What to know about traction alopecia in skin of colour

Braids, extensions, locs, tight ponytails, weaves, wigs secured under tension and repeated heat or chemical styling can stress the hairline and other pulled areas. Early signs include tenderness, stinging, itching, small bumps, broken hairs or a receding edge. On brown or black skin, inflammation may leave darker or lighter marks after the activity settles, making colour change an additional clue. Continued pulling can injure follicles and lead to scarring, where regrowth becomes difficult.

Loosen or remove any style that causes pain, headache, bumps or scalp tenderness; discomfort is a warning sign rather than something to tolerate. Alternate hairstyles, leave the hairline free of tension, avoid attaching extensions to fragile edges, and handle wet or chemically treated hair gently. Keep the scalp clean with a mild shampoo and avoid scratching irritated areas. Take clear photographs of the hairline over time and arrange a dermatology assessment early, especially if thinning continues after tension stops.

Arrange prompt medical review for persistent pain, pus, crusting, marked swelling, open sores, or hair loss that keeps progressing after a style is removed. See a dermatologist for shiny or smooth patches, loss of follicle openings, or a widening area of thinning because these can indicate scarring. Earlier assessment may allow treatment to focus on inflammation and preserve remaining follicles.

Ask whether the pattern fits traction alopecia or another type of hair loss, whether scarring is present, and which styles are safer for your hairline. Discuss treatments for inflammation, options for regrowth, and how to manage pigment changes without irritating the scalp.