Many people experiencing gradual hair thinning assume it's simply genetics or aging at work. But dermatologists frequently see patients whose hair loss stems from seemingly innocent daily routines that gradually weaken hair follicles over months or years.

The Hot Water Problem
Hot showers feel relaxing, but they can be working against your hair health. Water that's too hot strips the scalp of protective oils, leading to irritation and inflammation that can disrupt the hair growth cycle. Dermatologists recommend lukewarm water and limiting wash time to under 10 minutes to preserve the scalp's natural moisture barrier.
The Shampooing Balance
Finding the right washing frequency can be tricky. "Shampooing is so important to the health of the scalp and hair. Your scalp is skin, and the way to keep the scalp healthy is to shampoo frequently," explains Anabel Kingsley, consultant trichologist for the Philip Kingsley clinics. However, "most people should wash their hair at least every other day. If you don't, things like oils and pollutants can build up on the scalp, leading to inflammation," notes Dr. Melissa Piliang, a dermatologist at the Cleveland Clinic.

Friction and Gentle Handling
The way you handle your hair matters more than you might think. "Everything you do to your hair, do it gently," recommends Nunzio Saviano, owner and stylist at the Nunzio Saviano Salon in New York City. "Don't aggressively shampoo. Condition your hair gently. And use a wide-tooth comb for detangling. The less you pull on your hair, the better."
Wet hair is particularly fragile, and vigorous towel rubbing can cause breakage at the root level. Hair stylists increasingly recommend patting hair dry with microfiber towels or cotton t-shirts.
Heat and Styling Damage
"Styling tools like hot rollers, and curling and flat irons, can be especially harsh on the hair, causing breakage and making the scalp weak," notes Todor Todorov, longtime stylist for Bumble & Bumble Salons. "All of these things weaken the hair shaft, the fiber. They can damage the cuticle on the outer layer of the hair, especially if you're using high heat or using things like a straightening iron every day," adds Dr. Piliang.


Tight Hairstyles and Traction
High ponytails and sleek buns may look polished, but they can cause traction alopecia—gradual hair loss from constant pulling. "Cornrows, bun, braids, and ponytails may be adorable, but all of them can lead to thinning hair and hair loss over time," says Todorov. The key is varying your style and giving your hairline regular breaks from tension.
The Stress Connection
Perhaps most surprisingly, chronic stress can trigger hair loss months after the initial stressor occurs. "The things we associate with a less healthy lifestyle are harmful to hair, and one of those factors is stress. We know that people who have a more stressful life have thinner hair," explains Dr. Piliang. When cortisol levels remain elevated, hair follicles can shift prematurely into their resting phase, leading to increased shedding later.


Beyond Prevention
Even with perfect habits, some people may need additional support. They may have an inherited condition that makes them more susceptible to hair loss. Low-level laser therapy devices like Xtrallux work by stimulating cellular energy production in hair follicles, with controlled clinical trials demonstrating that LLLT stimulated hair growth in both men and women. The treatment works by increasing ATP (adenosine triphosphate) production and improving blood circulation to the scalp.
Studies have long shown that low level laser therapy increases the volume of thick hair strands (terminal hair) within a treatment area. A comprehensive review published in *Skin Appendage Disorders* also found that all sham-device controlled studies demonstrated statistically significant increase in hair diameter or density (p < 0.01) following LLLT, offering a scientific approach to supporting your hair's natural recovery process alongside good hair care practices.
References
- Adil, A., & Godwin, M. (2017). The effectiveness of treatments for androgenetic alopecia: A systematic review and meta-analysis. *Journal of the American Academy of Dermatology*, 77(1), 136-141.
- Darwin, E., Heyes, A., Hirt, P. A., Wikramanayake, T. C., & Jimenez, J. J. (2018). Low-level laser therapy for the treatment of androgenic alopecia: a review. *Lasers in Medical Science*, 33(1), 13-24.