scarring alopecia

I am a 44 yr old African American female. I have researched several doctors and institutions that claim they can help me but after viewing the work they have done on others I am skeptical. I have been balding on the sides of my temples for about ten years now. It has gotten worse. I have worn my hair in braids for several years and have dyed and fried my hair with chemicals and hair coloring. I am sure that has damaged my hair, but I have not used chemicals in over 12 years.  I have used topical solutions, including Rogaine for Men and hair growth products for women. I see some hair regrowth only at the edge of my temples, but not where it should be. I want a hair transplant, I just don’t know who to trust and who can help me. I live in the Maryland/ Washington, DC area but I am certainly willing to travel to get a specialist to help me.
Thanks,
RS

————————-
Dear RS,

From your description you are suffering from traction alopecia. This condition is quite common among African American women and arises because of the fashion of tight braiding. The tight braids produce a repetitive stress on the hair follicle and over a period of time actually destroy the follicles. Unfortunately topical treatment such as Minoxidil (Rogaine) and others rarely produces any recovery. Read the Story

My boyfriend has a form of CCCA (Central Centrifugal Cicatricial Alopecia) as well as mild Follicutis Keloidalis on the nape of his neck. I am looking to get him the FUE procedure done (Follicle unit extraction) and wanted to know if you guys can deal with or specialize in Afro-caribbean scalps and hair types. I can send photos of his scalp if needed.
Kind regards,
Leeanne
- – - – - – - – - -

Dear Leeanne:

Thank you for your letter and question. The diagnosis of a scarring alopecia, such as CCCA, will require that there is evidence that the process is not active before surgical intervention may be considered. There is no correct answer as to when surgery may be performed but there should probably be a minimum of one year during which there is no active inflammation. The dermatologist that is following your friend should be able to assist in this determination. There is also a risk that the condition can be reactivated by surgery in the involved areas. Occasionally a “test session” can be performed to see if this is a possibility. CCCA, also called “hot comb” alopecia, has been linked to physical and chemical trauma of the scalp by certain hair-care practices. I will assume that if this is the cause of your friend’s hair loss, these practices have been discontinued. Read the Story