This patient should not have a hair transplant as his disease, LPP, will kill any transplanted hairs. The previous hairs were replaced by scar tissue. This disease is evident by the shinny, scar ridden skin, the lack of vellus hairs around the hairy edge as it transitions into normal scalp. This disease is thought to […]
18 search results for: Lichen Planopilaris
Lichen planopilaris is a cicatricial alopecia that causes permanent destruction of hair follicles. This condition will cause a rejection of a hair transplant
Generally, scarring on the skin is relatively permanent. I don’t recall seeing patients with lichen planopilaris in my practice, so I really couldn’t comment based on experience. I would consult with a dermatologist for possible treatments. Sorry.
See DermatologyChannel.net for more information on this disease. The problem with transplantation is that if the disease is active and is autoimmune in etiology, then a hair transplant may be doomed from the start. Inactivity of Lichen Planopilaris in the autoimmune arena must be determined before starting the costly hair transplantation process. If you and […]
Some folks don’t respond to 5AR inhibitors and find no other option but to quit and embrace baldness instead of consider the immunologic possibility of their hairloss. Could Lichen Planus and related illnesses be, in combination or by themselves, be accountable for hairloss on a relevant scale? Why aren’t we discussing this topic more? The diagnosis […]
I don’t like to invent new scrips when there is an excellent review of this condition here: https://www.dermnetnz.org/topics/lichen-planopilaris/. “Lichen planopilaris is a rare inflammatory condition that results in patchy progressive permanent hair loss mainly on the scalp”
Unfortunately, much of what you said is true. Transplanting hair into an area of active disease will kill the hair grafts. Most doctors will not do a surgery like a hair transplant where the odds are against the success of the procedure. I don’t know the specific statistics for those that have lichen planopilaris, as […]
This is an autoimmune disease that can lead to permanent hair loss, and is best treated by a dermatologist who has a great deal of experience with it. Unfortunately, I’m not that person, nor have I seen it triggered by a hair transplant. It might have happened even had you not received a hair transplant, […]
Hey, Dr. Rassman. Thank you for checking in. Unfortunately (or, perhaps, fortunately, in that I have an answer) I was diagnosed today with lichen planopilaris. It seems worst case in a way, but again, I’m relieved to have an answer. Starting injections soon. I’ve finally found a good dermatologist that was willing to take a […]
Because these balding photos do not follow the Norwood scale photos of balding, I doubt that they are genetic. The diagnosis could likely be made with a hand microscope (trichoscope). These are the things that the physician should look for with a trichoscope. High on my list of diagnosis, is Alopecia Areata. Trichotillomania usually doesn’t […]
Is genetic balding being caused by an inflammatory response? So what about practices that reduce inflammation vs taking medication to suppress DHT? There are conditions called Lichen Planopilaris or Frontal Fibrosing Alopecia which can cause balding in men. These autoimmune diseases are now being recognized in men who present with balding and a lot of […]
Dr. Christine Shaver and other dermatologists are picking up diseases of the scalp in young balding men. These men present with itching, inflammation and hair loss. Upon biopsies taken by Dr Shaver, she identifies about one young male patient each week with a condition called Lichen Planopilaris or Frontal Fibrosing Alopecia, both autoimmune diseases of […]
With no vellus hairs seen, this is a clear indication that there is some scalp and hair disease present (Frontal Fibrosing Alopecia, or Lichen planopilaris which typically presents as smooth white patches of scalp hair loss. No hair follicle openings can be seen in the areas of hair loss. At the edges of these patches, there […]
Cicatricial alopecia is one of the two major categories for hair loss (alopecia). It stems from an autoimmune process and is found in many types of non-genetic alopecias. The etiology for the way cicatricial alopecia works has not been well defined. Included in this group are: Lichen planopilaris: Lichen planopilaris is the name given to […]
I went to a dermatologist, and he did a biopsy after examining me. When I came back to see him, he said I had scarring alopecia. I am also balding and was considering a hair transplant to address my balding crown. Can I go ahead with a hair transplant as the area he biopsied was […]
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