How to Care for Your Scalp with Central Centrifugal Cicatricial Alopecia. Are you experiencing the unsettling effects of central centrifugal cicatricial alopecia (CCCA) and are uncertain about your next steps? Did you know that central centrifugal cicatricial alopecia is the most common type of hair loss among Black women? You may find yourself navigating this condition without adequate guidance. Lack of awareness by some hairstylists and doctors makes this complex scalp con