Lichen Planopilaris LLP

Lichen Planopilaris LLP


Lichen Planopilais LLP is a relatively rare chronic ‘scarring’ folliculitis of the scalp of unknown cause. It is considered a ‘scarring’ alopecia as, if left untreated, it may cause permanent hair loss.

70 – 80% of patients are women – almost all postmenopausal (average age 53), and almost all caucasian.

A mostly ‘patchy’ but very symptomatic hair loss develops on the scalp and progresses in a random irregular pattern with the eventual merging of hairless patches.

Occasionally LPP presents as a  more ‘general thinning of hair across the top of the head’ – which then spreads to other areas of the scalp.

Redness and scaling around the base of the hair, especially at the edges of hair loss patches, combined with a loss of follicle openings are common signs.

During the active stage, the scalp may have papules (red, inflamed bumps) and have what appears to be a small collar or tube-like extensions exiting the follicle around the hair shaft (visible through magnification).

Symptoms are usually pronounced with:

  • pruritus (itching)
  • pain
  • severe burning sensation
  • tenderness

LPP is an autoimmune condition and can benefit from a range of both Trichological and Dermatological treatments. Hair loss can be managed once a correct diagnosis has been established.

A detailed scalp analysis, clinical analysis, and a “positive anagen pull test” will help to diagnose this disease (pulling on 10 – 20 hairs with moderate slow finger traction will show the release of a greater number of hairs with a higher number of anagen rather than telogen bulbs).

Lichen Planopilaris LLP


Any areas of hair loss can be concealed with the Banbury Postiche collection of partial hair replacement systems, which can be modified to provide a bespoke result that looks perfectly natural.