Can hairdos cause hair loss?

By Rachelle Vander Schaaf and Maija Johnson, published in the May 1996 Parents magazine.

  Pigtails, ponytails, and braids may look sleek and neat, but if worn too often, these and similar hairdos could cause permanent hair loss, or traction alopecia. A tight style creates tension that can inflame hair follicles, destroying them and stopping hair growth, says dermatologist Matt Leavitt, D.O., chairperson of the World Association of Hair Restoration Surgeons.
  Cornrows, which exert pressure on the sides and top of the head, are the worst culprits; pigtails, ponytails, and braids can damage the hairline above the forehead. But tightly worn accessories like elastic bands, barrettes, and rollers can also trigger the condition.
  Broken, choppy hairs are the first sign of inflammation. Hair loss may begin three to six months after this. However, the problem can be avoided if caught early on. "Hair loss can affect a girl as young as age 7, but it's a slow process, and she usually has enough hair to camouflage the problem," explains Leavitt. A dermatologist can prescribe a topical solution to decrease inflammation. To prevent the problem, a girl should wear cornrows no more than two to three times a year for less than two months, with a two-month break in between, advises Leavitt. "Pigtails and similar styles can be worn three to four days a week," he adds. "But girls should wear their hair down on the other days, and let it rest at night."


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