This patient had fronto temporal recession.
The diagnosis in such hair loss pattern in black woman is:
1. Traction alopecia
2. Female Hair loss pattern
3. FFA (frontal fibrosing alopecia
4. A combination of different causes
The patient related in her story an episode of burning scalp during perm.
After close examination of her scalp, her donor area looked OK, her scalp was normal (no erythema, no scaling, no hyperkeratosis at the base or exit of hair follicle, presence of ostium).
In black woman, I usually recommend first the strip technique. Because you can have a better control of grafts and avoid to damage them; they keep most of the time long hairs which can cover up any scar if it turns wide.
Results are natural as you can see in the following pictures.
