Traction Alopecia: When Is It Too Late to Reverse It?

Written by Our Editorial Team
Last updated

Traction alopecia occurs when tight braids, weaves or ponytails damage hair follicles over time. While early treatment can reverse mild cases, advanced scarring may require alternative remedies.

Traction alopecia when is it too late?

It's never too late to stop the progression, but for complete recovery, early diagnosis before irreversible scarring needs lifestyle changes and potentially transplants.

Stages of Traction Alopecia

Stage I shows thinning near edges. Stage II brings thinning patches. Stage III involves bald spots. Stage IV scarring is considered advanced or irreversible.

Mild to Moderate Cases

Stages I-II respond well to removing braids/extensions and using natural hairstyles, massages, and minoxidil to stimulate regrowth within 6-12 months.

Advanced Cases

By Stage III, there may be some recovery with the above plan along with PRP/lasers. However, complete replenishment of density takes longer as newly grown hairs are more fragile.

Severe or Irreversible Scarring

At Stage IV, damage extends beyond the hair follicles, scarring the dermis. No amount of treatment will fully restore natural growth but transplants can replace lost hair for a cosmetic improvement.

Prevention is Key

Avoiding tight styles and switching to protective natural styles or low-tension braids/weaves allows minimizing traction damage from the start before scarring intensifies.

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