Doug was making self-deprecating jokes about going bald over 15 years ago. James is in an unfortunate position where he can't change his look because its so tied to the character that is his job. Like a bald, bearded AVGN would just be weird, but so is middle-aged dad AVGN. The character and his schtick only really worked with the youthful energy of a guy in his early 20s and it's depressing he's probably stuck having to do the same shit until he's a senior citizen