In the initial stages, this hair loss is reversible. However, prolonged tension may induce follicular inflammatory changes with immune cell infiltrate and fibrosis which totally destroys the hair follicles and will not re-grow under any circumstances hence chronic traction alopecia occurs and can then be described as a ‘Scarring Cicatricial Alopecia’. This results in permanent localised hair loss to those specific follicles under tension. Therefore it is important to recognise this condition while it is still reversible.
Traumatic alopecia is essentially a cosmetic disorder. Rather than affecting the sufferer psychologically, therefore it should be emphasized that this condition is not a disease.