Frontal Fibrosing Alopecia

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

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  • Debs

    Polly... hello and welcome to our group. I am so pleased you have found us so early on in your journey with FFA...XXX

    Liz, no I dont have headaches with any of my wigs. I don't wear a wig cap as they tend to be quite tight and I think would definately give me heaches if I wore them. The owner and stylist of my local wig salon in fact advised me to start off wearing wigs without wig caps... she showed me how to pin my own hair up using hair grips (bobby pins), I now have cut my own hair shorter so I don't need to pin it up. I just put my wig directly on my head. I would also try loosening up the 2 straps inside the wig at the back hairline... experiment to see how tight it needs to be to feel secure. Liz, the wig is not pressing on a nerve, however you may have it pulled too far forwards - a common mistake to begin with - put your hand sideways on starting at your eyebrows... the wig should begin 4 fingers up from you eyebrows... if it is placed so your wig hairline starts 4 fingers up from your eyebrows it will not be pressing on anything to give headaches. XXX

  • Maddy, California, U.S.

    Hi Chrisy, The cost for the two hair pieces was $1500, so about $750 each. I won't wear them all the time, so I think they will last for a long time. No, you do not need extra headbands or anything to keep them in place. They have tiny hair combs attached around the "cap" area that fit into your own hair and then snap down. They are very secure when on...even in the windiest conditions. The cap area is only a small band and then there is mesh in the middle with the real hair sown on...so it's not at all hot (which I was wondering about), which surprised me. Once I get them on Thursday, maybe I can take some photos and somehow share them on here. I'll try to figure that out.

  • Brenda, IL US

    Thanks Maddy. I just can't afford a trip to CA. I'll have to find someone closer. Looking forward to seeing pics if you put them on. That's something i don't know how to do.

  • Annie

    Hi all,some days are harder than others, aren't they? I was just sitting at my desk at work & scratched an itch over my right ear only to see five hairs fall from the same area. I honestly felt like crying. I started Plaquenil June 22 and keep searching for signs that it's working. My doctor said I should start seeing results after about two months. Can anyone who's had success with Plaquenil share how long it took to see she shedding start to slow down?

  • Brenda, IL US

    Annie I'm having a rough day too. I've been on plaquenil for almost two years. Something was working last fall. Don't know if it was rogaine or plaquenil. This spring and summer i've had more hair loss than ever. I had red blotchy places on the sides and those are gone. Never experienced itching at top hairline (that i can remember) til this summer. I shouldn't have stopped the rogaine in January. I'm done griping. Sorry I'm no help.

  • Annie

    Brenda, sometimes we just need need to vent. It's not like we can compare symptoms with the neighbor across the street from us. I'm trying so hard to be hopeful. I honestly feel like a positive attitude helps the healing process. I never had any symptoms except hair loss until after my diagnosis in March--no pain, redness, itching, or red bumps. I thought my receding hairline was just part of the menopause process. Since my diagnosis the scalp around my face has gotten itchy and so painful that I can barely stand to go outside on a windy day. I wonder if it's the alcohol in the Rogaine and Clobetesol causing the discomfort, but I'm scared to death to stop using them. My doctor seems puzzled since my scalp always looks fine

  • Brenda, IL US

    Annie, the first dermatologist i saw last year put me on Clobex first and i developed a red rash where i had applied it. Then she prescribed Luxig and the rash worsened. The first time i visited her she thought i had FFA then she changed her mind. She recommended Free and Clear shampoo and conditioner and womens rogaine once a day. I returned in six weeks and she was sure my hair was coming back. She thought the hair loss had been due to lupus. Then i stopped the rogaine in january and my hair has fallen out horribly. The derm. that i saw this summer said i have FFA. I started the plaquenil for my lupus in Dec. 2011, i think, and at first i thought it was causing my hair to come out as that can be a side affect. Don't know who or what to believe. I just want the itching to stop and my hair to sop falling out. :)

  • PamW San Diego, CA, USA

    My experience with Plaquenil is that I really noticed less itching at about 9 months to a year. I just passed my one year anniversary and the itching and burning have definitely improved. My dermatologist said that I had redness around the nape of my neck and behind my ears because I used clobetasol too often and for too long. She only wants me to use it every other day and not on weekends. She said you need time off from it or it can harm your skin.

    If I am really itchy and can't use the clobetasol, I will use Paul Mitchell's tea tree oil and conditioner which helps. It is very drying, so don't use it too often.

