. Caro send us a picture of you in your wig!
  • Michjo57

  • Michjo57

    I have been going to the University of Colorado for my FFA. First they put me on Minocycline and Griseofulvin for six weeks. The only symptoms I had were hair shedding, no inflammation, no itching, no burning. The only thing is Griseofulvin is hard on the liver. I decided I did not want to take it and have the chance my liver gets damaged. All my problems started after prescription drugs anyway. Last visit to the doc they started me on Spironolactone and Avodart (?) like Propecia. He said a recent study at Duke University used this regimen with good results. My question to all of you is can you see your hair follicles in the hair loss area? I can't see how taking these meds can regrow hair if there are no follicles, which I don't have. I hate taking prescription meds, I have had 6 different diagnoses since this all started, so I don't know who to believe any more. I will let you know if I start the new meds and if they work. I feel great and I hate to have any side effects. Do you all have scalp symptoms like itching and burning? I did for about three months, then I took doxycycline for about 3 months and it all went away.

  • Liz

    Hi. Does anyone know if perming or dyeing hair makes any difference to the hair loss? I ask becuse I was thinking that I might just do something a bit funky with the hair I have whilst I still can so I think I might perm it and dye bits of it. I have no irritation which is good.
    Celia, thanks for you email. How do i access it on this site so that I can reply?
    xx

  • Kath UK

    Debs, thanks for the 'wig support' website info. That was a great help and I'll look that site up now. Getting my first wig next week (if it is ready) so I appreciate any hints and tips.
    Caro, thanks for your info. too. Like you, I'm getting a synthetic wig (I was told that I had a limited choice on the NHS - which is fair enough. I'm happy that I'm being given a free wig!). I don't know how things work in your NHS area but it seems I can't use my wig allocation as part of the payment for a more expensive wig. The one I've chosen seems OK and I'm going to give it a try and see how it looks and feels to wear. If I'm not happy with it then I will pay for a more expensive one myself.

  • Caro UK

    Pam I'll change my profile photo once I've had my eyebrows done, and be sure to be wearing the wig as well! There is a new me on the way! I tell myself to think possitively. My hair is progressively getting thinner and hairline still receeding but when I put on my wig, I see the old me looking back - well not so old, in fact I look years younger so that has to be good!
    I've been looking at Patti's Pearls site - great advice on there, especially about how to make sure a wig stays secure using double sided tape. Thanks Debs.
    Michelle, So sorry about your hair loss. In answer to your question I have no follicles visible in the areas where my hair has been lost. They have scarred over. I have about an inch of completely smooth white skin where my hairline originally was. The LLP is still very much active and my hair follicles are inflammed at the hairline and about an inch back from it at the front of my head. I'm taking Planquenil but realistically I don't expect to see any improvement in my condition for many months and maybe not at all. I've been prescribed Dermovate scalp lotion to use for the inflammation. I have never had any scalp irritation or burning like some other people have described.
    Liz, personally I would advise against perming because of the chemicals used in the process but hair colouring is fine as long as ammonia is not used. My derm told me I could carry on having my hair coloured.
    Enjoy the rest of the weekend everyone - the sun is out here in the UK for a change!

  • Michjo57

    Caro, I'm having my eyebrows done next week and I am soo excited. The thought of not having to put them on every morning will be so nice, not to mention going camping and stuff like that. I know what you mean when I put my wig on, it takes years off. My son said I looked 35 when I wore my red one. My hair is usually brown and when I wear the red one that is very similar to my style, everyone says I love your hair color. I'm thankful there are cute wigs out there! I love the fact that they are all highlighted now, you just can't tell they are wigs. I get more compliments when I have my wigs on than I did with my bio hair.

    I have resigned to the fact that nothing is going to help my hair grow back, except by the grace of God! I've just got to move on from going from doc to doc. I'm at peace with it actually. I'm not losing my hair because of chemo or anything. I'm not going to take Rx that might injure my organs. I have read many times that your body will take care of LP on its own, in due time. Might take years though. Peace to all!

  • ElleMN, USA

    I've been reading about lipids and sebaceous glands and was reminded that I took accutane in my early 20s. I'm wondering if that could have changed my sebaceous glands forever and now I'm paying for it.

