What are the treatment options for frontal fibrosing alopecia?

Frontal fibrosing alopecia can cause a gradually receding hairline, loss of eyebrow hair and changes such as redness or small bumps along the hairline. Inflammation damages follicles and can replace them with scar tissue. Treatment aims to slow active loss; hair already lost from scarred follicles may not return. The condition can be subtle, so comparison with earlier photographs and regular examinations can help show change.

A dermatologist may discuss oral treatment such as [Finasteride Treatment](/treatments/hair-restoration/finasteride-therapy/) when appropriate, taking sex, pregnancy potential, other medicines and medical history into account. Steroid medicine injected into active areas may help reduce local inflammation; read about [Steroid Injection Into The Skin](/treatments/injectables/intralesional-steroid-injection/). A plan may also include scalp or eyebrow examinations, photographs and follow-up visits. Gentle hair care can reduce irritation, but home products cannot replace treatment aimed at follicle inflammation.

Book dermatology care when the hairline is receding, eyebrows are thinning, or you notice redness, scaling, itching or bumps around the hairline. Seek an earlier review if loss is progressing quickly, the skin is painful, or eyelashes or other body hair are changing.

Ask whether your findings suggest active inflammation, which treatment is suitable with your health history, how pregnancy plans affect medicine choices, and how response will be measured. Ask when photographs or repeat examinations should be used to review progression.