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People Living With Cancer - Managing Side Effects - Hair Loss (Alopecia) -- Home | About Us | Contact Us | Message Boards Cancer Type: Find detailed information on a specific type of cancer -- Select a Cancer Type ==================== Adenoid Cystic Carcinoma Adrenal Gland Tumor Amyloidosis Anal Bile Duct Bladder Bone Brain Tumor Breast Breast, Inflammatory Breast, Male Breast, Metaplastic Carcinoid Tumor Cervical Childhood --Central Nervous System ----Astrocytoma ----Brain Stem Glioma ----Ependymoma ----Medulloblastoma --Desmoplastic Infantile Ganglioma --Ewing's Sarcoma --Germ Cell Tumors --Leukemia, Acute Lymphoblastic (ALL) --Leukemia, Acute Myeloid (AML) --Lymphoma, Hodgkin --Lymphoma, Non-Hodgkin --Neuroblastoma --Osteosarcoma --Retinoblastoma --Rhabdomyosarcoma --Wilms Tumor Colorectal Endocrine Tumor Esophageal Eye Eyelid Fallopian Tube Gallbladder Gastrointestinal Stromal Tumor (GIST) Gestational Trophoblastic Tumor Head and Neck --Laryngeal and Hypopharyngeal --Nasal Cavity and Paranasal Sinus --Nasopharyngeal --Oral and Oropharyngeal --Salivary Gland HIV/AIDS-Related Islet Cell Tumors Kidney Lacrimal Gland Tumor Leukemia, Acute Lymphocytic (ALL) Leukemia, Acute Myeloid (AML) Leukemia, B-Cell Leukemia, Chronic Lymphocytic (CLL) Leukemia, Chronic Myeloid (CML) Leukemia, Eosinophilic Leukemia, T-Cell Liver Lung Lymphoma, Hodgkin Lymphoma, Non-Hodgkin Mastocytosis Melanoma Meningioma Mesothelioma Multiple Myeloma Neuroendocrine Tumor Ovarian Pancreatic Parathyroid Tumor Penile Pituitary Gland Tumor Prostate Sarcoma Sarcoma, Alveolar Soft Part and Cardiac Sarcoma, Kaposi's Skin Small Bowel Stomach Testicular Thymoma Thyroid Unknown Primary Uterine Vaginal Vulvar Waldenström's Macroglobulinemia Search our site or Advanced Search -- Or use Advanced Search Or try our new BETA Search Sign up for PLWC Updates -- Learning About Cancer Communicating With Your Doctor Managing Your Care Managing Side Effects -- Clinical Trials Cancer Genetics Complementary and Alternative Medicine (CAM) -- You are here: Home > Understanding Cancer > Managing Side Effects > Article Hair Loss (Alopecia) Options Medical Dictionary Printer Friendly Email to a Friend This section has been reviewed and approved by the PLWC Editorial Board , 02/05 A potential side effect of radiation therapy and chemotherapy is hair loss (alopecia). Hair loss may occur throughout the body, including the head, face, arms, legs, underarms, and pubic area. The hair may fall out entirely, gradually, or in sections. In some cases, the hair will simply thin—sometimes unnoticeably—and may become duller and dryer. Losing one's hair can be a psychologically and emotionally challenging experience, and can affect a person's self-image and quality of life. However, the hair loss is usually temporary, and the hair grows back. Causes Radiation therapy and chemotherapy cause hair loss by damaging the hair follicles responsible for hair growth. Chemotherapy. Not all chemotherapy causes hair loss. (A doctor can provide more information regarding which drugs are most likely to cause hair loss.) When hair loss does occur, it is usually not immediate, and the amount of hair loss varies from person to person, even among those taking the same medication. Hair loss most often starts after the first several weeks or rounds of chemotherapy treatment and tends to increase one to two months into treatment. The amount of hair loss depends on the type of drug, dose, and how the drug was given (orally, intravenously, or topically). Hair regrowth following chemotherapy usually occurs one to three months after maintenance treatment starts or intensive chemotherapy ends. Radiation therapy. Radiation therapy only affects the portions of hair that are in the field of radiation. Hair loss depends on the dose and method of radiation treatment. When very high doses of radiation are used to treat cancer, the hair may become permanently lost or thinned in the treated area. If regrowth does occur, patients may find the regrown hair to be different in texture and thickness than the original hair. Management In some cases, hair loss due to cancer treatment is not preventable or treatable with stimulants, solutions, or special shampoos. Therefore, learning to deal with hair loss before it occurs can help a person better adjust to this change in physical appearance. Talking about feelings with a counselor, someone with a similar experience, family member, or friend may also provide comfort. Also, it may be helpful to talk about inevitable hair loss with family and friends, especially children, before it occurs. If children know to expect changes in the physical appearance of someone they are familiar