ABSTRACT

More women suffer from hair loss than is commonly thought. Racial differences in hair morphology and hair-grooming practices can impact the incidence and severity of alopecia. In African-American women in particular, curly hair and the related use of damaging hair chemicals and tight braiding techniques may be associated with especially high levels of severe scarring alopecias. Although medical treatment and education on hair care practices remain the core of therapy for most women with alopecia, new tailored approaches to hair transplantation are emerging as options for carefully selected women with significant permanent hair loss.