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One such issue, the aforementioned traction alopecia, may be the most common problem with hair extensions. When hair extensions are put in, they're often woven into the real hair. If the weave is too tight, hair extensions will tug at the real hair they're attached to as they're removed, resulting in loss of the real hair. This tugging of the scalp can also lead to inflammation at the site, since the hair has literally been pulled out by the extension [source: Kingsley].Wigs need to be washed with a special shampoo designed expressly for them. Washing and rinsing in cold water is best. Conditioning spray can be used if you wish. The artificial hair can be blotted or dabbed with a towel but should not be squeezed. Air dry the hair but keep a hair dryer away from it. You can then use your fingers to style it the way that you want it to be. It should only be brushed when it has thoroughly dried.