Traction Alopecia: 6 Signs, Causes, Treatment, and Prevention

By | July 1, 2020
Traction Alopecia

Who likes to bind the hair? You with long hair might do it often.

Are you always tying your hair every day? Such as school, play, even when you are at home.

For the long-haired, tied hair does make us feel more comfortable during the activity.

However, do you know that the habit of tying the hair too tight turns out to cause hair loss.

Traction Alopecia

Hair loss due to the same repeated pulled hair, often, and lasts for a long time is called Traction Alopecia.

This can happen to those who often bind the hair too tightly.

Pulling too strong and repeatedly done can damage the follicles and pull the hair out of the scalp.

Finally, our hair can also suffer from hair loss.

Signs of Traction alopecia

Signs of Traction alopecia include:

A receding hairline is usually around the forehead, temples, or nape

  • Small pimples appear on the scalp or braid
  • Redness, itching, and ulcers on the scalp
  • Cleavage widens
  • Thin or damaged hair spots in places where her hair has been strained
  • Sparkling skin spots, scars in more advanced cases.
  • Inflammation of the hair follicles (pockets of small and narrow glands in the hair).

Causes of Traction Alopecia

Traction Alopecia arises because the hair is pulled too tightly that it results in the loosening of the hair shaft in the follicle.

The causes of traction alopecia are mostly due to habits, such as the tight ponytails, tight hair braids, dreadlocks or even using hair extensions.

Very long-haired children are also at risk of traction alopecia due to the weight of hair pulling the scalp. The condition also risky for a ballerina and gymnast who must consistently pigtail their hair.

Preventing Traction Alopecia

To prevent traction alopecia traction, let the child’s hair be loose for a while. If you have to bind it, try to keep the tie slightly loose and low.

Some other ways to prevent this condition:

  • Change hairstyles every few weeks. For example, this week’s bottom pigtails, next week braid, and so on.
  • Avoid using a rubber band or elastic rubber to bind the hair. Both types of rubber can pull the hair.
  • Make a thick braid of hair. Thin braids will pull the scalp firmer.
  • Use a hair dryer with the lowest heat, as well as other hair styling tools.
  • Reduce the use of rollers, especially if used while sleeping.

Read also:
How To Prevent Thinning Hair

Do not tie hair too tightly

Sometimes wearing a tight hairstyle does not matter, and some hair loss every day is normal. According to the American Academy of Dermatology, humans lose between 50 and 100 hairs every day, which is usually replaced by new hair growth.

Traction Alopecia is not a medical issue, but it can have adverse psychological effects.

Traction alopecia Treatment

For patients with Traction alopecia, the key to heal it starts with changing the Hairstyling method. Pulling the hair tightly into a ponytail or braided hairstyle can cause permanent hair loss.

Styling methods

If you see hair loss, immediately stop your hairstyle with a tight hairstyle. Traction alopecia usually starts on the scalp where the hair is pulled tight.


Typically over-the-counter medications provide slight relief for alopecia traction. In “Hair growth and disorder,” Ulrike Blume-Peytavi reported 2 percent Minoxidil showed some promise with the application for three months.

The area of the scalp with traction alopecia early stage instructions has a lot of telogen hair. If diagnosed early, antibiotics and intralesional corticosteroids can lead to regrowth.

Both require administration or prescription from the doctor. The presence of the vellus hair follicles marks the final stage of alopecia traction. At this point, the drug induces slight or no regrowth at all.


For people with permanent scarring, a surgical hair transplant or flap surgery provides the greatest advantage.

In the flap procedure, the surgeon puts a healthy scalp in the affected area. The International Society of Hair Restoration Surgery suggests the use of a flap procedure as an option but not the first choice.

Explore all available treatments before undergoing a flap surgery. After the flap surgery, the hair around the flap may not have hair.

Use a hair transplant to fill the gaps left over from the flap surgery or as a choice of the first choice. During a hair transplant, doctors move the hair follicles from behind the head to bald areas. The hair transplant will fill the bald area. However, the hair density levels of pre-alopecia will not return.

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