Alopecia Guide: Types, Signs & Treatment by a Trichologist.

Oct 12

4 min read

What Type of Hair Loss Are You Experiencing?

Understanding the different types of alopecia is the first step toward finding the right approach for your hair and scalp.

Hair loss can feel confusing, isolating, and frustrating, especially when you’re unsure why it’s happening or whether the changes you’re seeing are temporary or a sign that deeper attention is needed. From gradual thinning to sudden patches, or shifts along the hairline and crown, your hair loss pattern offers important clues about what’s happening beneath the surface.

Types of Alopecia Most Common in Minority Women 1.) Central Centrifugal Cicatricial Alopecia (CCCA)

CCCA is a scarring (cicatricial) alopecia and the most common cause of permanent hair loss in Black women, typically beginning at the crown and spreading outward in a circular pattern. It’s driven by chronic inflammation that destroys hair follicles and replaces them with scar tissue, which means once follicles scar, regrowth is unlikely.

Key contributors include:

Genetics (strong familial link)
Harsh hair care practices: hot combs, relaxers, high-heat tools
Prolonged tension from tight braids, weaves, or extensions
Metabolic factors like insulin resistance or diabetes

Early treatment is important with CCCA because the goal is to reduce inflammation, slow further hair loss, and protect the follicles that are still healthy. Depending on the individual, treatment may include:

Corticosteroids – Help reduce inflammation around the hair follicles.
Tetracyclines – May be used for their anti-inflammatory properties to help manage ongoing scalp inflammation.
Minoxidil – May help support hair growth from follicles that are still active.

Treatment results vary from person to person. Once a follicle has been permanently scarred, regrowth may not be possible, which is why early evaluation and intervention are so important.

Reminder: These Trichology services are available through Syncerely Beautiful.

2.) TRACTION ALOPECIA

Traction alopecia is hair loss caused by repeated pulling or tension on the hair follicles. It is especially common with hairstyles that place continuous stress on the scalp, but it can affect anyone. When caught early, removing the source of tension can give the follicles a chance to recover. Key things to know: Common causes: -Tightly pulled braids and extensions

-Overly tightened locs

-Repeated or aggressive brushing

-Tight ponytails, buns, or other secured hairstyles

-Constant rubbing from scarves, headbands, wigs, or headwraps -Any hairstyle or habit that repeatedly places stress on the same area of the scalp Common areas: Hairline, temples, and other areas where tension is repeatedly placed Early signs: Tenderness, soreness, bumps, itching, broken hairs, or thinning around the hairline. Reversible in early stages: Reducing or removing tension early may allow hair to grow back.

Long-term damage: Continued tension can permanently damage the follicles and lead to irreversible hair loss. The recommendation is to rotate hairstyles and take breaks from having tension or applications in the same areas. Unlike CCCA, traction alopecia is primarily mechanical hair loss, not autoimmune or scarring (unless neglected for years). When caught early, it can often be reversible if the source of tension is removed.

Pay attention to what your hair and scalp are telling you: persistent tenderness, soreness, bumps, or thinning after wearing a particular style should not be ignored. If you’re noticing these changes, consider seeking professional guidance early to help identify the cause and determine the best approach for protecting your hair and scalp.

3.) ALOPECIA AREATA Alopecia areata occurs when the immune system mistakenly targets the hair follicles instead of protecting them. This immune response can disrupt normal hair growth, causing hair to shed and creating areas of patchy hair loss. Common signs and symptoms include: Patchy hair loss: Smooth, round, or oval areas of hair loss may appear on the scalp or other areas.

Hair loss on the eyebrows or eyelashes: The condition can affect facial hair as well as scalp hair.

Sudden changes: Hair loss may develop quickly, sometimes without noticeable warning.

Recurrent hair loss: Some people may experience periods of hair loss followed by regrowth, while others may have recurring episodes.

More extensive hair loss: In some cases, alopecia areata can progress beyond a few patches and affect larger areas. Nails: Some people notice small dents or pits on their fingernails and toenails.

Treatment for Alopecia Areata

Treatment for alopecia areata varies depending on the extent and progression of hair loss. The focus is on managing the condition, supporting the hair follicles, and encouraging regrowth when possible. One of the effective treatment options that may be used to support hair regrowth is Low-Level Laser Therapy (LLLT), which uses low-level light to stimulate the hair follicles. Because every case is different, treatment should be individualized based on the person’s needs and response to care.

A Client’s Hair Growth Journey

One of Syncerely Beautiful’s clients experienced hair loss associated with PCOS and hormonal changes. She has been using the Theradome Low Light Therapy Cap consistently for the past two years as part of her hair-care journey.

The before-and-after photos offer a look at her progress over time and provide an example of how Low-Level Laser Therapy (LLLT) may be incorporated into an individualized approach to supporting hair growth.

Alopecia isn’t a single condition with a one-size-fits-all solution. Different types affect hair follicles in distinct ways, and identifying the underlying cause is essential to creating an effective, personalized care plan. Noticing changes in your hair or scalp? Message us to discuss your concern and explore your next steps. We're here to listen.