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Living with Frontal fibrosing alopecia

A condition causing slowly worsening hair loss and scarring along the front hairline, sometimes with eyebrow and eyelash loss.

Understanding Frontal fibrosing alopecia

Frontal fibrosing alopecia (FFA) is a form of lichen planopilaris that causes slowly progressive hair loss and scarring on the scalp near the forehead.

In some cases the eyebrows, eyelashes, or other parts of the body are also involved. It usually starts in adulthood.

Signs & symptoms

GARD doesn't list a separate symptom list. Its summary describes:

  • Slow hair loss near the forehead
  • Scarring on the scalp
  • Eyebrow or eyelash loss in some people
  • Hair loss on other body areas in some

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Skin, hair, and nail specialists (dermatologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Scarring Alopecia Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which treatments can slow the hair loss?
Do I need a scalp biopsy to confirm the diagnosis?
Can eyebrow and eyelash loss be managed?

Quick facts

Symptoms usually startAdult

The exact cause is not known. It has been suggested that it may be due to hormonal changes or an autoimmune response.

Skin

Also known as: ffa

Patient organizations

Source: NIH GARD · Frontal fibrosing alopeciaGARD ID 10886 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Frontal fibrosing alopecia.

Explore the Frontal fibrosing alopecia blog

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