Background
As the incidence of frontal fibrosing alopecia (FFA) continues to rise, there is a need for an optimal treatment algorithm for FFA.
Objective
To produce an international consensus statement on the treatment modalities and prognostic indicators of FFA.
Methods
Sixty-nine hair experts from six continents were invited to participate in a three-round Delphi process. The final stage was held as a virtual meeting facilitated via Zoom. The consensus threshold was set at ≥66%.
Results
Of 365 questions, expert consensus was achieved in 204 (56%) questions following completion of the three rounds. Three additional questions were included at the final meeting. The category with the strongest consensus agreement was disease monitoring (9; 100%). Questions pertaining to physical therapies achieved the least category consensus (15; 40%), followed by systemic therapy (45; 43%).
Limitations
The study lacked sufficient representation from Africa and South America.
Conclusion
SOFFIA highlights areas of agreement and disagreement among experts. Robust research is warranted to provide evidence-based treatment recommendations.
![[thumbnail of Acad Dermatol Venereol - 2025 - Meah - Statement from the frontal fibrosing alopecia international expert alliance SOFFIA.pdf]](https://eprints.whiterose.ac.uk/style/images/fileicons/text.png "Acad Dermatol Venereol - 2025 - Meah - Statement from the frontal fibrosing alopecia international expert alliance SOFFIA.pdf")
CORE (COnnecting REpositories)
CORE (COnnecting REpositories)