Hair Transplant Forum › Hair Transplant for Scarring Alopecia (LPP)
- January 20, 2017 at 7:08 pm #1448
Good afternoon all,
I am a 30 year old male that was diagnosed with lichen planopilaris 2 and half years ago. I’ve been to specialists (Jerry Shapiro- NYU) and others and have tried many medications with varying degrees of success. I’ve been researching day and night for the past two years for a solution. Or if anyone has ever found out what caused there scarring alopecia. I don’t use chemicals on my scalp and hadn’t even used a blow dryer until recently in the past 20 years. I know that it’s possible to correct this when and if it burns out. Is there anyone here that has had their scarring alopecia corrected via hair transplant. If so, please respond to this thread, I’ve been desperate to see light at the end of the tunnel, not all of the horrific image on the internet. Thanks and good luck to all.
- January 21, 2017 at 6:44 pm #1458
Welcome to the forums and thank you for posting.
As you’re aware, LPP is an immune mediated or auto-immune type of alopecia. This basically means it’s a condition where your body’s own immune system inappropriately recognizes your hair follicles as “foreign” bodies and attacks them. There are a variety of treatments (aimed at “calming down” the immune system) available, and each has varying degrees of success for individual patients.
It sounds like you are also aware that LPP usually goes through “active” and “passive” phases, and can, in some cases, actually “burn out.” This usually means it is no longer active, and something like a hair transplant to replace the lost hair may be appropriate. However, this is only if the LPP is truly not active and the skin itself isn’t too scarred or avascular (without blood supply) to accept the grafts.
Something that also must be considered is whether or not the hair transplant can “trigger” the LPP to become active again. Sometimes stressors on the body (like surgery) can re-active auto-immune conditions, and placing transplanted follicles into an area that the body has targeted before can trigger the LPP as well.
So, I would recommend the following:
1) Discussing a transplant with the dermatology/immunology team that has been treating the LPP and confirming that the condition is truly “passive” or “burned out” to the point where a transplant may be appropriate.
2) Meeting with a hair transplant doctor in person to have an evaluation of the scalp and a review of your medical records to further confirm that a hair transplant is a good option.
I believe you may have scheduled an appointment with our office to go over this very information. If so, that’s great and we’ll see you then.
Hope this helps!
Dr Blake Bloxham
Feller & Bloxham Medical, PC
- January 24, 2017 at 4:53 am #1481
Dr. Bloxham, I’m assuming you are born with this condition ?
- January 25, 2017 at 1:26 am #1496
Not necessarily. You can develop auto-immune conditions (like LPP). However, you would likely know about it from a somewhat early age. And it can be diagnosed and differentiated pretty well from common androgenic alopecia or “male pattern hair loss.”
- January 25, 2017 at 3:14 am #1501
Thank you for the explanation Dr. Bloxham. Does this have anything to do with Ringworm ? Is it similar or could ringworm act as a trigger for this ? I seem to recall hair problems in someone I knew as a kid that had ringworm and lost hair in that area long after it was treated. Was this an auto immune?
Thanks in advance.
- January 25, 2017 at 11:12 pm #1503
I truly hope you get the answers you need when you see the doctors in person .Good luck to you I know it’s hard to not have an answer
- January 29, 2017 at 5:56 pm #1505
Fungal infections in the scalp (like ringworm) can cause hair loss. I’ve seen it cause permanent hair loss in certain small regions as well. And while technically it is the immune system that would help fight off the fungal infection, I don’t think I’ve ever heard of a fungal infection kicking off an auto-immune alopecia. Though it may be theoretically possible. Interesting question, but I don’t think anyone who had a fungal infection in the scalp should spend any time worrying about it leading to immune-mediated alopecia.
- January 29, 2017 at 10:50 pm #1516
I wasn’t born with anything like that (autoimmune issue) thankfully. But not very happy to know it can happen later on.What can trigger it and can it be avoided ? Would you say someone with LPP predictably has other problems with their health? Serious problems ?
As for the ring worm, where does it come from and how does it get on the head and hurt the hair. Thank you in advance Dr. Bloxham it’s really great that participate yourself. Maybe Dr. Feller will get involved or just you?
- January 30, 2017 at 12:26 am #1523
Dr. Bloxham, if someone had a fungal scalp infection as a child does that cause a problem for a hair transplant as an adult ? If so, how real is the problem and is there anything that can be done ?
- February 6, 2017 at 10:50 pm #1565
Not likely. While you may have some hair loss from the fungal infection, the area could likely be treated with transplants and you shouldn’t have any other issues with fungal infections in the area (unless you’ve had them as an adult).
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