When I was young, I suffered horrible and regular ear infections. Caused me to miss a ton of school, and doctors at that time wanted to insert tubes in my ears. My mom was a nurse, and thankfully, she adamantly refused this new procedure. Later on, many of my friends who did go thru that procedure had all kinds of ear and head health issues I do not have today. But I digress...
I'm 51. Played bass professionally since I was 15 or so. After my ear infections stopped, due to puberty I suppose, my ma, who had lost hearing in one ear, advised against ever putting anything IN my ears. This includes plugs and earbuds. I will not insert anything in my ears. But I do cover them. I wear beanies. I've played in some loud ass bands over the years. Heavy music rehearsals are THE worst fer high dB assaults, but all styles can get insane. I use the beanies to cover my ears as much as I need. The outer ear is responsible fer gathering and focusings highs into the ear drum. Covering my ears has worked fer me, and hats have become a fashion thing fer my image. The beanies keep my hearing far more clear than plugs, and along with using long cables to get away from strong drummers' cymbals and snares has helped me to keep nearly all my hearing despite having played so loud for so long. I always wear one. Even to other bands shows, to movies, anywhere SPLs can be high. I do have slight tinnitus. But truthfully, it seems to be linked more to my blood pressure than external noise. It increases after heavy physical exercise (I move furniture for a living), and when my heart is racing the tinnitus increases. As I sit outside this morning, relaxed having just awakened, it's nearly nonexistent. I will never insert anything into my ears. Ever. Bad idea. I put headphones over my beanies, even. And the louder the stage? The thicker the beanie. My hearing is very important to me. And the health of my ears, too. I am thankful that I still possess most of my hearing. And thankful fer my ma, who taught me.
That beanie is not going to protect you a hell of a lot... be careful. Once it's gone, it's gone forever.
It's easy to keep your outer ear clean and healthy, using plugs is not a big deal, they don't go that far in anyway.