Discover the most common hair loss diagnoses for women of color, including CCCA, traction alopecia, and female pattern hair loss. Learn symptoms, causes, and treatments tailored to Black women’s hair health.
Chart explaining the instances of various types of hair loss and key interventions.
Hair is more than just hair — it’s identity, culture, beauty, and confidence. For women of color, especially Black women, the experience of hair loss can feel deeply personal and at times isolating. Hair loss can reflect a complex interplay of health status, hormonal shifts, lifestyle habits, inherited. That’s why no two cases of hair loss are the same.
But here’s the truth: you are not alone. Millions of women of color experience some form of hair loss, and yet the unique patterns, causes, and diagnoses often don’t get the attention they deserve in mainstream discussions.
Understanding the most common types of hair loss in women of color is a first step toward reclaiming control, finding the right treatments, and protecting long-term hair health. And understanding your unique pattern is a critical step toward meaningful, long-term recovery.
While hair loss affects women of every background, it often presents differently in women of color because of three main factors:
These differences mean that the same type of alopecia may look or feel different for women of color, and some conditions (like CCCA) are disproportionately prevalent.
The hallmark hair loss condition for Black women
CCCA is the most common type of scarring alopecia in Black women. It begins at the crown and expands outward, often in a circular pattern. Symptoms for CCCA include scalp tenderness, burning, itching, and permanent follicle damage if untreated. CCCA can cause irreversible scarring if not caught early. Genetics play a role, but hair care practices (tight styles, relaxers, frequent heat) may accelerate it. To treat CCCA, early dermatology evaluation is critical and anti-inflammatory treatments (like corticosteroids) and avoiding scalp tension are key strategies.
When styling practices take a toll
Traction Alopecia is hair loss caused by repeated pulling or tension on the scalp, usually from braids, weaves, tight ponytails, or extensions. Symptoms of traction alopecia include thinning or bald patches along the edges and temples, broken hairs, and tenderness. Despite the high incidence of women of color who suffer from traction alopecia, it is largely a preventable form of hair loss and can be reversed if caught early. If not caught and addressed early enough, follicles may scar permanently over time. Effective ways to treat traction alopecia include reducing tight hairstyles, rotating protective styles, and giving the scalp rest. In early stages, regrowth treatments (like minoxidil, rosemary oil) may help.
Genetics and hormones at play
Also known as female pattern hair loss, androgenetic alopecia is hereditary and linked to hormonal changes. Symptoms of this type of hair loss include gradual thinning at the crown, widening part lines, and reduced hair density overall. While common in all women, androgenetic alopecia can look different on women of color, with thinning concentrated at the crown.Treatments for androgenetic alopecia include FDA-approved treatments like topical minoxidil, oral medications (such as spironolactone), and low-level laser therapy are often recommended.
The stress-related hair loss
Telogen Effluvium is a temporary shedding condition triggered by physical or emotional stress, illness, childbirth, or medications. Symptoms of TE include diffuse thinning all over the scalp, often noticed in the shower or on pillows. While seeing clumps of your hair fall out is frightening, it is usually reversible once the underlying trigger is resolved. That’s why key interventions for TE include identifying and addressing the root cause, managing stress, and supporting recovery with balanced nutrition and gentle care.
An autoimmune connection
Alopecia Areata is an autoimmune condition in which the body’s immune system mistakenly attacks hair follicles. Symptoms of AA include patchy bald spots, sudden circular areas of loss, sometimes with regrowth in one area and new patches in another. Alopecia areata can overlap with other types of alopecia, making diagnosis more complex. Treatment for AA includes steroid injections, topical immunotherapy, and systemic treatments. Emotional support and community connection are also important.
If you notice these signs, it’s best to consult a dermatologist or trichologist experienced in treating women of color. Early diagnosis makes a huge difference in preventing permanent damage.
As you can see, hair loss isn’t just about follicles—it’s also about lifestyle. Women of color may experience overlapping triggers like stress, hormonal shifts, or nutritional gaps. To help protect your follicles and best support your overall health, a holistic approach is the best approach. Monitoring and managing the below factors can help identify root causes of hair loss and support hair regrowth.
These charts highlight the most common hair loss diagnoses in women of color, the distinct symptoms they present, and the interventions that can help—because healing starts with personalization. Hair loss isn’t one-size-fits-all, and neither is the path to regrowth. This chart may provide a starting point, but monitoring your unique lifestyle, health and habits is an essential step in designing a treatment plan that will deliver long-term results.
Not sure how or what to track? The MMARA Hair Coach app is a first of its kind hair coach app helping women experiencing hair loss to regain control of their hair health through holistic, personalized and tech-powered interventions.
Download the MMARA Hair Coach app today and start tracking what matters most.
Hair loss is never “just” cosmetic—it reflects your health, your heritage, and your lifestyle. For women of color, the path to diagnosis and treatment is often delayed, but awareness changes everything. Knowing the most common conditions—CCCA, traction alopecia, female pattern hair loss, telogen effluvium, and alopecia areata—can empower you to seek the right help early.
If you’re starting to notice changes, trust your instincts: consult a specialist, explore your options, and don’t be afraid to advocate for your unique needs. Your hair health is worth the care.