Many individuals have a preferred method of securing their hair, whether for work, daily errands, or bedtime. However, recent research suggests that the precise placement of hair accessories could impact scalp health if they consistently exert pressure on the same spot.
A study involving 10 women revealed cases of chronic, localised alopecia occurring precisely where accessories made regular contact with the scalp. Nine participants developed patches of hair loss around the crown area, linked to frequent use of hairpins, clips, buns, ponytails, overnight rollers, and hair prostheses.
Hairpins were implicated in four instances. Biopsies from seven of the women showed that four had scarring alopecia, while three had non-scarring alopecia. The researchers concluded these results aligned with mechanical injury caused by a combination of pressure, traction, and friction.
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Dr Emrah Cinik, founder of Dr Cinik Hair Clinic, explained: “People often associate traction hair loss with tight ponytails, braids, or extensions, so smaller accessories like clips can seem harmless. But the key point here is that damage doesn’t require dramatic force. Repeated, focused pressure and friction over months or years can irritate the same hair follicles.”
Following removal or modification of the suspected accessory alongside treatment, four patients experienced partial hair regrowth, while another four’s conditions remained stable. One patient saw worsening hair loss while continuing to use a hair prosthesis secured with hairpins.
Dr Cinik recommends regular self-checks: “If you use claw clips, barrettes, or hairpins frequently, examine the area of the scalp where the accessory typically rests. Look for patches that are noticeably less dense, areas where scalp visibility is increased, or clusters of broken or shorter hairs. Checking under good light and photographing the area for comparison over time can be helpful.”
According to the British Association of Dermatologists, hair clips and tight hairstyles can contribute to traction alopecia, which risks becoming permanent if follicle damage is repeated. They advise that early cessation of damaging tension gives hair the best chance to regrow.
Dr Cinik adds: “One of the simplest preventive measures is changing where your accessory sits. Instead of placing a clip on the crown every day, try moving it lower or alternating positions to avoid repeatedly stressing the same follicles. Choose accessories that secure hair without excess tension, and if you notice pulling or discomfort, loosen them rather than assuming you’ll get used to it. Avoid pressing a hard accessory against the same scalp area while sleeping, as prolonged pressure heightens the risk.”
The study’s small sample size means it doesn’t suggest that all hairpin or clip use should stop. Anyone experiencing unexplained or growing bald patches should seek professional advice instead of immediately attributing hair loss to their styling routine.