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It is a form of hair loss that results from prolonged or repetitive tension or traction to the scalp hair. It is most commonly due to wearing hair in tight ponytails for longer periods.
In this types of hair loss mechanical damage to the hair follicle is caused by traction or pulling. Ballerinas, gymnasts, military personnel and certain professionals who are required to wear their hair pulled back, develop traction alopecia.
When your hair is pulled for prolonged periods it starts getting loose from the follicles and eventually breaks and falls off. The hair follicles
are subjected to constant pulling, they get more and more damaged and scarred that they are no longer able to produce any new hair.
The likelihood of traction alopecia increases with age and also from what age you started to put pressure on your hair. There are different stages in this type of hair fall.
There is thinning of hair and you start to notice hair growth cycle change slowly but gradually and the amount of Telogen (resting) hair increases.
Sebaceous glands and terminal hair follicles reduce and are replaced by fibrous tracts (scars). Inflammation is mild to absent.