Hi Plum. I wore my hair in a tight clip almost everyday for a number of years, and the traction from the clip pulled some of my hair out and actually caused a small scar (about one/one and a quarter inch by 1 centemeter). Just before the surgery date I also opted to have the hairline filled in, as I wrecked havoc on it by wearing tight ponytails for many years for dance. The hairline is a nice bonus, I justreally want the patch to grow in so I can feel like a woman again!!! I would love to see your photos!