We here at HIS Hair are all about looking stylish and sophisticated in every situation, but we’re also strong believers in the preservation of our precious hairs and for that reason we’ve been discussing the latest topic to rock the hairstyle world – the top-knot’s rock-bottom side-effect. Whilst the hipster trend has been worn by celebrities such as Jared Leto, Harry Styles, and Paul Kaye, it’s now been revealed that the temptation of being the poster-boy of the party comes with a cost – the risk of permanent hair loss in the form of traction alopecia – a form of hair loss caused primarily by a significant amount of pulling force being applied to the hair. That’s right, the more you tie up your hair in your top-knot, the more likely you are to lose it sooner rather than later. The Truth about Traction Traction Alopecia is the common result of the sufferer frequently wearing their hair in a particularly ponytail, pigtail, or braid. It is also seen occasionally in long-haired people who use barrettes to keep their hair out of their faces. Traction alopecia is a recession of the hairline due to hair pulling and is characterized by a fringe along the marginal hairline. Even though this "fringe sign" is considered a useful clinical marker of this condition, cases of frontal fibrosing alopecia presenting with an unusual retention of the hairline have been described too. Leading hair transplant surgeon Dr Bessam Farjo believes that traction alopecia is mechanical damage to the hair root. Farjo adds that if hair is tightly scraped back for frequently long periods of time, it puts long-term stress on the follicles which in turn causes tension on their roots, thus damaging them and pulling them out. Farjo likens traction alopecia to the art of plucking eyebrows – If you clasp it between the tweezers and pull hard enough it comes out, and eventually if you keep plucking it, it won’t grow back. Regulars Farjo says that many of his clients are Sikh’s, the Indian warrior tribe with rich cultural roots - the most visible of which is their wrap around headwear known as a turban. They can suffer permanent hair loss from years of tying their hair back into a knot to fit it under their turban. He adds that another at-risk group is men who suffer baldness on the top of the head. Farjo explains that they tend to pull the remainder of their hair back into a ponytail which often results in repetitive doses of hair loss. Furthermore, Farjo reveals that it’s also very common in black women who braid their hair - it's the same principle. Fear not though fans of the top-knot for traction alopecia is somewhat rare for men. The best thing to do is to not pull it so tight – besides, it’ll make for a much comfier day too, right? If you’re suffering from traction alopecia or know somebody who is, contact HIS and book a consultation today.