    Have any of you taken Accutane?
  • Debs

    Ellen, no I have not taken accutane. I have not taken any medication at all apart from antibiotics a couple of times for childhood illnesses and I have used the contraceptive pill a few times in my life but not more overall than about 5 years in total. I don't think my FFA is related to any medication I have taken.

  • Chrisy, MA USA

    Celia,
    Thank you for the information you provided. I tried to change my eating habits. So I started with the master cleanse for 10 days. I guess I was hoping that I will cleanse my body and start fresh. I stopped taking all my vitamins in those 10 days only plaquenil. It didn't help. Actually it made things a little worst I think. Since then for about 2 weeks now I went gluten free, no alcohol, no dairy, eggs, meat. I have a lot of energy and feel great, my nails are the best I had in years but still I can see the inflammation in my scalp. It is progressing slowly but steadily. That said I am just not sure if changing your eating habits will help with FFA but it definitely help somewhere else. I will continue with this diet for now and see what happen.
  • Chrisy, MA USA

    My derm mentioned that every time I have an appointment with her she would do the test. I've seen her twice so far and she tested me both times. Also you have to do eye check up twice a year.
  • Robyn, Melb. Australia

    Hi ladies,
    I have been on Plaquenil 2 years and had liver function and other blood tests done by my specialist prior to going onto Plaquenil. I currently see her twice a year, have an eye test once a year but at this stage she hasn't repeated any blood tests although my GP generally has me do blood tests once a year as normal practice. I recall the specialist telling me originally that information she has read indicated impact on eyes generally only occurs after using Plaquenil for 5yrs or more - and even then that's not with everyone. I have an appointment in early May with her so I'll check then her thoughts about blood tests & eye tests again. As we have discussed before I think there is a lot of difference of opinion due to there not being much research to date for specialists to work with.

  • Debs

    There must be an established best practice protocol for checking liver function in patients on plaquenil, it is not a new drug and people have been taking it for a number of years for other medical conditions. I have my second appointment next Friday with Dr Harries, I will chase it up my end too. Surely the drug manufacturers must give guidance on it's usage to the medical profession. I know that it is common to take palquenil for many years with other conditions, so I am not too concerned at taking it for the relatively short period that FFA requires. However, I do want to keep myself safe. On a lighter note, I have discovered 'buffs' I have ordered 4 off the internet and am going to use them in the gym and on the beach when I go on hols next month, they are so comfy and you can make them into headbands, bandanas and all sorts.

  • Paula uk

    Hi Debs,
    can I ask ,how often will you see Dr.Harries?Is it every 3 months or does it depend on the medication you take.
    Also would you say that he is the leading consultant on FFA and one I should try get referred to rather than London based derm. Who specialises in hairloss ? X
  • Liz

    Hi Paula. I see Dr Harries every 3 months. I travel up from Brighton. I see him because he is the nicest consultant I have seen. Although he doesn't necessarly offer anything different from other consultants, he cares, is attentive and makes me feel that I am not been rushed. For me it is not just the information I am given on FFA that is important, it is the way that information is given.
    x

  • Paula uk

    Thanks Liz, just trying to figure out what I should do next.
  • Debs

    Paula, I agree 100% with Liz. I have to travel from London to Manchester to see Dr Harries but it is worth it for the reassurance that I get being treated by him.

  • Simone NJ USA

    Hi Everyone:

    I have a question for any of the ladies who have had their brows embroidered..I have one brow that's getting thinner and sparse than the other. I am wondering if it's better to wait till the other gets sparse to tattoo both or just go ahead & tattoo both now...not quite sure what to do...help!

    Thanks...best wishes to all
  • Caro UK

    Hi Simone, I've just had my eyebrows tattooed! I'd say go for it! But please make sure you go to someone who is very experienced. I have one eyebrow with hardly any hair left and the other has about a third left. There won't a problem having them done. An expert in medical tattooing (from Nouveau Contour) has done a brilliant job and I am thrilled with the results. I now feel as though I have my features back. I need to return in a month's time for fine tuning the colour and shape of my new brows and then a third and final time. This is included in the cost. It should last for 1-3 years.
    Good luck!