    Wishing you all well.
  • Annie

    PamW, thanks for the information. I did some research on Plaquenil yesterday, and it sounds like the results are slow and so gradual that you barely notice it. Now that I think about it, my face doesn't itch anymore, and I rarely have the crawly feelings on my scalp these days. At least that's an improvement. I can only use Clobetesol three times a week at most because it makes my scalp unbearably tender. An ice pack helps on those days.

  • Jules UK

    Annie, thanks for your advice on using Regaine. I'd been despairing of seeing any improvement; in fact the thinning on my temples is now such that I was about to ask hubby to start noticing how visible it was out in the big wide world and whether it was time to consider a wig. But last night I noticed some stubby, spiky hairs. Not fine, fluffy ones as some of you have described. But I'm hoping they're new ones! Should coincide with Plaquenil kicking in... Feeling hopeful for a slowdown at the moment. Oh, the ups and downs with this FFA. Xx
  • Annie

  • Annie

    Hi everyone. It's a hot, humid day in Missouri today, and my normally straight hair is a frizzy mess. I was trying to tame the flyaways this morning when I noticed a bunch little short hairs sticking straight out. I started using Rogaine April 5, and the new hairs are about 2 inches long now. For once I'm thankful for a frizzy hair day to help me see that I'm making a little progress up there. I'm reminded that with FFA I need to rejoice in even the smallest blessings.

  • Debs

    Carol well done for educating your doctors... I am horrified how in the UK patients with alopecia are not given any advice on support groups or wig info with a diagnosis. We are just told bluntly with are losing our hair and that's it... I have given my GP info on this website and several others but I very much doubt he will pass it on to other GPs in the practice or any patients.

    I started wearing wigs when it got to the point that a wig looks better than my own hair... I get compliments on my hair all the time in my wigs, several times a day, it is unbelieveable. A complete stranger walked up to me a few days ago and told me how lovely my hair was! It is hilarious really. I was working with a girl last week that was wearing a wig. I worked with her a couple of years ago, so before I was diagnosed with FFA and had no idea she wore 'hair', now of course as a fellow wig-wearer I can tell because I am tuned into peoples hair whereas in the past I was oblivious. Her wig is very natural looking and nobody else would every know. I would love to know the brand she uses. I would not of course ask her because it is such a sensitive subject for most of us and I don't want to 'out' her so to speak even in private just between the 2 of us.

    But the moral of the story is that for those of use that wear wigs - other people really can't tell it isn't our own hair because they are not looking at other people that closely and they just don't have wigs on there radar.

    My anti-inflammatory diet (see Dr Weil's website) is going fantastically. I have lost a dress size, an unexpected bonus. My skin looks really fresh. I feel that it is improving my overall health and it is giving me peace of mind that I am trying to help myself. I am going to keep on it. I am also juiciing vegetables at least once a day to improve my nutrition further.

    Have a great day everyone. XXXX

  • April

    Hey everyone! I have been pretty crazy lately so I have not been on here, trying to catch up with everyone's comments. I just wanted to update everyone as to what is going on with me. I saw my doctor today. About a month ago I completed my 10th treatment with the xtrac laser and received one rou d of kenalog Injections. We aren't really sure whether either of these are helping or not. I am still, slowly losing hair at the hairline. But we are not sure if it would have been worse without the treatment. Ugh, pretty frustrating. Anyhow, I didn't want to continue with the injections because I did develop some atrophy of the skin where they injected me. Nothing horrible, but you can feel a depressed area on my head. My doctor said that eventually resolves itself. Anyhow, now he wants me to try clobetasol and rogaine. I may go back on the extrac if it turns out it was helping. Not thrilled about trying these drugs. But, I know some if you have tried these. Anyone have success with these things. I'm worried it could make things worse? So frustrated here! My doctor is confusing and I'm worried maybe I should still be on the xtrac treatments? Ugh! Sorry I'm not being more positive. On another note, I am also going to see a rheumatologist for the widespread body aches and pains, fatigue etc. I have been dealing with this for about 6 years so also trying to get to the bottom of it. I had to abandon my paleo diet because it was actually making my symptoms worse, not sure why. I am still eating healthy but have had to add grains and potatoes back in. I was having trouble digesting all of the protein I was eating I think, anyhow, sorry for the long post. Hope everyone is well, I am learning a lot from your comments. Thanks!
  • Debs

    April, I am doing the anti-inflammatory diet, check out Dr Weil on the internet for full details. It is not too heavy on protein and is promoting veg and fruit with other foodstuffs in moderation. I don't have any problems on it and you should find the amount of roughage in the veg and fruit helps your digestion.

    April, have you also tried the hydroxychloroquine sulphate (plaquenil) that is a common first drug used by derms for FFA and has a 50% success rate.

