CCCA
CCCA in Houston: investigation and scalp support.
Central centrifugal cicatricial alopecia is a scarring pattern that typically begins at the crown and spreads outward. It disproportionately affects Black women, and it rewards attention early.

What the pattern looks like
It often starts as a smooth, slightly shiny area at the crown where the part looks wider than it used to. Some people notice tenderness, itching or tingling; many notice nothing at all until density has clearly changed.
Because the pattern spreads outward from a centre, comparing images over time is far more informative than a single look.
Our role, and your physician's
We are Trichologists. We investigate and document what the scalp shows and support scalp health alongside your medical care — we do not diagnose or treat medical conditions.
Where a dermatologist's involvement is appropriate, we say so directly and work alongside that care rather than around it.
Why timing matters here
Areas that have scarred do not regrow. The scalp around them is where attention is worth spending, and that requires documented images taken far enough apart to be meaningful.
This is the page where we most strongly encourage an in-person visit rather than a virtual one.
Where we are
Our clinic is at 13201 Northwest Freeway, Suite 512, in Northwest Houston — an easy drive from Jersey Village, Cypress, Spring, Katy, Memorial, the Energy Corridor and the Heights.
Serving Greater Houston
Clients travel to our Northwest Houston clinic from Missouri City, Sugar Land, Pearland, Katy, Cypress, Spring, Memorial and the Heights.
The Houston Advantage
Why visit our Houston clinic?
If you are anywhere within driving distance, being seen in person is the most useful hour you can spend on your hair.
A comprehensive scalp and hair evaluation
Every zone of the scalp looked at directly, not inferred from a photograph.
High-resolution microscopic imaging
Density, strand calibre and follicle openings captured as a documented baseline you can be compared against later.
A personal investigation with Trichologist Dr. Leola
The person reading your scalp is the person who built the method the clinic runs on.
Your history, in full
Health history, lifestyle, nutrition, styling and product routines — because the timeline usually holds the clue.
Individualized restoration recommendations
A written pathway shaped by what we observed on your scalp, not by a template.
Your questions answered in the room
Options discussed face to face, at the moment you are thinking about them.
Investigative, non-medical care. We are Trichologists — we do not diagnose or treat medical conditions, and we make no promises about results.
Start Here
Choose your next step.
Most people are best served by being seen in person. The other options exist so that distance or hesitation never becomes the reason nothing happens.
Preferred · Houston clinic
Book an In-Person Hair Investigation
Comprehensive scalp and hair evaluation, high-resolution imaging and an unhurried conversation with Trichologist Dr. Leola.
Outside the Houston area
Schedule a Virtual Hair Investigation
A private video investigation reviewing your history, your photographs and the patterns you have noticed.
Still researching
Start with the $7 AI Hair Loss Scan
A fast, low-commitment screening from home on HairLossScan.com™.
Questions first
Free 15-Minute Discovery Call
A short, no-obligation conversation to point you to the right starting point.
Prefer to talk to a person? Call the clinic at 713-640-5651 — Tue–Fri 10:00 AM–6:00 PM · Sat 8:30 AM–2:30 PM · Closed Sun & Mon.
Questions
Before you book.
Can CCCA be reversed?
Where scarring has occurred, that area does not regrow. This is exactly why early investigation and careful tracking of the surrounding scalp matter so much.
Is CCCA caused by relaxers or braids?
Research has not settled on a single cause, and family patterns appear to play a role. We look at your whole history rather than assigning blame to one habit.
Do you work with my dermatologist?
Yes. Many clients see both, and a documented scalp baseline is useful to everyone involved in your care.
How is CCCA different from traction alopecia?
Traction loss follows tension and usually shows at the hairline and nape. CCCA characteristically starts at the crown and spreads outward. Some people have signs of both.
Should I still wear protective styles?
We discuss tension, duration and installation rather than issuing blanket rules, and we take your life and preferences into account.
Does CCCA run in families?
Family patterns are frequently reported, which is one reason we ask about relatives during your history.
How often should I be reviewed?
Typically every few months, so images can be compared over a meaningful interval.
Continue
Related on this site.
Learn More
Across the Dr. Leola ecosystem.
- Read more at HairInvestigations.com
Scarring patterns explained in plain English.
- Read Trichology Today®
Research coverage on scarring alopecias.
Come and be looked at properly.
An in-person investigation at our Northwest Houston clinic is the fullest way to understand what your hair and scalp are showing.
Prefer to learn first? Visit HairInvestigations.com
