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Traction Alopecia


Braids, ponytails, and buns are some of the most common hairstyles women wear. Look around you and take notice of how prevalent tight hairstyles are across women of all ages. It should come as no surprise then, that millions of women experience hair loss from traction and pulling. And while you might not think twice about throwing your hair up in a tight bun or ponytail, over time, your body may create its own way of telling you something isn’t quite right.

Traction Alopecia is a hair loss condition resulting from continually wearing tight hairstyles as well as wearing weaves and extensions. Cessation of these styles can lead to full recovery, yet once the follicles are compromised, scar tissue forms and regrowth is not possible. Tight hairstyles aren’t the only thing to cause hair loss. Any kind of traction and pulling can cause mechanical hair loss, and it affects all types of women--from professional athletes to long-haired women to ⅓ of women of African descent who have permed or relaxed hair treatments, according to a recent study.


This type of hair loss occurs as a result of repeated mechanical pulling, tugging, or tension on the hair follicles. Most commonly, traction alopecia results from repeatedly wearing the same tight hairstyles every day. However, any type of added pressure can tug at the follicles and cause the hair to break, thin and fall out, including:

  • Dreadlock, cornrows, braids, buns, tight ponytails.
  • Excessive blow-drying, flat ironing or styling that tugs at the hair follicles.
  • Weaves and extensions that are tightly glued in and as a result tug at the hair's roots and follicles.
  • Hats, elastic headbands, hair accessories or helmets worn daily.
  • Long, heavy hair that pulls at the follicles.
  • Chemical treatments and relaxers manipulate the hair's natural texture and structure, adding pressure to the hair shaft.
  • A combination of any of the above causes can lead to irreversible Scarring Alopecia.


The earliest sign of Traction Alopecia is excessive hair shedding. If you are noticing significant hair fall or feel soreness, tightness, or irritation of the scalp, these are all indications of mechanical hair loss. If left unaddressed, the condition will progress.

Common symptoms of ongoing mechanical traction and pulling include:

  • Scalp and follicular inflammation
  • Follicular pustules (blisters)
  • Thinning around the hairline, temples and nape
  • Redness, itching, irritation or scalp ulcers
  • A widening part
  • Bald or balding patches
  • Bumps or blisters


Most hair loss cases caused by traction and pulling are reversible, and it is not always a medical issue. However, if the condition isn't addressed early on, it can develop into a more complex and damaging problem. A dermoscopy, which is a microscopic examination of the skin, can help diagnose any traction-related conditions. If you are unsure if your hair is thinning due to traction or another hair loss condition, your dermatologist can conduct a histopathology (microscopic tissue examination) to rule out Androgenetic (Hereditary) Alopecia.

There are two main hair loss issues associated with traction and pulling:

Traction Alopecia
A hair loss condition caused by repeated pulling or tugging at the hair follicles caused by tight hairstyles. Once addressed, hair follicles should heal, and regrowth occurs within a few months.

A rare condition in which people impulsively pull out their hair from their scalp, eyelashes, or eyebrows. This aggressive pulling damages the hair follicles and can lead to irreversible damage.


The most effective way to prevent mechanical hair loss is to cease wearing high-risk hairstyles such as tight ponytails, braids, buns, dreadlocks, cornrows, weaves, and extensions. If you choose to wear extensions, remove them every few months and give your hair a break. If you must wear hair tight and pulled back for occupation purposes, try looser braids and when not working let hair fall free and loose.


Simple changes to hairstyle and beauty routines can significantly improve hair loss from traction and pulling. Keep in mind that repairing the damage from hair pulling and tension takes time and patience. Hair follicles subjected to repeated strain must recover before hair regrowth can begin. The important thing is to stay consistent and remain patient to allow your follicles to heal.

What you can do:

  • Swap out elastic hair ties for fabric ties or scrunchies.
  • Wear loose braids instead of tight ones.
  • Change up your hair routine every couple of weeks to give the follicles a break from tension caused by repetitive styling patterns.
  • Ditch tight hairstyles and instead wear your hair down, or loose, as often as possible.
  • Avoid chemical treatments and relaxers, which will only further tax and damage compromised follicles.
  • Use soothing oil or root securing treatments to restore and replenish sensitive follicles.
  • Stock up on protein and iron, which are vital nutrients follicles consume.
  • Consult with your dermatologist about the best treatment plan.
  • Ask your hairstylist for loose styling suggestions.
Based on 45 reviews
Daniel Alain
Jennifer Rose
Love my Follea Rene - and the amazing customer service!

I considered purchasing a wig for years as my hair became increasingly thin. I finally decided the time was right and I’m so thankful to have found Follea. I purchased the Rene 12 inch in Caramel Latte and I absolutely love it – both the color and style are perfect. Stylist consultant, Tracy Romo, was so incredibly supportive and knowledgeable -- she walked me through every step of the process. She assisted with measurements and answered all of my questions via video calls. I can’t say enough about the amazing customer service I experienced from beginning to end. Tracy guided me in the right direction every step of the way, even sending me helpful videos and styling tips. I honestly couldn’t be happier with my experience.

Daniel Alain
M. Terese Weir
Easy Beauty!

My Follea Style (6-11) is in all honesty the most comfortable wig I've ever worn - and I hate anything on my head! This wig just... goes where it's supposed to, no pulling it this way or that, no realizing your doggone wig is crooked.. AFTER you walk in to work. This success is in no small part to the Fit Kit I was sent to make sure of my size. 😊

Also, to say the hair is beautiful gives beauty a bad name. The hair is stunning. (I wear color Latte.) My consultant, Ashley, virtually took my hand to guide me through the process of buying my wig. Her help was and still is invaluable.

