Tired of hair loss from Traction Alopecia? Uncover the causes and effective treatments for this condition. Don't let hair loss hold you back - Read on to regain control and restore your beautiful locks!

Traction Alopecia: Causes and Treatment

Table of Contents

TL:DR Summary

  • Traction Alopecia Defined: Hair loss from prolonged tight hairstyles like braids and ponytails.
  • Common Among Ethnic Groups: Especially prevalent in women of African and Asian descent.
  • Symptoms to Watch For: Receding hairline, bald patches, scalp redness, itching, and inflammation.
  • Prevention Tips: Rotate hairstyles, avoid tight styles, use gentle products, moisturize scalp.
  • Effective Treatments: Stop harmful styles, use minoxidil, microneedling, or laser therapy for regrowth.
  • Reversibility Factors: Early detection and treatment can reverse effects; severe cases may need hair transplant.
Differences Between Alopecia Areata & Androgenetic Alopecia
Differences Between Alopecia Areata & Androgenetic Alopecia

Introduction to Traction Alopecia

With my extensive background in aesthetic science, including a Bachelor of Health Science (Aesthetics) and a CIDESCO certification, I’ve encountered a wide range of hair and scalp concerns. One such issue that often arises in my discussions with clients and peers is traction alopecia. This condition, characterized by hair loss primarily caused by constant pulling or tension on the hair, is a concern I’ve seen affect many individuals, particularly those who frequently style their hair in ways that exert pressure on the scalp.

Understanding the Causes and Complexities of Traction Alopecia

In my experience, understanding the causes of traction alopecia is crucial for effective treatment and prevention. It’s not just about identifying the external factors, but also about understanding the underlying biological processes.

In the detailed article that follows, I will share the various causes of traction alopecia, exploring both the common and less known factors.

For a deeper understanding, I often refer to dermatological research and studies, such as those found in the International Journal of Trichology, which provide insights into the complexities of hair loss conditions like traction alopecia.

Traction alopecia is a loss of hair brought on by repeated pulling stress or stress on the hair, hair roots as well as its hair follicles

What is Traction Alopecia?

Understanding Traction Alopecia: The Effects of Hair Stress

Traction alopecia is a hair loss condition I often see in clients. It happens when hair is pulled too tight for a long time. This is common with certain hairstyles or hair accessories. The constant pull damages hair follicles. Over time, this leads to hair loss. It can affect anyone, but it’s more common in those who often style their hair in ways that pull on it. The good news is, with early action, this condition can be reversed. Avoiding tight hairstyles is key. If you notice hair loss, it’s best to act fast and change your hair habits.

Traction Alopecia: A Common Issue in Specific Ethnic Groups

This type of hair loss is common among women of African descent. About one-third of them face it. But it’s not just them. Men and women of Asian origin also experience it. Traction alopecia happens when hair is pulled tight for a long time. This can be due to hairstyles like ponytails, braids, or cornrows. It’s important to treat hair gently. Avoid tight styles to prevent this kind of hair loss.

The weight of excessively long hair- if hairs are long and tightly tied they too might cause traction alopecia below the chin;

What are the causes of Traction Alopecia

Not every lady can to these beauty salon horror tales certainly, however that doesn’t imply they are risk-free from traction alopecia. This kind of hair loss is frequently self-inflicted as well as may be triggered by:

  • Tight braids, weaves, chignons, ponytails, dreadlocks, and other scalp-pulling hairstyles which is common in Asian hairstyles
  • The weight of excessively long hair- if hairs are long and tightly tied they too might cause traction alopecia below the chin;
  • Hair extensions- especially if they are tightly tied or glued to the base of your hair
  • Chemical treatments such as hair relaxers- they may alter the structure and chemical composition of the hair strands and follicles, thus leading to hair loss
  • Hair Rollers – especially if the hair is put up in rollers overnight for different types of hair
  • Wearing hair accessories, e.g., hair grips or slides the same way every day
  • Headwear, e.g., helmets and tight elastic bands

Essentially what these hairstyling procedures do is produce traction. When this occurs repetitively, as well as for a long term duration, inflammation creates around the hair origin, as well as the hair shaft ends up being loosened in its roots. Ultimately, the hair might wind up falling out in clumps, which can lead to adverse effects and psychological effects to your well-being. 

