Scarring alopecia (also called primary cicatricial alopecia) does not look the same in every patient. In this Baldcast trailer, I introduce Two Marias, one facing frontal fibrosing alopecia and the other battling folliculitis decalvans, two different paths to inflammation driven scarring and hair loss. This is the question I hear constantly, and we address it head-on: is scarring alopecia permanent? In the full episode, I break down what I look for clinically, when a scalp biopsy matters, and how I build a plan to slow the inflammatory process before more follicles are lost. What to watch for (do not ignore these): Hairline recession, eyebrow thinning, burning or itching scalp, scalp tenderness, crusting, scalp pustules, and tufted hairs. Stay tuned for the full episode. Drop your question in the comments and tell me what you want covered next.