Central Centrifugal Cicatricial Alopecia (CCCA)

When Your Scalp Says, “Hold Up, Y’all!”

Let’s talk about CCCA, a mouthful of a condition that’s common among African-American women. This type of scarring alopecia usually starts right at the crown of your head and slowly spreads outward like ripples in a pond. If your hair is thinning up top and you’re feeling a little lost, don’t worry—you’re not alone, sugar.

What Is CCCA?

Central Centrifugal Cicatricial Alopecia is a scarring condition where the hair follicles get damaged and replaced by scar tissue. Once that happens, those follicles can’t grow hair anymore. It’s sneaky and slow-moving, so it might take a while to notice. The earlier you catch it, the better your chances of stopping it in its tracks.

What Causes It?

We don’t know all the causes just yet, but a few things seem to play a part:

• Genetics: If your mama or grandma dealt with it, you might, too.

• Hairstyles: Tight braids, sew-ins, and heat styling can add stress to your scalp.

• Inflammation: Chronic irritation or scalp conditions might trigger it.

• Hormonal Factors: Menopause and other hormonal changes can make it worse.

Signs of CCCA

• Thinning or balding at the crown of your head.

• Scalp tenderness, burning, or itching.

• Inflammation or scarring on the scalp.

• Hair breakage near the roots.

What Can You Do About It?

• Visit a Trichologist or Dermatologist: Early treatment is key to slowing down the condition.

• Anti-Inflammatory Medications: Steroids or other treatments can reduce inflammation.

• Gentle Styling: Avoid tight hairstyles, excessive heat, and harsh chemicals.

• Scalp Care: Keep your scalp moisturized and clean with mild shampoos.

• Nutrition: Eat foods rich in biotin, zinc, and omega-3s to support hair health.

A Little Southern Wisdom

Darlin’, your crown is precious, and you deserve to wear it with pride—whether it’s your natural hair, a protective style, or a fabulous wig. If you’re dealing with CCCA, don’t wait to take action. A little TLC and professional help can go a long way in keeping your scalp happy and healthy.

Courtesy of DermNet