{"id":248,"date":"2026-10-04T13:18:42","date_gmt":"2026-10-04T13:18:42","guid":{"rendered":"https:\/\/muhammetozgehan.com\/?page_id=248"},"modified":"2026-10-10T13:33:55","modified_gmt":"2026-10-10T13:33:55","slug":"tractional-and-traumatic-alopecias","status":"publish","type":"page","link":"https:\/\/muhammetozgehan.com\/en\/tractional-and-traumatic-alopecias\/","title":{"rendered":"Tractional and Traumatic Alopecias"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"248\" class=\"elementor elementor-248 elementor-240\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-225e9fe e-flex e-con-boxed e-con e-parent\" data-id=\"225e9fe\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-822d9d4 elementor-widget elementor-widget-html\" data-id=\"822d9d4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<div class=\"medical-guide-page-wrapper\">\r\n    <!-- Sayfa \u00dcst\u00fc K\u00fcresel Ba\u015fl\u0131k & Logo Alan\u0131 -->\r\n    <div class=\"guide-hero\">\r\n        <div class=\"hero-title-wrapper\">\r\n            <div class=\"hero-logo-box\">\r\n                <img decoding=\"async\" src=\"https:\/\/muhammetozgehan.com\/wp-content\/uploads\/2026\/10\/logo-seffaf.png\" alt=\"Dr. Muhammet \u00d6zgehan Logo\" width=\"32\" height=\"32\" class=\"hero-inline-logo\" title=\"\">\r\n            <\/div>\r\n            <h2>Medical Hair Encyclopedia<\/h2>\r\n        <\/div>\r\n        <p class=\"guide-subtitle\">Dermatological pathologies and evidence-based clinical guidelines at international standards.<\/p>\r\n    <\/div>\r\n\r\n    <!-- Ana Makale Konteyneri -->\r\n    <article class=\"medical-article-card\">\r\n        <div class=\"article-header\">\r\n            <span class=\"article-category\">CLINICAL GUIDELINE & PATHOLOGY<\/span>\r\n            <h1>Tractional and Traumatic Alopecias Diagnosis and Treatment Guide<\/h1>\r\n            <div class=\"author-meta-box\">\r\n                <p><strong>Prepared by:<\/strong> Dr. Muhammet \u00d6zgehan | Turkish Hair and Scalp Diseases Association<\/p>\r\n                <p class=\"compilation-note\"><em>This guide has been compiled by Dr. Muhammet \u00d6zgehan in light of current literature.<\/em><\/p>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <!-- Medikal \u0130ll\u00fcstrasyon Alan\u0131 -->\r\n        <div class=\"medical-illustration-box\">\r\n            <img decoding=\"async\" src=\"https:\/\/sachastaliklari.org.tr\/wp-content\/uploads\/2026\/09\/traksiyonel-alopesi-ve-trikotillomani-dr-muhammet-ozgehan.png\" alt=\"Clinical and Medical Illustration of Traction Alopecia and Trichotillomania\" title=\"\">\r\n        <\/div>\r\n\r\n        <!-- Hasta Bilgilendirme B\u00f6l\u00fcm\u00fc -->\r\n        <section class=\"patient-info-box\">\r\n            <h3>\ud83d\udccc Patient Information Section: What Does This Condition Mean?<\/h3>\r\n            <p>These types of hair loss occur not due to an internal bodily disease, but as a result of <strong>physical pulling, stretching, or tearing (mechanical trauma)<\/strong> forces applied externally to the hair follicles. They are examined in two main groups: <\/p>\r\n            <ul class=\"styled-list\">\r\n                <li><strong>Traction Alopecia (Physical Pulling):<\/strong> This is damage to the roots caused by constantly wearing very tight ponytails, braids, using heavy hair extensions, or tying headscarves too tightly at the same point. If hair styles are loosened in the early stages, hair can fully recover. <\/li>\r\n                <li><strong>Trichotillomania (Hair Pulling Disorder):<\/strong> This is a psychodermatological condition where an individual, due to intense stress, anxiety, or unconsciously, acts on an urge to constantly pull and tear out their own hair, eyebrows, or eyelashes. It is not a shameful condition; it is a treatable impulse control disorder. <\/li>\r\n            <\/ul>\r\n        <\/section>\r\n\r\n        <!