Cosmetic causes of scarring alopecia are poorly documented. They inclu
de traction alopecia and hot-combing. Recently, another group has pres
ented in the South London area, related to misuse of chemical hair str
aightening agents. Affected patients are young, female, of Afro-Caribb
ean origin, and typically display hair loss on the vertex of the scalp
. Histology shows a pattern of fibrosis and inflammation characteristi
c of the physical damage seen with other cosmetic procedures. This his
tological pattern is distinguishable from other non-cosmetic causes of
scarring alopecia.