Kuala Lumpur — Concerns that wearing hats, helmets, or hijabs could lead to hair loss have persisted for years, but medical experts say the belief is largely unfounded.
While tight or unwashed headgear may contribute to scalp irritation, dermatologists emphasize that hair loss is more often driven by biological factors such as genetics and hormones—not by what’s worn on the head.
Dr. Nur Ashikin Ahmad, Consultant Dermatologist at Sunway Medical Centre Velocity, explained that standard use of head coverings like caps, helmets, or hijabs does not directly cause hair loss.
“The actual issue only arises when headgear is excessively tight or repeatedly rubs the same area, potentially triggering a condition known as traction alopecia,” she said in an interview with Sinar Daily. “But even this is rare, as most people naturally adjust their headgear for comfort.”
She stressed that internal factors—particularly genetics and hormonal changes—are the leading causes of hair thinning or baldness. “What matters most is not what’s on your head, but what’s happening beneath the surface of your scalp,” Dr. Ashikin noted.
However, she warned that hygiene plays a critical role in scalp and hair health, especially when headgear is worn frequently. Sweat, oil, and bacteria can build up inside unwashed helmets or caps, potentially leading to scalp irritation, clogged follicles, and even infections.
“These factors can contribute to hair shedding, especially in individuals already dealing with conditions like androgenic alopecia,” she said.
To mitigate these risks, Dr. Ashikin recommended using medicated or antiseptic sprays inside helmets and caps to prevent bacterial or fungal buildup.
In contrast, hijabs—commonly worn by Muslim women—tend to be made from lightweight, breathable fabrics and are often cleaned regularly. As a result, they pose fewer hygiene-related risks.
“Hijabs are generally gentle on the scalp and allow for airflow, helping maintain a healthy scalp environment,” Dr. Ashikin said. “Hair loss among women who wear hijabs is rarely linked to the scarf itself, but rather to factors like hormones or genetic predisposition.”
The causes of hair loss can differ between men and women, according to Dr. Aly Alias Stephen Nah, Medical Hair Director at Hair Transplant Solutions Esadsa Clinic.
“For men, nearly 90 percent of hair loss cases are due to hereditary conditions,” he said. “There’s a common misconception that hats or helmets cause baldness, but in reality, many men simply start wearing headgear more often to hide early thinning. When the hair loss progresses and the headgear is removed, it creates the illusion that the helmet caused it.”
Dr. Aly added that for women, hair loss is less commonly linked to genetics, making the underlying causes more complex.
Both doctors agreed that while wearing headgear does not inherently lead to hair loss, neglecting hygiene can create scalp conditions that worsen existing hair issues.
Their advice is simple: clean your headgear regularly and prioritize scalp hygiene.
“Whether it’s a helmet, cap, or hijab, keeping it clean is essential for maintaining healthy hair,” Dr. Ashikin concluded.
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