Cicatricial alopecia, also known as scarring alopecia, is a less common but significant hair loss condition that can affect both men and women. Unlike some other forms of alopecia, cicatricial alopecia is characterized by the destruction of hair follicles, leading to permanent hair loss. In this article, we’ll explore three essential things you should know about cicatricial alopecia.
Watch the video below by Dr. Jennifer Krejci where she explains the cicatricial alopecia disease and more.
1. Understanding Cicatricial Alopecia
Cicatricial alopecia, or scarring hair loss, is a specific category of hair loss conditions. Dermatologists classify hair loss into two main groups: scarring and non-scarring. The most familiar types of alopecia, such as male and female pattern hair loss, fall into the non-scarring category, typically caused by genetic factors.
Cicatricial alopecia, on the other hand, includes conditions like LPP (Lichen Planopilaris) and CCCA (Central Centrifugal Cicatricial Alopecia). These conditions result in the permanent destruction of hair follicles and are often not hereditary.
2. Diagnosis by a Board-Certified Dermatologist
If you suspect you may be experiencing cicatricial alopecia, it’s crucial to seek diagnosis and treatment from a qualified healthcare professional. A board-certified dermatologist is your best choice for an accurate diagnosis. For a consultation with a hair restoration surgeon, access our Find A Doctor tool where you can search for an ISHRS member by location.
Diagnosing cicatricial alopecia typically involves a biopsy, a minor procedure that can be performed in the office. This procedure provides essential insights into the nature and severity of your condition, guiding your treatment plan.
3. Hair Transplants and Cicatricial Alopecia
For individuals with cicatricial alopecia, the possibility of undergoing a hair transplant is usually limited or, at best, uncertain. Cicatricial alopecia often involves the body’s immune system attacking its hair follicles. In such cases, introducing additional grafts or hair strands through a transplant procedure can pose risks, as these new follicles may also become targets of the immune response.
Before considering a hair transplant, it’s essential to determine the type of hair loss you have (scarring or non-scarring) and consult with a knowledgeable dermatologist. The treatment approach and medications vary significantly between these two categories of alopecia.
In conclusion, when dealing with hair loss, especially cicatricial alopecia, following these critical steps is essential:
- Identify the type of hair loss you have, whether it’s scarring (cicatricial) or non-scarring.
- Consult with a board-certified dermatologist who can accurately diagnose your condition and recommend an appropriate treatment plan.
Understand that hair transplant candidacy may be limited if you have cicatricial alopecia, as addressing the underlying immune response is a priority.
Start with steps one and two, and your dermatologist will guide you toward the most suitable treatment options for your specific condition. Hair loss can be a challenging experience, but with the right diagnosis and treatment, you can effectively manage cicatricial alopecia and its impact on your life.