Tractional Alopecia

Tractional Alopecia

What is Traction Alopecia

Traction alopecia is a form of hair loss resulting from prolonged and repetitive pulling or tension on the hair follicles. This excessive force can damage the follicles, leading to hair thinning and, in severe cases, permanent baldness. Traction alopecia is commonly observed in individuals who frequently wear tight hairstyles such as braids, ponytails, cornrows, or extensions.

Symptoms of Traction Alopecia:

The symptoms of traction alopecia may vary depending on the severity of the condition. Common signs include:

  • Thinning of hair along the hairline or in areas subjected to traction.
  • Formation of small bumps or sores on the scalp.
  • Redness, itching, or tenderness in the affected areas.
  • Gradual widening of the part line or visible scalp in severe cases.

Causes of Traction Alopecia:

The primary cause of traction alopecia is the constant traction or pulling force applied to the hair follicles. Common factors contributing to this condition include:

  1. Tight Hairstyles: Hairstyles that involve tight braids, ponytails, buns, or extensions can exert constant tension on the scalp, leading to hair loss.
  2. Hair Accessories: Wearing tight hair accessories such as headbands, clips, or hairpins can also contribute to traction alopecia.
  3. Chemical Treatments:Overuse of chemical treatments like relaxers or perms, especially when combined with tight hairstyles, can weaken the hair shaft and increase susceptibility to traction alopecia.

Tractional Alopecia

Treatment Options for Traction Alopecia

Treatment for traction alopecia focuses on relieving tension on the hair follicles and promoting hair regrowth. Options may include:

  1. Changing Hairstyles: Switching to looser hairstyles that minimize tension on the scalp can help prevent further hair loss.
  1. Platelet-Rich Plasma (PRP) Therapy: PRP therapy involves injecting platelet-rich plasma derived from the patient’s blood into the scalp to promote hair regrowth. 
  1. Hair Transplantation:In severe cases where hair loss is permanent, hair transplantation surgery may be considered to restore lost hair.

Preventive Measures for Traction Alopecia

Preventing traction alopecia involves adopting healthy hair care practices and avoiding hairstyles or habits that exert excessive tension on the scalp. Consider the following preventive measures:

  • Avoid Tight Hairstyles: Opt for looser hairstyles that do not pull or tug on the hair follicles.

  • Limit Use of Hair Accessories:Minimize the use of tight hair accessories and opt for gentle alternatives.

  • Maintain Scalp Health:Keep your scalp clean and well-nourished with regular washing and moisturizing.

  • Seek Professional Advice: Consult a dermatologist if you notice signs of traction alopecia to receive personalized treatment recommendations.

Tractional Alopecia


Traction alopecia is a common form of hair loss caused by repetitive pulling or tension on the hair follicles. By understanding its causes, symptoms, treatment options, and preventive measures, individuals can take proactive steps to protect their hair health and prevent further damage.

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