Traction Alopecia
Hair loss caused by tight hairstyles that pull on the hair.
Overview
Traction alopecia is a form of hair loss caused by prolonged tension on the hair follicles from tight hairstyles such as ponytails, braids, buns, dreadlocks, or hair extensions. The constant pulling damages hair follicles over time. Initially reversible, long-term traction can cause permanent hair loss. It's particularly common in African American women and anyone who regularly wears tight hairstyles. Early recognition and changing hair practices are key to preventing permanent damage.
Common Age
Any age; common in young women and children
Prevalence
Common in populations that wear tight hairstyles; up to 30% in some groups
Duration
Reversible if caught early; may be permanent with prolonged traction
Common Symptoms
- Hair loss at hairline, temples, or above ears
- Small bumps or pimples on scalp
- Redness and scaling at hairline
- Broken hairs at edges
- Soreness or tension headaches from hairstyle
- Widening part
- Thin, wispy edges
- Progression to permanent baldness if continued
Possible Causes
- Tight ponytails or buns
- Tight braids (cornrows, box braids)
- Hair extensions or weaves
- Dreadlocks
- Hair rollers worn too tight
- Headbands or helmets worn frequently
- Chemical relaxers combined with tight styles
- Years of tension on hair
Note: These are potential causes. A healthcare provider can help determine the specific cause in your case.
Quick Self-Care Tips
- 1Stop or loosen the offending hairstyle immediately
- 2Give your hair breaks between protective styles
- 3Avoid styles that cause pain or tension
- 4Use satin or silk pillowcases
- 5Vary your hairstyle and part location
- 6Avoid heavy hair accessories
- 7Don't relax and braid together
- 8Let edges breathe and recover
Disclaimer: These are general wellness suggestions, not medical treatment recommendations. They may help manage symptoms but should not replace professional medical care.
Detailed Treatment & Solutions
1STOP THE TENSION
The most important step. Change to loose hairstyles. If you must wear braids/weaves, keep them loose at the hairline. No style should hurt.
2ALLOW RECOVERY TIME
Give hair 6-12 months to recover. Avoid any tension during this time. Hair may regrow if follicles aren't permanently damaged.
3GENTLE HAIR CARE
Wide-tooth combs. Minimal heat styling. Satin bonnet at night. Gentle, moisturizing products.
4MEDICAL TREATMENTS
Minoxidil may help regrowth in early stages. Corticosteroid injections for inflammation. Antibiotics if folliculitis present.
5STYLING ALTERNATIVES
Loose braids, twist-outs, wash-and-go styles. If wearing extensions, make sure they're not too tight at the hairline. Avoid adding hair to fragile edges.
6HAIR TRANSPLANT
For permanent hair loss, surgical hair restoration may be an option. Consult with a dermatologist specializing in hair loss.
Important: Always consult a healthcare professional before starting any treatment regimen. The solutions above are for educational purposes and may not be suitable for everyone.
Risk Factors
- Tight hairstyles
- Chemical relaxers
- Long-term braiding/extensions
- Starting tight styles young
Prevention
- Avoid tight hairstyles
- Alternate styles
- No pain from hairstyles
- Breaks between protective styles
When to See a Doctor
Consult a healthcare provider if you experience any of the following:
- Hair loss is progressing despite changing hairstyles
- Scalp bumps, pus, or signs of infection
- Significant hairline recession
- Scarring or permanent-looking loss
- Want to discuss treatment options
Talk to a Healthcare Provider
If your symptoms are persistent, severe, or concerning, please consult with a qualified healthcare professional for proper evaluation and personalized advice.
Frequently Asked Questions
QCan traction alopecia be reversed?
If caught early, yes. Once you stop the tension, hair can regrow over several months. However, if tight hairstyles continue for years and follicles are scarred, the loss becomes permanent. The key is early recognition and immediate change in hair practices.
QHow long should I wait between braids or weaves?
Give your hair at least 4-6 weeks between tight protective styles. During this time, wear loose styles and treat your edges gently. If you notice any thinning, take a longer break. Your hairline health should guide your decisions, not aesthetics.
Related Conditions
Androgenetic Alopecia (Male/Female Pattern Baldness)
The most common type of hair loss, caused by genetics and hormones.
Alopecia Areata
An autoimmune condition causing patchy hair loss on the scalp and body.
Seborrheic Dermatitis
A common skin condition causing scaly, itchy, red skin, especially on the scalp.
Alopecia Areata
Autoimmune condition causing patchy hair loss.
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Medical Disclaimer
The information on this page is for educational purposes only and is not intended as medical advice. It should not be used for self-diagnosis or self-treatment. Always seek the guidance of a qualified healthcare professional with any questions you have regarding a medical condition. If you are experiencing a medical emergency, call your local emergency services immediately.
Information last reviewed: January 2026
This page provides educational information only. It is not medical advice.