About Hair Loss

Traction Alopecia – Hair Restoration – Plano, TX

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Traction alopecia is a type of hair loss caused by self-inflicted pressure and pulling on the hair follicles. Traction alopecia usually starts at the hairline and temples and can progress if the stress on the hair follicles continues. Hair loss from traction alopecia can be stopped and reversed if the cause is found and stopped early. If the hair loss continues, it may become permanent and could require hair transplantation if the patient desires new hair. Plano, TX hair restoration surgeon, Dr. Joseph Yaker, will assess the amount of damage and recommend a course of treatment to restore the lost hair.


Traction alopecia is caused by continuous, long-term tension and pulling on hair follicles. It is commonly associated with certain hairstyles (braids, weaves, extensions, cornrows, ponytails) but can also be associated with harsh chemicals (dyes, bleaches, straighteners) and straightening irons.  Hair damage can be so severe that the hair root is pulled out completely or destroyed to the point where the hair falls out. 


If the cause of the stress on the hair is stopped soon after hair loss begins, the hair should recover and re-grow on its own. If the stress continues, the hair loss will continue and may become permanent. Some people will simply need to loosen their hairstyles or limit the amount of time they wear a tight hairstyle. Others will need to avoid any causes of traction alopecia completely.

Nonsurgical Treatment

If hair loss from traction alopecia is minimal and caught early, non-surgical treatments such as Minoxidil (brand name: Rogaine®), platelet rich plasma (PRP) with placenta-derived extracellular matrix therapy and low-level laser therapy may be used to help strengthen and regrow hair. If the loss is permanent, this will lead to scarring alopecia, and hair transplantation would be the only treatment option. Dr. Yaker’s HairScan Plan will help track the progress of hair growth every 90 days after starting any form of nonsurgical therapy.

Surgical Treatment

If there is permanent hair loss from traction alopecia, Dr. Yaker can perform Follicular Unit Extraction (FUE) or Follicle Unit Transplantation (FUT), which extracts healthy hair follicles from the back of the scalp and then transplants these follicles to the areas affected by hair loss. Both FUE and FUT use advanced technology and surgical artistry to create fuller hair with a natural look. FUE and FUT provide similar results, the difference is in the way the hair is removed from the back of the scalp.