Excimer 308-nm laser for the treatment of frontal fibrosing alopecia: an observational study in 30 patients - Scorecard - MDSpire

Excimer 308-nm laser for the treatment of frontal fibrosing alopecia: an observational study in 30 patients

  • By

  • Blanca Ferrer Guillén

  • Ana Rodríguez-Villa Lario

  • José María Ricart Vaya

  • Alba Gómez Zubiaur

  • June 15, 2026

  • 0 min

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Clinical Scorecard: Efficacy of 308-nm Excimer Laser in Treating Frontal Fibrosing Alopecia: A Retrospective Study Involving 30 Patients

At a Glance

CategoryDetail
ConditionFrontal Fibrosing Alopecia (FFA)
Key Mechanisms308-nm excimer laser emits narrowband ultraviolet B light, reducing local inflammation and keratinocyte proliferation, with immunomodulatory effects.
Target PopulationPatients with symptomatic and progressive FFA, primarily women aged 47-80.
Care SettingDermatology outpatient setting.

Key Highlights

  • 30 patients included, with a mean age of 65.2 years and 90% being women.
  • 53.3% showed stabilization of hairline recession after 6 months.
  • 83.3% had a one-grade improvement in erythema score.
  • 70% showed a one-grade improvement in perifollicular hyperkeratosis.
  • Transient erythema was the only reported adverse effect.

Guideline-Based Recommendations

Diagnosis

  • FFA is diagnosed based on clinical and trichoscopic evaluations.

Management

  • 308-nm excimer laser is recommended as an adjuvant treatment for patients with poor response to prior therapies.

Monitoring & Follow-up

  • Clinical response should be evaluated through standardized images and TrichoScan® assessments at baseline and after 6 months.

Risks

  • Transient erythema is a potential adverse effect.

Patient & Prescribing Data

Patients with FFA who have not responded adequately to previous treatments.

Excimer laser therapy is added without changing baseline treatment regimens.

Clinical Best Practices

  • Evaluate clinical response through standardized assessments.
  • Consider excimer laser therapy for patients with symptomatic and progressive FFA.

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