Medical and surgical therapies for alopecias in black women
June 2004
in “Dermatologic Therapy”
TLDR The document concludes that proper diagnosis and a combination of medical, hair-care, and surgical treatments are important for managing alopecia in black women.
In 2004, the document provided a comprehensive overview of alopecia in black women, focusing on the impact of hair-care practices, the psychological effects of hair loss, and the various medical and surgical treatment options available. It identified common forms of alopecia related to styling techniques, such as traction alopecia, trichorrhexis nodosa, and central centrifugal cicatricial alopecia (CCCA), and discussed their management through changes in hair grooming, medical treatments like minoxidil, and hair replacement surgery. The paper also highlighted the importance of dermatologists being knowledgeable about black hair care and sensitive to the emotional distress caused by hair loss. A pilot study with 50 black women using Scalpdex revealed significant concerns about hairstyling, emotional issues, and scalp appearance. The document emphasized the need for proper diagnosis and management to prevent permanent hair loss, the cosmetic acceptability of treatment vehicles, the incidence of female pattern hair loss (FPHL), and the specifics of hair transplantation in black women, including the higher risk of keloid scarring and the potential for fewer sessions due to hair curl. Dermatologists were encouraged to combine medical management, hair-care practice changes, and surgical options for effective treatment of alopecia in black female patients.
View this study on onlinelibrary.wiley.com →
Cited in this study
research Ethnic hair update: Past and present
Dermatologists need to understand African American hair-care practices to better treat their hair and scalp disorders.
research Female pattern hair loss
FPHL is a common, age-related, genetic hair loss with unclear causes and limited treatment options.
research Female pattern hair loss
Hair loss in women is genetic, diagnosed by examination and biopsy, and treated with minoxidil, finasteride, or transplantation.
research Development of a health-related quality of life questionnaire for women with androgenetic alopecia
WAA-QOL measures impact of hair loss on women's well-being.
research SKIN AND HAIR COSMETIC ISSUES IN WOMEN OF COLOR
A scarring hair loss condition mainly affects middle-aged women of African descent, impacting their quality of life, with treatments more effective when started early.
research A Nationwide Outbreak of Alopecia Associated With the Use of a Hair-Relaxing Formulation
research Hair Density in African Americans
African Americans have less hair density than whites.
research The midline part: An important physical clue to the clinical diagnosis of androgenetic alopecia in women
"Christmas tree" pattern helps diagnose female hair loss.
research Surgical Correction of Traumatic Alopecia Marginalis or Traction Alopecia in Black Women
Surgical correction can treat hair loss in black women caused by styling practices, with techniques chosen based on individual needs and hair loss severity.
research Classification of the types of androgenetic alopecia (common baldness) occurring in the female sex
Common baldness, also known as Androgenetic Alopecia, is caused by a combination of genetic factors and hormones called androgens.
Related
research Is Every Patient of Hair Loss a Candidate for Hair Transplant?—Deciding Surgical Candidacy in Pattern Hair Loss
Not all hair loss patients are suitable for hair transplant due to various conditions like unstable hair loss, insufficient hair loss, very young age, unrealistic expectations, certain psychological disorders, and medical unfitness.
research Hair transplantation in androgenetic alopecia
research Hair Transplantation: Biochemical Basis and Surgical Treatment
Hair transplantation is a surgical treatment that uses your own hair to fill areas with thin or no hair.
research Hair loss in women: medical and cosmetic approaches to increase scalp hair fullness
Female pattern hair loss can be treated with medications, surgery, and cosmetic products, considering its psychological impact.
research Medications and hair transplantation
Minoxidil and finasteride combined can effectively treat hair loss.
research Basic hair transplantation: 2007
Hair transplantation has improved with techniques that increase graft survival and patient satisfaction for more natural results.
research A4. Hair loss – surgical and pharmacological treatment
Hair loss can be treated with medications like finasteride and surgical methods like hair transplants.
research Modern hair restoration surgery
Hair restoration surgery techniques have evolved, with focus on patient selection and realistic goals, and future advancements may include cloning and gene therapy.