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    Frequently Asked Questions

    1. Emotions of Hair Loss

    How will I feel when I lose my hair?
    For most women, the loss of their hair is the most traumatic and difficult aspect of chemotherapy. Julia Rowland, Ph.D. at Georgetown University Medical Center, Washington D.C. says, "Looking good despite what we may be going through can help one take control again, and can be a critical component to the healing process by providing powerful psychological benefits". Rowland also says, "Losing one’s hair is often the first overwhelming confrontation patients have with their illness. Until that point they might have easily hidden their disease from everyone, even themselves". The experience is emotionally draining especially when coupled with the physical rigors of a new treatment schedule. Studies have shown that a few women have actually refused chemotherapy because of fear of losing their hair! Some women feel a loss of femininity, style, and beauty. However, since the chemotherapy works on fast growing cells, the hair loss is evidence that the treatment is working.

    2. Preparing for Hair Loss

    When should I shop for a wig and change my style?
    First, your hair will not fall out in clumps or patches! It will not fall out onto your dinner plate, nor will it stay on your pillow one morning when you get out of bed. You will hear horror stories about someone whose hair all fell out in the shower one morning, but these ladies were not informed of the timing or symptoms of chemotherapy related hair loss.  Hair loss will begin on or about the 14th day after your first treatment; therefore, it is prudent to consider an alternative to your own hair.
       Ideally, you should begin shopping for a wig soon after your diagnosis to have more time to become comfortable with wigs and how they can affect your attitude and self esteem throughout your treatment and hair re-growth.. If you want or need a style change, now is the time to have some fun! Get a wig in the new style and color, and then cut your hair in the style of the wig. If you do not want a style change, our staff can assist in selecting a style and color closest to your hair. You can then make an appointment for the 14th or 15th day after the first treatment when one of our stylists can cut your hair very short (and cute) and cut, style and custom fit the wig. Almost all of our clients get more compliments on their hair when wearing the wig than they ever got on their growing hair.
      Other positives to wearing a wig is that you can get your hair dressed in 1 to 2 minutes each morning and you will not have the expenses of hair cuts and colors until your hair grows back.
      Very few people will notice when you are wearing a wig or your real hair, and receiving a compliment on your new hair is really uplifting. Try wearing your new wig in your home around friends and family at first to get accustomed to it.

    3. Your Hair Loss

    What can I expect when the hair loss begins? How will it happen?
            Not all chemotherapy will result in hair loss!  Your hair loss will be determined by the type of drug used, the aggressiveness of your protocol, and your general health when your treatment begins. Different cancer treatments, like some lung and colon cancers, will cause the hair to thin over several months and people with very thick hair may not need a wig at all, or perhaps not until late in their treatment. Aggressive protocols for most breast cancer, gynecological cancers, small cell lung cancer, lymphoma, melanomas and some other cancers will cause hair loss to begin on about the 14th day.
     
          Loss varies with each individual, but once loss begins, brushing, combing, or even minor tugs will yield  4 to10 hairs the 14th day, 10 to 20 hairs the 15th day, and 50 to 100 hairs the 16th day. The hair loss is much like a geometric progression. 95% of the hair will be lost from the 17th to the 22nd day after the first chemo treatment  We suggest cutting your hair very short at this time for 4 reasons: 1) the short cute cut is a nice transition from hair to no hair, 2) it is a preview of how your hair does not have to get back to its present length to look good after treatments, 3) it's emotionally easier to loose short hair than long hair, and 4) we can custom fit the wig if you have short hair. Just for fun, we offer to give you a REALLY bad haircut so you will be happy when it falls out. The short hair will bother you when it begins to fall out on its own. Every person gets really tired of  hair everywhere and at some point say "Just get rid of it!"
     A mesh hair net worn during the rapid hair loss period will contain the lost hair and can be discarded after use. Most people experience slight tingling or minor itching of the scalp 1 to 2 days before hair loss begins. On the 14th day after the first treatment you will probably experience a soreness in the crown area, and this is the symptom that you will begin hair loss within half a day.

