The Older You Get, Is The Risk of Hair Loss Lower?

Dear doctor how are you? In terms of demographics, I have read on this site the older you become the more hair loss you see. For example, when somebody hits their 30’s, 30% of the people are bald when somebody hits their 40’s, 40% of the people are bald etc. etc.

Could there also be a reversal of those statistics? For example, once a person hits their 30’s and they are not bald or only have minor thinning, 30% chance that they will not go bald and once in their 40’s, 40% chance they will not go bald etc. etc. I know its really hard to judge because everybody is different, but I just wanted your input and wanted to share it with the rest of the readers.

Thank you for a wonderful website site. Take care.

Most balding occurs in men when they’re in their 20s, especially if they are destined for a more advanced hair loss pattern (Class 5 and higher). I can try to predict your pattern during an office visit by measuring your hair bulk and comparing it throughout the scalp. Early patterns that can not be seen with the naked eye can be measured and followed as you get older.

It is important to make your question personal, as none of us fall in any particular percentile, as it is just a statistical process.

My Wonderful Hair Has Become Thin With Age, What Do I Do?

When I was in my teens and twenties, my hair was long, lush, wavy and full bodied and made me look sexy. Now at 48, my hair is thin, the opposite of lush, limp and impossible to deal with. Is this a health problem that my doctor can help me with or is there someone else I can see to get my hair back to the way it was when I was younger.

I am going to use this question as a way of addressing a variety of subject reflecting hair questions that rise from our readership from time to time.

Hair changes with age and often becomes finer. The lushness and full bodied hair you are talking about is the result of the texture of your hair and its thickness. Over the years, our hair changes its character, not only turning gray, but also becoming finer. If you have long hair and you use a hair blower to dry your hair, curlers to add body to it, curling irons to add more body to it, you will damage the hair that you have more with each use. You may have gotten away with it when you were young and your hair was more coarse and your sebum glands were more active in producing the wax that protected your hair; however, at your present age your hair will tolerate less and less of these treatments. Curling iron and hot irons or all kinds, kill hair.

What you need to do is to lubricate your hair, restore hydrophobicity, neutrilize the charges on the negatively charged hair and add lipids (fats to your hair). Think about your fingernails. When the tip breaks, the break propagates further into the fingernail. Hair is like the fingernail and you can not prevent the propagation of the break in the fingernail by putting a gel on it to fix it. Good quality shampoos and rinses, possibly with silicone, will help maintain ‘hair health’. I put quotes around the term ‘hair health’ because you all should know that the hair in our head is keratin which is not alive to the concept of ‘health’ here reflects the preservation of hair qualities and our abilities to make the hair look and feel better to us.

Silicone will smooth the feel of your hair and reduce friction thereby making it easier to comb your hair. When you pull your comb through your hair with any resistance, you break the hair fibers. The silicone in many of the hair products help, but all silicone is not the same. Silicone in our hair products come in different size particles. If smaller particles of silicone are used, they coat the hair better but because they are small but they wash out more easily. Higher quality silicones can be very expensive products, so be careful when you buy them as many are over priced products. When buying a quality product, if you like it, stick with it.

Hair conditioners work to make the electrical charge on the hair more positive. The use of surfactants also has value. Hair is covered with a naturally produced hydrophobic oil (repels water) and the poils are easily damaged bu UV light. As the hydrophobic oils leave the hair, the hair develops a negative electrical charge. The use a surfactants reduces the electrical charge, but may not make the hair as hydrophobic as you may want (repelling water)

I know how important hair is for many people as the focus on your hair grooming takes a considerable amount of time daily. But you must recognize that your hair changes as you age (men and women) and many of the things we do to help our hair, actually damages it. Use a good commercial shampoo made by a reputable suppliers and a good conditioner to ‘top off’ your daily cleaning routine. Once you find the shampoo you like, stick with it. Sulfate free shampoos probably makes no difference in the products you buy. The use of spray-on solutions for UV protection may not work well (long hair as the overall length of the hair, end on end, can be many, many meters long). When you use good hair products, its is about deposition and evenness in its application and putting things on and into long hair is not easy.

Organic shampoos make no difference on your hair health. The use of hyaluronic acid can add moisture so it can be used for moisturization when found in products, but its use is still in a research mode. As hair is normally resistant to water, getting products into the hair can be very difficult but in the research mode, Hyaluronic acid seems to work well for moisturization.

