Abstract
Frontal Fibrosing Alopecia (FFA) is a chronic lymphocytic cicatricial alopecia that usually involves the fronto-temporal hairline and the eyebrows in women but other presentations such as involvement of the sideburns, occipital scalp, eyelashes and body hair are also possible. Further, its presentation comes in typical and atypical patterns. FFA can be associated with lichen planus pigmentosus, facial papules, red dots, prominent veins, and increases preauricular wrinkles. It is of unknown etiology and there is no cure. Recent works have suggested association with leave in cosmetic products such as sunscreens, and possible sensitization due to cosmetic ingredients. Histopathologic and trichoscopic findings are the mainstay in obtaining an accurate diagnosis. Treatment and prognosis vary depending on severity at presentation, however, reduced progression with treatment has been demonstrated in most patients within a year.