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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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Male hair loss, also known more formerly as Androgenic Alopecia, is a very natural and gradual response to a lack of tolerance of some hair follicles to male sex hormones. Male hair loss is a genetically passed trait, and is very common, affecting roughly 2/3 of the male population. An estimated 35 million men in the United States, and approximately 7.4 million men in the UK are affected by this genetic trait. There are numerous different methods to treat hair loss, both naturally and medically…

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Do you intend to get rid of the unwanted fat from your body? Liposuction may be the answer for your problem. Before undergoing the procedure, it is important for you to understand the method which will make it easier for you to know what to expect.

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Nuts used to have a reputation for being fattening. Nowadays, nuts are gaining a reputation for being a superfood. Nuts are now known for containing healthy fats that are heart-friendly. However, a recent study has come out that echos other studies regarding this delicious snack that can go with just about anything — it lowers your cholesterol.

But there is a catch to this. While  several studies have consistently showed modest improvement in cholesterol levels in all individuals consuming nuts, a recent study published in the Archives of Internal Medicine shows that some individuals may benefit more than others.

This study pooled 25 other trials looking at nuts and their effect on lipid levels — cholesterol and triglycerides — in humans. The individuals that participated in these studies widely varied: some had normal lipid levels and some had high lipids, some were overweight whereas others may have been of normal weight. The investigators of this study found, after consuming an average of nuts that totaled 67 grams daily, that:

total cholesterol were reduced by 5.1%
LDL was reduced by roughly 7.4%
triglycerides were reduced up to 10.2%

Unfortunately, these effects were not found in everyone. It appears that individuals with higher lipid levels and lower weights saw lower lipids, compared to those who had only slightly high lipid levels and weighed more. Additionally, those consuming more of a Western diet (fatty foods) fared better than those following a healthier diet.

While this news may be disappointing to some, it does raise the status of the nut as a heart-healthy food — even if it helps some groups more than others.

Find out more information about nuts and your cholesterol:

Nuts and Cholesterol
Heart-Healthy Pecans
Can Pistachios Lower Cholesterol?

Source: Sabate J, Oda K, Ros E. Nut consumption and blood lipid levels: a pooled analysis of 25 intervention trials. Arch Intern Med. 2010;170(9):821-827.

Photo: Stanislav Pobytov, istockphoto

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I don't write many good things about giant soft drink companies, however I think this is an interesting program sponsored by Pepsi. The Pepsi Refresh Project asks people to submit their ideas for funding by Pepsi and the winners are selected by voters at the site (anyone can vote). There are several categories, including health, arts, the planet, education, neighborhoods and shelter. One recent grant recipient takes a mobile fruit and vegetable presentation called Taste Buds to schools in southern Illinois. His goal is to show kids how terrific fruits and vegetables can be – what a great idea.

Daily Nutrition Tip

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The higher the blood cholesterol level, the greater the risk of atherosclerosis and the greater the likelihood of suffering a heart attack. “We have known this for a long time,” points out Professor Dr. Eicke Latz from Bonn University, “but nobody understood exactly why.”

Professor Latz has been exploring this question in collaboration with Dr Peter Düwell from LMU Munich, Professor Veit Hornung, also from Bonn University, and research colleagues based in the US. The researchers have succeeded for the first time in identifying the molecular trigger for inflammation in large blood vessels. “We've found that, given a certain type of nutrition, cholesterol crystals are deposited in the arterial walls after a relatively short time,” says Dr Düwell. “These crystals are then taken up by the immune system's scavenger cells.” This becomes the starting signal for a catastrophic chain reaction. The unhealthy food results in the accumulation of cholesterol crystals that activate an “inflammasome” complex within the scavenger cells. One of the functions of this multi-protein complex is to induce the release of inflammatory mediators. The mediators then attract more and more immune cells to the site where the problem is occurring. The growing invasion ultimately destabilizes the vessel walls — with potentially life-threatening consequences.

Gout in the arteries

“Very similar processes are observed with cases of gout,” explains Professor Latz, “although that mainly occurs in the joints.” Extremely painful attacks of gout can also be triggered by an unhealthy diet. This time however, the culprit is not fat but nucleic acids from, for instance, muscle tissue (meat). The uric acid formed in the digestion process then crystallizes. These crystals can unleash a powerful inflammatory reaction.

Professor Latz has recently been recruited by the University of Bonn after working ten years in basic research in the United States. Here, he heads the new Institute for Innate Immunity (Institut für Angeborene Immunität), which has a research focus on the immune mechanisms that cause inflammatory reactions. The innate immune system forms part of the body's own defence mechanism and is able to respond rapidly and directly to a number of alarm signals that appear in the tissue environment. These triggers not only include viruses, bacteria and fungi but also certain crystals and other substances that occur during infections of in stress situations. The strength of the innate immune system is that it can respond very quickly to situations that are of danger to the host. The problem, however, is that it can also overshoot the mark. This type of overreaction is also seen in the case of pneumoconioses such as the black lung, a disease which frequently affects miners. In these lung diseases, a chronic inflammatory reaction is triggered by inhaled crystals made of silicates or asbestos. The molecular mechanisms of crystal recognition are similar to those triggered by cholesterol crystals in blood vessels.

Starting point for developing new drugs

There is still a piece of the jigsaw puzzle missing which researchers need to complete the overall picture. “We don't know precisely how the cholesterol crystals activate the inflammasome,” says Professor Latz. The findings of this study however, offer some starting points for developing new drug therapies. At present, statins are widely used in therapy. Statins reduce the synthesis of endogenous — i.e. the body's self-produced cholesterol and diminish the risk of heart attack or stroke, but they cannot inhibit the absorption of cholesterol from ones diet.

Estimates by the World Health Organization put the number of people now dying from cardiovascular diseases at almost 17 million per year. This means that one in four deaths worldwide is caused by atherosclerosis.

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