According to the text, tight braiding and weaves can lead to permanent hair loss known as traction alopecia. Even tight buns and ponytails can cause this type of hair loss. Some braided styles, such as box braids, can increase the risk of hair loss and balding. Cornrows and other tightly pulled hairstyles can also contribute to hair loss. Wig is suggested as a better option for those who have thick wavy hair as even repeated hairstyling can result in hair loss. It is recommended to stay away from tight styles and to wear looser braids to prevent hair loss. There have been concerns about protective styles using extensions like box braids causing damage to the hair and scalp, but this is not always the case according to experts. It is estimated that tight box braids can cause hair loss for African American women, which has been noted by the American Academy of Dermatology.