with, it helps reduce feelings of anxiety. Some people recommend cutting the hair shorter before treatment. This not only helps create volume and fullness for the shorter hairstyle, but also is less dramatic of a change when the hair falls out. Furthermore, when the hair begins to regrow, it takes less time to reach the shorter hairstyle. Having a hairstyle similar to the one before chemotherapy can help a person cope with the end of treatment and move forward. Hair and scalp care. The following recommendations may help when caring for the hair and scalp during cancer treatment: Choose a mild shampoo, such as a baby shampoo, to clean the hair. Choose a soft hairbrush and gently style the remaining hair. Use sun protection on the scalp when outdoors, including sunscreen, hats, or a scarf. Cover the head during the cold months to prevent loss of body heat. Avoid blow-drying the hair with high heat. Avoid curling or straightening the hair with chemical products. Avoid permanent or semi-permanent hair coloring. Choose a soft, comfortable covering for the bed pillow. Wig and hairpieces. The following information may be helpful if a patient chooses to wear a wig or hairpiece: Select the wig or hairpiece before the hair falls out if you prefer to match the current hair color and style. A hairdresser can style the wig/hairpiece to the your liking. If shopping for a wig/hairpiece in a retail store is not appealing, there are wig and hairpiece shops specially designed for people with cancer. A home appointment can also be scheduled, or an order can be placed through a catalog or the Internet. If finances are a concern, ask the patient's insurance provider if wigs/hairpieces are covered with cancer treatment or classified as a tax-deductible medical expense. To be covered by insurance, the doctor may have to prescribe the use of a wig/hairpiece with proper documentation. Free or loaner wigs/hairpieces may also be available. Ask an oncology social worker or nurse for resources within the hospital or local community. Be sure to have the wig/hairpiece fitted properly, so that it does not irritate the scalp. Caring for regrown hair. Complete hair regrowth often takes six to 12 months. When new hair regrows, at least temporarily, the texture may feel thinner than the hair that was lost. Pigment cells usually restore themselves, however, and hair usually returns to its original color. When caring for regrown hair: Limit washing the hair to twice a week. Massage the scalp to remove dry skin and flakes. Style hair with care and limit the amount of hard brushing, pinning, curling, or blow-drying with high heat, as new hair will initially be much finer and more prone to breaking than the original hair. Gently use a wide-tooth comb to style the regrown hair. Avoid curling or straightening the hair with chemical products (as in permanent wave solutions) until the hair is at least 3 inches long, or until it is comfortable. Some individuals may need to wait for up to one year before they can chemically curl or straighten their hair. Avoid permanent or semi-permanent hair coloring for at least three months following treatment. 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Celebrity HairLaser hair removal: Zapping unwanted hair - MayoClinic.com Laser hair removal: Zapping unwanted hair Laser hair removal technology is evolving. No matter what skin type you have, newer lasers can safely and effectively remove unwanted hair from your face and body. Laser hair removal systems use laser light — an intense, pulsating beam of light — to remove unwanted hair. Your doctor may use multiple treatments to target areas such as the face, upper lip, neck, chest, breasts, underarms, back, abdomen, bikini line and legs. A single treatment costs an average of $388, according to the American Society for Aesthetic Plastic Surgery. This usually isn't covered by insurance providers. Laser hair removal may be an option if you seek long-term or permanent results. Who is laser hair removal for? The first hair removal lasers used a ruby laser. They were best at removing dark hair from light skin. That's because they targeted melanin, the pigment that darkens both hair and skin. So they zapped the dark hair while bypassing the light skin. When used on darker skin, they sometimes caused blistering and permanent skin discoloration without removing any hair. The newer neodymium:yttrium-aluminum-garnet (Nd:YAG) laser may be suitable for all skin types. In general, though, lasers are still best at removing dark hair. If you wish to remove light or gray hair, a method called intense pulsed light, which uses a broad spectrum of nonlaser light, may be an option. No matter what skin type you have, you're more likely to