What topical therapies have you found most effective for managing scarring alopecias?

I use a lot of clobetasol shampoo 1-2 times weekly, which is easier and tends to cause less atrophy.

Overall, any of the steroid-sparing agents can be helpful: tacrolimus ointment (or compounded as a solution), roflumilast foam, or topical JAK inhibitors. For maintenance.