Hair loss

Hair extensions and bald patches: causes and help

Published: July 13, 2025Reading time: 3 minFiro Esmer
Dr Mohammed Abas

Medically reviewed by Dr Mohammed Abas

Medically responsible physician

Damaged hair and bald patches after loose hair - traction alopecia

Hair extensions can give you the long, thick hair you dream of, but improperly applied or too heavy hair extensions can lead to serious consequences. Traction alopecia is a form of hair loss that can occur when hair follicles are subjected to constant pulling for a long time.

Read more about traction alopecia, PRP treatments, and see results from other patients.

What is traction alopecia after hair extensions?

Traction alopecia is a form of hair loss that occurs when hair follicles are subjected to constant mechanical stress and pulling. This can lead to hair loss and, in the worst case, create permanent bald patches where the hair follicles have completely died.

Causes of traction alopecia

Improperly Applied Loose Hair

When loose hair is applied incorrectly, it can cause:

  • Too tight a pull - Extensions that are too tightly pulled
  • Incorrect positioning - Extensions placed too close to the hair root
  • Too heavy material - Extensions that are too heavy for your natural hair

Too Tight Sets

  • Constant pulling - Hair follicles are exposed to continuous stress
  • Prolonged exposure - The longer the extensions sit, the greater the risk
  • Combination with other stresses - e.g. hair ties or tight hairstyles

Preventive measures

Take breaks from extensions

It is important to give your hair a rest:

  • Regular breaks - Remove extensions regularly to allow your hair to recover
  • Longer breaks - After longer periods with extensions, take longer breaks
  • Monitor hair health - Pay attention to signs of damage

Avoid Too Tight Sets

  • Looser application - Choose a method that doesn't pull as hard
  • Lighter material - Choose extensions in lighter material
  • Professional application - Have an experienced hairdresser apply the extensions

Use Gentle Methods

  • Natural alternatives - Consider alternatives that are less stressful
  • Shorter Length - Shorter extensions give less pull
  • Regular care - Take care of your natural hair during extensions

Signs of Damage

Pay attention to these warning signs:

  • Thinning hair - Especially in areas where extensions are attached
  • Bare patches - Small or large areas without hair
  • Soreness - Scalp feels sore or irritated
  • Hair that falls out easily - Hair that falls out with minimal impact

Treatment options

If the Damage Is Already Done

If traction alopecia has already occurred, there are several treatment options:

PRP treatments

Platelet-Rich Plasma (PRP) can help stimulate the remaining hair follicles:

  • Stimulates hair growth - PRP contains growth factors that stimulate hair follicles
  • Improves blood circulation - Increases oxygen and nutrient supply
  • Restores hair follicle health - Helps damaged hair follicles recover

Read more about PRP treatments at Akacia Medical.

Hair transplantation

For areas where hair has completely stopped growing, hair transplantation may be the solution:

  • Permanent solution - Transplanted hair follicles are permanent
  • Natural result - Hair grows naturally and can be cut and styled normally
  • Restores density - Fills in bald spots and restores the hairline

Read more about [hair transplant at Akacia Medical](/hair transplant).

Our Expert Support

At Akacia Medical we can:

  • Assess the damage - Through careful analysis of the scalp and hair follicles
  • Recommend treatment - Tailor-made treatment plan based on your situation
  • Combine treatments - PRP and hair transplant can be combined for best results

Preventive Consultation

If you are using or planning to use loose hair, we recommend a consultation to:

  • Assess the health of your hair
  • Advise on safe practices
  • Monitor the health of your hair over time

Conclusion

Traction alopecia after loose hair is a serious but often preventable problem. By taking breaks, avoiding too tight sets and using gentle methods, you can minimize the risk. If the damage has already occurred, there are effective treatment options such as PRP and hair transplantation.

If you're experiencing problems with hair loss after straightening or have questions about treatment, contact us for a free consultation.

Tags

false hairtraction alopeciahair lossextensionsPRPhair transplant

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Firo Esmer

Firo Esmer

Founder and Operations Manager at Akacia Medical

FounderOperations Manager

Firo Esmer is the founder of Akacia Medical and writes about hair transplantation, hair loss and treatment planning based on the clinic's experience and patient journey.

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