Hair Transplantation in the Surgical Treatment of Central Centrifugal Cicatricial Alopecia

The document from 2014 reports on a study involving two African American women with Central Centrifugal Cicatricial Alopecia (CCCA) who underwent hair transplantation using the round grafting technique. The study concluded that hair transplantation can be a safe and effective treatment for CCCA in African American women, resulting in visible hair growth at 4 to 5 months post-transplantation, provided there is no histological inflammation. However, the study also notes challenges such as the need for multiple sessions, the difficulty of transplanting into scar tissue, and the potential benefits of using topical treatments like minoxidil and pentoxyfylline to improve graft survival. The round grafting technique is recommended over follicular unit transplantation due to the curly nature of African American hair. The study emphasizes the importance of a test session to ensure the absence of active disease and highlights the need for further research to optimize hair transplant procedures for African Americans.