{"id":76027,"date":"2021-11-10T09:50:23","date_gmt":"2021-11-10T09:50:23","guid":{"rendered":"https:\/\/elithair.com\/?p=76027"},"modified":"2021-11-10T09:50:23","modified_gmt":"2021-11-10T09:50:23","slug":"scarring-alopecia","status":"publish","type":"post","link":"https:\/\/elithair.com\/uk\/blog\/scarring-alopecia\/","title":{"rendered":"\u00a0Scarring Alopecia (Cicatricial Alopecia): Causes, Diagnosis, Treatment &amp; Prognosis (UK 2026 Guide)"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\" id=\"h-non-scarring-v-s-scarring-alopecia\">Non-Scarring v.s Scarring Alopecia<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"772\" height=\"517\" src=\"https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2021\/11\/A-man-with-non-scarring-alopecia-on-his-head-1.jpeg\" alt=\"man with non scarring alopecia areata\" class=\"wp-image-76052\" srcset=\"https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2021\/11\/A-man-with-non-scarring-alopecia-on-his-head-1.jpeg 772w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2021\/11\/A-man-with-non-scarring-alopecia-on-his-head-1-300x201.jpeg 300w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2021\/11\/A-man-with-non-scarring-alopecia-on-his-head-1-768x514.jpeg 768w\" sizes=\"auto, (max-width: 772px) 100vw, 772px\" \/><\/figure>\n\n\n\n<p>To identify whether you have Scarring Alopecia (SA) or Non-Scarring Alopecia you need to <strong>consult your<\/strong> <strong>doctor or dermatologist<\/strong>. They will conduct a hair pull test and possibly a scalp biopsy to assess whether your hair follicles are still alive and for the presence of inflammatory cells. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What is Scarring Alopecia?<\/h3>\n\n\n\n<p>Scarring alopecia is <strong>permanent damage caused to the hair follicles<\/strong> which is replaced with scar tissue. Scar tissue completely destroys the hair bulb thus ceasing the hair growth cycle forever.<\/p>\n\n\n\n<p>The science behind this is that when inflammation occurs around the hair follicles, the stem cells and oil glands (sebaceous glands) at the top of the bulbs are destroyed. Without these, hairs cannot grow and are permanently lost. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What is Non-Scarring Alopecia?<\/h3>\n\n\n\n<p>Non-Scarring Alopecia is the<strong> reversible kind of hair loss <\/strong>whereby the hair follicles are still alive and hair growth can return. In some cases, the hair fall and regrowth occur for unknown reasons and it&#8217;s difficult to predict the duration of the hair fall. <\/p>\n\n\n\n<p>On the other hand, some patients experience cycles of hair loss and hair regrowth that is unpredictable. However, there is <strong>always a chance of new hair appearing <\/strong>which isn&#8217;t the case with SA.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Which types of alopecia are scarring and non-scarring?<\/h3>\n\n\n\n<p>Those do not refer to just one type of alopecia. Each form of hair loss is identified as either the former or the latter. Here is a definition of which alopecia conditions are in which category:<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Non-Scarring Alopecias:<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/elithair.com\/uk\/blog\/alopecia-areata\/\">Alopecia Areata<\/a><\/li>\n\n\n\n<li>Alopecia Areata Totalis<\/li>\n\n\n\n<li>Short-term Traction Alopecia<\/li>\n\n\n\n<li>Alopecia Areata Universalis<\/li>\n\n\n\n<li><a href=\"https:\/\/elithair.com\/uk\/blog\/alopecia-barbae\/\">Alopecia Barbae<\/a><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Scarring Alopecias:<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lichen Planopilaris<\/li>\n\n\n\n<li><a href=\"https:\/\/elithair.com\/uk\/blog\/frontal-fibrosing-alopecia\/\">Cicatricial Alopecia<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/elithair.com\/uk\/blog\/frontal-fibrosing-alopecia\/\">Frontal Fibrosing Alopecia<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/elithair.com\/uk\/blog\/traction-alopecia\/\">Long-term Traction Alopecia<\/a><\/li>\n\n\n\n<li>Hair loss due to injury (surgical scars)<\/li>\n<\/ul>\n\n\n\n<p>Some hair loss conditions cause <strong>severe itching, burning, and scalp discomfort<\/strong> that indicates that your hair is affected by something. When these symptoms occur, you need to seek advice from your doctor or dermatologist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-what-does-scarring-alopecia-look-like\">What Does Scarring Alopecia Look Like?<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"772\" height=\"515\" src=\"https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2021\/11\/a-woman-with-scarring-alopecia-at-the-back-of-her-head.jpeg\" alt=\"a woman with scarring alopecia at the back of her head\" class=\"wp-image-76049\" srcset=\"https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2021\/11\/a-woman-with-scarring-alopecia-at-the-back-of-her-head.jpeg 772w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2021\/11\/a-woman-with-scarring-alopecia-at-the-back-of-her-head-300x200.jpeg 300w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2021\/11\/a-woman-with-scarring-alopecia-at-the-back-of-her-head-768x512.jpeg 768w\" sizes=\"auto, (max-width: 772px) 100vw, 772px\" \/><\/figure>\n\n\n\n<p>This form of hair loss looks like<strong> scarred skin surface<\/strong> where your hair used to be. The surface of the skin will look less or more pigmented, shiny, and smooth. And of course completely bald. <\/p>\n\n\n\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3855115\/\">Central Centrifugal Cicatricial Alopecia is a good example<\/a>. It&#8217;s caused by Lichen Planopilaris which progressively destroy the hair follicle from the frontal hairline and works its way backwards. <\/p>\n\n\n\n<p>Alopecia Areata, which is a patchy form of hair loss is often confused with scaring alopecia because of the smooth patches it creates. However, <strong>AA is actually a type of non-scarring hair loss<\/strong> as the hair growth can return naturally. