Is hair transplant a good option for a female patient with lichen planopilaris?

In general hair transplant surgery is not indicated for Lichen Planopilaris.  Non surgical options may be Scalp Micropigmentation.  You need to be under the care of a doctor for Lichen Planopilaris.

Hair transplants can be a good option for lichen planopilaris - if and only if the disease is quiet. If the disease is active, then it would not be a good idea at all. HOW DO I KNOW MY LICHEN PLANOPILARIS IS QUIET?A dermatologist can guide you if your LPP is quiet. In general, LPP is quiet if ALL THREE OF THESE CRITERIA ARE MET:Your hair looks exactly the same as 2 years agoYou have no itching, burning and pain in your scalpYou take no medications (clobetasol, etc) for your hair loss at present.Far too often, patients with LPP rush the decision to have a transplant and it's not successful. Hair transplants for LPP can be extremely successful in the right patient and at the right time. They do present unique challenges including the absolute need to monitor for disease activity after the transplant (it can activate again) and then need (sometimes) for 2 or 3 transplants to build up appropriate density. I see patients with LPP every 6 months after their transplant for the first 2 years.  If there is any sign of the disease coming back, we restart clobetasol and sometimes oral medications like hydroxychloroquine. Other options for cosmetic improvement of LPP (besides hair transplants) include use of a wig, hairpiece. 

Lichen Planopilaris is an an autoimmune diseases which usually negatively impact a hair transplant and are considered a contraindication for hair transplants. See a good description of the disease on wijkipedia below