Traction Alopecia on Temples

Using tight braids for years can cause permanent hair loss. Looking at the photo you provided looks like you have some scarring alopecia from your tight braids. The only real solution to this is hair transplantation. Contact a hair transplant specialist to get options on treatment,
Dr. Robert Jones

Prolonged tension on the hair follicle can lead to scar tissue that replaces the hair follicle leading to permanent loss of hair.  Common areas involved are located on the periphery of the scalp where the tension is greatest in those patients who wear tight braids.  The best treatment is removing tension to avoiding scarring.  Before scarring occurs, intralesional or topical steroids can be helpful.  If scarring has occurred, hair transplantation can help fill in the involved areas.  Consult with your dermatologist to determine if there is permanent loss of hair. -Dr. Keaney