-- Hekimler \u0130\u00e7in Klinik K\u0131lavuz -->\r\n        <section class=\"doctor-guide-box\">\r\n            <h3>\ud83e\ude7a Clinical & Medical Guide for Physicians<\/h3>\r\n            <ul class=\"styled-list doctor-list\">\r\n                <li><strong>Diagnostic Criteria and Clinical Findings:<\/strong>\r\n                    <ul class=\"sub-list\">\r\n                        <li><em>Traction Alopecia:<\/em> History of recession in the frontal hairline or temples. Small, fine <strong>\"fringe hairs\"<\/strong> immediately anterior to the traction line and perifollicular erythema are typical. <\/li>\r\n                        <li><em>Trichotillomania:<\/em> Irregular and oddly geometric areas of thinning on the scalp, rather than completely bald patches. Dermoscopy reveals broken hairs of varying lengths, with irregular, coiled, or spiral tips (<strong>\"bizarre\" fractures<\/strong>). <\/li>\r\n                    <\/ul>\r\n                <\/li>\r\n                <li><strong>Current Management and Treatment Protocols:<\/strong>\r\n                    <ul class=\"sub-list\">\r\n                        <li><em>Mechanical and Behavioral Regulation:<\/em> Immediate cessation of physical tension on the hair. In cases of trichotillomania, <strong>psychiatry\/psychology consultation (Cognitive Behavioral Therapy - CBT)<\/strong> must be planned in addition to dermatological support. <\/li>\r\n                        <li><em>Follicular Supports:<\/em> Topical minoxidil or mesotherapy support in early-stage cases. In advanced and scarred cases, <a href=\"https:\/\/www.muhammetozgehan.com.tr\" target=\"_blank\" rel=\"noopener\">hair transplant surgery<\/a> as a surgical option. <\/li>\r\n                    <\/ul>\r\n                <\/li>\r\n            <\/ul>\r\n        <\/section>\r\n\r\n        <!-- Bilimsel Referanslar -->\r\n        <section class=\"scientific-references-box\">\r\n            <h3>Scientific References and Bibliography<\/h3>\r\n            <ul class=\"ref-list\">\r\n                <li>Bohn M, Thomsen PH, Nissen JB. [Trichotillomani]. <em>Ugeskr Laeger<\/em>. 2022 May 9;184(19):V11210829. Danish. PMID: 35593367. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35593367\/\" target=\"_blank\" rel=\"noopener\">PubMed Link<\/a> <\/li>\r\n                <li>Grant JE, Chamberlain SR. Trichotillomania. <em>Am J Psychiatry<\/em>. 2016 Sep 1;173(9):868-74. doi: 10.1176\/appi.ajp.2016.15111432. PMID: 27581696; PMCID: PMC5328413. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27581696\/\" target=\"_blank\" rel=\"noopener\">PubMed Link<\/a> <\/li>\r\n                <li>Christensen RE, Tan I, Jafferany M. Recent advances in trichotillomania: a narrative review. <em>Acta Dermatovenerol Alp Pannonica Adriat<\/em>. 2023 Dec;32(4):151-157. PMID: 38126097. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38126097\/\" target=\"_blank\" rel=\"noopener\">PubMed Link<\/a><\/li>\r\n                <li>Larrondo J, McMichael AJ. Traction Alopecia. <em>JAMA Dermatol<\/em>. 2023 Jun 1;159(6):676. doi: 10.1001\/jamadermatol.2022.6298. PMID: 37133879. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37133879\/\" target=\"_blank\" rel=\"noopener\">PubMed Link<\/a> <\/li>\r\n                <li>Syed HA, Kaliyadan F. Traction Alopecia. 2025 May 4. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan\u2013. PMID: 29262008. