Finding the root of the problem with hair extensions

Improperly done, they can cause a raft of problems, dermatologists and stylists say

  • Reginald "Reggie" Dowdy, right, is artistic director of Geometrics Hair Studio on O'Donnell St. April McGill-Willhide, left, assists him in wefting hair extensions into Shaina Bloom's hair.
Reginald "Reggie" Dowdy, right, is artistic director… (Algerina Perna, Baltimore…)
December 14, 2011|By Andrea K. Walker, The Baltimore Sun

Hairstylist Reggie Dowdy has found himself time and time again doing emergency hair repair on women whose tresses have been damaged by weaves and extensions.

They come in with bald spots, also known as alopecia, and thinning hair caused by heavy weaves pulling at their scalps. Sometimes their real hair is so unkempt underneath the weave that it becomes matted and breaks off if they try to comb it. Or they break out in rashes because of the glue some stylists use to apply weaves.

Dowdy doesn't oppose weaves and extensions — the hair practice makes up 50 percent of the business at his salon, Geometrics Hair Studio in Canton. If done right, he said, weaves allow women to wear different styles that would be taxing on their real hair. Dowdy's clients often see their natural hair grow under their weaves and extensions, he said.

But dermatologists and stylists say too many women are not getting their weaves and extensions properly done. Many of them also are not taking care of their weaves or are leaving them in too long, causing irreversible damage to their hair follicles.

"As long as the weave looks good, they don't care about what is going on underneath until it is too late," Dowdy said.

Even celebrities, who frequently sport long, luscious locks that aren't their real hair, can suffer damage from weaves. A picture of Naomi Campbell made the Internet rounds this summer, bald spots peeking out from underneath a wig that fell loose from her head. In a television biography of her life, Countess Vaughn, who starred in the television show "The Parkers," talked about the damage weaves did to her scalp and hair.

While the anecdotal evidence shows a strong relationship between weaves and hair loss, the scientific evidence is slim. What research has been done hasn't explored what it is about weaves that causes the damage, said Lutherville dermatologist Dr. Dakara Rucker Wright. More research needs to be done to determine if weaves are the culprit or if underlying issues exacerbated are by weaves.

Wright, who works for Kaiser Permanente, studied hair loss in young African-American girls and found an association between hair loss and those who wear cornrows, or hair braided closely to the scalp. She believes hair weaves may cause some of the same damage in older women.

She said tightly sewn-in weaves can cause conditions including traction alopecia — gradual hair loss caused by pulling of the hair — and central centrifugal cicatricial alopecia — scarring and balding that starts at the crown of the head and spreads out.

The problem seems to be more common in African-American women because their hair tends to be drier and the shape of the follicle more prone to breakage, some dermatologists believe. But people of all races wear weaves and have suffered hair loss.

"I am not saying all weaves are bad," Wright said. "But women do need to understand the risks and early signs of hair loss."

One recent study by researchers at the Cleveland Clinic in Ohio found that braids, weaves and other types of hair extensions may be contributing to scarring of the scalp and hair loss in African-American women. They surveyed 326 black women and found hair loss in the center of the scalp and clinical signs of scarring in 59 percent of the women.

Type 2 diabetes was also higher in the women with hair loss, suggesting that metabolic irregularities may contribute to the problem. Bacterial scalp infections and braids and weaves also seemed to contribute.

Vera Alexander of Baltimore began wearing weaves about five years ago and noticed her hair began breaking off early on because she wasn't properly caring for it. The 45-year-old switched hairdressers and now has her weaves done by Dowdy, whom she visits at least every two weeks for hair maintenance.

"The people I went to previously were not concerned about the health of your natural hair," Alexander said. "The biggest thing is maintenance and hair care."

Marquis Gonzalez, who owns Style Lab Salon in Mount Vernon, said he most often sees damage when women who don't have strong natural hair can't take the heaviness of some weaves. The weaves end up pulling on their natural hair, causing it to break off.

Other women make the mistake of getting their natural hair chemically relaxed then placing a weave on top, Gonzalez said. The relaxed hair doesn't get the moisture and maintenance it needs, and it dries out and breaks off. Gonzalez has had women come in with bald spots along the edges of their hair. He has a client now who has lost all of the hair in the crown of her head because of overuse of weaves.

While Gonzalez said all weaves are not bad, he teaches women at his salon how to care for their natural hair.

"The weaves and stuff are nice, but it is not yours and it never will be, even though you pay for it," Gonzalez said. "At some point you have to deal with your own hair."

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