TRACTION ALOPECIA · PERTH
Traction Alopecia Assessment in Perth
Traction alopecia is hair loss caused by repeated pulling on the hair. Thinning often develops where a hairstyle places tension, including the hairline and temples. At the Perth clinic, Carmen considers the pattern, styling history and scalp signs to help guide suitable next steps.
Private consultation · Trichoscopy where appropriate · Perth CBD
A painful hairstyle needs changing.
Loosen or remove a style that causes pulling, pain or irritation. Seek medical advice for persistent pain, redness, crusting or bumps, or if hair loss is progressing.
CHANGES YOU MAY NOTICE
Changes worth paying attention to.
Your hairline or temples look thinner than before.
Redness, itching or small bumps develop where the hair is pulled.
Short broken hairs appear around the front or sides.
Thinning follows the areas held by extensions, braids or other attachments.
A style feels tight, sore or uncomfortable.
An area remains bare or looks smooth and shiny. Have it assessed rather than assuming it will recover.
UNDERSTANDING TRACTION
Understand the tension and the scalp changes.
These signs do not confirm traction alopecia on their own. A similar-looking change can have another cause, so the history and scalp examination matter.
1
Repeated pulling
Tight ponytails, buns, braids, cornrows, weaves and extensions can place tension on the hair. Wigs, clips or coverings can also contribute when they pull on the hair. The concern is how much tension a style creates and how often it is worn.
2
Early and lasting changes
Early traction-related loss may improve after the pulling stops, if the follicles have not been permanently damaged. Continued tension can lead to scarring and lasting hair loss. Recovery cannot be guaranteed, and a smooth area needs careful assessment.
3
Other causes can overlap
Pattern thinning, alopecia areata and scarring conditions can also affect the hairline or cause patches. A hairstyle does not explain every change. Do not assume tension is the only cause, particularly when loss continues after styling changes.
Speak with your GP or dermatologist if hair loss is spreading, the scalp is painful or inflamed, or an area looks smooth and shiny. Medical diagnosis and any prescription treatment belong with a doctor. You can seek medical care directly.
YOUR HAIR AND SCALP ASSESSMENT
I look at styling habits as well as the scalp.
1
How the change began
I would ask when thinning started and how you wear and care for your hair, including extensions, chemical services and heat styling. Previous photos can help explain the changes. Your health history and other hair concerns matter too.
2
What is visible
I would examine the hairline, density, breakage and scalp surface, including visible follicle openings. Trichoscopy, where appropriate, gives a closer view of visible clues. It supports assessment and does not replace medical diagnosis.
3
Practical next steps
We can discuss reducing tension and choosing gentler hair care, with realistic expectations and follow-up where appropriate. If the signs suggest another condition, scarring or a need for medical treatment, I would advise GP or dermatologist assessment.
COMMON QUESTIONS
Questions about traction alopecia.
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