New York City dermatologist Dr. Mark Strom is sounding the alarm about the potential long-term consequences of tight hairstyles, which could result in permanent hair loss for millions of Americans.
While trendy styles like slicked-back ponytails, tight braids, and buns may help keep hair neat and out of the face, Dr. Strom cautions that they could lead to a condition known as traction alopecia — a form of hair loss caused by the constant pulling of hair follicles.
What Is Traction Alopecia?
Traction alopecia occurs when repeated tension on hair follicles leads to scarring. Over time, this scarring can damage the follicles, preventing them from growing new hair. Dr. Strom explains that tight hairstyles, such as those that pull the hair back tightly against the scalp, can cause irreversible damage if not addressed early.
“Traction alopecia is one of the most common types of hair loss,” he says. “It results from the long-term pulling or traction on the hair, which loosens the hair shafts and eventually causes the follicles to scar.”
The Risks of Tight Hairstyles
Certain hairstyles, particularly tight ponytails, braids, or buns, are major contributors to this condition. Dr. Strom also highlighted that styles like slicked-back ponytails or tightly braided hair that pull at the frontal hairline are prime culprits.
In a recent TikTok video, Dr. Strom noted that these hairstyles place excessive pressure on the hairline, leading to damage and hair loss. “The longer this pressure is applied, the higher the risk of permanent damage,” he warned.
While traction alopecia is a significant concern, it is preventable and treatable if caught early. Dr. Strom recommends avoiding styles that cause discomfort or a feeling of tightness, as these are often indicators that the hair is being pulled too much.
Who Is At Risk?
Millions of Americans suffer from some form of alopecia, with over 7 million cases reported across the country. However, traction alopecia is particularly common among certain groups. Research estimates that one-third of U.S. women of African descent are affected due to frequent use of tight braids and other textured hairstyles. People with long hair may also be at increased risk because of the weight and tension placed on their hair, while dancers and gymnasts who keep their hair pulled back for athletic reasons are similarly vulnerable.
Treatment and Prevention
If caught early, traction alopecia can often be reversed with the help of topical treatments, corticosteroids, or medications like minoxidil (Rogaine). Biotin supplements may also aid in hair regrowth. However, Dr. Strom emphasizes the importance of early intervention. “If you let traction alopecia progress too far, it can become permanent,” he warned.
Prevention is key, and the best approach is to avoid tight hairstyles altogether. When it’s necessary to keep hair up, Dr. Strom advises using loose styles and avoiding rubber or elastic bands, which can exacerbate the problem due to friction.
“Give your hair some room to breathe and avoid any style that causes pain or tightness,” he said.
In summary, while tight hairstyles may be a fashion statement, they can come with serious long-term consequences for hair health. Taking preventive measures and seeking prompt treatment are essential for maintaining a full and healthy mane.
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