Which specialist treats traction alopecia?

Traction alopecia develops when repeated pulling from tight braids, extensions, weaves, ponytails, head coverings, or similar styles stresses the follicles. Early signs may include tenderness, stinging, broken hairs, small bumps, or a receding hairline near areas under tension. Review hair breakage and hair loss together, because breakage and shedding are not the same process.

Stop or loosen the style that causes pulling and avoid tight appointments until the scalp settles. Tell the dermatologist how long the style is worn, whether added hair is attached, and whether chemicals or heat are used. Treatment may involve changing hair practices, treating scalp inflammation, and considering topical minoxidil in selected cases. A hair transplant is a specialist discussion for carefully assessed, established loss rather than a first response to active traction.

Book an assessment if the hairline is receding, the scalp remains sore, or loss continues after tension is removed. Seek prompt care for pus, marked redness, crusting, severe pain, or rapidly expanding loss. Earlier evaluation helps clarify whether follicles remain active and whether scarring may be developing.

Ask which habits are contributing to traction, whether the follicles show scarring, how to change styling safely, and when a treatment such as topical minoxidil should be considered.