Systematic Review of Efficacy of Hair Transplantation in Patients with Classic Lichen Planopilaris and Frontal Fibrosing Alopecia: Revisiting the Current Evidence

    Rodolfo David Palacios‐Diaz, Miguel Antonio Lasheras-Pérez
    This systematic review evaluated the efficacy of hair transplantation in 113 patients with lichen planopilaris (LPP), including those with frontal fibrosing alopecia. The review included 13 studies, primarily case series and individual case reports. Hair transplantation was performed in patients with inactive disease, with graft survival rates ranging from 80%‒100% at 6‒12 months, 71%‒100% up to 24 months, but dropping below 41% after two years. Despite the potential cosmetic benefits, the study highlights a significant decline in graft survival over time and notes the lack of prospective studies and consistent follow-up data.
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