The short answer
Early warning signs of traction alopecia include broken hairs around the forehead, a hairline that is starting to recede, and thin patches where hair is pulled tightly. A tight or painful style is a red flag. The AAD notes this loss can become permanent the longer it continues, so act early and see a dermatologist.
Check your hairline once a month
Dermatologists suggest watching for:
- Broken hairs around your forehead
- A receding hairline
- Patches of hair loss where hair is pulled tightly
- Pain, stinging, crusting, or 'tenting' of the scalp while a style is in
Pain equals damage
If a style hurts while it's being installed, it's too tight. Ask your stylist to stop and redo it. Thicker braids and locs, kept shorter, pull less. The AAD suggests wearing braids no longer than 6 to 8 weeks and giving your hair regular breaks from tight styling.
Why acting early matters
According to the AAD, traction alopecia can become permanent the longer it goes on. Once hair stops growing and only smooth, shiny skin remains, it cannot grow back. See a board-certified dermatologist as soon as you notice signs. A hair wellness practitioner can then help you change habits, care for your scalp, and choose lower-tension styles.
