African American FUE Hair Transplant

In a culture rich with varying hairstyles, tools, conditioners, relaxers, and other processes, loss of hair may cause individuals of African descent to seek the help of hair restoration. People of African descent are susceptible, as all others, to the genetic hair thinning condition androgenic alopecia, or pattern baldness. While this is the leading cause of African American hair loss, there are some added alopecias specific to this ethnic group.

African American FUE Hair Transplant

Patient of African origin undergoes an FUE hair transplant. Here are before & after photos of his hairline advancement

African American FUE Hair Transplant|successful results

An FUE surgery improves hairline and frontal scalp density


Ironically, the care and pride applied towards African American hair might be the very cause of irrevocable damage—permanent hair loss. The additional alopecias faced within this culture include:

  • Traction Alopecia
  • Central cicatricial centrifugal alopecia

They are the direct result of ongoing hair treatment. And both conditions can be treated by Follicular Unit Extraction. Traction alopecia is a gradual thinning or recession around the scalp’s edges, including the rear and frontal hairlines, and near the backs of the ears. It results from frequent, abrasive hair pulling from braids, weaves, extensions, ponytails, barrettes, etc, and thus, is very often seen in black women.

African American FUE Hair Transplant |treating Traction Alopecia

Female patient of African origin with Traction Alopecia

Central cicatricial centrifugal alopecia (CCCA) results from a combination of traction hair loss and the use of chemicals—relaxers, straighteners, dyes—that weaken the keratin structure of the hair. This reduces the tensile strength of each follicle, thus making them even easier to break off.

African American FUE Hair Transplant |Central Cicatrical Centrifugal Alopecia

Hair loss in women with Afro-textured hair can result from the overuse of harsh chemicals


There are a couple of trying issues particular to people of African descent that must be taken into consideration in the event of hair transplant surgery.

  • African Americans tend to have curly or kinked hair follicles. This curvature of the follicle raises transection rates and makes the hair difficult to harvest for any surgical hair restoration method. FUE patients with this hair texture will undergo a trial procedure to assess their transection rate. If it is at an acceptable percentage, a global surgery may take place. The performing surgeon must always take exceptional care when performing Follicular Unit Extraction on African Americans. 
African American FUE Hair Transplant

New and improved hairline created on black male patient through an FUE hair transplant surgery by Dr. U.

  • People of African heritage have a higher tendency to keloid than some other ethnicities. FUE being a minimally invasive, scalpel-free surgery minimizes the risk of keloiding during wound healing. Thus, for African Americans, FUE hair transplant prevails as the best restorative option in the case of hair loss.
African American FUE hair transplant|scarring risks

Acne keloidalis nuchae, a keloid-like disorder common in African Americans.

FUE procedures can also be used to help reverse hair loss in black women with traction alopecia. To learn more about this, click here to read more.