Water conditions in the area you live in vary and may significantly impact the shampoos and conditioners you use. Check with the labels on the products you use and see if it discuss their use in hard water. Some companies put kelators into the products to normalize the water. Copper is the worst thing found in water and kelants can neutralize the impact of copper. Frequent washing of your hair with hard water is bad, so using a conditioner is important. Make sure that the water you use in washing and with conditioners is cooler water, as hot water can damage hair.

There are products that thicken the hair shafts by making it absorb water or by coating the hair shafts to make it look fuller. There are products that produce thicker and fuller hair but this is a difficult area to make recommendations for as many of the product offerings are not really effective. If one thickens the hair shaft by just a little, the overall effect on hair bulk can be very significant considering that the thickening impact reflects the length of the hair measured end-on-end from a bulk point of view. Such products can act as if you have added 5000+ hairs to your head. In some countries, oils are added (e.g. olive oil) which may thicken the hair as it coats each hair shaft.

For hair regrowth, minoxidil is the only game in town that has been proven to grow new hair follicles from balding areas. For frequency recommendations for washing: the less the better. skin has a microbial community and the sebum and flakes cause micro-organizes to eat that fat. These bacteria eat sebum and the unsaturated fatty acids these bugs produce are irritants. Wash 2-3 times a week may be ideal for addressing these ‘bugs’. People with lower hair density and lower hair bulk need less washing because less sebum is produced and the hair shafts have more air movement around them causing more drying. Asians, with their lower densities, might take note here.

Minoxidil is the only game in town for new hair growth. Propecia may work mostly on reversing the miniaturized hairs that are already beginning the genetic slide with androgenic alopecia.

Got horny from Finasteride, why is that?

I went to my dermatologist because I’ve also been dealing with diffuse thinning on my scalp. Very aggressively lately. He told me about finasteride and gave me 300 tablets. I’ve been on them for 3 weeks now. In the first week, my libido went up a lot. From zero to feeling horny almost every single day. Kinda like my old self.

Now, I did some research… and I know this is common for people starting fin. However… I read that this is because fin gives a slight boost to testosterone… resulting in extra sex drive. What I don’t understand is that my testosterone was already pretty high. Almost at the ceiling of the normal range. And yet my sex drive was very bad. Yet this slight testosterone increase from finasteride gives me an enormous libido boost.

Is there an explanation for this? I’m obviously happy about the change, but I’m also not expecting it to last and I’m kinda interested in the science behind it.

I have heard about this many times, but I can’t explain it. Consider it a blessing.


2020-08-18 07:37:13Got horny from Finasteride, why is that?

What do you think of my recent FUE now 10 days after the surgery? (photo)

Your post operative care is terrible with crusts that should have been washed off immediately after the surgery. Now you will have to shampoo it often and wait until the crusts come off on their own. Use gentle finger massage and do not pick the crusts off as they run the risk of losing the grafts if you do. I don’t like the design of your hairline as it is not a normal looking male hairline

terrible crusting3

Growing Bangs After a Hair Transplant?

Is it possible to style your hair with bangs after undergoing a hair transplant? In most “after” photos, the men dont have any bangs. Is this just because they want to show off the new hairline or does the new hair tend to not want to lay flat?

Hair normally grows forward, so bangs are not a problem. When I perform a hair transplant, I point the hair in the forward direction at an angle almost horizontal in the first 1/8th inch and then slowly lift the angle. This is the way all the hair grows in normal men and you can see it when you clip the hair short.


2013-06-18 11:49:30Growing Bangs After a Hair Transplant?

Thinning or balding at 60?

I have noticed many 60 years old men’s hair start getting thin and become sparse, revealing some of their scalp skin underneath, but is this the same thing as male pattern baldness that a lot of guys having during their 30s to 50s? Those old men have a more sparse hair compared to their younger self but is still not balding like those 40 year old men with male pattern baldness, are these two situations related? If an old man’s body produces less male hormone than young men, then is that mean the elderly thinning/balding are usually not caused by hair follicles’ DHT sensitivity? Could this also be inherited?

Thinning in men over 60 may have nothing to do with balding. Hair in men or women that get older may see their entire hair become finer. That would be genetically induced. Balding is unlikely to appear in a 60 year old man


2021-01-12 21:35:14Thinning or balding at 60?