African-American Hair Loss from Wearing Braids?

Is there any type of hair transplant procedure that is effective for African-Americans that have worn extensions and braids for many years and has hair loss due to Traction Alopecia?

Doctor Answers 9

Tractin Alopecia in African Americans

Any good hair transplant can fix this problem provided that the donor supply meets the demand of the balding areas. 

Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 27 reviews

Treatment for African American traction alopecia


Traction alopecia is when persistent tight styles are worn creating excessive stress on the short frontal hairs leading to extraction of these follicles and resultant scarring.  If caught early, I can treat and improve likelihood of regrowth. 

Other treatment options I offer include scalp micropigmentation which is strategic placement of pigment superficially in the scalp to give the illusion of increased hair follicles or "density."  This can be a semi-permanent (2 years) to more permanent (~10 years) but has great effects for those individuals who have long-term traction results and do not want hair transplants. 

Hope this helps. 

Nikki D. Hill, MD, FAAD
Tucker Dermatologic Surgeon

Traction alopecia can be treated with hair transplant surgery and SMP

Traction alopecia can be treated with hair transplant surgery and SMP.  It all will depend on your examination, your goals, and realistic expectations. 

Jae Pak, MD
Los Angeles Hair Restoration Surgeon
4.9 out of 5 stars 85 reviews

African american hair loss - braids

Hair transplantation can be extremely effective if hair loss is from traction alopecia. 

Be sure to visit an experienced physician to be sure that you also do not have evidence of central centrifugal cicatricial alopecia (CCCA). 

CCCA and traction alopecia often co-existent in the same patient. Hair graft uptake and success of the transplant is reduced if CCCA is present 

Yes, since traction alopecia can lead to permanent hair loss, hair transplantation is an excellent choice to restore lost hair

Yes, since traction alopecia can lead to permanent hair loss, hair transplantation is an excellent choice to restore lost hair if there is enough hair left in the donor area to transplant. There are several surgical options available for hair transplantation including follicular grafting and follicular unit extraction. It’s important to speak with a certified hair restoration surgeon to discuss all your options to determine what will provide the best results for your unique needs. Most important is the need for the patient to discontinue all traction hair styles.

FUE Hair Transplant for Traction Alopecia

Yes, hair transplant is a solution for traction alopecia. Namely, FUE hair transplant using uGraft is ideal due to its ability to navigate the particular needs of African American hair and skin-healing tendencies.

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
4.7 out of 5 stars 30 reviews

African-American Hair Loss

Absolutely-  when properly performed, hair transplants can be an extremely effective, natural appearing, permanent solution.  While a challenging procedure, I have performed hundreds of them, primarily on patients of African ethnicity.

Jeffrey Epstein, MD, FACS
Miami Facial Plastic Surgeon
4.7 out of 5 stars 116 reviews

Hair flaps or transplants for traction alopecia.

Hair extensions, hair transplants or flaps can be done to treat this common problem in African-American patients. Sometimes we are able to advance the hairline to do this.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 32 reviews

African-American traction hair loss

This is a very common problem in African -American communities. There is invariably a wig store in these neighborhoods that caters to women who have lost hair to the various straightening and braiding practices.  

If there is sufficient remaining hair to transfer and there is no hereditary tendency for hair loss and a true commitment to stopping the practices that led to the hair loss, routine transplants or flap repair or a combination of both can give improvement. Advanced cases are better served by use of wigs.

Sheldon S. Kabaker, MD FACS
San Francisco Facial Plastic Surgeon
4.7 out of 5 stars 29 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.