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6 Effective Ways to Combat and Prevent Traction Alopecia

What is Traction Alopecia? 

Traction alopecia is a form of hair loss caused by repeated tension and pulling on the hair. Unlike other types of hair loss, traction alopecia is often preventable and reversible if addressed early.  

Causes of Traction Alopecia

Traction alopecia results from persistent mechanical stress on the hair follicles, leading to hair breakage and follicle damage. Common causes include: 

  1. Tight Hairstyles: Braids, ponytails, buns, and cornrows that pull tightly on the scalp can strain the hair follicles. 
  2. Hair Extensions and Weaves: These can add weight and tension to natural hair, especially if applied too tightly or worn for extended periods. 
  3. Headgear: Frequent use of helmets, headbands, and hats that press tightly against the scalp. 
  4. Chemical Treatments: Repeated use of chemical relaxers and perms can weaken hair, making it more susceptible to breakage. 
  5. Frequent Styling: Regular use of heat tools like flat irons and curling irons can damage hair integrity, contributing to traction alopecia. 

Hairline Lowering for Traction Alopecia 

Hairline lowering surgery, also known as forehead reduction, can be an effective treatment for those suffering from traction alopecia. When the hairline has significantly receded due to traction alopecia, patients are often left with wearing wigs to cover their forehead.  Hairline lowering can be performed by making an incision is the natural hairline and advancing it forward.  Learn more about Hairline lowering here

Preventing Traction Alopecia After Hairline Lowering Surgery

While hairline lowering surgery can address existing traction alopecia, it’s crucial to prevent recurrence post-surgery. Here are some strategies: 

  1. Gentle Hair Care: Avoid tight hairstyles that pull on the new hairline. Opt for loose braids, ponytails, and buns to minimize tension on the scalp. 
  2. Reduce Chemical Use: Limit the use of chemical treatments like relaxers, perms, and dyes, as they can weaken hair and make it more prone to breakage. 
  3. Heat Protection: Use heat styling tools sparingly and always apply a heat protectant spray before using them. Allow hair to air dry when possible to reduce heat exposure. 
  4. Scalp Massage: Regular scalp massages can improve blood circulation, promoting healthier hair growth and helping to maintain the integrity of hair follicles. 
  5. Protective Hairstyles: Consider styles that protect the hair, such as loose twists or natural styles that do not require tight pulling or heavy extensions. 
  6. Regular Check-ups: Follow up with your surgeon or dermatologist to monitor hair health and ensure the scalp is healing correctly post-surgery. 


Traction alopecia, though distressing, is manageable and often reversible with proper care and timely intervention. Understanding its causes and taking proactive steps to prevent it can save your hair and scalp from long-term damage. Hairline lowering surgery offers a promising solution for those affected by traction alopecia, providing both physical and psychological benefits. Post-surgery, adopting a gentle hair care routine and avoiding practices that stress the hair follicles are essential steps to maintain a healthy, beautiful hairline. With the right approach, you can enjoy the benefits of hair restoration while preventing further hair loss. 

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