The psychological and aesthetic impact of age‐related hair changes in females

Background While dermatologists focus on practices to promote anti‐aging, thinning hair that frames a more rejuvenated face can affect age perception and cosmesis. Objectives To characterize the effects of age‐related hair changes on age determination and perceived attractiveness. Methods A search was conducted for articles on intrinsic and extrinsic aging as it relates to hair. Key studies on the hair aging process and its effects on self‐perception, confidence, and anti‐aging were reviewed. Results According to several studies, hair density peaks about 27 years of age or earlier and then decreases from the mid‐thirties onward. This serves as an opportunity to prevent or treat hair loss in a similar way we treat aging skin. Without optimizing appearance of hair, overall cosmesis to foster self‐perception can be curtailed despite multiple efforts to rejuvenate and restore the aging face. Conclusion The discrepancy between rejuvenated faces and thinner appearing hair that frames the face highlights the importance of a holistic approach to the anti‐aging consultation. To more comprehensively address the aesthetic patient, we need to promote awareness of the onset of these hair changes in order to incorporate prevention and therapeutic strategies to preserve hair to complement overall appearance.