can perms cause hair loss
By Tamim Hamid Last Updated on 03/12/2025

Can Perms Cause Hair Loss?

Perms have been turning straight strands curly (and vice versa) for decades, offering a long-lasting style upgrade without the daily hassle of heat tools. But while the promise of effortless waves or sleek, pin-straight hair sounds tempting, there’s a lingering concern that won’t quit: can perms cause hair loss? Because the only thing worse than a bad perm is watching your hair literally fall out afterward.

Let’s be clear—perms don’t just tweak your hair’s texture; they break down and rebuild its entire internal structure. That means exposing your strands to some pretty aggressive chemicals, and if your hair isn’t in top condition to begin with, things can go south—fast. Dryness, breakage, and thinning are all potential side effects, and when damage adds up, it can leave you with less hair than you started with.

And then there’s the scalp factor. Perms don’t just affect the hair shaft; they can also irritate the scalp, leading to inflammation, increased shedding, or even chemical burns if applied incorrectly. Over time, repeated exposure to these harsh formulas can weaken follicles, making hair more prone to thinning.

So, does a perm mean signing up for inevitable hair loss? Not necessarily. But knowing how these treatments impact your strands, recognizing the early warning signs of damage, and learning how to protect your hair post-perm can make all the difference. Let’s break down the science, the risks, and the best ways to keep your hair strong—whether you’re a perm regular or just considering your first round of chemical curls.

The Science behind Perms and Hair Structure

A perm isn’t just a style change—it’s a chemical process that rewires your hair’s inner structure. Hair is made of a tough protein called keratin, held together by disulfide bonds that give it shape and strength. A perm solution breaks these bonds, rearranges them, and then locks them back into a new formation. The result is… curly hair for the formerly straight-haired, and straight hair for the previously wavy.

But here’s the catch—this isn’t a gentle process. The chemicals responsible for reshaping your strands don’t discriminate between necessary and excess structural bonds, meaning your hair inevitably loses some of its natural integrity. If it’s already fragile, weak, or processed from previous dye jobs, perms can push it past its breaking point. That’s when perm-induced hair loss can start creeping in—not from the root, but from mid-length breakage and excessive shedding due to structural damage.

How Perms Can Lead to Hair Loss

Perms themselves don’t directly rip hair from the follicle, but they do increase the likelihood of damage that can lead to noticeable thinning. The biggest culprits are:

1. Hair Breakage after a Perm

Breakage isn’t the same as shedding. When hair falls from the root, it’s typically part of the normal growth cycle. But when strands snap mid-shaft, it’s because they’ve been weakened to the point of no return. A poorly done perm, or one layered on top of already damaged hair, can leave your strands dry, brittle, and prone to splitting. Over time, repeated chemical treatments cause widespread breakage, giving the illusion of thinning hair.

2. Scalp Damage from Perms

The scalp isn’t immune to chemical damage. Perm solutions contain alkaline agents (like ammonium thioglycolate or sodium hydroxide) that raise the hair cuticle to allow restructuring. If left on too long—or applied too close to the scalp—these harsh chemicals can cause irritation, burns, and inflammation. In extreme cases, prolonged exposure can lead to follicular damage, making it difficult for new hair to grow.

3. Perm Chemicals Affecting Hair Follicles

Repeated chemical treatments don’t just impact the hair shaft—they can stress out the follicles over time. Chronic inflammation and irritation from perms, especially when combined with other chemical treatments like bleaching or coloring, can contribute to a condition called traction alopecia, where hair follicles become weak and unable to produce new growth effectively. While a one-time perm isn’t likely to cause permanent follicle damage, frequent exposure increases the risk.

Signs That Your Perm Is Causing Hair Thinning

Not all perms go bad, but if your strands are suddenly misbehaving post-treatment, it’s time to assess the damage. Watch for these red flags:

  • Increased shedding post-perm – Not just the usual 50-100 strands per day, but an uptick in hair falling out after washing or brushing.
  • Brittle hair with no elasticity – Healthy hair has a degree of stretch before it snaps. If your strands break with minimal tension, they’ve lost their structural integrity.
  • Scalp irritation or redness – A tingling sensation during a perm is normal, but persistent inflammation post-treatment signals potential follicular distress.
  • Uneven hair thinning – If hair loss isn’t just shedding but also appears patchy, your scalp may be reacting negatively to the chemicals.

How to Prevent Hair Loss after a Perm

If you’re set on perming your hair but don’t want to sacrifice its health, a few preventative measures can keep things in check.

1. Strengthen Hair before the Treatment

Weak hair won’t survive the chemical onslaught. If you’re considering a perm, make sure your hair is in prime condition beforehand. Incorporate protein treatments to fortify the strands, deep-conditioning masks for added moisture, and regular trims to get rid of weak, split ends that won’t hold up under the process.

2. Avoid Overlapping Chemical Treatments

Perming over recently colored, bleached, or relaxed hair is like throwing gasoline on an already smoldering fire. Overlapping treatments increase hair porosity, leading to extreme dryness, frizz, and breakage. If you must do both, wait at least 2-3 weeks between processes and prioritize hydration in the meantime.

3. Choose a Skilled Stylist

DIY perm kits might seem tempting, but a professional stylist knows how to assess hair health, choose the right perm solution for your texture, and apply the product safely to minimize damage. A rushed or inexperienced application increases the risk of hair thinning and scalp damage.

4. Use Bond-Building Products Post-Perm

Perms compromise your hair’s internal structure, but bond-repairing treatments can help restore some of the lost integrity. Products containing ingredients like bis-aminopropyl diglycol dimaleate (found in bond-building treatments) or hydrolyzed keratin help reinforce the hair shaft and prevent post-perm breakage.

Can Perms Cause Permanent Hair Loss?

While perm-related alopecia isn’t a common outcome, repeated chemical abuse can stress out the scalp to the point of no return. If the follicles sustain enough damage—through repeated exposure, improper application, or burns—new growth may slow down, thin out, or stop altogether. This is especially concerning if scalp burns go untreated, as they can lead to scarring that permanently affects hair growth.

Fortunately, most hair loss from perms is temporary, as long as you give your scalp time to recover. Prioritizing hydration, reducing chemical exposure, and maintaining a scalp-friendly hair care routine can encourage regrowth and restore balance over time.

Conclusion

Perms don’t directly cause hair loss, but they can weaken the hair shaft, stress out follicles, and trigger breakage if not handled properly. The key is understanding your hair’s limits, choosing treatments wisely, and investing in aftercare that preserves scalp health and hair integrity. If you’re dealing with post-perm hair loss, focus on repair strategies that restore strength, moisture, and overall scalp health before reaching for another round of chemicals.

A perm can be a great styling choice—when done right. But when it comes to hair health, science trumps beauty trends every time.

Tamim Hamid

Tamim Hamid

Inventor and CEO of Theradome

Sayyid Tamim Hamid, Ph.D, is the inventor of the world’s first FDA-cleared, wearable phototherapy device to prevent hair loss and thicken and regrow hair. Tamim, a former biomedical engineer at NASA and the inventor of Theradome, brings with him more than 38 years of expertise in product development, laser technology, and biomedical science. Tamim used his laser knowledge, fine-tuned at NASA, and combined it with his driving passion for helping others pursue a lifelong mission in hair loss and restoration. He is now one of the world’s leading experts.