What should you know about new treatment for scarring alopecia?

Scarring alopecia is a group of conditions in which inflammation can injure hair follicles and replace them with scar tissue. Hair loss may be patchy, gradual, tender, itchy, or associated with redness and scale. A clinician may examine the scalp closely and sometimes take a small biopsy to identify the pattern.

Treatment is directed at activity rather than simply covering the bald area. Options may include prescription anti-inflammatory medicines, oral treatment, or injections into selected active areas. [Frontal Fibrosing Alopecia](/conditions/frontal-fibrosing-alopecia/) is one pattern with its own distribution and treatment considerations.

Book a dermatology assessment when you notice widening part lines, smooth or shiny areas, loss of follicle openings, persistent scalp symptoms, or new [Bald Patches](/symptoms/bald-patches/). Bring a list of medicines and photographs showing how the change has progressed.

Use gentle hair care and avoid tight styles, harsh chemical processing, and scratching until the scalp is assessed. Ask whether an injection into the skin, such as [Steroid Injection Into The Skin](/treatments/injectables/intralesional-steroid-injection/), is appropriate for an active area.

Arrange prompt review for rapidly expanding loss, pain, burning, pus, marked redness, crusting, or sores. These features can signal active inflammation or infection and need a direct scalp examination. Do not wait for a cosmetic solution if the scalp is still symptomatic.

Is the hair loss active, and how will you monitor it? Do I need a biopsy? Which treatment is intended to reduce inflammation? What side effects should I watch for, and when should progress be reviewed?