Lichen Planus Pilaris
Scarring alopecia — early intervention protects the follicle.
Lichen planopilaris is an inflammatory, potentially scarring alopecia. Inflammation around the follicular opening produces redness, scaling, tightness or burning and, over time, permanent loss of the follicle. Frontal fibrosing alopecia belongs to the same family.
- Potent topical & injected corticosteroids
- Systemic anti-inflammatory therapy
- Calcineurin inhibitors
- Medical scalp care
Diagnosed first, treated second.
This is a condition where timing determines outcome. Suppressing inflammation early preserves follicles that are still viable and halts the advance of the scarred margin.
- 01Potent topical & injected corticosteroids
- 02Systemic anti-inflammatory therapy
- 03Calcineurin inhibitors
- 04Medical scalp care
- 05Scalp biopsy & trichoscopy
- A receding hairline with redness or scaling
- Burning, itching or scalp tenderness
- Loss of follicular openings
- Diagnosed lichen planus elsewhere
- Suspected frontal fibrosing alopecia
How the treatment works
A sequence, not a single appointment — each step informs the next.
- 01
Confirmation
Trichoscopy and scalp biopsy confirm the diagnosis and grade activity.
- 02
Inflammation control
Topical, injected or systemic anti-inflammatory therapy is selected by severity.
- 03
Margin mapping
The hairline and affected border are measured and photographed to track progression.
- 04
Maintenance
Long-term review with gentle scalp care keeps the condition quiescent.
Results measured, not promised.
What to expect
- 01Inflammation and symptoms controlled
- 02Progression of the scarred margin halted
- 03Viable follicles preserved
- 04Redness, scaling and tightness relieved
- 05A documented, long-term care plan
Begin with a diagnosis,
not a guess.
Share a few details and the clinic will reply with available consultation times for lichen planus pilaris — one-to-one with Dr. Arely.
- Response
- Within 24 hours
- Consultation
- One-to-one, 45 min
- Assessment
- Trichoscopy included
- Location
- Dr. Arely Clinic
Frequently asked
Loss in scarred areas is permanent, which is why early control of inflammation matters so much.
By trichoscopy and usually a small scalp biopsy taken from the active margin.
Yes. Burning, itching and tenderness usually improve early in treatment.
Generally yes — the aim is sustained remission with periodic review.