Scarring (cicatricial) alopecia is a group of conditions where hair follicles are permanently destroyed and replaced by scar tissue. Early diagnosis is critical — we cannot regrow scarred areas, but we can stop progression to protect remaining hair.
Treatment depends on subtype: lichen planopilaris, frontal fibrosing alopecia, central centrifugal cicatricial alopecia, and dissecting cellulitis each have specific clinical features and protocols.
If you notice a patch of hair loss with redness, scaling, or visible loss of follicle openings, see a dermatologist urgently. Book an urgent consultation.
Scarring Alopecia — FAQ
How is scarring alopecia different from regular hair loss?
In scarring alopecia, the follicle is permanently destroyed and replaced by scar tissue — hair cannot regrow. In non-scarring (androgenetic, telogen) the follicle survives. Different urgency.
What types do you see?
Lichen planopilaris, frontal fibrosing alopecia, central centrifugal cicatricial alopecia, dissecting cellulitis. Each has specific clinical features and treatment.
Can lost hair be regrown?
Honestly: no. Scarred areas are permanent. Treatment focuses on stopping further progression and protecting remaining hair.
How is it treated?
Anti-inflammatory therapy — high-potency topical steroids, intralesional steroid injections, oral hydroxychloroquine, doxycycline, or methotrexate depending on type. Long-term commitment.
