Like most things, when it comes to extensions, you get what you pay for. Choosing high-quality, premium, and 100-percent natural hair is essential. While clip-ins and tape-ins are unlikely to damage your natural hair, there are risks associated with semipermanent and permanent methods. "If applied by a specialist, they should have the knowledge of what is best to use for you, and there should be no damage," explained Yates. If they are poorly applied, they are likely to damage and weaken the root of your natural hair, which can cause issues such as hair loss.