Scarring Alopecia Specialist

Marc Avram, MD -  - Hair Transplant Specialist

Marc Avram, MD

Hair Transplant Specialist & Cosmetic Dermatologist located in Upper East Side, New York, NY

There are a variety of reasons patients develop scarring alopecia, including inflammatory skin diseases, chronic hair styling habits, infection and trauma. As a board certified dermatologist, Dr. Avram can diagnose, and then treat your scarring alopecia medically and/or surgically depending on the stage of your hair loss.

Scarring Alopecia Q & A

What is scarring alopecia?

Scarring alopecia refers to the result of a group of hair loss disorders that occur in both men and women of all ages. Scarring alopecia is relatively uncommon, accounting for only 3% of hair loss problems and is characterized by the permanent destruction of your hair follicles, which are replaced with scar tissue, creating bald spots.

 There are several rare diseases that can cause scarring alopecia, including:

  • Lichen planopilaris
  • Frontal fibrosing alopecia
  • Discoid lupus
  • Dissecting cellulitis
  • Pseudopelade of Brocq

However, scarring alopecia can also result from non-medical issues, such as:

  • Hair loss due to hot combs, relaxants, and chemicals
  • Traction alopecia from constant pulling of the hair: Like braids or pony tails


What are the symptoms of scarring alopecia?

Scarring alopecia generally starts with the appearance of small patches of hair loss that may grow larger over time. For some, there are no other noticeable symptoms, while in others the patches may become inflamed and cause itching and pain.

Diagnosis of scarring alopecia is tricky because the destruction of the hair follicle takes place under your skin and the outward signs on your scalp can range from a smooth spot to small blisters. One good indicator of scarring alopecia is a ragged edge around the patch, but since irritated patches don’t always form, a small biopsy is usually performed to detect inflammatory cells around your hair follicles that may indicate scarring alopecia.


What is the treatment for correcting scarring alopecia?

 The first order of business in treating scarring alopecia is to treat the primary inflammatory disease medically. Once the underlying cause of the hair loss patches has been addressed, you may begin to treat and remedy the affected areas.

Typically, your scarring alopecias can be corrected by adding a large number of follicular groupings into the affected scar tissue. The growth of transplanted hair in scarring alopecias is more unpredictable than for typical male or female pattern hair loss and often requires one to three procedures to achieve your cosmetic goal.

It is also important to note that future flare-ups of your scalp disease can occur and could affect your transplanted hair.

Dr. Avram will discuss with you how and when your hair loss areas may be corrected based on the diagnosis of the underlying cause for your scarring alopecia.