Scarring Alopecia

Is there a cure for scarring alopecia?

There isn’t a cure for scarring alopecia. Treatment aims to manage symptoms and slow or stop more hair loss. Some cosmetic treatments can improve the appearance of bald patches.

How is scarring alopecia treated?

Treatment depends on the type of cicatricial alopecia you have. Anti-inflammatory medication is the most common treatment for most forms of scarring alopecia. Anti-inflammatory medication fights the inflammatory cells causing hair follicle destruction. You might take a pill, such as hydroxychloroquine, or receive a corticosteroid injection, such as triamcinolone acetonide. Some anti-inflammatory medications come as creams or oils you apply to your skin.

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Scarring alopecia caused by bacterial infections requires antibiotics, such as doxycycline or minocycline.

Most people take medication for six to 12 months until symptoms improve and hair loss slows or stops. You may need to start taking medication again if you start losing more hair.

Can I get a hair transplant for scarring alopecia?

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A hair transplant is surgery to move hair from one part of your scalp to an area with little or no hair. It’s usually not a good treatment for people with scarring alopecia. The scar tissue under the skin’s surface can prevent transferred hair from growing. But you may be a candidate for hair restoration if you haven’t lost new hair for a few years. Ask your healthcare provider if a hair transplant might be right for you.

Can I get platelet-rich plasma therapy for scarring alopecia?

Platelet-rich plasma (PRP) uses cells from your own blood to reduce inflammation and help tissues heal. It can also help regrow your hair and treat hair loss caused by nonscarring alopecia. PRP therapy for scarring alopecia is less common, but some studies have shown positive results for certain types, such as lichen planopilaris.

Will my hair regrow if I have scarring alopecia?

Scarring alopecia can cause permanent hair loss, so your hair will be difficult to regrow after the follicle is destroyed. But if you catch the condition very early, medication may be able to stop inflammation before it completely destroys the hair follicle.

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