Hair Loss After Pulling: Causes and Recovery Insights - Dermatology

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Hair thinning after pulling out a strand of hair?


Hello, thank you.
I would like to ask about a situation where I pulled out a bunch of hair a month ago, and that area has become sparse.
There was no bleeding and no scarring.
Is it possible that I pulled out the hair follicles and they will not grow back? (Can hair follicles be pulled out...?) Or does it take longer for them to recover? Is it possible to restore the original density? I would also like to ask another question: if severe sleep deprivation or high stress can lead to round patches of hair loss, do they always have to be round? Can irregular shapes be considered? Would the affected areas be located at the temples or just above the ears?

Zhu, 20~29 year old female. Ask Date: 2008/12/31

Dr. Jiang Yujiao reply Dermatology


Hello! Typically, if the lower half of the dermis is not damaged, the hair follicles will not be destroyed or harmed.
Generally, when hair is pulled out, it does not remove the hair growth point from the follicle; it just requires about 4 to 6 months for recovery.
Alopecia areata is usually round, but when several circles merge, it can sometimes take on an irregular shape.

Reply Date: 2008/12/31

More Info


Hair loss can be a distressing experience, especially when it follows a specific incident like pulling hair. In your case, after pulling a section of hair, you noticed that the area has become sparse, and you are concerned about the potential damage to your hair follicles. Let’s break down the issues you raised regarding hair loss, recovery, and the effects of stress and sleep deprivation.


Understanding Hair Loss After Pulling
When hair is pulled out, it can cause trauma to the hair follicles. If the hair was pulled out forcefully, there is a possibility that some hair follicles were damaged or even destroyed. However, hair follicles are resilient structures, and in many cases, they can recover and produce new hair. The timeline for recovery can vary significantly from person to person. Generally, it can take several weeks to months for hair to regrow after being pulled out, depending on the extent of the damage.

1. Follicle Damage: If the hair was pulled out without any bleeding or scarring, it is likely that the follicles are still intact. In such cases, hair may regrow, but the density might not return to its original state immediately. It’s essential to give it time, as hair growth is a slow process.

2. Recovery Time: One month is a relatively short period for hair regrowth. Typically, hair grows about half an inch per month, and it can take several months for the hair to regain its previous density. If the follicles were not severely damaged, you might see some regrowth in the coming months.

3. Potential for Permanent Loss: If the pulling was severe enough to damage the follicles permanently, it could lead to a condition known as traction alopecia. This condition occurs when hair is subjected to constant pulling, leading to irreversible damage. However, this is more common with repeated trauma rather than a single incident.


Stress and Sleep Deprivation
You also mentioned concerns about stress and sleep deprivation potentially leading to hair loss. Both factors can indeed contribute to hair loss, often manifesting as a condition called telogen effluvium, where hair follicles prematurely enter the shedding phase.
1. Shape of Hair Loss: While hair loss due to stress can sometimes present as round patches (as seen in alopecia areata), it can also appear in irregular patterns. The areas you mentioned, such as the temples and above the ears, can be affected by stress-related hair loss.
2. Irregular Patterns: It’s important to note that hair loss due to stress does not always conform to a specific shape. Irregular patches can occur, and the distribution can vary widely among individuals.

Recommendations for Recovery
1. Patience: Allow time for your hair to regrow. If the follicles are healthy, you should start to see some regrowth in a few months.

2. Healthy Hair Practices: Avoid further trauma to the hair. Be gentle when styling, and consider using products that promote hair health, such as those containing biotin or other vitamins.

3. Consult a Dermatologist: If you notice no improvement after several months or if the hair loss worsens, it may be beneficial to consult a dermatologist. They can assess your scalp and hair health and recommend treatments such as topical minoxidil or other therapies.

4. Stress Management: Addressing stress through relaxation techniques, exercise, or counseling can also be beneficial for overall hair health.

In summary, while pulling hair can lead to temporary hair loss, the hair follicles may still be intact and capable of regrowth. It’s essential to monitor the situation and practice good hair care while being patient with the recovery process. If concerns persist, seeking professional advice is always a good step.

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