Traction alopecia is sadly very common amongst Black patients of all
descents, as well as any persons who exact a lot of tension on the hair,
such as ballerinas who pull their hair in a tight bun. Unfortunately,
it is poorly recognized, and we must do more to educate each other about
the problem. If caught very early, before follicles are scarred, a
degree of hair growth may be achieved. If the follicles have scarred
over, it will not be possible to regain the hair growth in these areas.
This can be determined by your dermatologist.
As far as treatment options, just as Dr. Rogers suggested, we often recommend minoxidil and do scalp injections of Kenalog to reduce inflammation and stimulate hair growth. Sometimes scalp massage may increase blood flow to the area and help somewhat.
Traction, and most types of alopecia, are not only dependent upon taking care of the root, but also maintaining the hair shaft as well. Moisturizing shampoos, regular conditioner and hot-oil treatments are definitely a plus. Some may take hair vitamins, such as biotin, to stimulate hair growth. Decreasing to eliminating the major stressors on the hair is also key. I would avoid braids, weaves, tight buns, and other stressful styles, and I often discuss with patients hairstyles that they can use to minimize hair damage. Too frequent and strong chemical relaxers may also be a problem, and discussing transitioning to natural hair (which may or may not include texturizing as a bridge) may be in your future. This can be done in a way that optimizes your sense of style and minimizes stress on the hair follicle and shaft.
I would definitely talk this over with your dermatologist, sooner rather than later, because all too often patients approach us after much damage has been done. There are also other types of alopecia to be considered alongside traction, so an evaluation is necessary. Best of luck.
As far as treatment options, just as Dr. Rogers suggested, we often recommend minoxidil and do scalp injections of Kenalog to reduce inflammation and stimulate hair growth. Sometimes scalp massage may increase blood flow to the area and help somewhat.
Traction, and most types of alopecia, are not only dependent upon taking care of the root, but also maintaining the hair shaft as well. Moisturizing shampoos, regular conditioner and hot-oil treatments are definitely a plus. Some may take hair vitamins, such as biotin, to stimulate hair growth. Decreasing to eliminating the major stressors on the hair is also key. I would avoid braids, weaves, tight buns, and other stressful styles, and I often discuss with patients hairstyles that they can use to minimize hair damage. Too frequent and strong chemical relaxers may also be a problem, and discussing transitioning to natural hair (which may or may not include texturizing as a bridge) may be in your future. This can be done in a way that optimizes your sense of style and minimizes stress on the hair follicle and shaft.
I would definitely talk this over with your dermatologist, sooner rather than later, because all too often patients approach us after much damage has been done. There are also other types of alopecia to be considered alongside traction, so an evaluation is necessary. Best of luck.
Dallas Dermatologist
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