I have a few women who refuse to shave their sparse hair on top, so we use this method, over time it CAN and probably will cause traction alopecia. It is an older way of doing things.....not that it is obsolete...it has its purposes, but the integration pieces are much more detectible to touch and to sight.
for the BEST look, i advise shaving the top and going with lace. just my opinion.
DebbieS.