Central Centrifugal Cicatricial Alopecia (CCCA): Understanding and Managing the Most Common Scarring Alopecia in Women of African Descent


Central Centrifugal Cicatricial Alopecia (CCCA) stands as a prevalent primary scarring alopecia that predominantly affects women of African descent. The condition not only impacts physical appearance but also significantly influences the quality of life for those who experience it. At Capital Hair Loss and Scalp Clinic, our mission is to provide comprehensive information about CCCA, its treatment options, and preventative measures, to empower individuals to take control of their hair health. In this blog post, we delve into the causes, treatment approaches, and the importance of understanding individual patient characteristics in managing CCCA.

Understanding CCCA

CCCA is a unique form of hair loss characterized by the gradual destruction of hair follicles and their replacement with scar tissue. It primarily affects the central (crown) and centrifugal (outward-spreading) regions of the scalp, leading to progressive hair thinning, scarring, and often visible patches of hair loss. Women of African descent are more susceptible to CCCA, which is believed to be influenced by genetic and environmental factors.

Impact on Quality of Life

The emotional and psychological impact of CCCA on women cannot be underestimated. Hair plays a crucial role in self-expression and cultural identity. For those affected by CCCA, the visible changes can lead to lowered self-esteem, anxiety, and even depression. This emphasizes the need for accessible and effective treatment options that address both the physical and emotional aspects of CCCA.

Treatment Approaches

Treating CCCA is a challenging task that often requires a multifaceted approach. At Capital Hair Loss and Scalp Clinic, we focus on suppressing and preventing inflammation, a key driver of CCCA. Let's delve into some of the treatment options available:

  1. Anti-Inflammatory Scalp Facials: These specialized facials help soothe the inflamed scalp, promote circulation, and support follicular health. Utilizing gentle, anti-inflammatory ingredients can alleviate discomfort and encourage a healthier scalp environment.
  2. Low-Level Medical Laser Therapy: Low-level laser therapy (LLLT) has gained attention for its potential to stimulate hair follicles and reduce inflammation. By increasing blood flow to the scalp, LLLT can contribute to improved hair growth and overall hair health.
  3. Supplements: Nutritional deficiencies can exacerbate hair loss conditions. Supplements rich in vitamins, minerals, and antioxidants, such as  vitamin D3, and omega-3 fatty acids, can aid in maintaining healthy hair follicles and supporting hair growth.
  4. Homecare: At-home practices are essential for managing CCCA. Gentle hair care routines, including avoiding tight hairstyles like braids and weaves, can minimize mechanical stress on the hair follicles. Regular washing, at least once a week, can prevent secondary infections like seborrheic dermatitis, which can worsen CCCA.

Patient Characteristics and Treatment Outcomes

Understanding the unique characteristics of each client is paramount for achieving successful treatment outcomes. Our team has done extensive research on this topic. Found in this research was a study conducted on 100 patients diagnosed with CCCA who received treatment for at least one year. The study aimed to identify correlations between patient characteristics, concurrent medical conditions, hair care practices, and treatment outcomes.

The findings underscore the significance of tailoring treatment plans to individual patient profiles. Clinical characteristics such as the severity of CCCA, the extent of scarring, and the presence of other dermatological conditions were linked to treatment effectiveness. Concurrent medical conditions, such as hormonal imbalances, diabetes, and autoimmune disorders, were also identified as factors that may impact treatment outcomes.

Hair care practices were also found to play a pivotal role in managing CCCA. Patients who adhered to gentle hair care routines, avoided tight hairstyles, and practiced regular scalp hygiene experienced better results. Furthermore, integrating preventative measures like avoiding perms and using low manipulation styling techniques proved to be beneficial.


Central Centrifugal Cicatricial Alopecia presents a unique challenge in hair loss management, particularly for women of African descent. Understanding the complex interplay between patient characteristics, concurrent medical conditions, and hair care practices is essential for devising effective treatment strategies. At Capital Hair Loss and Scalp Clinic, we are committed to providing holistic solutions that not only address the physical aspects of CCCA but also acknowledge the emotional toll it can take. By utilizing anti-inflammatory scalp facials, low-level medical laser therapy, supplements, and informed homecare practices, we strive to empower our patients on their journey to healthier hair and improved quality of life.


  1. Sinclair, R. (2010). Follicular pathology in central centrifugal cicatricial alopecia. Dermatologic Clinics, 28(3), 387-394.
  2. Miteva, M., Tosti, A. (2013). Pathologic-Grade Changes in Scalp Biopsies From Patients With Central Centrifugal Cicatricial Alopecia. Journal of the American Academy of Dermatology, 69(6), 946-951.
  3. Hill, L. J., & Ogle, R. J. (2016). Central centrifugal cicatricial alopecia: demographic, clinical, and histopathological characteristics and associations. Journal of the American Academy of Dermatology, 74(6), 1094-1100.