Facial Hair Concerns: Causes and Solutions - Dermatology

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Facial hair?


I've started to grow facial hair and some of it is quite coarse, from my sideburns to my cheeks.
I'm worried that it will keep growing more and more.
Should I shave it off? Will shaving make it grow back thicker? Is there a way to prevent it from growing? I wonder if it's related to genetics.
My arm and leg hair is also quite long, while others don't seem to have much.
Thank you, doctor.

wells, 10~19 year old female. Ask Date: 2001/04/08

Dr. Zheng Lizhen reply Dermatology


Genetics and endocrine factors both influence the quantity and distribution of your facial and body hair, but this is not necessarily abnormal.
Some people find certain hair patterns more attractive or masculine, while others may struggle with areas where hair doesn't grow as desired.
Everyone has their own unique features, so why feel pressured to look like someone else? If this has caused you distress, you might consider shaving or plucking, but keep in mind that hair follicles are alive, so hair will eventually grow back.
If you're looking for a more permanent solution, you could explore laser hair removal.
Not all medical facilities offer laser hair removal services, so it's best to call ahead and consult with a physician to determine if this treatment is appropriate for you.

Reply Date: 2001/04/08

More Info


Facial hair growth can be a source of concern for many individuals, particularly when it appears coarse or excessive. Understanding the underlying causes and potential solutions is essential for addressing these concerns effectively.

Firstly, the growth of facial hair is primarily influenced by genetics and hormonal levels. If you have a family history of thick or excessive facial hair, it is likely that you may experience similar traits. Hormones, particularly androgens like testosterone, play a significant role in hair growth. Higher levels of these hormones can lead to increased hair growth in areas such as the face, arms, and legs. This is why some individuals may notice more pronounced hair growth compared to others.

In your case, if you are experiencing coarse hair growth on your face, it could be due to a combination of genetic predisposition and hormonal factors. It is important to note that while some individuals may have naturally fine or sparse hair, others may have a genetic tendency towards thicker and more abundant hair growth.

Regarding your concern about shaving, it is a common myth that shaving hair makes it grow back thicker or coarser. In reality, shaving simply cuts the hair at the surface level, and when it grows back, it may feel stubbly or coarse initially. However, shaving does not change the hair's thickness or growth rate. If you choose to shave, you may need to do so regularly to maintain your desired appearance.

If you are looking for ways to manage or reduce facial hair growth, there are several options available:
1. Hair Removal Methods: Various methods can be employed to remove unwanted facial hair, including shaving, waxing, threading, and depilatory creams. Each method has its pros and cons, so it is essential to choose one that suits your skin type and sensitivity.

2. Laser Hair Removal: This is a more permanent solution for reducing hair growth. Laser hair removal works by targeting the hair follicles with concentrated light, which damages them and inhibits future growth. Multiple sessions are typically required for optimal results, and it is essential to consult a licensed professional for this procedure.

3. Electrolysis: This method involves using an electric current to destroy hair follicles individually. It is a permanent hair removal solution but can be time-consuming and may require multiple sessions.

4. Hormonal Treatments: If excessive facial hair growth is linked to hormonal imbalances, consulting with a healthcare provider may be beneficial. They can evaluate your hormone levels and suggest treatments, such as hormonal therapy, that may help regulate hair growth.

5. Topical Treatments: Some topical medications can slow down hair growth. These treatments may require a prescription and should be discussed with a dermatologist.

6. Lifestyle Changes: Maintaining a healthy lifestyle, including a balanced diet and regular exercise, can help regulate hormone levels and may contribute to more balanced hair growth patterns.

In conclusion, facial hair growth can be influenced by genetic and hormonal factors. While shaving does not affect the thickness of hair, various hair removal methods, including laser treatments and hormonal therapies, can help manage excessive growth. If you are concerned about your facial hair, it may be beneficial to consult with a dermatologist or healthcare provider who can provide personalized advice and treatment options based on your specific situation. Remember, embracing your natural appearance is also a valid choice, and many individuals find confidence in their unique features.

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