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Hair & scalp basics · 174

Traction alopecia: when tight hairstyles thin the hairline

How ponytails, buns, braids and helmets can thin hair, and how to protect it.

Dr Steven Goh · 138 words

Traction alopecia: when tight hairstyles thin the hairline
Answer first

Traction alopecia is thinning caused by repeated pulling, often along the hairline and temples from tight ponytails, buns, braids, extensions or headwear. Caught early, it often improves when the tension is reduced; long-term pulling can scar follicles, so loosen styles at the first sign of thinning or soreness.

Warning signs

Tender spots, small bumps, broken hairs or a receding edge where hair is pulled.

Protect your edges

Loosen styles, change the position of ponytails, use soft ties and give hair rest days.

Headscarves and helmets

Choose smooth inner layers and avoid pinning in the same spot every day.

Questions

Can it recover?

Often, if tension stops early. Long-standing loss may need a doctor's review.

Are hair systems a cause?

Clips placed too tightly can pull; we check placement at each visit.

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