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Holistic Hair Restoration Program for Traction Alopecia Using PRP, Growth Factors, and Protective Style Guidance

by Staff Bona
Picture: Supplied

Renowned aesthetic doctor, Dr. Fawzia Salie, founder of Aesthete Medical Aesthetics in Cape Town, has unveiled a comprehensive hair restoration program aimed specifically at treating traction alopecia—a common yet preventable cause of hair loss, especially among women who regularly wear protective hairstyles.

Combining in-clinic Platelet-Rich Plasma (PRP) procedures, topical Human Growth Factor therapy, customised supplementation, and protective style education, the protocol is a groundbreaking approach to reversing hair follicle damage and restoring healthy hair growth cycles.

“With traction alopecia, it’s not just about restoring hair—it’s about restoring the scalp’s natural ability to produce healthy hair long-term. And that starts with understanding how styles, tension, and scalp care all affect follicular health,” says Dr. Fawzia.

 

Traction Alopecia: A Condition Rooted in Tension and Neglected Scalp Health

Traction alopecia is hair loss caused by repeated tension on the hair and scalp, often resulting from styles that pull tightly at the roots. While protective hairstyles like box braids, cornrows, wigs, buns, faux locs, and two- strand twists are meant to shield natural hair from manipulation and environmental stressors, improper technique or neglect can backfire.
Common causes include:
  • Styles that are too tight or heavy
  • Long-term wear without scalp cleansing or moisturizing
  • Use of high-alcohol edge control gels
  • Sleeping with gel or leaving styles in past the point of new growth tension
If not addressed early, the repeated tension can damage or destroy hair follicles, leading to thinning, patchy areas, and even permanent scarring alopecia.
Picture: Supplied


Protective Hairstyles: What to Know & How to Do Them Safely

  • Protective hairstyles are any styles that: Reduce manipulation
  • Keep ends tucked in
  • Limit heat, styling, and breakage

 

Style
Pros
Risk Factors if Improperly Worn
Box Braids
Long-lasting, low daily manipulation
Tension at edges, buildup if left too long
Cornrows
Scalp is accessible, good for wigs/caps
Can stress some follicles over time
Two-strand Twists
Gentle, flexible, easy to moisturise
Can tangle if left too long
Wigs (on braids)
Convenient, heat-free styling
Lace glue, dryness, friction, unwashed braids
Buns & Updos
Elegant, low friction on ends
Constant tightness causes thinning at hairline
Faux Locs
Long wear, protective over time
Can be too heavy, especially on fine hair
“The style itself isn’t the enemy—it’s how long you keep it, how tight it is, and how well you maintain the scalp underneath,” Dr. Fawzia notes.

Hair Restoration Treatments at Aesthete: PRP (Platelet-Rich Plasma Therapy)

A safe, autologous procedure using the patient’s own blood to concentrate growth factors that stimulate tissue repair and improve follicle function. It enhances circulation, reduces inflammation, and supports natural regrowth.

  • Monthly PRP sessions for 4 consecutive months 15–30 minutes per session
  • No downtime
  • Ideal for active shedding or early-stage thinning

AQ Skin Solutions Advanced Hair Complex+ (Growth Factor Induced Therapy)

Growth factors act as cell regulators, restoring normal function to dormant or damaged cells. AQ’s Hair Complex contains over 150 human growth factor families designed to:

  • Normalise cell behavior
  • Improve follicle nutrition Strengthen scalp microcirculation
  • Restore healthy hair cycles

Supplementation & Lifestyle Support

  • Personalised based on bloodwork, hair type, hormonal and nutritional needs
  • Supports keratin production, anti-inflammatory balance, and micronutrient replenishment
  • Encourages hair cycle normalization and resilience to styling stress

Scalp Health Tips Before, During, and After Protective Styling

Before installation: Clarify with sulfate-free shampoo, deep condition, moisturize

During wear: Clean scalp every 1–2 weeks (especially under wigs), oil or mist with hydrating products After removal:

  • Detangle gently
  • Let scalp rest for 3–4 weeks
  • Use clarifying shampoo to remove buildup Deep condition and trim ends
  • Avoid immediate re-braiding

“Think of your scalp like soil—styles are just the temporary surface. If the scalp isn’t healthy, nothing beautiful can grow,” says Dr. Fawzia.

Habits That Damage Hairlines

  • Daily use of edge gels with drying alcohols
  • Sleeping with gel in hair or not cleansing between reapplications
  • Using stiff brushes instead of soft tools (like a toothbrush)
  • Wearing tight ponytails or styles back-to-back
  • Not rotating between low-tension and structured styles

Look for products with “fatty alcohols” (e.g., cetyl or stearyl alcohol) for hydration, and alternate between gels and softer hair butters or milks.

Understanding Itchy Scalp & Flaking Under Braids or Wigs

Flaking and itchiness can arise from:

  • Product buildup
  • Dry scalp from poor hydration
  • Inflammation from tight styling
  • Scalp congestion (e.g., clogged follicles)

Key management tips:

  • Cleanse scalp bi-weekly, even under wigs
  • Mist or oil scalp lightly every few days
  • Use scalp-specific leave-in conditioners
  • Consider growth factor therapy to restore follicular function if itching is chronic

Final Word from Dr. Fawzia:

“Traction alopecia is easiest type of alopecia to treat as it results from physical damage to the hair follicle— typically from repeated pulling or tension on the scalp. Unlike other forms of alopecia, which are often caused by internal imbalances in the immune, hormonal, or endocrine systems, traction alopecia isn’t rooted in a systemic problem.

That means we’re not trying to ‘correct the body’—we’re simply restoring the health of follicles that were overworked or stressed. And when we remove the tension and support the scalp with proper treatments, the follicles can bounce back beautifully.

With most other alopecias, we need a whole-body approach—nutritional, hormonal, immune regulation. But with traction alopecia, we’re often able to get real regrowth by treating the root cause directly and giving the scalp what it needs to recover.”

For more information or to book an appointment, visit www.drfawzia.co.za. Alternatively, email info@drfawzia.co.za or call +27 82 314 8294

 

Also see: Tips for navigating postpartum hair loss

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