  • April

    Debs, I have started researching the anti inflammatory diet and will hopefully start making some juices this weekend. Can't hurt right? I am pretty much not doing oral meds at this point because of the reproductive effects. If you get pregnant on plaquenil it is BAD. I am on the fence about the clobetasol because it is a testosterone mimicking drug. I guess the fact that I want to try for another baby complicates things a bit. I may go back in the laser treatments as I do believe they were at least sliwing down hair loss. I am starting tea tree oil shampoo to try to help with itching and have ordered some biotin. Worth a shot I guess. My hair has been falling out a lot more these past few weeks. It's been stressing me out a lot...Debs, do you feel dr. Weils diet is helping??
  • April

    I haven't really tried most of the treatments that are out there, mainly for fear that it will have a negative effect ony ability to get pregnant...not sure if this is the right decision...I just hope I don't regret it later. I know there are a few of you on here that might try for a baby. What have you guys used for treatment ?? Thanks!
  • Sam

    I say you will never regret a healthy baby... I wouldn't chance the side effects as that is the first question they always ask me if I want to be pregnant. Maybe the hormones from bring pregnant will do the trick and try vitamins and diet in the meantime. Good luck on both fronts!
  • April

    Thank you so much Sam, i think you are right. I was reading through your recent post. Are you using the latisse on your hairline as well? Does it seem to be helping? I too have worried about my daughter's reaction to me losing my hair. Let us know how the shots are working for you. I got one round of shots but i refused further treatment because I felt like a starting losing more hair after the shots, and I have a dent in my forehead. I'm probably the worst patient because I am scared of medications...anyhow, welcome to the group!
  • Sam

    I totally get it! I'm terrified of medications too! I didn't notice anything after shots, which is why I will try a couple more times and see. It was done where I have hair, 1 cm back from hairline so dents not noticeable if it does happen is my thought...did they your doc do where u have no hair? I am wondering if that is the case on people that have the indentations and the doctors should do where there is hair as it cannot prompt new hair growth. Yes on lattise, I just do 2 drops that seems to go long way, just along hairline. I do see new growth and figure if its intended to prolong growth maybe it will work long enough to get all else in check. I used a topical last night for first time and that I may stop that or just do one spot Bc I feel like I noticed more loss this morning...
  • April

    Sam, yes they did the shots basically where the hair loss is and around the perimeter.
  • Kath UK

    For the first time in a while I feel a wee bit down. Saw my dermatologist this week and she basically said I should stop taking the hydroxychloroquine (Plaquenil) because it hasn't worked for me. She said there were other immune suppressing drugs but they had potential bad side effects and were not proven to work anyway. I said I didn't want to take anything with a risk of bad side effects.
    She said that I could continue with the clobetasol lotion and she didn't need to see me again. She said FFA tended to be self-limiting (I knew that already) but every case was different.
    I'd be interested in hearing what other people's dermatologists say about how long you should take the hydroxychloroquine as I only took it for about 5 months. My dermatologist said that if it was going to stop the FFA it would have stopped it in the first few months.
    Oh well. I guess that's my last treatment hope gone for just now - until they come up with a new medication.
    At least I've got my pretty hairpieces. Think I'll go out tomorrow and buy a nice new pair of shoes to cheer myself up!

  • KarenGinny - Iowa, US

    Kath, sorry you're feeling down, I think we all feel that way about ourselves sometimes with this condition. It's funny how every doctor seems to have a different strategy with this condition and the drugs we use. I just talked to my new dermatologist after he reviewed my previously done biopsy and he wants me to start Hydroxychloroquine, whereas my other derm didn't want to use it because of side effects he said were bad. My new derm said the side effects were minimal and rare. He said I should try it for 6 months to a year before we'll know if it's working. I've been doing nothing for the past year due to my old doctor giving me no hope, but now my new doctor says it's worth a try. I have lost a lot of hair in the front & sides and it's gotten worse in the last 6 months I think. Getting hard to hide it now but I'm not ready for a wig. I took my first hydroxy pill today and I hope I don't have the stomach problems, but if it does cause loss of appetite, I could live with that.

  • Chrisy, MA USA

    April, my dermatologist adviced me to start taking plaquenil but stop it right away if pregnant. I've been using it for six months now and I'm not sure if it works for me. The progression is slow so it's hard to tell. I had my annual gynecologist visit last month and she told me that she has some pregnant patients who still taking plaquenil while pregnant. Of course their health issues are much more serious. I think she mentioned lupus. She also advised me to stop plaquenil if I get pregnant. Who told you that plaquenil is BAD if you are planning to get pregnant??
  • Celia

    Kath - thinking about you and hoping you can rally round and get positive again - sent you a message but not sure if you will have got it ! X

  • Celia

    Linda - what did your eye check up comprise of ? I just read from a card to the nurse - was that the same for you and all others out there ?