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29262008\/\" target=\"_blank\" rel=\"noopener\">PubMed Link<\/a><\/li>\r\n            <\/ul>\r\n        <\/section>\r\n    <\/article>\r\n<\/div>\r\n\r\n<style>\r\n.medical-guide-page-wrapper {\r\n    background-color: #0A192F;\r\n    padding: 60px 20px;\r\n    font-family: 'Segoe UI', Tahoma, Geneva, Verdana, sans-serif;\r\n    color: #FFFFFF;\r\n    max-width: 1000px;\r\n    margin: 0 auto;\r\n}\r\n\r\n.guide-hero {\r\n    text-align: center;\r\n    margin-bottom: 40px;\r\n}\r\n\r\n.hero-title-wrapper {\r\n    display: flex;\r\n    align-items: center;\r\n    justify-content: center;\r\n    gap: 12px;\r\n    margin-bottom: 10px;\r\n}\r\n\r\n.hero-logo-box {\r\n    background: linear-gradient(135deg, rgba(17, 34, 64, 0.9), rgba(10, 25, 47, 0.95));\r\n    border: 1px solid rgba(212, 175, 55, 0.4);\r\n    border-radius: 8px;\r\n    padding: 4px 8px;\r\n    display: flex !important;\r\n    align-items: center !important;\r\n    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12px;\r\n}\r\n\r\n.medical-article-card a {\r\n    color: #D4AF37;\r\n    text-decoration: underline;\r\n    transition: color 0.3s ease;\r\n}\r\n\r\n.medical-article-card a:hover {\r\n    color: #f3d06c;\r\n}\r\n\r\n\/* Mobil Uyumluluk *\/\r\n@media (max-width: 768px) {\r\n    .medical-article-card {\r\n        padding: 20px;\r\n    }\r\n    .medical-article-card h1 {\r\n        font-size: 22px;\r\n    }\r\n}\r\n<\/style>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5b3b4a3 e-flex e-con-boxed e-con e-parent\" data-id=\"5b3b4a3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-520fa2d elementor-widget elementor-widget-html\" data-id=\"520fa2d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<div class=\"alopecia-faq-container\">\r\n    <div class=\"faq-header\">\r\n        <h2>Frequently Asked Questions About Tractional, Traumatic, and Trichotillomania Hair Loss<\/h2>\r\n        <p>Frequently asked questions about traction-related hair loss, trichotillomania (hair-pulling disorder), and treatment approaches with the expertise of Dr. Muhammet \u00d6zgehan Clinic.<\/p>\r\n    <\/div>\r\n\r\n    <div class=\"faq-accordion\">\r\n        <!-- Soru 1 -->\r\n        <div class=\"faq-item\">\r\n            <button class=\"faq-question\" type=\"button\" onclick=\"toggleFaqTraksiyon(this)\">\r\n                <span>1. What is Traction Alopecia and Which Habits Lead to Its Development?<\/span>\r\n                <span class=\"faq-icon\">+<\/span>\r\n            <\/button>\r\n            <div class=\"faq-answer\">\r\n                <div class=\"faq-inner-text\">\r\n                    <p>Traction alopecia is a type of hair loss that occurs as a result of long-term and repetitive mechanical pulling (tension) forces applied to the hair follicles. <strong>Dr. Muhammet \u00d6zgehan<\/strong> states that tight ponytails, braids (Afro-braids), pompadour styles, excessively tight buns, hair extensions, and constant harsh brushing in the same direction pave the way for this condition.<\/p>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <!-- Soru 2 -->\r\n        <div class=\"faq-item\">\r\n            <button class=\"faq-question\" type=\"button\" onclick=\"toggleFaqTraksiyon(this)\">\r\n                <span>2. What is Trichotillomania (Hair Pulling Disorder) and How Does It Affect the Scalp?<\/span>\r\n                <span class=\"faq-icon\">+<\/span>\r\n            <\/button>\r\n            <div class=\"faq-answer\">\r\n                <div class=\"faq-inner-text\">\r\n                    <p>Trichotillomania is a psychodermatological impulse control disorder where an individual feels an irresistible urge to pull out their own hair, eyebrows, or eyelashes. It causes irregular, patchy areas of hair loss with broken hair shafts of varying lengths on the scalp. <strong>Dr. Muhammet \u00d6zgehan<\/strong> emphasizes that this condition can lead to both mechanical trauma and follicular damage, potentially causing permanent thinning of the scalp over time. <\/p>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <!-- Soru 3 -->\r\n        <div class=\"faq-item\">\r\n            <button class=\"faq-question\" type=\"button\" onclick=\"toggleFaqTraksiyon(this)\">\r\n                <span>3. Does Hair Regrow in Trichotillomania and Traumatic Hair Loss?