Hair loss in African American patients requires a thoughtful, individualized approach because Afro-textured hair can be affected by conditions such as traction alopecia, central centrifugal cicatricial alopecia (CCCA), and other forms of hair loss that may present differently depending on the patient's hair type and styling practices. Treatment begins with identifying the underlying cause, since early diagnosis is especially important for conditions that can lead to permanent scarring and hair loss. Depending on the diagnosis, treatment may include topical or oral medications, adjustments to hairstyling practices that place tension on the hair, and other targeted therapies. My approach is to evaluate the pattern of hair loss, scalp health, medical history, and hair-care practices before recommending a treatment plan. The goal is to address the underlying condition while protecting the health of the scalp and supporting the best possible hair regrowth. A photo can provide some initial insight, but an accurate diagnosis may require a closer examination of the scalp and hair follicles.