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-can-hair-grow-back-afterwards\">Can Hair Grow Back Afterwards?<\/h2>\n\n\n\n<p>If scarring alopecia is identified early then it is possible to<strong> treat the inflammation<\/strong> to stop or at least slow down the progression of your hair loss. To treat the inflammation, anti-inflammatory medication (usually a topical treatment) is prescribed such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Antibiotics<\/li>\n\n\n\n<li>Corticosteroids <\/li>\n\n\n\n<li>Immunotherapy (when an autoimmune disease is a cause e.g. thyroid disease)<\/li>\n<\/ul>\n\n\n\n<p>Although these medications can be effective, they are not effective in every case, especially when the diagnosis is unknown. Hence, it&#8217;s important to get a proper diagnosis early on in order to <strong>reduce the effects of inflammation<\/strong>. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Can Scarring Alopecia Be Treated?<\/strong><\/h2>\n\n\n\n<p><a href=\"https:\/\/elithair.com\/uk\/treatment\/hair-transplant\/\">A hair transplant<\/a> is an excellent treatment for Scarring Alopecia because alive, growing hairs are implanted into the scar tissue.<strong> This restores the hair <\/strong>that was there before, thus returning your full head of hair. For a complete overview of the procedure, recovery process, and pricing options available abroad, read our <a href=\"https:\/\/elithair.com\/uk\/hair-transplant-turkey-guide\/\">guide to hair transplants in Turkey<\/a>.<\/p>\n\n\n\n<p>However, in order for a hair transplant to be successful, you need sufficient donor hair grafts. Also, the cause of your hair loss needs to have settled before a hair transplant is possible. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-treatment-goals-amp-realistic-expectations\">Treatment Goals &amp; Realistic Expectations<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Primary aim<\/strong>: suppress inflammation, stabilise disease, preserve remaining follicles. <br><\/li>\n\n\n\n<li><strong>Secondary aim<\/strong>: regrow hair where possible\u2014but significant regrowth is <strong>less likely<\/strong> once follicles are destroyed. <\/li>\n<\/ul>\n\n\n\n<p><strong>Cosmetic alternatives<\/strong>: if follicles are lost, options include wigs, scalp micropigmentation, hair transplant <em>only if<\/em> disease is inactive. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-what-treatments-are-used\">What Treatments are Used?<\/h3>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Treatment<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\"><strong>Use &amp; evidence<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\"><strong>Notes \/ limitations<\/strong><\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">Topical\/intralesional corticosteroids<\/td><td class=\"has-text-align-center\" data-align=\"center\">First-line for many lymphocytic forms.<\/td><td class=\"has-text-align-center\" data-align=\"center\">Works mainly if inflammation is active and follicles intact.<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">Oral agents (e.g., hydroxychloroquine, doxycycline, isotretinoin)<\/td><td class=\"has-text-align-center\" data-align=\"center\">For immune\/inflammatory forms (LPP, FFA, CCCA)<\/td><td class=\"has-text-align-center\" data-align=\"center\">Off-label, many without large RCTs; side-effects must be managed.<br><\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">Low-level light therapy\/other adjuncts<\/td><td class=\"has-text-align-center\" data-align=\"center\">Emerging evidence in some subsets.<\/td><td class=\"has-text-align-center\" data-align=\"center\">Still experimental; not universally available.<br><\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">Hair transplant\/grafting<\/td><td class=\"has-text-align-center\" data-align=\"center\">Considered only when disease is quiescent; many forms unsuitable.<\/td><td class=\"has-text-align-center\" data-align=\"center\">Must be done by experienced specialist; outcomes variable.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-conclusion\">Conclusion<\/h2>\n\n\n\n<p>When it comes to hair loss, time is usually against you. Although this seems like a very frightful statement, it means that you have a better chance of keeping your hair if you <strong>act sooner rather than later<\/strong>. <\/p>\n\n\n\n<p>This is especially relevant for progressive forms of hair loss, and definitely types that are caused by inflammation. The sooner the inflammation is reduced, the less scaring alopecia you will have. Thus, it will be more naturally reversible. <\/p>\n\n\n","protected":false},"excerpt":{"rendered":"<p>Non-Scarring v.s Scarring Alopecia To identify whether you have Scarring Alopecia (SA) or Non-Scarring Alopecia you need to consult your doctor or dermatologist. They will conduct a hair pull test and possibly a scalp biopsy to assess whether your hair follicles are still alive and for the presence of inflammatory cells. What is Scarring Alopecia? [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":76053,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_yoast_wpseo_focuskw":"scarring alopecia","_yoast_wpseo_title":"Scarring Alopecia: What Is The Best Treatment? | Elithair","_yoast_wpseo_metadesc":"Scarring (cicatricial) alopecia leads to permanent follicle destruction. 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