Does Growing Out Your Hair Cause It to Thin? Dermatologist Insights - Dermatology

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Hair issues?


I have always had short hair (with coarse and thick texture), but over the past year or two, I have gradually grown my hair longer (to shoulder length).
Recently, while combing my hair and cleaning the hair from the comb, I noticed that the shed hair seems to be finer than the hair I used to have.
Therefore, I would like to ask the doctor: (1) Does growing my hair longer cause it to become finer? (2) Or could it be due to other reasons?

Niming, 20~29 year old female. Ask Date: 2023/10/09

Dr. Wu Yuxin reply Dermatology


Having long hair does not cause it to become thinner.
It is worth checking to see if this perception is due to an illusion created by the length of the hair.

Reply Date: 2023/10/09

More Info


When it comes to hair health, many factors can influence the thickness and overall appearance of your hair. Your concern about whether growing out your hair can cause it to thin is a common one, and it’s important to understand the underlying mechanisms involved.

1. Does Growing Out Your Hair Cause It to Thin?
Growing your hair longer does not inherently cause it to thin. Hair thickness is primarily determined by genetics, hormonal levels, and overall health. However, there are a few factors to consider when you notice changes in your hair as it grows longer:
- Mechanical Damage: Longer hair can be more susceptible to mechanical damage from styling practices, such as brushing, tying it up, or using heat tools. This can lead to breakage, which may give the appearance of thinning hair. If you are using a brush that pulls on your hair or if you are styling it in a way that causes tension, this could contribute to hair loss or thinning.

- Hair Growth Cycle: Each hair follicle goes through a growth cycle that includes phases of growth (anagen), rest (telogen), and shedding (catagen). If you are noticing finer hair, it could be that some of your hair follicles are entering the telogen phase prematurely due to stress, hormonal changes, or other factors.

2. Other Causes of Thinning Hair
If you are experiencing finer hair or increased shedding, it may be due to several other reasons:
- Hormonal Changes: Hormonal imbalances, such as those caused by thyroid issues or changes in androgens, can lead to hair thinning. Conditions like polycystic ovary syndrome (PCOS) can also affect hair thickness.

- Nutritional Deficiencies: A lack of essential nutrients, such as iron, zinc, or vitamins (like biotin and vitamin D), can impact hair health. If your diet has changed or if you are not getting enough nutrients, this could be a contributing factor.

- Stress and Lifestyle Factors: Stress can significantly impact hair health. Chronic stress can lead to a condition known as telogen effluvium, where a larger number of hair follicles enter the resting phase, leading to increased shedding.

- Scalp Health: Conditions such as seborrheic dermatitis or psoriasis can affect the scalp and lead to hair thinning. If your scalp is inflamed or unhealthy, it can impact hair growth.

3. What Can You Do?
To address your concerns about thinning hair, consider the following steps:
- Gentle Hair Care: Use a wide-tooth comb to minimize breakage and avoid tight hairstyles that pull on the hair. Limit the use of heat styling tools and opt for protective hairstyles when possible.

- Healthy Diet: Ensure you are consuming a balanced diet rich in vitamins and minerals that support hair health. Foods high in omega-3 fatty acids, antioxidants, and proteins can be beneficial.

- Consult a Dermatologist: If you notice significant changes in your hair, it’s advisable to consult a dermatologist. They can assess your scalp and hair health, perform necessary tests, and provide tailored advice or treatments.

- Scalp Care: Maintain a healthy scalp by using appropriate shampoos and conditioners. If you have scalp issues, consider medicated shampoos or treatments as recommended by a healthcare professional.

In conclusion, while growing your hair longer does not directly cause it to thin, various factors can contribute to changes in hair thickness. By understanding these factors and taking proactive steps, you can help maintain the health and appearance of your hair. If concerns persist, professional guidance is essential for effective management.

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