Traction alopecia is a type of hair loss caused by constant pulling on hairs from their follicles over time. It is most common in those who wear weaves, tight braids or hair extensions. It also occurs in those who consistently wear their hair pulled back tightly from their scalp — for instance ballerinas and gymnasts, or those who often wear tight ponytails or buns. Traction alopecia can also be the result of excessive or harsh brushing and/or backcombing. 

Traction alopecia usually begins as hair recession. It often starts along the front hairline and the margins of your scalp where the most traction (pulling) is exerted. However, over time it can progress further back as new hairs are put under strain. This can cause significant recession of the hairline. Traction from tight hairstyles can also result in hair breakage. For example, if you tie your hair up in tight rubber bands, the bands may cut into your hair shaft and break strands throughout your mid-lengths. 

If you believe you are experiencing traction alopecia, the first thing to do is to stop styling your hair tightly. We recognise this may be difficult for people who are used to wearing hair extensions, tight buns or braids, but it is the best way to ensure your hair will grow back. If you act against traction alopecia early, hair should regrow over a few months to a year. But be aware that over time, traction alopecia can cause irreversible damage. Constant pulling on a follicle eventually causes it to distort and atrophy (waste away), and this causes individual hairs to grow back finer and shorter. In severe cases, a follicle can become permanently scarred, and hair is not able to grow from it at all.