Ethnic Hair Loss

We all come from different backgrounds and have different ancestry that makes us who we are. This manifests in countless ways…in countenance, personality, skin color, height, body type, voice, and, of course, hair. As a doctor would vary his or her treatment based on the history and background of a patient, treating a condition of the hair is no different. Thus, the protocol for treating ethnic hair loss can sometimes vary greatly from that of Caucasian hair loss. This is for two main reasons:

    1. The hair follicle tends to be unique in people of a distinct ethnic background.
    2. The causes of hair loss may vary among different ethnic groups and, thus, call for a specific treatment or solution.

In  ethnic hair transplant procedures, the two main racial groups that tend to require specified attention or care are people of Asian decent and people of African descent.


Ethnic Hair Loss

While people of Asian descent have a lower incidence of pattern baldness than Caucasians, this genetic condition remains the leading cause of hair loss among all racial groups. In fact, recent studies show that the prevalence of pattern baldness among Asian people is increasing for reasons unknown—it is hypothesized that a westernized diet or socioeconomic environment could be taking effect. In essence, ethnic hair loss is still largely caused by pattern baldness.

Asian people typically have denser hair follicles while their scalps are populated with fewer hairs per square centimeter. This equates to an illusion of great density, with less actual follicles to work with in the event of surgical hair restoration. While Asians have the ideal type of hair for follicular unit extraction—thick, extremely straight follicles make successful excision easier—the lowered hair count still calls for great care during FUE hair transplant. It requires that the donor region be vast and somewhat scattered, lest this area appear thinned out after extraction.

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An additional factor to keep in mind with  surgical restoration in other ethnic groups is the tendency to scar. People of Asian descent have a greater chance of developing keloids during wound healing, so the FUE hair transplant surgeon must take proper care.

Finally,  hairline design is an important consideration.  Since Asian people do have naturally thicker follicles, follicular unit extraction is the required technique to be able to build a soft, natural-looking hairline. Ideally, an Asian patient would have a hairline derived from nape or leg hair, which is only possible through FUE hair transplant.


Similar to Asians, people of African descent have less incidence of pattern baldness among them. But this condition is yet the leading cause of ethnic hair loss. In addition to pattern baldness, Africans, or African Americans, also contend with traction alopecia as a major cause of hair loss. Traction alopecia is a condition in which the hair thins gradually from frequent, forceful pulling. Often the result of constant tight braids, ponytails, weaves, barrettes, and extensions, many African American women, and some men, will discover gradual hair loss at the posterior and anterior hairline and around the ears. This is especially prevalent in African American women due to the cultural styling of their hair.

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When it comes to the surgical restoration, there are various concerns for patients of African descent, but there are, of course, treatment options. The first concern is the typically curly or kinked nature of the hair. In any type of hair transplant surgery, a curved follicle makes for more difficult excision and increased transection rates. This calls for an expert FUE surgeon to perform hair transplant and keep the large majority of donor follicles in tact through the procedure—which has been done with great success. The correction of ethnic hair loss is generally safe and successful in the hands of an advanced FUE practitioner.

Ethnic Hair Loss 5

In some African patients, the problem is not always the tightness of curl, but another distinctive concern: the toughness of the tissue around the hair follicle, along with its uniquely durable attachment to the follicle. This again heightens the difficulty of excision, reinforcing the need for an advanced and widely practiced surgeon.

Lastly is the concern over keloiding. Again, as with Asians, people of African descent have a higher tendency to keloid in response to a skin lesion.


Ultimately, though patients of Asian and African descent pose unique surgical difficulties and may have distinct causes of thinning hair, restoration is not impossible. With the right FUE hair transplant surgeon and the proper care, ethnic hair loss is often correctable. Dr. Umar has successfully treated multiple cases concerning both Asian hair loss and African hair loss.

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Since hair lines receive the most attention on the face, a hair restoration procedure would need to emphasize a very natural looking outcome across all ethnicities.  To read more about what this entails, click here to read more.