Natural remedies for CCCA: what to know

Central centrifugal cicatricial alopecia, or CCCA, is a scarring form of hair loss that often begins near the centre of the scalp and expands outward. Inflammation can damage follicles, so regrowth may not occur once a follicle is scarred. Tight braids, extensions, chemical relaxers, hot tools, and scratching may add irritation, although changing hair care alone does not explain every case.

Choose loose styles, minimise traction and heat, and pause chemical processing if the scalp stings or burns. Use a gentle cleanser and avoid scratching, vigorous brushing, and unverified oils or supplements. Photograph the scalp periodically in similar lighting so changes are easier to describe. A dermatologist may discuss anti-inflammatory care such as [Steroid Injection Into The Skin](/treatments/injectables/intralesional-steroid-injection/) and other treatment options.

Book a dermatology appointment promptly for widening hair loss at the crown, scalp tenderness, itching, burning, redness, scaling, or shiny areas with fewer visible follicle openings. Earlier assessment helps distinguish CCCA from other causes and identify active inflammation. Seek care sooner if symptoms are rapidly changing or a treatment causes marked irritation.

Could this be active CCCA or another type of alopecia? Are my hairstyle or products adding traction? Do I need a scalp examination or biopsy? How will we monitor inflammation and hair density?