Hair loss is often slow. We might not see the damage from hair loss right away. But, signs can show traction alopecia

What are the signs that you are suffering from Traction Alopecia?

Hair loss is often slow. We might not see the damage from hair loss right away. But, signs can show traction alopecia. These signs include:

At first, traction alopecia doesn’t scar. But, if we keep pulling our hair, scars and red skin can appear. Then, hair gets thin and less dense. These symptoms are different for everyone.

How we treat our hair can cause this problem. It often affects the sides and front of the scalp. This is known as the fringe sign. It’s a clear sign of this hair loss type.

Can Traction Alopecia be reversed?

Traction alopecia is a condition I often see in my practice. It happens when hairstyles pull on your hair too much. This can hurt your hair roots. If you spot it early, you can usually fix it. The first signs are often small pimples and a feeling of discomfort. This is called traction folliculitis. It’s caused by too much tension on the hair.

This leads to swelling in the hair roots. If you don’t treat traction alopecia, it can get worse. The hair roots can get so damaged that they stop growing new hair. This can lead to scarring and permanent hair loss. Taking good care of your hair can stop this from happening.

How can you treat Traction Alopecia?

Traction alopecia is a condition I often see in my practice

Reducing Traction: Hairstyle Adjustments

A key treatment for traction alopecia is giving your hair a break from any style that may cause traction or a “tugging action.” You could try wearing your hair up or down, or rotating between the two. If it’s essential to pull your hair back, opt for a style that’s low and loose. Avoiding tight hairstyles can give your hair follicles a much-needed break. Regularly review your scalp for any risk factors and treat early to prevent permanent damage.

Considering a Haircut: Dealing with Long Hair

If your hair is long, and therefore more prone to pulling and tension, consider cutting it short. A shorter hairstyle can significantly reduce the strain on your hair follicles and potentially halt the progression of traction alopecia.

Treatments for Hair Regrowth: Topical Minoxidil

If you have already lost hair due to traction alopecia, consider using treatments such as topical minoxidil. This FDA-approved solution can stimulate hair regrowth and help fill in sparse areas, reversing some of the effects of this hair loss condition.

Here is the conclusion and key takeaways from this article by Wellaholic

You can treat Traction Alopecia with Microneedling for Scalp

Microneedling for Scalp: A Promising Treatment for Hair Loss

Microneedling is an innovative treatment that helps tackle hair loss and stimulate hair regrowth. Known as Collagen Induction Therapy, this hair loss treatment creates controlled trauma in the scalp to encourage hair growth. When used in conjunction with Minoxidil 5%, a topical hair loss solution,

Microneedling can lead to significant improvements in hair growth over a 12-week period. This treatment is particularly effective for individuals suffering from Traction Alopecia, Alopecia Areata, and Androgenetic Alopecia, which includes conditions like male pattern baldness, receding hairline, and thinning hair.

Understanding Hair Loss Solutions: Working with Hair Follicle Stages

Topical hair loss solutions begin working at the follicular level, which is crucial for treating hair loss. However, as each individual may have a unique cause behind their hair loss, the effectiveness and timeframe of the treatment can vary.

Wellaholic’s Microneedling for Scalp: A 12-week Program

Wellaholic’s Microneedling for Scalp is a treatment regimen requiring weekly sessions over a period of 12 weeks. This program is supported by various case studies which have shown microneedling to be an effective treatment for hair loss.

By committing to this schedule, patients have a good chance of seeing substantial improvement in their hair growth.

Customer Success Story 1

Meet our first customer, a gentleman who embarked on his hair regrowth journey with Wellaholic in March. Over the course of eight months, he experienced a transformation that was nothing short of remarkable.

In the before photos taken in March, you can clearly see the areas of thinning and hair loss. However, as the months passed and he continued with his HairGrow 3X treatments, the change became evident. The after photos taken in November show a significant increase in hair density and coverage.

