What face and neck lift options exist for 56-year old post menopausal women with early stage frontal fibrosing alopecia?

Assuming that your frontal fibrosing alopecia is due to a lichenoid process, and that your hair in the temporal areas will also gradually regress, the frontal and temporal incisions should be planned accordingly and kept to a minimum.  Since we also transplant hair, we are aware that the loss here can be somewhat unpredictable.  The area around the ear should not be much of a factor, but in the temporal area, the incision should be directed backward, and little hair removed, if a great deal of skin removal is not necessary.  A good mid-face lift might diminish some of the facelift flap rotation and skin excision. Still, it is impossible to give you much advice without looking at factors such as: how much skin needs to be removed, what your hair mass looks like now, etc.  

Hi there, There are many options available to you. My advice, would be to do what you can to understand the options available so you can understand what options are presented by surgeons. I posted a link below that may help, it is an article discussing why we do different types of facelifts. I hope if will be helpful to you,James P Bonaparte

With you current condition I would recommend a full face and necklift with a sideburn type incision.  This will protect your hairline from changing position and still allow for proper advancement.  A coronal incision, one that extends up towards the top of your head, would likely contribute to a more posterior placement of your hairline and worsen your look.