Written on: Nov 26, 2018 By: Shari Hicks-Graham
My new patient office visits are often filled with anticipation, especially when the visit involves a female patient with the primary concern of hair loss. I put myself in her shoes and imagine how she may feel after she has found the courage to seek help, scheduled an appointment, and has waited for days, weeks or sometimes months before we finally meet. The new patient’s personal description of the issue leads to a fear: another diagnosis of central centrifugal cicatricial alopecia (CCCA). I believe it is truly Public Enemy #1 for black women with hair loss.
CCCA is extremely common among adult black women. This demographic may notice that it begins with a patchy area of hair loss on the top of the scalp. Over time, it becomes more pronounced and larger in size, spreading outward and scarring. One of the well-known associations with CCCA is low-grade inflammation. A patient recently described this as the scalp feeling “busy.” To say that it hurts may be an overstatement, although pain and tenderness can be present at times. Most often though, there is a feeling of scalp tightness, itching or soreness.
It is easy to overlook these feelings because sometimes we are introduced to uncomfortable conditions early in our life and we often rationalize the discomfort as being something we have to deal with to get the style that we want. Indeed, many of us have experienced tenderness with braids as a child, relaxers at later stages, or most certainly with hair extensions. It is troubling that we are seeing CCCA at younger ages than ever before. CCCA is difficult to treat and often progresses to permanent hair loss if it is not properly managed at an early stage. Therefore, if an individual has not addressed the fundamental issue and only kept her condition well-hidden with hair weaves or braids, I anticipate that treatment will be challenging from the start.
Once an issue is identified, CCCA remains a very challenging condition because it is poorly understood and not associated with clear and defined guidelines for prevention or cure. In fact, there is no cure. These are tough facts to face, particularly for most of us with extremely high standards for beauty that are closely linked to our hair. No one wants to hear that any hair problem is permanent and I sympathize with each patient with this diagnosis. However, there are both established and emerging therapies that are effective so that gives us some hope!
As we manage CCCA, we stress the need for gentle, tension free hairstyles, and often recommend medications like topical or injected steroid solutions and oral antibiotics for inflammation, along with minoxidil for hair growth. Dandruff, a condition on the spectrum with the more severe seborrheic dermatitis, has been associated with CCCA. Treatment includes antifungal shampoos that tend to be a bit harsh and drying, like ketoconazole or selenium sulfide. Notably, some reports indicate that dandruff affects roughly 60-80% of African-American adults at some time within their lives. I became tired of telling my patients to use a variety of products to help their dandruff even though I believed those products were not made with their particular hair type in mind. Now, LivSo is available, it was made for those with textured hair in mind, and our study proved that it helps to reduce dry itchy scalp.
My goal was to help people realize that you don’t have to compromise the look and feel of the hair in order to take good care of their scalp. That’s why LivSo is here - it’s a gentler, more cosmetically elegant formulation intended to quiet that busy feeling scalp while moisturizing the hair. We know that if we can help reduce the itch, it will be easier not to scratch and damage the sensitive scalp. Additionally, if the hair detangles more easily, it will reduce the tension and work of styling. Moreover, if we can help alleviate some of the symptoms associated with CCCA and improve the quality of life of CCCA patients, that would be excellent.
I was happy this month to see a recent groundbreaking article in the Journal of the American Academy of Dermatology by Dr. Crystal Aguh and colleagues from Johns Hopkins University and Meharry Medical College defining some of the genetic changes implicated in CCCA. We are learning that scar tissue overgrowth in this condition is also associated with other common diseases in black women like fibroids, liver fibrosis and cardiovascular disease. We have always suspected that CCCA is not a superficial concern, and this article supports the notion that it is certainly more than skin deep. We know that additional research is necessary to understand why CCCA is such a devastating disease with inconsistent treatment options. Meanwhile, we hope that LivSo remains a source of light reminding our user that professionals who care about this disease are out here working for you. So, don’t give up hope!
Live free and clear,
Of course, all of our products are carried here at livso.com. Alternatively, you can also purchase our products at the following retailers, salons, and barbershops. Check back frequently as our stocklist continues to grow.
