Halting the damage to scalp health

Thanks to new options on the horizon, it’s possible to go from “permanent loss” to “hair regrowth” when treating scarring alopecias and achieving follicular rescue in scalp diseases. Amy J. McMichael, MD, professor and chair for the department of dermatology at Wake Forest Baptist Health, was among the panelists shedding new light on permanent scalp damage and offering hope for patients diagnosed with these conditions. 

The focus of Friday’s session, “Follicular Rescue in Scarring Alopecias: Treating to Halt Disease Progression and Grow Hair,” was a discussion of lichen planopilaris, frontal fibrosing alopecia, traction alopecia, and central centrifugal cicatricial alopecia. 

Look for dermatoscopic and pathology clues to determine what is impeding viable hair growth, including clinical treatments used in innovative combinations and newer treatments, such as platelet rich plasma (PRP), laser therapy, microneedling,
and scalp hair restoration, Dr. McMichael said.  

Surgical scalp restoration in scarring alopecia

Hair transplantation could restore missing follicles and sometimes can be successfully performed in primary cicatricial alopecias. What do we need? Medical treatment, activity assessment, and surgical management. 

Central centrifugal cicatricial alopecia (CCCA):

Treatment consists of anti-inflammatory medications. Treatment may allow hair follicles that are not affected by inflammation to remain intact and grow. Recruitment of remaining follicles contributes to the appearance of density in the affected scarred areas.