Different from alopecia areata (an autoimmune disorder where the body attacks its own follicles), traction alopecia is a hair-loss condition triggered by certain hairstyles and hair styling processes. It occurs when there is damage to the hair follicle and the dermal papill (the small bit of skin at the base of the hair). This damage occurs through constant pulling or increased tension on the hair over a period of time.

Most common in African-American men and women, the stress caused by super-tight styles at the scalp is the root of this problem. Cornrows can cause hair loss in the skin area adjacent to the rows. Also troublesome are excessively tight ponytails or braids, prompting breakage because the hair shaft is constantly exposed. Over-processing increases the risk by weakening the hair — which means any chemical that disrupts keratin structure (straighteners, bleaches, dyes, etc.) as well as heat damage can increase your risk.

While traction alopecia is not something that can be predicted, the key is early detection and further prevention. If you see noticeably fragile hair and increased shedding, opt for a looser hairstyle or go for natural styles.

Once the damage has been done, there is no going back, so be gentle on your scalp now in order to save your hair later.