Scalp-pulling hairstyles can lead to a form of gradual hair loss, caused by prolonged or repeated tension on the hair root, an analysis shows.
Traction alopecia is the most common form of hair loss among African-American women. An estimated one-third suffer from the condition.
The researchers urge dermatologists to better educate themselves about the damaging hairstyles—such as tight ponytails, braids, knots, and buns—and to advise patients of risks and alternatives.
“Hair is a cornerstone of self-esteem and identity for many people,” says Crystal Aguh, assistant professor of dermatology at the Johns Hopkins University School of Medicine, “but ironically, some hairstyles meant to improve our self-confidence actually lead to hair and scalp damage.”
