What are the symptoms of traction alopecia?

Early signs often occur where braids, extensions, ponytails, buns, locs, head coverings, or other styles pull repeatedly. The scalp may feel sore after styling, and tiny crusts, redness, or bumps can appear around individual hairs. Hair breakage may make the edge look uneven before clear hair loss develops.

With continued tension, the front or sides of the hairline may thin and become more visible. The affected skin can later look smooth and shiny, with fewer visible follicle openings, which may suggest scarring and needs timely assessment. This condition can occur in any hair texture or styling routine.

Stop or loosen the style causing pain, and give the scalp a break from extensions, heavy additions, tight elastics, and repeated tension. Wear hair loosely, avoid brushing forcefully, and pause chemical processing if the scalp is irritated.

A clinician can examine the hairline and scalp to separate traction alopecia from other causes of hair loss. Depending on the stage, treatment may include topical minoxidil or discussion of hair transplant options after active pulling has stopped.

Book a dermatology assessment promptly if tenderness, crusting, pustules, or redness persists after loosening the style, or if the hairline continues to recede. Seek earlier review when the skin looks smooth and shiny, because prolonged follicle injury can reduce the chance of regrowth.

Ask whether the follicles look irritated or scarred, which styling changes would reduce tension, whether another type of hair loss is present, and what signs would show that regrowth is occurring.