what is traction alopecia
By Tamim Hamid Last Updated on 01/25/2025

What is Traction Alopecia?: Causes, Signs & Treatments

Your hairstyle might be silently stealing your strands. That’s right—your beloved tight ponytails, sleek braids, or even that trendy high bun could be the culprits behind a condition called traction alopecia. It’s a form of hair loss caused by persistent tension on your hair roots, and no, this isn’t just another scare tactic. The science is solid, and if you’re wondering what traction alopecia is and whether it’s happening to you, it’s time to pay close attention.

Traction alopecia doesn’t discriminate. From hair extensions to tightly woven braids, any style that puts your scalp under stress can cause thinning, breakage, and even permanent damage if left unchecked. And the tricky part is, it creeps up on you. One day, your hairline looks fine, and the next, it’s thinning faster than you can Google “hair loss solutions.”

But here’s the good news: traction alopecia is preventable and, in many cases, reversible if caught early. So, let’s break it down—the causes, the signs, and how you can stop this sneaky form of hair loss in its tracks before it becomes a permanent problem.

Understanding Traction Alopecia

Traction alopecia is what happens when your hair sends out a distress signal after years of being pulled, tugged, and stretched beyond its comfort zone. Simply put, it’s a form of hair loss caused by prolonged tension on your strands. Whether it’s tight braids, sleek buns, or ponytails that make your scalp feel like it’s on high alert, the constant pulling takes a toll on your follicles, eventually leading to thinning or even bald patches.

But not all hair loss is the same. Traction alopecia differs from conditions like alopecia areata, which is driven by your immune system attacking hair follicles, or telogen effluvium, often triggered by stress, illness, or hormonal shifts. The key difference is that traction alopecia is entirely self-inflicted—it’s the result of styling habits that put undue pressure on your hair roots over time.

And don’t think you’re exempt because you’re rocking braids, extensions, or a “harmless” tight ponytail. Traction alopecia and braids often go hand in hand, particularly when the weight and tension from hairstyles stress the hairline and scalp. This condition doesn’t discriminate; anyone who puts their hair through repeated tension is at risk, regardless of hair type or texture.

Causes of Traction Alopecia

Traction alopecia doesn’t happen overnight—it’s the slow and steady wear and tear on your hair roots caused by constant tension. The more stress you subject your strands to, the greater the risk of thinning and breakage. Over time, this repetitive pulling can damage the hair follicles, leaving them unable to grow new strands. While this form of hair loss is common across all hair types, it’s particularly prevalent in communities where tight hairstyles, like braids or cornrows, are cultural staples.

Tight Hairstyles

When it comes to traction alopecia causes, tight hairstyles are the number one offender. From sleek ponytails to braids that pull at your scalp, these styles put undue stress on the hairline and roots. The tension leads to inflammation and weakens the follicles over time, resulting in thinning or bald patches, especially around the hairline.

Your favorite sleek ponytail might turn heads, but it’s also tugging your hairline closer to disaster. The tighter the style, the higher the risk.

Prolonged Tension

Repeated tension on your strands is like overworking a muscle—it eventually gives out. Prolonged pulling stresses the follicles, leading to gradual weakening, breakage, and ultimately, hair loss. Whether it’s the daily tug from your go-to hairstyle or a headband that’s always too tight, the damage adds up.

Every tug on your strands is a step closer to permanent hair loss if the tension isn’t relieved. Consistency in putting your hair under stress doesn’t just harm the strands—it affects the very roots they grow from.

Use of Hair Extensions

Extensions can add length and volume to your look, but their weight and tension can be a double-edged sword. When worn too long or improperly attached, extensions pull on the roots, accelerating follicular stress and contributing to traction alopecia.

Extensions might add length, but they can subtract health from your roots if worn without care. Long-term use without giving your scalp a break is a recipe for thinning and patchy hair.

Using Chemical Relaxers and Derma Rollers

Chemical relaxers straighten your hair by breaking down its structure, but this comes at a cost. The weakening of hair shafts from chemicals makes your strands more prone to damage, especially when combined with tension from styling.

Similarly, derma rollers, when used incorrectly, can aggravate an already stressed scalp. The overzealous rolling and poking can further compromise follicular health.

Symptoms of Traction Alopecia

Catching traction alopecia early isn’t just a good idea—it’s the difference between a hairline that bounces back and one that’s gone for good. Recognizing the signs is critical to saving your strands from permanent damage caused by repeated tension or stress from hairstyles.

So, let’s get down to what really matters: the key traction alopecia symptoms you need to watch for.

Redness or Inflammation Along the Scalp

Constant pulling from traction alopecia hairstyles can irritate the scalp, causing redness or mild swelling. Think of it as your scalp’s way of waving a red flag and screaming, “Stop pulling so hard!”

Gradual Thinning, Especially Around the Hairline

If your once-full hairline is thinning out faster than your patience with bad hair advice, it’s likely traction alopecia in action. This thinning typically begins where the tension is greatest—your temples, edges, or nape.

