How is traction alopecia different in skin of colour?

Repeated tension from braids, locs, extensions, weaves, tight ponytails or head coverings can gradually injure follicles, especially around the hairline and temples. Early signs may include tenderness, stinging, itching, broken hairs or a receding edge. Brown or black skin can show darker or lighter marks after scalp inflammation, and those marks may remain after the pulling stops. Hair texture does not cause traction alopecia, although styling practices used for any texture can create tension.

Loosen styles that hurt, feel tight or cause bumps, and rotate the direction of braiding or parting. Give the hairline breaks between extensions and avoid adding weight to fragile edges. Do not pick scabs or repeatedly scratch an itchy scalp. A clinician can examine the follicles and distinguish traction alopecia from other causes of hair loss; treatment may focus on removing tension, calming inflammation and protecting remaining follicles. Pigment changes can be discussed separately if they persist.

Arrange a dermatology assessment when shedding continues after a style is removed, the hairline is steadily receding, or the scalp is sore, scaly, crusted or developing pustules. Seek prompt care for spreading redness, marked swelling, drainage or severe pain. Earlier assessment is useful because long-standing follicle injury can make regrowth more difficult.

Ask whether the pattern fits traction alopecia, whether inflammation or scarring is present, and which hairstyles are safest while the scalp recovers. You can also ask how to protect the hairline, whether pigment changes need treatment, and when to return if shedding or tenderness continues.