Hair extensions should never be applied in the presence of unresolved scalp or hair loss conditions.
These include:
- alopecia (without medical supervision)
- dermatitis, inflammation, or infections
Extensions create additional load on the follicles, which can exacerbate shedding and delay recovery.
Moreover, attaching extensions to unstable hair increases the likelihood of premature slipping, discomfort, and visible gaps.
A professional must recognize that this is not a cosmetic issue, but a medical one.
The correct course of action is to refer the client to a trichologist or dermatologist and postpone any extension work until the condition is stabilized.