Our hair is a vital part of our identity, and is often used as a form of self-expression and cultural significance. As we age, it is not uncommon to find that our hair changes in thickness, color, and texture. However, if you’re dealing with hair loss, you may be looking for answers. While you might not initially think of it, some hairstyles can lead to a condition known as traction alopecia—a type of hair loss caused by repeated tension on the hair and scalp over time. While it is preventable, understanding its causes and adopting healthier hair practices is crucial to maintaining long-term hair health.
What Is Traction Alopecia?
Traction alopecia is a form of hair loss that occurs when the hair follicles are subjected to prolonged and excessive pulling or tension. This condition typically affects areas of the scalp where hair is pulled tightly, such as the hairline, temples, and crown.
Unlike other types of alopecia, which may result from autoimmune conditions or hormonal changes, traction alopecia is mechanical in nature. The damage it causes to the hair follicles can become permanent if left unaddressed, leading to scarring and irreversible hair loss.
Hairstyles That Contribute to Traction Alopecia
Anyone who wears tight hairstyles or puts repeated stress on their scalp can get traction alopecia. Some people experience traction alopecia more often than others because tight hairstyles are common in their culture or profession. Here are a few styles that are more common for traction alopecia:
- Tight Ponytails and Buns
- High ponytails, slicked-back buns, and topknots pull the hair tightly against the scalp, causing tension along the hairline and nape.
- Braids and Cornrows
- Braiding styles, especially when done tightly, can strain the hair follicles, particularly along the edges of the scalp.
- Weaves and Extensions
- Hair extensions and weaves add extra weight to the hair, increasing the pull on natural strands. Improper installation can exacerbate the problem.
- Dreadlocks
- While a cultural and personal choice for many, dreadlocks can cause stress on the roots if they are overly tight or heavy.
- Tight Headwear
- Regular use of hats, headbands, or scarves that fit tightly around the hairline can also contribute to tension-related hair loss.
Early Signs of Traction Alopecia
Early detection is key to preventing permanent damage. Common warning signs include:
- Redness or inflammation of the scalp
- Scalp tenderness or pain
- Small bumps on the scalp (folliculitis)
- Gradual thinning around the hairline
- Broken hairs or patches of hair loss
Preventing and Addressing Traction Alopecia
The good news is that traction alopecia is preventable and often reversible in its early stages. Here are actionable tips to protect your hair:
- Switch to Looser Hairstyles
- Opt for styles that do not pull on the hair, such as loose braids, low ponytails, or natural hair. Even switching for a period of time to a looser style and then switching back to your desired tighter style can help give your scalp a “breather.”
- Avoid Prolonged Use of Tension-Based Styles
- Give your hair regular breaks between tight hairstyles and extensions to allow follicles to recover.
- Use Lightweight Extensions
- If you wear extensions, choose lightweight options and ensure they are installed by a professional.
- Moisturize and Nourish Your Hair
- Keep your scalp hydrated with oils or moisturizers to improve elasticity and reduce breakage.
- Practice Gentle Hair Care
- Avoid excessive brushing or styling that pulls on the hair and use wide-toothed combs to minimize damage.
When to Seek Professional Advice
If you notice early signs of traction alopecia, consult a dermatologist tailored treatment plan. We can recommend topical treatments, laser therapy, or other interventions to stimulate regrowth.
The information presented in this blog is for informational purposes only and should not be taken as medical advice. If you have questions or concerns, please call our office or make an appointment with a medical professional. Savannah River Dermatology is located at 575 Furys Ferry Rd in Augusta, Ga. Our office can be reached at 706-691-7079.