  • Bernadette

    Hello everyone. I get my biopsy results on Tuesday but the dermatologist is almost certain I have FFA. I cried for 3 days after my first visit with the dermatologist. I had a complete hysterectomy 10 years ago and initially I thought the symptoms were all related to menopause. Right now I am wearing a hair weave and I have eyelash extensions. My brows are sparse but recently have started to grow back which is totally inconsistent with the FFA diagnosis, but I will take whatever I can get at this point!! I have an appointment with Joseph Paris in NYC for a wig consultation next week. If anyone has a Joseph Paris wig please tell me about your experience.

  • Judy

    Judy from San Diego
    Hi ladies,
    I am way behind in reading all the posts. Playing catch-up after
    returning home. Yes, Pam, I am home and would love to meet up with you. My email is jkeller@aol.com.

  • Simone NJ USA

    Hi Caro:

    Thanks for your advice!!! You sound upbeat! That's great!!! Cheers!! Xx
  • AC from CA, USA

    Hi Bernadette,

    I'm on the west coast, so I cannot offer info on the wig salon in NYC. But, wanted to say hello and welcome. Totally understand what you're experiencing...it's a struggle to accept what this is and also to find your own livable peace. I'm a couple months beyond my biopsy results and I still bounce back and forth with acceptance and coping ability. I'm also about to try the wig experience, if for nothing else, just to get on with what is and can't be changed. And also to stop feeling so nervous/enslaved to worry over what to do about the further progession that will quite likely happen for me before burnout arrives. Best thing about this site is knowing there are people here who can understand what you're going through in your head and can also provide a place where you can bounce thoughts off. All the best to you!

    Aimee
  • Bernadette

    Hi Aimee,

    Thank you for your comforting words. Today was not a good day, but I'm taking one day at a time.

  • AC from CA, USA

    Also, Bernadette and others--

    The whole idea of a wig has been a big deal for me. I am an au natural earthy kind of chick, so conceiving of myself with a wig was a hard concept to embrace.

    My daughter suggested I check out YouTube and I stumbled on a woman who has scarring alopecia who has done a gazillion wig reviews (cool, helped me find wigs to try as a start)but listening to her journey, and watching several of her videos that really touched on the alopecia experience, just switched my whole perception around wearing wigs.

    Here's a link to her initial video reveal about having alopecia for anyone interested: http://youtu.be/zJuiPpz6Gww

    Besides a whole boatload of videos just focusing on wig reviews, she has several videos that go over her decision to shave her head bald and that just document her positive attitude in dealing with scarring alopecia.

    You might find it empowering to watch a few of her videos: search the Jo Ann Gray youtube channel for alopecia as a keyword, or just browse through.

    Also, I absolutely love the wig reviews because 1) I'm not interested in spending a fortune on any one wig, 2) it's helpful getting user reviews from an alopecia sufferer about wigs that I can then just hunt down online by exact brand and model, 3) she often showcases the shorter styles that I also favor.

    Also, will share that I found some other very excellent videos on youtube relating to how to make a wig hairline look more natural. Invaluable!

  • Lace

    Hey Judy and Pam:

    I have not been on this board for awhile, but I would love to be included if you two make plans for meeting in San Diego.

    Best, Lace

  • Lace

    Oh, Debs--

    Loving the new do! I haven't been on the boards for some time, so I'm just now seeing it. It's so wonderful on you! I'm thinking about going longer, but I still haven't opened my other 'Meena' wig yet. Still, there's something about it being spring that makes me want to look a little different. We'll see!

  • Debs

    Hi Lace, glad you are still liking your Meena wigs, I have become addicted to wig buying now, I have found a few websites in the UK that often do half price deals and I check them out regularly and pick up what I want at big discounts. I have a new Drew wig coming soon, I need to get it cut so I can wear it to work in the future. I am 'growing' my hair now and slowly wearing slightly longer wigs. AC, thanks for the YouTube info - I find it very reassuring watching other people talking about their supplemental hair. Bernadette, welcome to the group, please let us all know how your wig purchasing goes, maybe you will be able to wear your weave for quite a long time yet. XXX

  • Jules UK

    Hi Celia, that sounds fantastic, and really generous of you! I'd love to come please. Any of those dates would be good for me. Could I bring something to contribute -such as a pud? And if I could give anyone a lift, that's no problem. Caro is nearby I know. This is really exciting! Thank you. X
  • Shar

    I have been diagnosed by biopsies of either discoid lupus or LLP. I have scarring hair loss behind both ears & up to top of front of head. I have also had 2 basal cells on a part bald spot. My latest dermatologist wants me to use clobetasol 60cc 2 x a day with 5 refills. He said nothing about stopping it for 2 weeks at a time (which is what I've read). Has anyone ever hear of this? Thanks for any help. -Sharon

  • Debs

    Sharon, clobestasol does not stop the hair loss, it just treats any redness/itching that some people get with scarring hair loss. I advise you get a definate diagnosis because lupus is a condition you need to get medical help for ASAP as it effects other parts of your body - not just your hair.

