Frontal fibrosing alopecia is increasingly seen in postmenopausal women and rarely in men. Despite the limitations of a retrospective study, we conclude early intervention and treatment with intralesional triamcinolone acetonide may halt the progression of the disease; however, further controlled prospective studies are needed to establish treatment guidelines for frontal fibrosing alopecia.

The majority of patients showed improvement and subsequent remission with oral antibiotics. In some patients, it took years of slow taper before the antibiotic could be discontinued. Only a few patients had recalcitrant disease, with minimal response to their initial and alternative medications.

Hair is an important feature of self-image, and hair loss can have a devastating impact on a person's pychological well-being. In recent years, there has been an explosion of research in the understanding of various hair disorders, but unfortunately there has not been a major breakthrough and not much has changed in terms of therapeutic options available to patients with extensive hair loss. As professionals, we need to understand the social significance of hair in relation to a person's outward presentation and social interactions. We must minimize the distress alopecia can cause by providing up-to-date information to enable them to prepare for and minimize the psychological consequences of hair loss.

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