  • KarenGinny - Iowa, US

    Linda, Yes I'm having my eyes checked and he will do blood work too. I'm 48 and pre-menopausal so pregnancy is not an issue. I'm also on meds for thyroid and blood pressure but he said would be okay to take them together. So after being on it for a year, have you noticed it helping with the hair loss or inflammation? It seems like with most people it's hard to tell if the meds are working since it seems like the hair will fall out anyway, and burn out when it wants to. But maybe if I had been on this earlier then my hair wouldn't look so bad now.

  • Celia

    Karen, what was your eye check like ?

  • Pam

    Sorry to hear Kath you have been feeling low - we all do at times I think. I have been feeling very depressed recently, as I realise that FFA has become a truly life-changing condition for me. I am an outdoors person who loves walking, cycling, swimming, horse riding, skiing and surfing, and all of these activities are difficult with wig wearing! I hate the look of myself with thinning hair and no eyebrows or lashes, and find it hard to be positive about a future of wigs and hairpieces. I am going to see a guy this week who has been recommended to me who fits hairpieces and wigs. Although I have just bought one, I am still feeling so unsure about the whole thing, and lack the confidence to wear it out and about. I am scared it looks too noticeablely like a wig, and that it feels hot, and may dislodge. I also want advice about how to cope with wearing hats and helmets with wigs if I want to keep up my riding and cycling. The horror of My Hair has begun to dominate my entire life!

  • KarenGinny - Iowa, US

    Celia, I haven't had it done yet, he told me to schedule a visit with the eye dr within the next month. I can post about it when it's done. Pam - I understand your comments about being less active. I feel like I can't go outside anymore unless I have a hat to wear or a headband to wear to hide my bald spots. I hate the wind blowing my hair around and it's hard to enjoy taking a walk or swimming when I'm constantly worried about my hair. I stopped going to an exercise class a year ago because I didn't want my hair exposed to the whole group. I wear my hair with long bangs in the front but there's still not enough hairspray in the world that will help on a windy day. At least in fall & winter I can wear hats more easily without getting so hot. If I wear a hat in summer I just sweat and my hair underneath is a frizzy mess when I take it off! We did buy a treadmill so I do use that at home. I haven't looked into wigs or hairpieces yet.

  • Polly UK

    I had a thorough eye test a month ago before starting Hydroxy. They had a machine which took pictures of the backs of my eyes which were fine and they said it was ok to go ahead with it. I have a question.... my derm said I can now start taking 2 tablets a day as I am obviously tolerating it so I assumed he meant one tablet in the morning and the other in the evening but now I'm wondering if I take them at the same time? What do others on here do?
    Off to Scotland for a week from Monday and will need a case just for all the extra pills and potions plus hats and scarves!
  • April

    Chrisy, my derm said he didn't want to put me on oral medication if I was not done having children because of side effects. However, I would think your OB has much more experience so I'm sure you can trust her opinion. I am going to talk to my OB about it at my appt. this month. My doctor is honestly not very helpful with any of this and I'm thinking of switching. It sounds like some of you ladies are seeing some great doctors. Chrisy, definitely keep us posted on how the Plaquenil is working for you. Maybe I will try it, since I just hate feeling like I'm not at least trying. Thanks!!
  • Polly UK

    Thanks Linda x
  • Kath UK

    Thanks, Celia - you're a honey. Got your message OK.
    Well, the sun's come out again here so I'm going to finish a painting then I'm off to the shoe shop.
    KarenGinny - I had no problems with hydroxy. but I was advised to always take it with food. Good luck with it and I hope you are one of the 50% it works for.
    Kath xx

  • Rita - Canada

    I was given Clobetasol liq.to apply to scalp & derm merely said put some on & rub it in.I decided to only put along the thinning area sparingly. Next appt,she said there was atrophy of the skin & I can't bring myself to use it more than once in awhile & don't believe it does anything but thin the skin. She also gave me Doxycycline 100mg x 1 per day and even though it's against my better judgement of using this drug, have followed her advise by using it for 3 mths now. How on earth does one really tell if hairloss has slowed down.What measure is there to tell the derm if anything has helped other than we/ourselves. We see the thinned & balding areas & know there is still shedding but as to what degree????

  • Sigga

    Hallo I have not being here for a long time, but I have but some photos of my hair loss...

  • Rita - Canada

    Sigga-Excellent advice, wish I had done that but Derms should have come up w/this: taking a photo of one's frontal hair areas before a treatment(which are usually 3-6mths) & one afterwards.