<\/span>\r\n                <span class=\"faq-icon\">+<\/span>\r\n            <\/button>\r\n            <div class=\"faq-answer\">\r\n                <div class=\"faq-inner-text\">\r\n                    <p>Hair regrowth depends on how long the follicles have been subjected to trauma or the pulling action. If the roots are not yet permanently damaged, hair may regrow spontaneously over time once the pulling behavior stops. However, <strong>Dr. Muhammet \u00d6zgehan<\/strong> emphasizes that in chronic trichotillomania cases lasting many years, fibrosis (scar tissue) may develop in the hair follicles, increasing the risk of permanent alopecia in these areas.  <\/p>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <!-- Soru 4 -->\r\n        <div class=\"faq-item\">\r\n            <button class=\"faq-question\" type=\"button\" onclick=\"toggleFaqTraksiyon(this)\">\r\n                <span>4. Which Clinical Approaches are Applied for Traction, Trauma, and Trichotillomania?<\/span>\r\n                <span class=\"faq-icon\">+<\/span>\r\n            <\/button>\r\n            <div class=\"faq-answer\">\r\n                <div class=\"faq-inner-text\">\r\n                    <p>The most important step in treatment is stopping the mechanical destruction and the behavioral cycle. Current approaches implemented at <strong>Dr. Muhammet \u00d6zgehan<\/strong> Clinic include:<\/p>\r\n                    <ul>\r\n                        <li><strong>Dermatological Root Support Treatments:<\/strong> Mesotherapy and PRP protocols designed to increase microcirculation in follicles that are weakened or in shock.<\/li>\r\n                        <li><strong>Multidisciplinary Approach (Psychodermatology):<\/strong> Joint coordination with psychiatry\/psychology specialists to manage the underlying impulse control process in trichotillomania cases.<\/li>\r\n                        <li><strong>Scalp Barrier Care:<\/strong> Physician-approved medical soothing treatments aimed at preventing local irritation and potential secondary infections.<\/li>\r\n                    <\/ul>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <!-- Soru 5 -->\r\n        <div class=\"faq-item\">\r\n            <button class=\"faq-question\" type=\"button\" onclick=\"toggleFaqTraksiyon(this)\">\r\n                <span>5. Can Hair Transplantation Be Performed for Permanent Baldness Following Trichotillomania or Severe Trauma?<\/span>\r\n                <span class=\"faq-icon\">+<\/span>\r\n            <\/button>\r\n            <div class=\"faq-answer\">\r\n                <div class=\"faq-inner-text\">\r\n                    <p>Hair transplantation can be an effective solution in areas where permanent scarring (cicatrix) has developed or follicles have been completely destroyed; however, the most critical requirement in trichotillomania cases is that the pulling behavior is fully controlled and the disorder has entered remission. <strong>Dr. Muhammet \u00d6zgehan<\/strong> states that transplants performed before the behavior is suppressed may result in damage to the newly implanted grafts; therefore, psychological and dermatological stabilization is essential.<\/p>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n<\/div>\r\n\r\n<!-- Standart Klinik CTA \/ Ba\u015fvuru Butonu Alan\u0131 -->\r\n<div class=\"mo-clinic-cta-wrapper\">\r\n    <div class=\"mo-cta-box\">\r\n        <h3>For Your Questions and Clinic Appointment<\/h3>\r\n        <p>For your questions about tractional alopecias, trichotillomania, traumatic hair loss, and personalized treatment planning, or to schedule an examination appointment, you can contact <strong>Dr. Muhammet \u00d6zgehan Clinic<\/strong> immediately.<\/p>\r\n        \r\n        <div class=\"mo-cta-buttons\">\r\n            <a href=\"https:\/\/wa.me\/905327220233?text=Merhaba,%20traksiyonel,%20travmatik%20alopesiler%20ve%20trikotillomani%20ile%20ilgili%20bilgi%20ve%20muayene%20randevusu%20almak%20istiyorum.