How do I stop the CCCA from spreading?

Author: Frederik O'Kon  |  Last update: Wednesday, November 5, 2025

Treatment of CCCA involves changing haircare practices and avoiding:
  1. Excessive heat (hot combs/hair straighteners, hair dryers and curling irons)
  2. Traction (tight braids/cornrows, weaves, ponytails, hair extensions)
  3. Chemical relaxers (especially lye relaxers).

How do you stop the immune system from attacking hair follicles?

A treatment plan for extensive hair loss may include:
  1. Contact immunotherapy: Also called topical immunotherapy, the goal of this treatment is to get your immune system to stop attacking your hair follicles. ...
  2. JAK inhibitor: This type of medication calms the overactive immune system, which may allow your hair to regrow.

What triggers CCCA?

CCCA can also result from too much tension on hair follicles from braids, weaves or extensions. But some research suggests that CCCA might be hereditary. Chronic cutaneous lupus erythematosus (CCLE): CCLE describes skin problems caused by lupus erythematosus, an autoimmune disease.

How to regrow hair from CCCA?

Treatments for CCCA

Minoxidil might help stimulate hair growth from follicles that are not scarred from CCCA. You must take a medication that gets rid of inflammation, along with Minoxidil, to stop hair loss.

Does scarring alopecia always spread?

Yes, in this condition, the hair follicles are destroyed and turned into scar tissue. Lichen Planopilaris is a slowly progressive condition, which means that the areas of the scalp that are affected by the condition will slowly increase over time.

How Do I Stop The CCCA Alopecia From Spreading? / Reversing CCCA Alopecia

Is there any hope for scarring alopecia?

While these types of alopecia can be managed and their progression can be slowed, there is no cure available. Similarly, treatments to restore hair loss to areas of the scalp affected by scarring are limited.

What to do if alopecia is spreading?

How to stop alopecia areata from spreading
  1. See a trichologist at the first signs of alopecia areata. ...
  2. Steroid creams for alopecia areata. ...
  3. Corticosteroid injections. ...
  4. Minoxidil. ...
  5. Contact immunotherapy. ...
  6. JAK inhibitors (Janus kinase inhibitors) ...
  7. Low level laser therapy. ...
  8. Quit smoking to reduce inflammation.

How do you stop CCCA inflammation?

Although there are no clear CCCA treatment guidelines, they may include:
  1. medications to stop hair loss and reduce inflammation, such as: topical corticosteroids that a person applies to their scalp. oral corticosteroids. corticosteroid injections. ...
  2. antibiotics, such as doxycycline and minocycline.
  3. vitamin D.

How to stimulate hair growth from traction alopecia?

Topical Minoxidil solution or foam

Applying 2% or 5% minoxidil solution/foam to the affected areas on the scalp twice daily may stimulate hair growth. Continue treatment until you are happy with the growth and, as long as the traction has been stopped, the minoxidil can be discontinued.

What vitamins are good for scarring alopecia?

Testing for vitamin D deficiency should be considered in patients with alopecia due to its high prevalence. While supplementation is controversial, we recommend giving cholecalciferol 50,000 IU once weekly for 12 weeks followed by 2,000 IU daily.

Can you reverse CCCA?

Can CCCA be reversed? You may be able to reverse (or grow some hair) if you treat CCCA early before hair follicles develop scars. Once a hair follicle scars completely, treatment to regrow hair becomes difficult and hair loss is more likely to be permanent.

How to tell if hair follicles are dead?

So dead hair follicles can look like a smooth, bald patch of skin or like a scar. A trichologist may be able to get a better view of your follicles by using a microscope or other trichological tools.

Why does CCCA itch?

Indeed, CCCA itch is often accompanied by burning, tenderness and/or pricking sensations1,2 that appear to correspond to sensations accompanying cowhage-induced itch. Cowhage spicules elicit itch by stimulating protease-activated receptor (PAR)-2 in the skin.

What not to eat in alopecia areata?

Foods to Avoid When Treating Alopecia Areata and Hair Loss:
  • Sugar.
  • High Glycaemic Index (GI) Foods.
  • Alcohol.
  • Diet Soda.
  • Junk Food.
  • Fish with High Mercury Content.
  • Raw Egg Whites.

What autoimmune disease kills hair follicles?

Alopecia areata is a disease that happens when the immune system attacks hair follicles and causes hair loss. Hair follicles are the structures in skin that form hair. While hair can be lost from any part of the body, alopecia areata usually affects the head and face.

How do you stop DHT from attacking hair follicles?

Foods rich in lycopene such as tomatoes, watermelons, carrots, and mangoes naturally block DHT production. Biotin-rich foods like berries, liver, legumes, oily fish, and bananas condition the skin and scalp creating an overall healthy environment for strong hair.

When is it too late to reverse traction alopecia?

Generally speaking, it's never too late to fix traction alopecia. The condition can be treated at any point – whether you're in the early stages or a more advanced phase.

What does scarring alopecia look like?

This form of hair loss looks like scarred skin surface where your hair used to be. The surface of the skin will look less or more pigmented, shiny, and smooth. And of course completely bald.

What causes CCCA flare ups?

Various hairstyling practices have been studied as potentially causing CCCA, but none has been definitively linked to the condition. A combination of factors such as infections (bacterial and fungal), genetics, autoimmune disease, and other unknown factors may play a role in this disease.

What kills inflammation on the scalp?

Creams, lotions, shampoos or ointments that control inflammation. Your health care provider might prescribe a prescription-strength corticosteroid you apply to the scalp or other affected area. These include hydrocortisone, fluocinolone (Capex, Synalar), clobetasol (Clobex, Temovate) and desonide (Desowen, Desonate).

What is the new treatment for CCCA alopecia?

These results support previous findings showing hair regrowth with topical metformin in central centrifugal cicatricial alopecia. Metformin's potential to reduce fibrosis and inflammation may explain its therapeutic effects in central centrifugal cicatricial alopecia and other fibrotic hair loss disorders.

What flares up alopecia?

Fortunately, treatments can help regrow hair. Alopecia areata can be triggered by environmental factors like stress, injury, or illness.

What not to say to someone with alopecia?

5 Things You Should Never Say to Someone With Alopecia
  • 5 Things You Should Never Say to Someone With Alopecia. ...
  • 'Do You Have Cancer? ...
  • 'At Least You're Not Dying' ...
  • 'Is It Just So Much Easier to Get Ready Now? ...
  • 'You Should Wear a Wig! ...
  • 'My Friend Did Such-and-Such to Grow Their Hair Back!

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