This customer’s journey is a testament to the effectiveness of Wellaholic’s hair regrowth treatments. His commitment to the treatment plan and our expertise combined to create a success story that speaks volumes about the potential of our hair regrowth treatments. To read our customer success stories with before and after photos, click this link.

Vijay Ganesh sought treatment at Wellaholic for hair loss and thinning hair, choosing the Scalp RF Microneedling procedure.
Customer Testimonial for Benefits of Scalp Microneedling

Customer Testimonial for Benefits of Scalp Microneedling

Vijay Ganesh sought treatment at Wellaholic for hair loss and thinning hair, choosing the Scalp RF Microneedling procedure. He was particularly impressed with his therapist, Khanie, who he described as experienced and hospitable, contributing to a wonderful microneedling session. Vijay was able to see results after several sessions of scalp microneedling treatments over the period of two to three months.

Read Actual Review by Customer

The therapist khanie is an experienced and hospitable person who did a wonderful job during the microneedling session. I recommend her if you are taking the treatment. (Source: Google Review)


In my years of dealing with hair loss, especially traction alopecia, I have noticed a few things. First, people often don’t take it seriously at the start. But knowing about it and acting early is key. I have seen how small changes in how people care for their hair and style it can really help. Clients who choose looser styles and use fewer harsh chemicals or heat on their hair often see better hair health.

Second, the emotional side of traction alopecia is important too. In my talks with clients, I see how much stress and loss of confidence it can bring. This shows how vital it is to treat not just the hair loss but also to support the person through their recovery.

Frequently Asked Questions (FAQ)

What is Traction Alopecia?

Traction Alopecia is a type of hair loss that occurs when hair is pulled too tightly in ponytails, braids, or other styles over a prolonged period of time. This can cause permanent damage to the hair roots and follicles, leading to hair loss.

Who is most affected by Traction Alopecia?

Traction Alopecia can affect anyone who pulls their hair too tightly or too often. However, it is more common among certain groups of people, such as women of African descent due to their cultural preference for braided or weaved hairstyles that put a lot of stress on their hair.

What are the symptoms of Traction Alopecia?

Symptoms of Traction Alopecia include receding hairline, bald patches, redness, itching, inflammation, and infection of the scalp.

How can Traction Alopecia be treated?

Traction Alopecia can be treated by stopping the cause of the hair loss, consulting a doctor or a hair specialist, and using treatments such as minoxidil, microneedling, or low-level laser therapy to stimulate hair growth.

Can Traction Alopecia be reversed?

Yes, if the hair loss is detected early and the hair follicles are not permanently damaged, Traction Alopecia can be reversed. However, if the hair loss is severe or chronic, it may be irreversible and require hair transplant surgery.

How does Wellaholic approach the treatment of Traction Alopecia?

At Wellaholic, we understand the emotional toll hair loss can take on your well-being. Our experts are here to guide you through the process of finding the most qualified professionals to address your specific hair loss concerns. We will help you understand the range of specialists available and outline the essential qualifications to consider when seeking expert advice.

With over 8 years of experience in the aesthetics industry, I am passionate about enhancing beauty and wellness through innovative, science-based approaches. As the Aesthetic Director at Wellaholic, I am committed to delivering exceptional services that are tailored to each client's unique needs. My expertise spans across advanced skincare treatments, body sculpting, hair removal services, and nutritional supplements, all aimed at helping clients achieve their personal best.

Serene Chiam, Aesthetic Director

Serene Chiam is the Aesthetic Director at Wellaholic, a well-known aesthetic chain in Singapore. She has more than ten years of experience in the aesthetics industry. With a Bachelor of Health Science (Aesthetics) and CIDESCO certifications, she expertly combines scientific knowledge with practical skills. Serene is known for her personalized approach to beauty, ensuring each Wellaholic client’s journey is unique and transformative. Her significant contributions have been pivotal in establishing Wellaholic’s reputation for excellence in aesthetic wellness.

Contact Serene at


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RF microneedling can be used in conjunction with minoxidil, a topical medication that is also effective for hair loss.

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Traction Alopecia: Unveiling the Causes, Treatment, and Prevention Techniques for this Hair Loss Condition

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