Hair Loss Types & Causes – Cicatricial (Scarring) Alopecia

Scarring Alopecia is Often the Term Used to Refer to Primary Cicatricial Alopecia

Types of Hair Loss


Frontal linear scleroderma 1


Photo Credit: Gambichler et al., CC BY-SA 2.0, via Wikimedia Commons

Scarring (Cicatricial) Alopecia

Scarring Alopecia, more technically known as Central Centrifugal Cicatricial Alopecia (CCCA), is a type of alopecia (hair loss) that is known to cause permanent hair loss. It is most prevalent among African American women, although it presents in both men and women of all ethnic backgrounds and races. Central centrifugal cicatricial alopecia is not reported to be contagious.

This type of hair loss, or alopecia, is accompanied by inflammation and often starts in the center or crown of the scalp, appearing as small round balding patches that expand over time. Folliculitis can also lead to scarring alopecia.

The scalp inflammation and subsequent scarring or fibrosis present in scarring (cicatricial) alopecia destroys the hair follicle thereby preventing hair regeneration, resulting in permanent hair loss in the affected areas. CCCA is reported to represent approximately 7% of patients seen by hair loss clinics and trichologists.

Treatment & Solutions

Anyone who is experiencing hair loss of any kind should first and foremost consult with their primary care physician and/or dermatologist to determine the cause of their hair loss and carefully follow any medical advice given to them by their doctors.

Whether it be cicatricial scarring alopecia, alopecia areata, or male or female pattern baldness, hair loss in all its forms can cause profound emotional and psychological anxiety since it affects a person’s physical appearance and how they present themselves to the world. Such anxiety can lead many to withdraw from normal social interaction due to self-consciousness and a loss of self-esteem.

High quality medical grade hair prosthetics and human hair wigs specifically designed for people suffering from alopecia or who have little or no hair can help alopecia sufferers regain their self-confidence and have a positive self-image, allowing them to once again interact normally with family, friends and colleagues, and enjoy life to its fullest.

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