Learn about the possible causes of Frontal Fibrosing Alopecia, including hormonal, genetic, and autoimmune factors. Discover expert insights and treatment options in Islamabad.
Experiencing gradual hairline thinning or loss around your forehead or eyebrows? Understanding the causes of Frontal Fibrosing Alopecia is essential for early diagnosis and effective treatment, especially as this condition increasingly affects women experiencing hairline recession
At Dr. Uzma Irfan Hair Transplant Clinic Islamabad, we help patients identify and manage the root causes of FFA. Dr. Uzma Irfan, certified by both ABHRS and a member of ISHRS, brings years of experience in treating various types of hair loss using advanced diagnostic and treatment methods.

What Is Frontal Fibrosing Alopecia (FFA)?
Frontal fibrosing alopecia is a progressive, scarring type of hair loss that typically affects the front hairline and sometimes eyebrows and sideburns. It’s most common in postmenopausal women but can affect men and younger women as well.
What Makes FFA Different from Other Hair Loss Conditions?
- Permanent scarring of hair follicles
- Inflammation in the frontotemporal hairline
- Associated with eyebrow and facial hair thinning
- Can mimic other conditions like traction alopecia or hormonal hair loss
Early detection is key to slowing or halting its progression.
What Causes of Frontal Fibrosing Alopecia?
The exact cause of FFA is still being studied, but researchers believe it is multifactorial, involving the immune system, hormones, and environmental influences.
Key Contributing Factors Include: Causes of Frontal Fibrosing Alopecia
These are the causes of frontal fibrosing Alopecia
1. Autoimmune Dysfunction
FFA is believed to be a type of lichen planopilaris, where the immune system mistakenly attacks hair follicles, leading to inflammation and eventual scarring.
2. Hormonal Changes
The condition predominantly affects postmenopausal women, suggesting a hormonal link, possibly involving reduced estrogen levels.
3. Genetic Predisposition
Family history may increase the risk, although specific genes have not yet been definitively identified.
4. Environmental Triggers Causes of Frontal Fibrosing Alopecia
Emerging evidence suggests links between FFA and:
- Use of sunscreens and facial cosmetics
- Exposure to certain hair dyes or preservatives
- UV radiation or pollutants
How Is FFA Diagnosed at Our Clinic?
At Dr Uzma Irfan Hair Transplant Clinic Islamabad, diagnosis is made through a combination of:
- Clinical examination
- Trichoscopy (scalp imaging)
- Scalp biopsy, when needed, to confirm inflammatory or scarring patterns
Treatment Options for Frontal Fibrosing Alopecia
While there is no “cure” for FFA, early intervention can slow its progression and, in some cases, partially restore hair growth.
Medical Treatments May Include:
- Topical steroids or tacrolimus: Reduce local inflammation
- Oral medications such as:
- Finasteride or Dutasteride (DHT blockers)
- Hydroxychloroquine (anti-inflammatory)
- Finasteride or Dutasteride (DHT blockers)
- Intralesional steroid injections
- Antibiotics (e.g., doxycycline) for anti-inflammatory purposes
Hair Transplantation for FFA: Causes of Frontal Fibrosing Alopecia
Transplants may be considered in:
- Stable FFA cases (no progression for 1–2 years)
- Localized frontal hairline loss
- When scalp inflammation is minimal or controlled
Dr. Uzma Irfan performs precise transplantation using FUE techniques to restore natural-looking results—only after determining the stability and suitability of the patient.

Why Choose Dr Uzma Irfan Hair Transplant Clinic Islamabad?
Located in the heart of Islamabad, our clinic combines medical expertise, modern technology, and ethical practices to ensure high standards of care.
Dr. Uzma Irfan’s Credentials:
- Certified by American Board of Hair Restoration Surgery (ABHRS)
- Active member of International Society of Hair Restoration Surgery (ISHRS)
- Extensive experience in scarring alopecia management, including FFA
- Focus on safe, evidence-based treatments
Local & Global Relevance
Serving Islamabad and Beyond
Patients from across Islamabad, Rawalpindi, and surrounding regions visit us for advanced hair restoration services.
International Patients Welcome
Medical tourists from UK, UAE, and Europe also choose our clinic for:
- High-quality care
- Affordable options
- Confidential, culturally sensitive treatment
What to Do Next
Understand the Causes of Frontal Fibrosing Alopecia? The sooner it’s diagnosed, the better your chances of managing it effectively.
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Frequently Asked Questions :Causes of Frontal Fibrosing Alopecia
Can FFA be reversed?
While the scarring caused by FFA is permanent, early treatment can help slow or stop progression. In some cases, partial regrowth is possible if hair follicles are not yet fully scarred.
How do I know if I’m a candidate for hair transplant after FFA?
Hair transplant is only advisable when the disease is stable and inflammation is controlled. Dr. Uzma Irfan performs a thorough evaluation before recommending surgery.
Are there any non-surgical treatment options for FFA?
Yes, treatments like oral medications, topical steroids, and PRP (in select cases) can help manage the condition.
Does sunscreen cause FFA?
There’s no direct proof that sunscreen causes FFA. However, some studies suggest a possible link to certain ingredients, so patients may be advised to use mineral-based products.
What should I avoid if I have FFA?
A: You may be advised to avoid:
Harsh hair products
Frequent use of heat styling
Irritating cosmetics or sunscreens
Final Thoughts : Causes of Frontal Fibrosing Alopecia
Frontal fibrosing alopecia can be a distressing and often confusing condition, especially when it progresses silently over time. However, with early diagnosis, personalized treatment, and ongoing care from a qualified specialist, its impact can be significantly reduced. At Dr Uzma Irfan Hair Transplant Clinic in Islamabad, we’re committed to helping patients understand causes of Frontal Fibrosing Alopecia and take proactive steps toward managing it—ethically, safely, and effectively.
If you’re noticing signs of FFA or any other hair loss condition, don’t delay. Timely intervention makes a real difference.
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