\" target=\"_blank\" rel=\"noopener\" class=\"mo-btn mo-wa\">\r\n                <span class=\"mo-icon\">\ud83d\udcac<\/span>\r\n                <div class=\"mo-text\">\r\n                    <small>Via WhatsApp<\/small>\r\n                    <span>Get Info & Appointment Now<\/span>\r\n                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1.8rem;\r\n margin-top: 0;\r\n margin-bottom: 10px;\r\n  }\r\n .faq-header p {\r\n color: #cccccc;\r\n font-size: 1rem;\r\n margin: 0;\r\n  }\r\n .faq-accordion {\r\n display: flex;\r\n flex-direction: column;\r\n gap: 15px;\r\n  }\r\n .faq-item {\r\n background: #1a1a1a !important;\r\n border: 1px solid #333333;\r\n border-radius: 8px;\r\n overflow: hidden;\r\n transition: border-color 0.3s ease;\r\n  }\r\n .faq-item:hover {\r\n border-color: #D4AF37;\r\n  }\r\n .faq-question {\r\n width: 100%;\r\n background: transparent !important;\r\n border: none;\r\n outline: none;\r\n padding: 20px;\r\n text-align: left;\r\n color: #ffffff !important;\r\n font-size: 1.1rem;\r\n font-weight: 600;\r\n display: flex;\r\n justify-content: space-between;\r\n align-items: center;\r\n cursor: pointer;\r\n white-space: normal;\r\n word-break: break-word;\r\n  }\r\n .faq-question span:first-child {\r\n flex: 1;\r\n padding-right: 10px;\r\n  }\r\n .faq-question:hover {\r\n color: #D4AF37 !important;\r\n  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padding: 40px;\r\n border-radius: 10px;\r\n font-family: -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, sans-serif;\r\n color: #e0e0e0;\r\n box-shadow: 0 6px 20px rgba(0,0,0,0.8);\r\n box-sizing: border-box;\r\n text-align: center;\r\n  }\r\n .mo-cta-box h3 {\r\n color: #D4AF37 !important;\r\n font-size: 1.6rem;\r\n margin-top: 0;\r\n margin-bottom: 12px;\r\n font-weight: 700;\r\n  }\r\n .mo-cta-box p {\r\n color: #cccccc !important;\r\n font-size: 1rem;\r\n line-height: 1.6;\r\n max-width: 800px;\r\n margin: 0 auto 30px auto;\r\n  }\r\n .mo-cta-buttons {\r\n display: flex !important;\r\n justify-content: center !important;\r\n gap: 20px !important;\r\n flex-wrap: wrap !important;\r\n  }\r\n .mo-btn {\r\n display: inline-flex !important;\r\n align-items: center !important;\r\n gap: 15px !important;\r\n padding: 14px 28px !important;\r\n border-radius: 8px !important;\r\n text-decoration: none !important;\r\n transition: all 0.3s ease;\r\n box-sizing: border-box !important;\r\n  }\r\n .mo-wa {\r\n background-color: #25D366 !important;\r\n color: #ffffff !important;\r\n border: 1px solid #25D366 !important;\r\n  }\r\n .mo-wa:hover {\r\n background-color: #1ebd5a !important;\r\n transform: translateY(-3px);\r\n  }\r\n .mo-call {\r\n background-color:\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Medical Hair Encyclopedia Dermatological pathologies and evidence-based clinical guidelines at international standards. CLINICAL GUIDELINE &#038; PATHOLOGY Tractional and Traumatic Alopecias Diagnosis and Treatment Guide Prepared by: Dr. Muhammet \u00d6zgehan | Turkish Hair and Scalp Diseases Association This guide has been compiled by Dr. Muhammet \u00d6zgehan in light of current literature. \ud83d\udccc Patient Information Section: What [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-248","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/muhammetozgehan.com\/en\/wp-json\/wp\/v2\/pages\/248","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/muhammetozgehan.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/muhammetozgehan.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/muhammetozgehan.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/muhammetozgehan.com\/en\/wp-json\/wp\/v2\/comments?post=248"}],"version-history":[{"count":0,"href":"https:\/\/muhammetozgehan.com\/en\/wp-json\/wp\/v2\/pages\/248\/revisions"}],"wp:attachment":[{"href":"https:\/\/muhammetozgehan.com\/en\/wp-json\/wp\/v2\/media?parent=248"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}