  • Jules UK

    Hi all, feeling very mixed up at the moment.... Just back from a great week in Cornwall. But after using Regaine for about 3 months and taking Plaquenil for 6 months, my hairloss has accelerated considerably. Do I carry on in the hope that something may kick in? Hubby has hinted that a wig may be closer on the horizon. I'm trying to just get on with things as normal but so churned up inside! I've invested in some lovely soft buffs and circular carves from Seasalt. Even on still days, just walking moves the hair to show bald bits and there's barely enough hair to cover my ears anymore. Just feeling disbelief! Sorry, needed to offload! Thanks for being here! Xxx
  • Liz

    Hi all. Jules I've been looking at the handybands from Seasalt. Do let me know how you get on with it.
    Who on this site has amalgam/silver coloured fillings? I was reading something about the mercury in them causing hairloss and maybe causing lichen planus. Both my mum and I have several of these type of fillings.
    xx

  • Rita - Canada

    Liz:I have many, loved/still do, my sweets. I've heard that some people actually do have them removed & refilled w/other kinder material. I wonder if any of the Derms/research has looked at that aspect.

  • Pam

    Jules - I do totally sympathise with you. My holiday in Cornwall was badly affected this year by my increasing sensitivity over my hair loss. I was very self conscious in the sea about my balding sides, and windy walks were a nightmare. I wore a hat a lot, and twice it blew into the sea! Also my eyes seemed more sensitive to the salt water and got red and itchy, and my scalp seemed on fire at times, itching. It seems to have settled down more now that I am back.
    I do have tooth fillings, not sure what is in them though!

  • ElleMN, USA

    Liz, I had my nine amalgam fillings replaced with composite fillings in Dec 2011 because my dentist husband had come across one article mentioning a possible connection in all his research about LP. I'm still losing hair but I'd say my case is more on the mild side, so not sure if it's helped or not. I've also abandoned steroid shots and stopped using creams and ointments and shampoos. I'm just not sure what works and what doesn't so I'm just trying to stay healthy and simplifying things; I also couldn't afford all the treatments! If you can afford to have the fillings replaced you'll be happy with the results but be prepared for some tooth sensitivity while you get used to the new fillings. Do you know if you have an allergy to nickel? That's another trigger for my eczema that I've wondered about with FFA. I think I might just be more sensitive to metals. Hope this helps!
  • Annie

    Liz, I also had silver fillings, but they were replaced gradually between ten and fifteen years ago.

  • Liz

    Hi Ellen. I'll have to find out about having my fillings replaced. I have 3 which have been in my mouth for about 30 years!
    I am allergic to nickel. I have also had bouts of eczema which flare up from time to time and is made worse if I jewelry x.

  • Rita - Canada

    Maddy, I recall you were taking the same med Doxycycline 100mg only twice a day. Also Clobetasol on scalp twice a day. Do you see any difference. i see my Derm tomorrow. Did you also have those scalp injections ev.8 wks.?Thanks.

  • Polly UK

    Hi, I felt fine taking one Hydroxychloroquine 200mg tablet a day for two weeks but after four days of taking two a day I started feeling sick and dizzy so as we're on holiday this week I've cut back to one and already feeling better. Has anyone else had this problem? I am also taking iron as prescribed and applying Dermovate but just doing it once a day for convenience while on holiday. I had felt ok with both of those for past month so it has to be the increased Hydroxy dose...
    Liz, I have a mouth full of amalgam fillings, in some cases it's more filling than tooth!
  • Polly UK

    I am also allergic to nickel!
  • Rita - Canada

    I saw my derm today and she encouraged the use of Rogaine 5% but I recall reading that several people had more shedding for awhile upon starting. Is this what most have experienced? Derm said this happens because the hairs that are just sitting there ready to shed get pushed out by the newly grown hairs. I understand no growth can occur on the areas where FFA has demolished.

  • Sam

    I had the shedding, so much so I stopped it. I only did it for about a month. It also made my ears red and irritated so my doc thought I may be allergic. I am hoping what shed will grow back. But I do hear it works and shedding should be sign its working as better hairs should grow.
  • Jules UK

    Hi Rita, I've been using Regaine 5% since beginning of July. I've since lost loads of hair. I had expected some hairloss preceding some new growth to thicken up what's left but there's no sign of that yet! I've heard from others that it can take around 6 months to see a difference so I am sticking with it in the hope that it will work. Otherwise, I've had no side effects. This sounds demoralising, I'm sorry, but that's my experience so far. It would be interesting to hear from anyone who's had success with Regaine, especially if hairloss was very noticeable but then things did improve. X