  • Bernadette

    Aimee, thank you for the YouTube info. Debs, I will keep the group posted on the wig search =).

  • Judy

    Lacy, It would be great for the 3 of us to meet up. When Pam gets our messages let's make plans.

  • Simone NJ USA

    Hi Debs:

    Do you know if there are any possible side effects from usung Clobetasol?
  • PamW San Diego, CA, USA

    My doctors have cautioned me to be careful with the clobetasol because it can cause skin to thin.
  • Debs

    Simone, same as Pam has just said. A derm gave me clobetasol last November, he said use it for 2 to 3 weeks every 3 months if I had redness/itching. I only used it for 7 days just to see what would happen but I don't thankfully get any redness/itching so I never used it again. Dr Harries has confirmed it does not do anything for hair loss.

  • Simone NJ USA

    Thanks Pam/Debs for the info...
  • PamW San Diego, CA, USA

    Judy, check your email. Lacee as soon as Judy and I narrow down a date, I will email you.
  • sammi

  • ChrisC. Chicago, IL

    Good afternoon from Chicago,

    Question: has anyone taken minocycline?

    I have been checking in periodically and my how our numbers have grown! For a "rare" disease there are certainly alot of us. Like you all, I see many hairlines in women in the 40-60 age group that absolutely must have this as well. And contrary to what I thought a year ago when I was diagnosed, the hairloss is not immediate. So I've been putting off the wig purchase for the time being. I've also had alot of practice with my new favorite waterproof eyebrow liner, "Make Up Forever" Professional Aqua Brow. I use the lightest shade and it fills in nicely and is still there at the end of the day (even swimming).

    I keep hoping that treatment will do something. I just saw Dr. Barbosa yesterday and I didn't leave with much hope. I'm still experiencing loss and mild itchingat the top of my hairline which—let's face it— once that is gone it is time for a wig. The loss at the sides has really about stopped. She said that in her experience that FFA seems to take a certain amount of hair no matter what!! Am I just slowing down the inevitable and the meds are pointless? Debs has a great looking wig, but I have long hair and I can't imagine adding another layer of hair on top of my hair. Debs, did you cut your own hair short?

    Other than Rogaine 5% once per day, I'm currently I am on Plaquenil 200 mg twice a day and she added Minocycline 100 mg twice a day for some added immunosuppresant action (the doxycycline was $300 for 1 month supply so the pharmacy called and she switched to minocycline for $36!) I had asked about Actos again, and she said that she'd prefer to go to Cellcept which is for transplant patients if I wanted to accept increased risk!! She does not believe that thinning the skin with Clobetesol or injections is helping. The Protopic and Elidel are so expensive that I'm resisting paying $315 for one small tube. I have been using samples for the past few months and I'm not sure if the creams are doing anything anyway.

    Ok. . . so enough "crabbing". . . I'm just feeling down so thanks for giving me a place to vent. . . I know you all have had these moments too.

  • sammi

    Hi Celia would love to join your group meeting and share discussion face to face! unfortunately I am teaching thoses days,available 10th May to meet anywhere! Or if anyone visits Dr Harries and wants to meet up in the Trafford Centre for lunch, 10 mins from the hospital I would be only too pleased X

  • PamW San Diego, CA, USA

    Hi, Chris. I know how you feel! I think Celia is right. Losing your hair slowly and not having control, or the constant guessing about why one day is better than the next, can drive you crazy! I had one doctor who wanted me on an antibiotic and one who said it wouldn't help. Ultimately, I decided not to take the antibiotic because both were pretty adamant about taking Plaquenil and I thought it wouldn't be good to take an antibiotic for a long time. I did take doxy for 3 months and I am no different not taking it. I think if we knew that we could manage wearing and maintaining wigs, we would all be calmer. I like when you crab, it keeps me from crabbing.
  • Lace

    Thanks for thinking of me, Pam!