Frontal fibrosing alopecia (FFA) is a cicatricial alopecia within a spectrum of lichen planopilaris. It affects postmenopausal women in the majority of cases. The condition presents with slowly progressive symmetric hairline recession in the frontotemporal and frontoparietal region and very often accompanied with either loss of outer part eyebrow or the entire eyebrows. The skin on this area of hair loss is usually pale and may be rough. The presence of “lonely hairs” in the middle of the forehead at the site of the original hairline is very often a clue to clinical diagnosis of FFA. Itching is associated with this condition. The coexistence of non-inflammatory papules or roughness of the skin on the face is common.
