Repeated pulling can contribute to traction alopecia. Warning signs can include pain during styling, tenderness, bumps, broken hairs, thinning edges, recession, or thinning in heavily maintained areas.
Pain is a warning sign, not proof that the style is extra fresh. Prolonged traction can result in permanent hair loss.
If you notice persistent or worsening hair loss, scalp inflammation, or pain, seek evaluation from a qualified healthcare professional.