Is traction alopecia safe in skin of colour?

Traction alopecia develops when repeated tension from tight braids, extensions, loc styles, ponytails, buns, or coverings strains the roots. It may begin with tenderness, stinging, itching, small bumps, broken hairs, or a receding edge. In skin of colour, inflammation after irritation can leave darker or lighter marks, so changes in the scalp deserve attention even when the discomfort settles.

The condition can improve when pulling stops early. Continued tension may injure follicles more deeply and lead to areas where regrowth is limited. A clinician can also check whether another scalp condition is contributing to the shedding.

Loosen or pause the hairstyle that causes pain, tightness, crusting, or bumps. Choose low-tension styles, avoid adding weight to fragile edges, and give the scalp breaks between styles. Do not scratch or pick irritated areas. Keep a simple record of when shedding, soreness, or pigment change began, and take clear photos in similar light.

Arrange a dermatology assessment if hairline thinning continues, the scalp is inflamed, or you notice smooth shiny patches. Treatment depends on whether the follicles are still active and whether infection or inflammation is present. Learn more about [Traction Alopecia](/conditions/traction-alopecia/).

Seek prompt medical advice for spreading redness, warmth, pus, marked swelling, severe pain, fever, or rapidly worsening loss. These features can signal infection or significant inflammation. Book a routine review for persistent tenderness, recurring bumps, a widening part, or thinning that does not settle after tension is removed.

Ask whether the follicles appear inflamed or scarred, which styling changes are safest for your hair, whether pigment changes need treatment, and how long to monitor for regrowth. Mention all hair products, extensions, medicines, and any history of eczema or scalp infection.