Do SLS and Dimethicone in Hair Products Cause Hair Loss? - Dermatology

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I have a question that is troubling me...???


Hello, Doctor: I have a few questions I would like to ask...
Currently, most shampoos and conditioners on the market contain SLS (sodium lauryl sulfate) and Dimethicone.
I would like to know if these two ingredients can damage hair? Are Dimethiconol and Dimethicone both referring to silicones? Is there a risk of cancer associated with SLS in shampoos and body washes? I have read reports stating that silicones have occlusive properties, and long-term use can coat the hair's surface, making it heavy and preventing subsequent hair care products from being absorbed, which could even lead to hair loss.
Is this true? Since most shampoos and conditioners on the market contain these two ingredients, it is quite difficult to find alternatives.
I have been taking care of my hair, but if this is the case, then I might not be able to care for my hair properly, right? Is there any concrete medical evidence that these two ingredients can affect hair? Additionally, I have noticed that I lose some hair every time I wash it (though I don’t wash it daily), and I inevitably lose a few strands while combing.
I previously asked a dermatologist about this, and they said that hair has a natural cycle, and losing about a hundred hairs a day is normal.
However, I feel that my hair volume is less than before; although I am not bald, I am still worried that if this continues, I will have even less hair and fear becoming bald...
Is my hair loss related to using shampoos and conditioners containing SLS and silicones? Is hair loss influenced by lifestyle, dietary habits, stress, lack of sleep, hormones, or improper hair washing and styling techniques? What other factors could be involved? Since I have naturally curly hair, I use a flat iron to straighten it after washing.
I suspect that frequently using the flat iron may make my hair more fragile, is that correct? Is my situation normal? What could be causing this? How can I improve it? Is there a way to prevent my hair from falling out so easily? I hope to restore my hair to how it used to be...
These questions have been troubling me for a long time...
I hope you can provide me with answers...
Thank you, Doctor, for taking the time to address all my concerns...
Thank you!

Eileen, 20~29 year old female. Ask Date: 2003/11/13

Dr. Chen Yiying reply Dermatology


Hello: In response to your question, SLS (Sodium Lauryl Sulfate) is a commonly used emulsifier and surfactant, as well as a strong cleanser.
At higher concentrations, it can cause irritant contact dermatitis.
However, the concentrations found in regular shampoos and body washes, when used appropriately on healthy skin, do not pose a health risk.

As for products like Dimethicone, they are commonly used in cosmetics for conditioning purposes and are classified as high molecular weight polymers.
A report published this year in the International Journal of Toxicology by the Cosmetic Ingredients Review Expert Panel indicated that these products are not absorbed through oral ingestion or skin application, and they do not exhibit acute toxicity when ingested.
Studies on mice have shown that they have low skin irritation potential.
Overall, these products are currently considered quite safe when used as intended.
There are many causes of hair loss, and since you have seen a dermatologist, it is likely not due to a true pathological condition.
Besides the factors you mentioned, the most significant contributors to hair loss are still genetics and age, both of which are not currently "treatable" as they are considered physiological natural phenomena.
Excessive styling and pulling can also damage your hair.
Regarding the SLS or silicone ingredients in shampoos, the likelihood of them affecting hair loss is quite low, and appropriate use should not be a concern.

Reply Date: 2003/11/13

More Info


The concerns you have regarding the ingredients SLS (Sodium Lauryl Sulfate) and Dimethicone in hair products are quite common among consumers today. Let's break down your questions and provide a comprehensive understanding of these components and their potential effects on hair health.

1. SLS and Hair Health:
Sodium Lauryl Sulfate is a surfactant commonly used in shampoos and body washes for its excellent cleansing properties. It helps to create lather and remove dirt and oils from the hair and scalp. However, SLS can be harsh, especially at higher concentrations, and may lead to skin irritation or allergic reactions in some individuals. While it is not directly linked to hair loss, excessive use or sensitivity to SLS could potentially lead to scalp irritation, which might indirectly affect hair health. It is important to note that most commercially available shampoos contain SLS at safe levels that do not pose a significant risk to hair or scalp health.

2. Dimethicone and Hair Health:
Dimethicone is a silicone-based polymer used in many hair care products for its conditioning properties. It provides a protective coating on the hair, making it smoother and shinier while reducing frizz. However, there is a concern that long-term use of products containing Dimethicone can lead to product buildup on the hair, which may weigh it down and prevent moisture from penetrating the hair shaft. This buildup can make hair appear dull and lifeless, but it is not directly linked to hair loss. Regular cleansing with a clarifying shampoo can help remove this buildup.

3. Cancer Concerns:
Regarding the potential carcinogenic effects of SLS, current research indicates that SLS is not considered a carcinogen. The Cosmetic Ingredients Review Expert Panel has stated that SLS is safe for use in cosmetics and personal care products when used as directed. However, if you have specific sensitivities or concerns, it may be wise to opt for sulfate-free products.

4. Hair Loss and Other Factors:
You mentioned experiencing hair loss and a decrease in hair volume. It is normal to lose about 50 to 100 hairs a day as part of the natural hair growth cycle. Factors that can contribute to increased hair shedding include stress, hormonal changes, nutritional deficiencies, and physical damage from styling practices (like using heat tools or tight hairstyles). Your use of a flat iron on naturally curly hair may contribute to hair fragility if not done carefully.
5. Lifestyle Factors:
Your lifestyle choices, including diet, sleep patterns, and stress levels, can significantly impact hair health. A balanced diet rich in vitamins and minerals, particularly those known to support hair health (like biotin, zinc, and vitamins A and D), is essential. Additionally, managing stress through relaxation techniques or regular exercise can help mitigate hair loss.

6. Recommendations:
To improve your hair health and potentially reduce hair loss, consider the following steps:
- Use a gentle, sulfate-free shampoo to minimize irritation.

- Incorporate a clarifying shampoo into your routine occasionally to remove buildup from silicones.

- Limit the use of heat styling tools and ensure you use a heat protectant when you do.

- Maintain a balanced diet and consider supplements if necessary.

- Consult with a dermatologist or trichologist if your hair loss persists or worsens, as they can provide tailored advice and treatment options.

In summary, while SLS and Dimethicone can have effects on hair health, they are not directly responsible for hair loss. A combination of proper hair care practices, lifestyle adjustments, and possibly professional guidance can help you maintain healthy hair and address your concerns about hair loss.

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