Lichen Planopilaris (LPP) is an autoimmune disease of the scalp (photo)

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 be present more than most doctors realize and could be found in men in their late 20s or 30s.  We have thought that women were more susceptible to having this disease in the past.