My hairdresser is very comfortable styling wigs. She created just the right "style" for my Style. That said, even straight from the box, Follea rocks!

Reading your Follea experience warms our hearts, our goal and mission is to help women all over the world feel beautiful, confident and like their best self. Ashley is an amazing and knowlegable guide, that will continue to be with you on your hair journey!

We invite you to join our @Follea community on Instagram, to learn best practices for your new Follea.

Thank you very much!


Daniel Alain Team

Daniel Alain
Kimberlee Bluhm
Wig #6

The ready to wear wig I received from Daniel Alain is beautiful. The packaging was so respectful of the wig. So impressed. I called with questions before purchasing and the staff was very kind and respectful as Loosing my hair was so unexpected and stressful. Thank you for wonderful customer service and a beautiful wig. So many compliments on how it makes me look. Thank you.

We are honored and so glad to hear you had a pleasant experience! Thank you or trusting us to help you during your hair-loss journey.

Thank you !

I had an amazing experience with purchasing a wig with Follea.
I can’t say enough about Tracy and the VIP service I got from her. She was always there on the other side of the phone , no matter what day or time and help me every step of the way!
I have never had such great customer service in any of the other leading wig companies I bought wigs from. Hands down the best!
Thank you

Thank you very much for sharing - it means the world to know that you had an exceptional experience with Tracy.

Daniel Alain
Patty McKenna
Amazing Personalized treatment

What a wonderful experience I had. Tracy was so sweet and kind and found me the perfect wig. Her patience and understanding when I couldn't decide exactly what I wanted , and finding me the perfect wig and answering all my crazy questions. I left with such a beautiful wig. Thank you again Tracy ♥️♥️

Thank you so much for your kind words. We are so happy Tracy was able to assist you on your hair journey!

Daniel Alain
Kim sissons
Tracy Romo is a life changer!

When you first go through your personal hair loss journey, you go through so many emotions and sometimes you get desperate. People like to take advantage of those searching for an answer. After making a very costly mistake, Tracy was a game changer for me! She was amazing, very knowledgeable and helped me understand what to look for, how to ensure I got the right size, face timed me to measure and ensure it was correct. I cannot say enough amazing things about Tracy, and my amazing Follea wig.

Kim, Thank you so much for taking the time to share your experience Daniel Alain. It warms our heart to hear to Tracy was such a positive impact. We would love to see your new hair debut, tag us on instagram @Follea.

Daniel Alain
Style 10 Inch Color 5005 Macchiato (comes with a soft rooting)

This is my first wig but not my first attempt with alternative hair. Its been a journey and one I knew I wanted to take with Follea. I was not wrong. The hair is silky soft and beautifully shiny. The staff is great and wonderful to work with. Their online consultation process is just what I needed. I received sample caps to try on to determine which size is the right size for me. I received color swatches as well to make the color selection process was a breeze. It does make a difference to see to the colors in person, dont be afraid to ask for color swatches. To see them against the light or while your home is worth it. All this happened after the online consultation, which was simple and fun. The rep provided samples of everything, explained the differences with each one. This helped me make a decision on what was right for me. Getting the samples of the wig caps and color swatches was a fun part of the experience but it also made me feel good about my decisions. I often worry about getting the wrong size and color. Once I was set ( and yes I changed my mind a bit) we went forward with the order. After I received my wig and cut the lace, the team was still there to help me with any questions I had.

Overall a great online purchasing experience. Once I received my Follea, I instantly knew this was it for me. I loved it and I was confident to wear it out.

Feeling Myself and Happy with a beautiful Follea Style, 10", Irish Cream

There are no words to fully express how grateful I am for finding Follea and meeting Janet. Her kindness combined with a professional, yet so gentle, advice helped me to find my beautiful natural looking European hair. Janet patiently showed me different styles and sizes (my head is so small!). She has never pushed me to anything. Only offered support and help on the way to my decision, and eventually ordered (incredibly urgently) the right size. I wish all patients to meet someone like Janet on their way! Before I found Follea, I faced a few horrible pushy people who wanted to make money of my sensitive, fragile situation of suddenly losing hair.
Today, I can face the Universe with a smile, again. I am back to work and normal life, interacting with people, attending important business meetings. Letting my health recover in calm confident state.
Thank You to Follea and Janet. May the Blessing and Kindness come back to You Multiplied Million Times.
I am already thinking of ordering a second Follea Style (bit longer this time). Every girl needs a special occasion HAIR! I have found mine.

Daniel Alain
erin graff
Looooove me some FOLLEA!!!

Girl I love my new wig!!!!!! I feel like Beyoncé wearing it, you can’t even tell that it’s a wig! My confidence is an all new high and I feel fierce. Thanks to Janet for making my hair dreams come true. Xoxoxo

Daniel Alain
Heather L
Follea's Petite

Recently, I bought the Petite in Chai Latte blonde with a natural-looking darker root and customized my piece by adding a few wispy bangs. If you are like me and try to stretch the length of time between washes to prevent an itchy scalp and breakage, this little priceless gem is a quick four clips away from a good hair day.

Daniel Alain
Diane B.
Great Customer Services

Great customer services! Received in a timely manner. Very happy with my topper, especially after I trimmed bangs and length to fix my own hair.

Hello Diane,

Thank you so much for taking the time out of your day to write this review for us. We are very happy to receive your feedback. Please tag us #danielalain in any photos we'd love to share your amazing look on our website and/or social media platforms.
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