LAUSR

Permanent alopecia due to hair extensions has been rarely re - ported. 1,2 It occurs secondary to the chronic traction exerted by the attachments of the hair extensions to the natural hair, leading to sustained follicular inflammation which may eventually result in a permanent loss of terminal hairs. Hair transplantation is a well-known effective therapy for the scarring type of traction alopecia (TA). 3,4 The hair graft survival rate after transplantation of scarring TA has not been specifically studied, but as occurs in other types of secondary scarring alopecias, the patient satisfaction rate after hair transplantation is high (87%). 4 To our knowledge, hair transplanta - tion has not been reported as a therapy for the permanent traction alopecia caused by hair extensions.