Traction Alopecia: Symptoms, Causes & Treatment

Traction alopecia is a condition that is characterized by hair loss caused by styling your hair tightly. It is more common in women who undergo chemical treatments, like coloring and relaxing.

Tight hairstyles, like high ponytails and braids, can make the hair strands more fragile, and may cause inflammation at the hair follicles. This can alter the growth cycle, and also lead to symptoms like redness, flaking, small bumps and hair loss. 

If you think you may be experiencing traction alopecia, it is important to consult a dermatologist to assess your scalp and recommend the most appropriate treatment, which may involve the use of medications that stimulate hair growth.

Woman checking hairline

Common symptoms

The main signs and symptoms of traction alopecia include:

  • Redness on the edge of the scalp, especially in the front and sides;
  • Small bumps in affected areas;
  • Flaking and dandruff;
  • Shorter hairs on the edges of the scalp;
  • Reduced number of hairs and hair growth in affected areas.

If you experience these symptoms, you are encouraged to see a dermatologist for further assessment.

Confirming a diagnosis

A diagnosis for traction alopecia should be confirmed by a dermatologist. It starts with an assessment of the person's scalp, with special attention to the affected areas.

In some cases, the doctor may also collect a small sample of the scalp to rule out other possible causes of hair loss. Learn about what causes hair loss and how it's treated.

Common causes

Traction alopecia is mainly caused by the habit of wearing very tight hairstyles, such as high ponytails, high buns and braids. These hairstyles can damage the hair and interfere with the hair growth cyce, leading to hair loss.

This type of alopecia is more common in women, especially those who undergo chemical procedures, such as coloring and straightening, since the hair can become more fragile.

Treatment options

Treatment for traction alopecia should be guided by a dermatologist, who may prescribe medications that stimulate hair growth, such as minoxidil and finasteride.

Cases that present with symptoms of inflammation can also be treated with topical corticosteroids or antibiotics.

To promote growth, is important to avoid wearing very tight hairstyles. Check-out some home remedies for hair growth that you can use to complement your treatment.

Is there a cure for traction alopecia?

Traction alopecia can be fully treated when it is identified and treated early, as this will allow for the complete restoration and normal growth of the hair strands.

However, if treatment is started in more advanced stages, traction alopecia may have already caused permanent damage the hair follicles, leading to hair loss.