What is traction alopecia scarring?

Traction alopecia is a form of traumatic alopecia common in young girls and women whose hairstyles, such as ponytails, plait, and braids, maintain a tight pull on the hair shafts (Fig. 8.23). This traction causes shaft fractures, as well as follicular damage. If prolonged, permanent scarring can result.

Does scarring alopecia go away?

Though hair loss due to scarring alopecia is permanent and cannot be reversed once scarred, it can be treated to help prevent further hair loss and scarring.

Can hair grow back from scarring alopecia?

Scarring alopecias are typically caused by inflammation that results in destruction of the hair follicle leading to irreversible hair loss. If the condition is treated early in the disease course, it is sometimes possible to regrow hair.

How do I know if my alopecia is scarring?

The scarring alopecia patches usually look a little different from alopecia areata in that the edges of the bald patches look more “ragged.” The destruction of the hair follicle occurs below the skin surface so there may not be much to actually see on the scalp skin surface other than patchy hair loss.

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How do I know if my traction alopecia is permanent?

SIGNS OF PERMANENT TRACTION ALOPECIA

As the condition persists, signs will become more severe such as itchiness and tightness, swelling at the hair follicle, follicular pustules, broken hairs and balding patches. The hair loss often appears at the hairline and temple region from the excessive pulling and tension.

Is scarring alopecia an autoimmune disease?

Like scarring alopecia, alopecia areata is somewhat miscategorized because, unlike traditional baldness as we know it, it is actually an autoimmune disease symptom. Essentially, the immune system attacks the follicles, eventually causing them to stop growing. Some scarring alopecia can be caused by autoimmune diseases.

How is traction alopecia treated?

Medical treatment options reported to have been used in traction alopecia include:

  1. Antibiotics to prevent infection.
  2. Topical or intralesional steroids.
  3. Topical antifungal shampoos.
  4. Biotin supplements.
  5. Minoxidil.
  6. Hair replacement surgery.

How can I regrow hair on scar tissue?

In order to transplant hair onto a scar, a surgeon will graft hairs that are still contained in their follicles into the scar. This lets the hair to begin taking root and growing again once they make contact with blood vessels.

Does Rogaine work for scarring alopecia?

Scarring alopecia: Minoxidil has shown evidence to exhibit an antifibrotic action. Therefore, topical minoxidil treatment can be a therapeutic choice in the early course of dermatoses leading to scarring alopecia, such as from scalp burning.

Why is my immune system attacking my hair follicles?

Alopecia areata is an autoimmune disease. This means that your immune system mistakenly attacks a part of your body. When you have alopecia areata, cells in your immune system surround and attack your hair follicles (the part of your body that makes hair).

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Can you get a hair transplant with scarring alopecia?

Hair transplant in scarring alopecia is challenging because of degenerative changes and reduced vascularity of scarred tissues. In addition, when scarring affects the safe donor area of the scalp, there is a lack of adequate number of grafts for appropriate coverage.

How do you treat scalp scars?

Mild cases often benefit from medicated shampoo designed to treat the scalp and ease itching. Ingredients to look for in OTC medicated shampoos include salicylic acid and tar. If that doesn’t help, or your condition worsens, see your doctor. Severe cases may need topical or injectable steroids.

What does traction alopecia look like?

Signs of traction alopecia include: a receding hairline typically around the forehead, temples, or nape. small pimples appear on the scalp or at the base of braids. redness, itching, and ulcers on the scalp.

Does minoxidil work for traction alopecia?

According to a 2019 study in the American Journal of Clinical Dermatology, there is support for using minoxidil to treat traction alopecia. “Topical minoxidil can be helpful for promoting regrowth, but don’t apply if the scalp is inflamed,” King says.

Does biotin help with traction alopecia?

It’s long been touted as a supplement to grow hair and nails, but according to the National Institutes of Health (NIH), there isn’t enough concrete evidence to show that biotin helps treat hair loss.