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Updated: Feb 11, 2026
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Mechanical and Controlled PRP Injections in Patients Affected by Androgenetic Alopecia
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Traction alopecia: the root of the problem
Victoria Billero1, Mariya Miteva1
1Department of Dermatology and Cutaneous Surgery, University of Miami School of Medicine, Miami, FL, USA.
Clinical, Cosmetic and Investigational Dermatology
|April 20, 2018
Summary
Traction alopecia (TA) is a common hair loss condition affecting women of African descent due to prolonged hairstyling. Early diagnosis and education are crucial to prevent irreversible scarring alopecia.
Area of Science:
- Dermatology
- Trichology
Background:
- Traction alopecia (TA) affects a significant portion of women of African descent.
- Hairstyling practices involving prolonged pulling, chemical treatments, and tight styles increase TA risk.
Purpose of the Study:
- To review the risk factors, clinical presentation, diagnostic methods, and management of traction alopecia.
Main Methods:
- Review of literature on traction alopecia.
- Clinical presentation analysis.
- Dermoscopic and histopathologic findings.
Main Results:
- High-risk hairstyles include tight buns, ponytails, weaves, extensions, cornrows, and dreadlocks.
- Early signs include marginal and patchy alopecia, with potential progression to scarring.
- Dermoscopy may show hair casts; histopathology differentiates TA from other alopecias.
Conclusions:
- There is no cure for TA; prevention through education on high-risk hairstyling is paramount.
- Clinicians must educate at-risk populations about practices that can lead to hair loss.
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