Dr Ophelia Dr Ophelia

Central Centrifugal Cicatricial Alopecia

Central Centrifugal Cicatricial Alopecia (CCCA)

Central centrifugal cicatricial alopecia (CCCA) is a form of scarring hair loss, most commonly seen in darker skinned patients. Some evidence points to the cause of CCCA being genetic. However, there is also a correlation with chemical/ heat hair care practices such as hot combs, relaxers, extensions and weaves.

Hair shaft breakage is often an early sign of CCCA. Hair loss occurs at the crown, and extends outwards. There is a loss of follicular openings, so the scalp appears shiny. Patients either have no symptoms, or experience itch or pain.

Dr Ophelia will usually make her diagnosis clinically or a scalp biopsy may be needed to confirm the diagnosis. Treatment options include education about hair care practices, topical and oral therapies, and PRF.