Traction Alopecia - Your Questions Answered

Ask A Trichologist about Treating Traction Alopecia

1. Do I have Traction Alopecia?

As we mentioned earlier Traction Alopecia is quite common. If you can notice thinning patches, and you are styling your hair in certain ways, then you probably have traction alopecia.

Traction alopecia is caused by poor hair styling. When excessive pulling and force is put on individual hairs, it weakens them. Eventually they detach from the hair follicle (the pocket your hair sits in), leaving the scalp area with a bald patch.

Traction Alopecia occurs when excessive pulling weakens individual hairs, causing them to detach from the hair follicle. Common culprits include tight ponytails, braids, or buns that pull the hair taut. If your hairstyle makes your scalp feel tight or gives you a “facelift” effect, it’s time to reassess your styling practices.

So, if you've been wearing your hair too tight, scrapped back or up and you look like you've had a face lift then you probably do. Are your edges intact? Is your hairline in the same place it was two years ago? check your socials!

2. Is Traction Alopecia Permanent?

In some cases, Traction Alopecia can become permanent, particularly if scarring has occurred. Early detection and intervention are crucial to avoid lasting damage.

To confirm the severity of your condition, consult a qualified trichologist. Using tools like a dermascope, they can assess your scalp and determine whether the hair follicles are still viable or if scarring has developed.

You can only have this verifed by visiting a registered diagnosing trichologist (consultant Trichologist) like me. I would analyse the scalp under the dermoscope to see what the prognosis was.   

3. Signs of Permanent Traction Alopecia

In cases of long-term, untreated traction alopecia, more severe signs may appear, including extensive hair loss and larger bald patches, irreversible scarring with a smooth, shiny scalp appearance and permanent damage to hair follicles, preventing new hair growth.

When Traction Alopecia is left untreated over a long period, the following signs may indicate permanent damage:

• Extensive bald patches or widespread thinning.
• Smooth, shiny areas on the scalp, a sign of scarring.
• Lack of new hair growth in affected areas.
  

Prevention Tip: Address the issue as soon as you notice signs of thinning or hairline changes.

Early treatment can make all the difference.

It's important to note that early detection and treatment can help prevent permanent damage. If you notice any of these signs, especially in combination with hairstyles that put tension on your hair, consult a trichologist for proper diagnosis and treatment

4. Traction Alopecia, When Is It Too Late

If irreversible damage has occurred, there are still options available:

• Hair Restoration Surgery: A hair transplant can restore affected areas where viable, and is a great remedy for anyone in this position.
  
  
• Scalp Micropigmentation (SMP): This non-invasive treatment can camouflage bald areas by simulating the appearance of hair follicles.
  

Consult with a specialist to determine the best course of action for your situation

Hair restoration surgery is a great remedy for anyone in this position. A hair transplant (where viable) resolves this situation. It can also be modified with SMP or in some cases SMP can be used alone to mask the balding areas.

5. Traction Alopecia NHS

There are things you can try if your hair loss is causing you distress. But most treatments are not available on the NHS, so you'll have to pay for them. No treatment is 100% effective.



6. Traction Alopecia Treatment at Home

Home diagnosis and DIY treatments are not recommended for Traction Alopecia, as improper care could worsen the condition. Always seek professional guidance from a trichologist to ensure you’re using safe and effective treatments.

7. Minoxidil for Traction Alopecia

Minoxidil may be an option for some individuals, but it’s not suitable for everyone. Before using it, a trichologist can perform a thorough evaluation, including blood tests, to rule out contraindications. Never self-prescribe Minoxidil without consulting a professional.

If you’re concerned about hair loss or suspect you may have Traction Alopecia, don’t delay in seeking help. A certified trichologist can diagnose the condition and create a tailored treatment plan to address your specific needs. Early intervention is the key to restoring your hair and preventing permanent damage.