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A Dermatologist Explains: How to Reverse Traction Alopecia

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Struggling with thinning edges, receding hairlines, or breakage? For many Black women, hair is more than just style—it’s history, culture, and confidence. That’s why hair loss, especially traction alopecia, can feel so overwhelming. It’s not just about appearance—it’s about protecting our crown.

Why Traction Alopecia Happens

In this video, board-certified dermatologist Dr. Victoria Barbosa, MD, MPH, MBA, breaks down traction alopecia—a type of hair loss that happens when hairstyles like braids, twists, sew-ins, wigs, or ponytails pull too tightly on the scalp. She explains how it often starts at the edges or crown, why some people are more prone than others, and what early warning signs you should never ignore.

Dr. Barbosa also emphasizes that while braids and protective styles aren’t “bad,” they must be done gently and not too tightly. She highlights how repeated tension can damage follicles permanently if ignored.

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The good news? Early traction alopecia is reversible. Dr. Barbosa shares how dermatologists can help with treatments like topical or injected medications, anti-inflammatory therapies, and hair regrowth support.

RELATED: A Dermatologist Explains: How to Spot and Treat Hair Loss in Black Hair

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