Camouflage and/or permanent options for male with lichen planopilaris (LPP) (Photo)

Question

I'm a 31 years old male suffering from LPP for 1.5 years, on active treatment by dermatologist. The condition has progressed since the diagnosis, although she claims no inflammation now (attached pictures of the left side) - is this true? I am so anxious/depressed about this. I would like to have this part covered so I could live a normal life. Are there any options to cover the sides while keeping my crown? I asked several companies and most hair systems are done for the crown, not the sides...

Ilhan Serdaroglu, MD · Answer

We can not understand whether the inflammation is going on or subside just  looking a photo. But if it really subsides and has no reactivity at all you may try to cover area with  a hair transplant surgery  (you may loose hair again in case of exacerbation of LPP), SMP or simple concealer as toppic ..

Jeff Donovan, MD, PhD · Answer

If the condition is progressing, the condition is active and there is inflammation. There is more to evaluating activity of LPP than simply the evaluation of redness. As far as your question about camouflage goes there are fuller custom made options that cold be considered.

William Rassman, MD (retired) · Answer

The best comsetic treatment is scalp micropigmentation which works wonderfully in people like you,see below

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