Hair Transplantation in the Surgical Treatment of Central Centrifugal Cicatricial Alopecia
October 2014
in “Dermatologic Surgery”
TLDR Hair transplants can effectively treat hair loss from CCCA in African American women if there's no inflammation.
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.
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Cited in this study
research Hair Breakage as a Presenting Sign of Early or Occult Central Centrifugal Cicatricial Alopecia
Hair breakage may be an early sign of a hair loss condition called CCCA in African American women.
research Medical and Environmental Risk Factors for the Development of Central Centrifugal Cicatricial Alopecia
Type 2 diabetes, bacterial scalp infections, and tight hairstyles like braids and weaves are linked to a higher risk of a scarring hair loss condition in African American women.
research Prevalence and Etiology of Central Centrifugal Cicatricial Alopecia
CCCA is a common scarring hair loss in African descent women, possibly linked to genetics, hair care practices, and health issues like diabetes.
research Central hair loss in African American women: Incidence and potential risk factors
Some African American women's central scalp hair loss is linked to genetics and past fungal scalp infections, with more research needed on other causes.
research Central centrifugal cicatricial alopecia: Past, present, and future
CCCA is a hair loss type affecting African women, possibly caused by grooming and chemicals, with various treatments and needing more research.
research Central scalp alopecia photographic scale in AfricanAmerican women
A scale was made to measure hair loss severity in African American women.
research The surgical treatment of cicatricial alopecia
The document concludes that surgery is a preferred treatment for cicatricial alopecia, with the method chosen based on individual factors and may require multiple sessions and careful postoperative care.
research Medical and surgical therapies for alopecias in black women
The document concludes that proper diagnosis and a combination of medical, hair-care, and surgical treatments are important for managing alopecia in black women.
research Hair transplantation in women: A practical new classification system and review of technique
A new hair loss classification for women improves treatment, but careful patient selection is crucial for successful hair transplantation.
research Hair Density in African Americans
African Americans have less hair density than whites.
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