Central Centrifugal Cicatricial Alopecia (CCCA)
Atlanta Hair Restoration Experts
What is Central Centrifugal Cicatricial Alopecia (CCCA)
Central Centrifugal Cicatricial Alopecia or CCCA is a form of hair loss that begins at the crown or central of the scalp and slowly spreads outward creating a circular pattern. This type of scarring alopecia can be seen mainly in women of African descent. This condition can cause scarring on the scalp, which can create permanent hair loss.
Certain factors that may cause this condition include your genetics, autoimmune response from your body, and hair care practices like chemical treatments and hot combs that can play a role in developing CCCA.
Symptoms of CCCA include:
Slow thinning on the crown region
Tenderness, itching, and burning sensations
Scarring
Shiny, smooth scalp on the damaged are
Fortunately, there are treatments that exist for CCCA.
1.
Medical topicals such as Corticosteroids and Minoxidil/Rogaine can help promote hair growth on impacted areas and reduce common symptoms associated with the condition.
2.
Oral medication like Doxycycline, Minocycline, and Hydroxychloroquine to reduce inflammation on the scalp.
3.
Hormonal therapies can be used, such as Finasteride to block DHT production or Spironolactone, which has anti-androgen effects. These medications will help stop further thinning on the scalp that is caused by hormones.
4.
Hair care routines may be modified to prevent further hair loss. This includes avoiding tight hairstyles and chemical treatments, using less heat from styling tools, and using gentle hair care (sulfate-free shampoos).
5.
Hair transplant can be given to patients with CCCA, where follicles from the donor area are extracted and implanted in the recipient area.
Hair Transplant for CCCA
To treat CCCA with a hair transplant, a proper evaluation must be done by a hair transplant surgeon or a dermatologist to see if there are any active inflammation or scarring present. The condition must be in a stable phase in order for a hair transplant to be considered. If too much scarring is present in the affected area, it may decrease the chances of the transplant being a success. Areas that are scarred have less blood flow and can limit the survival and growth of the hair.
Once the patient is approved to be a candidate for a hair transplant, such as Follicular Unit Extraction (FUE) or Follicular Unit Transplantation (FUT) can be performed. It’s important to note that scarring causes a major issue with the transplanted hair surviving. This can also require the patient to need a higher number of grafts, because the scarring can create less chance for transplanted hair to grow.
After the surgery is done, it is important for patients to follow their post-procedure care and treatment plan. CCCA hair transplants are more challenging to tackle and may not create the same density compared to patients who have non-scarring alopecia. It is crucial for patients to continue any medical therapies given by their provider, which can include oral anti-inflammatory medications. Regular follow-ups with your provider can help patients monitor their condition and prevent any new inflammation on the scalp.