experience good results and fewer side effects if you don't smoke and have no history of abnormal scarring, excessive sun exposure, allergies or herpes infection. How do you prepare for laser hair removal? A dermatologist or dermatologic surgeon with training and experience in laser hair removal may be best suited to decide whether you're a candidate for laser hair removal and, if so, what type of laser may work best for you. During an initial consultation, your doctor asks about your medical history, assesses your skin type and explains the risks and benefits of laser hair removal. To reduce the risk of complications, your doctor may ask you to refrain from taking medications such as aspirin and other nonsteroidal anti-inflammatory drugs, or dietary supplements such as niacin and vitamin E. If you have a tan from sun exposure or sunless tanning products, you must wait until the tan fades completely before you can undergo laser hair removal, because a tan increases your risk of side effects such as blistering and discoloration. Laser hair removal is effective only on short, visible hair. Two to three days before the procedure, you shave the area to be treated, and allow it to grow to a stubble. Avoid waxing or plucking the hair. Ask your doctor about ways to minimize the discomfort of laser hair removal. He or she may advise you to apply a thick layer of an over-the-counter cream containing the anesthetic lidocaine to your skin 45 minutes before treatment. How is laser hair removal done? CLICK TO ENLARGE Laser hair removal procedure One treatment may zap thousands of hairs. But one treatment usually isn't enough. Because hair grows in staggered cycles, and laser light affects only actively growing hair, you must usually undergo multiple treatments over weeks and months to achieve smoother-looking skin. If you have light skin, your doctor may use a ruby, alexandrite or diode laser. If you have darker skin, an Nd:YAG laser may be used. So far, the Nd:YAG laser is the only one that's been proved safe and effective for all skin types. Lasers may have a cooling device on their tips to minimize skin damage. During the procedure, your doctor presses a hand-held laser to your skin, and activates it for a fraction of a second. The laser light passes through your skin's surface to tiny sacs called hair follicles. Each follicle contains a bulb that germinates a hair shaft. When light reaches your hair follicles, it temporarily generates enough heat to destroy the follicles and bulbs. If the procedure is successful, your old hair falls out and new hair doesn't grow back. What can you expect during the procedure? How long the procedure takes depends on the area of the body involved. A small area such as the upper lip may take several minutes. A larger area such as the back may require several hours. Because laser hair removal typically causes only mild discomfort, you generally don't need anesthetics. During the procedure, you wear goggles to protect your eyes from accidental exposure to laser light. The procedure causes a slight charring of your stubble. You may notice a strong odor of singed hair, which is normal. Afterward, you may experience some temporary redness and swelling. What are the results of laser hair removal? After six months, laser procedures remove 60 percent to 95 percent of targeted hair. Even after multiple treatments, however, you may experience some hair regrowth, although the new hair may be finer and lighter in color. What are the risks of laser hair removal? Rarely, temporary complications may include pain, swelling, redness and blisters, and permanent complications may include scarring and skin discoloration. Looking ahead Although laser hair removal technology has advanced, more research is needed to determine which lasers are best for different skin types. RELATED Articles Hair removal 101: A comparison of different techniques Ask a Specialist Hair removal: Does shaving make it grow back thicker? ARTICLE TOOLS Print Larger type more information Sep 3, 2004 © 1998-2005 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.com," "Mayo Clinic Health Information," "Reliable information for a healthier life" and the triple-shield Mayo logo are trademarks of Mayo Foundation for Medical Education and Research. HQ00981 About this site · Site help · Contact us · e-Newsletter · Site map Privacy policy updated Oct 7, 2005 Terms and conditions of use updated Jun 3, 2004 LEGAL CONDITIONS AND TERMS OF USE APPLICABLE TO ALL USERS OF THIS SITE. ANY USE OF THIS SITE CONSTITUTES YOUR AGREEMENT TO THESE TERMS AND CONDITIONS OF USE. © 1998-2005 Mayo Foundation for Medical Education and Research. All rights reserved. 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