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Myths and misunderstandings abound when it comes to caring for African-American hair textures. Top experts gave WebMD crucial info on caring for ethnic hair, whether you wear it straight, braided, loose, or curly.

Here they answer common hair care questions.

How is African-American hair different from other textures?

One common myth is that there is just one type of African-American hair, says New York stylist Ellin LaVar, who has worked with celebrities including Angela Bassett, Naomi Campbell, Whitney Houston, Iman, Serena and Venus Williams, and Oprah.

“African-American hair isn't just the very kinky, coarse texture,” says LaVar, who created the Ellin LeVar Textures hair care line.

Though the texture may vary, there are some similarities that make African-American hair different from other types, says Philadelphia dermatologist Susan Taylor, MD, who also directs the Skin of Color Center at St. Luke's Roosevelt Hospital in New York. In general, the hair contains less water, grows more slowly, and breaks more easily than Caucasian or Asian hair.

Why is it so difficult to style my hair?

Product labeling can often be confusing and may lead African-American women and others with similar hair texture to purchase something that's too heavy or just not appropriate.

“Look for products that describe the texture of your hair, not the color of your skin,” LaVar says.

How often do I really need to shampoo?

The experts interviewed for this story told WebMD that you should shampoo at least every 14 days, but every seven to 10 days is recommended.

“I often have to explain to clients that African-American hair needs to be washed regularly,” says West Hollywood stylist Kim Kimble, who has worked with Beyonce, Mary J. Blige, Kerry Washington, and Vanessa Williams.

“Bacteria can grow on the scalp without regular cleansing and that's unhealthy,” says Kimble, who has a line of products called Kimble Hair Care Systems.

Many women are worried about stripping the hair of moisture when they wash (in addition to the time-consuming ordeal of styling). LaVar suggests lathering with a moisturizing shampoo designed for normal or dry hair and following with a moisturizing conditioner.

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According to the newest national procedural statistics report from the American Society of Plastic Surgeons (ASPS), in 2008, doctors performed over 12 million cosmetic plastic surgery procedures – encompassing both surgical and minimally-invasive procedures. Surgical numbers dropped nine percent and minimally-invasive numbers rose five percent. Nearly 5 million reconstructive plastic surgery procedures were performed, slightly more than the previous year.

“Like most sectors, plastic surgery is feeling the effects of the economic downturn,” said John Canady, MD, ASPS president. “However, repeat patients and those putting off surgery, likely sustained demand for some minimally-invasive procedures. Growth in demand will likely return as the recession eases and baby boomer's offspring begin to explore surgical options.”

The following are the top-line 2008 National Plastic Surgery Statistics:

12 million total cosmetic plastic surgery procedures; up three percent versus 2007
1.7 million surgical cosmetic procedures; down nine percent versus 2007

Top 5: Breast augmentation (307,000; 12 percent decline), Nose reshaping (279,000; two percent decline), Liposuction (245,000; 19 percent decline), Eyelid surgery (221,000; eight percent decline), Tummy tuck (122,000; 18 percent decline)


10.4 million minimally-invasive cosmetic procedures; up five percent versus 2007

Top 5: Botox (5 million; eight percent increase), hyaluronic acid fillers (1.1 million; six percent increase), chemical peel (1 million; two percent increase), laser hair removal (892,000; two percent decline), microdermabrasion (842,000; six percent decline)


4.9 million reconstructive procedures; up three percent versus 2007

Top 5: Tumor removal (3.8 million; five percent increase), laceration repair (307,000; seven percent increase), scar revision (163,000; eight percent increase), hand surgery (100,000; 13 percent increase), breast reduction (89,000; 16 percent decrease)

“Although many obstacles remain in patients acquiring insurance coverage for reconstructive procedures, it is promising to see, for the first time in several years, a gain in reconstructive plastic surgery procedures,” said Dr. Canady.

ASPS procedural statistics are collected through the first online national database for plastic surgery procedures, Tracking Operations and Outcomes for Plastic Surgeons (TOPS). This data, combined with the annual survey sent to American Board of Medical Specialties certified physicians most likely to perform these procedures, results in the most comprehensive census on plastic surgery.

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