{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Skinside Out","title":"Deeper Dive: Scarring Alopecia","html":"<iframe width=\"100%\" height=\"180\" frameborder=\"no\" scrolling=\"no\" seamless src=\"https://share.transistor.fm/e/f32d4f06\"></iframe>","width":"100%","height":180,"duration":1384,"description":"Scarring alopecia is a challenging form of hair loss that can permanently damage hair follicles, making early diagnosis and treatment especially important. Dr. Zain Husain, Heather Murray, and Courtney Carroll explore several types of scarring alopecia, including lichen planopilaris (LPP), frontal fibrosing alopecia (FFA), central centrifugal cicatricial alopecia (CCCA), folliculitis decalvans, and dissecting cellulitis of the scalp.\nThe team discusses common warning signs, such as itching, redness, scaling, pustules, tenderness, and changes in the hairline. They also explain how dermatologists evaluate these conditions through medical history, scalp examinations, trichoscopy, and sometimes biopsies. Treatment often focuses on reducing inflammation and preserving remaining hair, with options including topical and injected steroids, oral medications, and antibiotics.\nBecause damaged follicles are difficult to restore, the conversation emphasizes realistic expectations, ongoing monitoring, and the importance of finding the correct diagnosis before considering a hair transplant. The team also discusses cosmetic options such as scalp micropigmentation and hair systems, along with the emotional challenges of living with hair loss.\n00:00 What is scarring alopecia?\n01:00 Primary vs. secondary scarring alopecia\n02:30 Lichen planopilaris and its warning signs\n03:30 Frontal fibrosing alopecia\n05:30 Central centrifugal cicatricial alopecia\n07:00 Diagnosing CCCA and exploring treatment options\n08:30 Folliculitis decalvans and scalp inflammation\n09:30 Dissecting cellulitis of the scalp\n11:00 How dermatologists diagnose scarring alopecia\n13:30 When a scalp biopsy may be needed\n14:30 Treatments to reduce inflammation\n16:30 Can hair grow back after scarring alopecia?\n17:30 Hair transplants and scarring alopecia\n19:00 Scalp micropigmentation and hair systems\n20:00 Monitoring treatment progress\n21:00 Managing expectations and the emotional impact of hair loss","thumbnail_url":"https://img.transistorcdn.com/k_NG-e8GlqBBmpEKCRhCX4yhdwSo2FRAFaj8_He477c/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS8wYjIw/ZDJmYjY0NzNkN2Y4/YjY2MTc1NWY4MGI4/NzdiZC5qcGc.webp","thumbnail_width":300,"thumbnail_height":300}