**2.4 Hair transplant and covering options**

Hair transplant may be considered in selected cases of FFA, but a minimum of one to five years without activity is recommended [47, 48]. However, patients with FFA should be warned about the hair graft survival rates, since a rate lower than 60% has been reported, independently of the period of time since clinical remission [49]. Therefore, hair transplant may be considered only in small areas of the scalp or in eyebrows, and always after discussing with the patient the long-term survival rates of the hair grafts [49, 50].

In advanced cases of FFA, wigs or hair systems could be interesting options to add to the medical therapy, as well as eyebrow micropigmentation in cases of eyebrow alopecia.
