Case Report of a Successful Hair Transplantation in a Patient with Lichen Planopilaris / Frontal Fibrosing Alopecia Due to Incidental Chemotherapy for Breast Carcinoma

Lichen planopilaris (LPP) and its variant frontal fibrosing alopecia (FFA) is a disfiguring alopecia that rarely yields satisfactory hair transplantation results. Grafts may grow initially only to be obliterated by re-activation of the disease within the first few months to years post-transplant. Here, we detail the management of a patient who was diagnosed and treated for breast carcinoma after her diagnosis of LPP/FFA. Two years after completion of chemotherapy, the patient presented with quiescence of her LPP and successfully underwent hair transplantation by follicular unit transplantation method. She has maintained the grafts without re-activation of her scarring alopecia for 7 years – a success we attribute to chemotherapy.