Ambushed Salon - Gahanna, Ohio
Adrian Fanus Grooming - Brooklyn, New York
DTLA Cuts - Los Angeles, California
Downtown Dermatology - Columbus, Ohio
Ms. Melanin Beauty Supply & Salon - Canal Winchester, Ohio
Panache Hair Designs - Oak Park, Illinois
Skin Specialty Dermatology - New York, New York
Skin Wellness Center of Alabama - Homewood, Alabama
Willis Beauty Supply Co - Columbus, Ohio
W Style Lounge - Columbus, Ohio
If you are a professional stylist, barber, or retailer and would like to carry our LivSo products please email email@example.com
Yes! We offer samples for $1 each on our website. Each sample includes a 0.33 oz package of each of our three products. There is no limit to the number of samples you can purchase. You may require more than one sample depending on the length and thickness of your hair and how many times you would like to use each product. Samples are a great way to introduce friends and family to the product line as well!
We fulfill orders within 48 hours and once an order is shipped, shipping time is typically 2-3 business days.
Moisturizing Shampoo - Apply to wet scalp and hair, lather and rinse. Repeat once or twice as needed. Our gentle, sulfate-free formula is intended to effectively cleanse without overdrying your hair and skin. Massaging the scalp while applying is also recommended to improve circulation throughout the scalp. Use at least weekly for best results. Be careful to avoid direct contact with eyes. View a quick tutorial video here.
Moisturizing Conditioner - Apply to scalp and hair for at least three minutes, detangle or comb gently using a wide-toothed comb, then rinse out completely. Be careful to avoid direct contact with eyes. View quick tutorial video here.
Moisturizing Lotion - Apply to scalp after washing and conditioning, before drying & styling hair. May also apply to scalp daily as a moisturizer. This product also works well on the hair itself for extra moisturization to improve manageability. View a quick tutorial video here.
The products are designed to be used at least once per week but may be used as often as three times per week depending on your hair and scalp condition and moisturizing needs.
Yes! The Moisturizing Lotion is a versatile product. Although it is formulated to be a light moisturizer applied directly to the scalp to alleviate dryness and itchiness, many use it directly on the hair for additional hydration from the roots to the tips. Men also find it useful to moisturize their beards without leaving their hair with an oily finish or strong fragrance.
Yes. Although we did not do a unique test for color safety, we are familiar with all of our ingredients and have yet to receive feedback relating to issues with use on color treated hair.
Our independent clinical trial consisted of only adult participants. Please be advised that our products do not have a tear-free formula and they were not studied for use on children. Be careful to avoid direct contact with the eyes.
LivSo was designed for people with dry itchy scalp and curly or textured hair, regardless of ethnicity or gender. If you have a textured hair type that dries out easily with typical dandruff shampoos or sulfate products, this product is for you. Curly or textured hair, by nature, requires more moisture to prevent breakage, splitting and ensure its luster. The cuticle of curly and textured hair tends to be more ruffled as opposed to flat, which prevents oil from the scalp from wicking from the root to the tip of the hair causing it to look and feel drier.
Beyond those who have dry, itchy scalp, if you have dry curly hair, our products were expertly crafted to promote scalp health and meet your hair cleansing and moisturizing needs.
To our friends with straight hair and dry, itchy scalp, LivSo products are formulated to meet your needs as well. Our line of products may feel more moisturizing than alternative products without a focus on hydration, but they will still work to alleviate dry itchy scalp.
Creating products that are safe and gentle for your skin and hair without compromising efficacy is our highest priority. We include numerous natural ingredients in all of our products but we do not focus on being all-natural because natural elements and therefore natural products may not necessarily be safe and gentle. Our products are gluten-free, paraben-free, sulfate-free, and are not derived from animals in any way.
Acetyl alcohol will not dry out your hair, in fact, it does just the opposite. Acetyl alcohol is a conditioning agent and a fatty alcohol, which actually has a moisturizing effect on the hair and skin as opposed to isopropyl alcohol, which is your common rubbing alcohol.
Glycolic acid is a valuable and effective ingredient included in our Moisturizing Shampoo and Conditioner and can increase photosensitivity on the skin. As such, we want to ensure that those with sun sensitivity are aware of its presence. We believe sunburn risk from using these products is still fairly low because the hair on the scalp protects the scalp from being exposed to direct sunlight. If you are wearing a protective style where parts of your scalp is exposed or if have a very short haircut, we advise that you apply sunscreen on any exposed areas.
Roughly two years.
We have plans to ship products to select countries in 2018. Please sign up for our newsletter to be notified when we begin shipping internationally.
LivSo, LLC500 East Main StreetSuite 310Columbus, Ohio 43215