     Around 1/2% of the chemotherapy patients report that their scalp ‘hurts’ or that their head hurts because the hair is there. These patients are glad to get their hair shaved as soon as possible.
    Caring for the scalp during and after hair loss is very important. To protect from itching and dryness, you should;
    · Gently brush and comb falling hair away.
    · Shampoo and condition with mild protein based products.
    · Massage scalp gently to improve circulation and remove dry and dead cells.
    · Blot hair instead of scrubbing after shampooing.
    · Dry hair with warm air instead of hot air.

    4. Dealing With Loss Of Eyebrows And Lashes

    What if I lose my eyebrows and eyelashes?
    Not everyone who undergoes chemotherapy will lose his or her brows and lashes. If you do lose your brows and lashes, they will most likely be lost after your head hair, so the loss of will seem somewhat minor in comparison. Eyebrows and lashes are not in the fast growing cells category, like scalp hair, and not affected the same. Most client's brows get thinner during treatment. We hear stories of losing only 1 brow, losing the last brow hair the day after noticing several new brow hairs.

     Eyebrows drawn on with eyebrow pencil in short strokes with a sharp pencil then use a new mascara brush to soften the line. Eyebrow powders can also be used to soften the line. Notice that eyebrows are thicker from the 'nose' end of the brow to the top of the arch than from the top of the arch to the outside end of the brow. A uniform brow is quickly spotted as unnatural. We suggest short or medium length Ardell Demi-Wisps and Ardell eyelash glue. Take the gummy adhesive from the Demi-Wisps and carefully glue as per directions.
           Some consider tattooing (permanent makeup), but considering the short time before re-growth, tattooing is just an added expense during a stressful financial time. Check with your doctor before tattooing. Brows and lashes will become brittle when exposed to the sun, so wear sunglasses when outdoors for protection.

    5. Hot or Cold Head

    Will my head get hot or cold at night?
    When sleeping or when not wearing your wig, you will need to protect your scalp. Always wear a head cover for protection from the sun or cold when outdoors. Dermatologists and skin specialists agree that you should use a sun block with a SPF factor of at least 30. Without hair for heat retention, your head will get colder than usual. 60% of body heat lost at night is lost through the head; this is why stocking caps were worn before homes were heated at night. If a stocking cap is too hot or scratchy, the Slumber Cap is made of 96% cotton and 4% Lycra and is soft on the scalp, and lighter in weight than a stocking cap.

    6. Hair Re-growth (How To Deal With New Hair)

    When will my hair grow back?
    Hair re-growth seems to be a little different with everybody. Some experience a little re-growth even before their last treatment. Normally, the chemotherapy has to be absent from the body before re-growth begins. The new hair must be regenerated in the papilla (root) and grow to the scalp surface before being seen. This process takes 4 to 5 weeks.. Hair normally grows 1/3 to 1/2 inch per month, so be patient. Do not expect your new hair to be the same as the hair before chemotherapy. Your new hair can grow in a different color, texture, or thickness, and the amount of curl may change. Even the growth directions can be different. At a growth rate of 1/3 to1/2 inch per month, it will take 11 to 12 weeks after your last treatment to get 1 1/2 full inches of hair. It seems as though the hair grows most above the ears and at the nape. It is amazing how exciting it is to have hair again! Keep the hair trimmed at the nape and over the ears for a more groomed look.

    Wear your wig as little as possible to allow the new hair to ‘breath’. A wig or head cover can force the new hair to grow in the direction the wig pushes it, creating less than desired growth patterns. Be gentle shampooing, conditioning, towel blotting, brushing, combing, and styling your hair. Stay away from perms, bleach, and ‘one step’ hair colors. If you want or need hair color, have a cosmetologist color or bleach using the weave or foil method of off the scalp highlighting. Use a no ammonia, low volume developer color if you want to color your new hair.

     

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