I'm amazed my ears work as well as they do considering the battering they've had. I've spend most of my life since my teens listening to music on headphones (sometimes a lot louder than I should), attended many ear splitting concerts which left me half deaf for most of the next day, played in thrash metal bands, and did a lot of raving in the 90's often at events with unbelievably loud PA's (and danced the night away quite happily right next to giant speakers). I've also spent between a quarter and a third of my life here in New York, being pounded by sirens and subways and construction noise on a daily basis.
I think I can hear up to about 16kHz which is normal for my age, and I have no trouble hearing day to day stuff. However one thing I do regret with regard to not looking after my ears is the tinnitus I have, which is of a very high pitch (like escaping gas) and is very noticeable when it's quiet. It doesn't really bother me at all on the most part, I did have a couple of freakouts about it a few years ago but since then it's just melted into the background.
I still wear headphones a lot, and often find myself listening at volumes which I shouldn't, but I'm working on that. One thing I do as protection (and I've said this before) is take a magnesium supplement, especially before doing anything on headphones. Magnesium has been shown to be quite effective in protecting the ears from noise induced hearing damage and I believe the military has looked into using it to reduce the damage done in noisy training exercises (explosions, gunfire etc) with some success. Well worth taking a nice dose of a high quality magnesium. Apparently resveratrol has also shown promise in protecting the ears from noise damage, although it's a lot more expensive than magnesium. Vitamin D is apparently also very important and can protect or even improve hearing.
I did read recently that earbuds are a lot worse than regular cans, and I can believe that.