Breakage or Short, Brittle Hairs in Stressed Areas

Notice shorter, brittle hairs popping up where your favorite tight ponytail sits? That’s breakage, a telltale sign your strands are crying out for mercy. Over time, those fragile hairs may stop growing entirely if the stress continues.

Scalp Sensitivity or Discomfort

A sensitive or sore scalp is an early warning sign. If your scalp feels tender after a long day of wearing a high-tension hairstyle, traction alopecia might already be at play.

Small Bumps on the Scalp

Those little bumps you’ve noticed near your hairline aren’t harmless. They’re often caused by follicle inflammation and may signal the onset of scarring if not addressed quickly.

How to Prevent Traction Alopecia

When it comes to traction alopecia, prevention is essential. Unlike some hair loss conditions that are entirely out of your control, traction alopecia is one you can actively avoid by making smarter styling choices and treating your hair and scalp with the care they deserve. The best part is, most prevention techniques are as simple as rethinking your habits and giving your hair the break it’s been begging for.

Give Your Hair a Break

Your hairline can’t withstand constant tension without eventually giving in. Tight ponytails, sleek buns, and braids might look chic, but they’re also pulling your strands into early retirement.

The solution?

Loosen up. Opt for styles that let your scalp breathe and avoid anything that feels like it’s tugging too tightly.

Tip: Rotate hairstyles regularly and give your scalp some downtime between high-tension looks. Your follicles will thank you.

Gentle Hair Care Practices

Here’s the thing: your hair isn’t indestructible, and treating it like a rope in a tug-of-war match is a surefire way to invite damage. Swap out aggressive brushing for a wide-tooth comb and be extra gentle when detangling wet hair—it’s more vulnerable to breakage in that state.

Using soft scrunchies instead of harsh elastic bands is another small change that can make a big difference. Traction alopecia prevention is about building habits that reduce unnecessary stress on your strands.

Tip: Be mindful of brushing too frequently or too harshly. Your goal is to groom, not punish your hair.

Take Breaks from Extensions and Chemical Treatments

Extensions might give you volume and length, but they can also add weight and stress to your scalp, especially when worn long-term. Similarly, chemical relaxers may straighten your hair, but they weaken its structure, leaving it more prone to breakage. If you’re serious about preventing traction alopecia, it’s time to re-evaluate how often you rely on these treatments.

Give your scalp regular breaks from extensions, weaves, and heavy-duty styling. The same goes for chemical treatments—space them out and keep your hair nourished with moisturizing products to combat the drying effects.

Treatment Options for Traction Alopecia

When it comes to traction alopecia treatment, the approach depends on one critical factor: the state of your hair follicles. If the follicles are still active, regrowth is a possibility with the right methods. But if they’re scarred beyond repair, more advanced interventions might be required. Either way, early action is key to giving your strands the best shot at recovery.

Minoxidil

Minoxidil isn’t just another over-the-counter solution; it’s one of the few clinically proven treatments for hair regrowth. By stimulating blood flow and encouraging nutrient delivery to hair follicles, Minoxidil can help revive areas affected by traction alopecia—provided those follicles haven’t completely checked out.

Low-Level Laser Therapy (LLLT)

For those looking to add precision and innovation to their treatment plan, Low-Level Laser Therapy (LLT) might be the answer. Hair Growth Devices like Theradome use focused light energy to stimulate follicular activity and promote healing. By increasing cellular energy and reducing inflammation, LLT reactivates follicles that are stuck in dormancy.

PRP Therapy

Platelet-Rich Plasma (PRP) therapy leverages your body’s own growth factors to repair damaged follicles and encourage regrowth. By isolating platelets from your blood and injecting them into affected areas, PRP promotes healing at the cellular level. It’s particularly effective for areas experiencing thinning rather than full scarring.

Hair Transplantation

In cases where the damage is too extensive for regrowth, hair transplantation offers a permanent solution. By moving healthy hair follicles from one part of your scalp to another, this surgical procedure restores areas that have lost the ability to regenerate hair. While it’s not a quick fix, the results can be life-changing. Choose other hair transplant alternatives if you're not willing to undergo surgery.

Conclusion

Traction alopecia recovery starts with recognizing the problem early and taking action before the damage becomes permanent. While tight hairstyles may seem stylish, they’re not worth the long-term cost to your hairline. Prevention is key—switch to looser styles, give your scalp regular breaks, and treat your hair with the care it deserves. For those already experiencing symptoms, scientifically backed treatments like Minoxidil or Laser Phototherapy can help restore thinning areas. Remember, a healthy scalp equals healthy hair, and your hairline will thank you for making smarter choices.
 

Tamim Hamid

Tamim Hamid

Inventor and CEO of Theradome

Sayyid Tamim Hamid, Ph.D, is the inventor of the world’s first FDA-cleared, wearable phototherapy device to prevent hair loss and thicken and regrow hair. Tamim, a former biomedical engineer at NASA and the inventor of Theradome, brings with him more than 38 years of expertise in product development, laser technology, and biomedical science. Tamim used his laser knowledge, fine-tuned at NASA, and combined it with his driving passion for helping others pursue a lifelong mission in hair loss and restoration. He is now one of the world’s leading experts.