Not all chemotherapy may result in hair loss. However, if you do lose some, or all, of your hair it will usually begin after your second treatment. The chemicals used to treat the cancer cells affect the hair follicles causing them to weaken and inhibiting hair growth. It is important to realize this is not permanent and your hair usually grows back once your treatments are completed.

Hair loss rates vary from person to person. It may occur gradually or all at once. You cannot prevent, or slow, this type of hair loss and you should be particularly careful of the products used on your scalp during this time.

Things To Do Before Treatment
Prior to treatment explore all your options. You may want to try wigs, hats, scarves or turbans; or you may choose to wear nothing at all. You should choose the option that is most comfortable for you.

• Visit with a Strands of Stars stylist to explore your options. You will discuss your hair color, style and what option will be most comfortable for you.
  
  
• If your hair is long, you may want to cut it shorter to prepare for the hair loss and make it more manageable for you.
  
  
• If you are unable to meet with a Strands for Stars stylist prior to starting chemotherapy, cutting a lock of your hair and bringing a picture of yourself with your usual hairstyle will help the stylist choose the best option for you.
  
  
• Ask your health insurance carrier if they cover "cranial prosthesis;" what their coverage costs are; and how to submit the claims. Many health plans help cover the cost of this service.
  
  

After Treatment Begins
Everyone is affected by treatment differently; however, after the second treatment you may experience some common side effects. These may include matted or shedding hair, dry itchy scalp, redness or flaking. You may also experience changes in your skin tone and texture.

It is important to remember:

• You should avoid stress to your hair. Don't dye or chemically treat your hair during this time. You should also avoid using any thermal styling tools or hair clips, elastic bands or hair pins at this time, due to the stress placed in the hair.
  
  
• Wash hair regularly with a mild shampoo that moisturizes and replenishes the hair. Use warm, not hot water. Avoid wringing or twisting the hair. Pat it dry. With a wide-tooth comb or brush, gently brush hair without pulling it.
  
  
• Once your hair loss begins you may choose to shave your head. This not only helps control the shedding and hair loss, but it may be healthier. A bald head also helps with wigs and head coverings, as they can be more comfortable and secure.
  
  
• You may want to counteract changes in skin tone and texture with make-up. Your stylist or health care provider can direct you to programs and resources in your area that can help you. Your skin may react differently to cosmetics and lotions, during treatment, than you are used to. It is a good idea to check with your health care provider before using any beauty products, including deodorant.
  
  

After Treatment Ends
Approximately 4-6 weeks after treatment your hair will begin to grow back, but it may take six months to a year to grow back completely. And, it may grow back with different texture and color. To help hair re-growth it is important to nurture your hair and scalp. You can do several things to help this process.

• Shampoo and condition your hair twice a week with a mild, moisturizing shampoo.
  
  
• Massage your scalp to increase blood circulation and to help promote the re-growth of your hair.
  
  
• Avoid using blow-dryers and styling tools with heat. Gently style your hair minimizing the use of clips, pins or bands to avoid breakage.
  
  
• Use styling products in moderation as they can cause buildup on your hair shaft and inhibit re-growth.
  
  
• Avoid all chemical treatments to your hair, such as perming, coloring or bleaching.