Medical and Surgical Therapies for Alopecias in Black Women

    April 2004 in “ Dermatologic Therapy ”
    Valerie D. Callender, Amy J. McMichael, George Cohen
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    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.
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