FAQs Chemo Hair

Chemo Hair: Top 10 Frequently Asked Questions

1. Why does chemotherapy cause hair loss?

Chemotherapy targets rapidly dividing cancer cells but also affects other fast-growing cells like hair follicles. This leads to hair falling out, typically on the scalp but sometimes affecting eyebrows, eyelashes, and body hair too

2. Will everyone lose their hair during chemotherapy?

Not all chemotherapy drugs cause hair loss. Some cause thinning, others lead to complete loss, and a few may not result in any hair change at all. It depends on the drug type, dosage, and individual sensitivity. Your care team can explain what to expect for your specific treatment

3. When does hair loss usually start, and how long does it last?

Hair loss commonly begins 2–4 weeks after starting chemotherapy. It may occur suddenly or gradually and usually continues throughout treatment. Most people find their hair begins to grow back several weeks to a few months after finishing therapy

4. Is hair loss from chemotherapy permanent?

Most hair loss from chemotherapy is temporary; regrowth often starts within 3–6 months of completing treatment. Occasionally, certain drugs (such as high doses of docetaxel) may cause more prolonged or rare permanent hair loss

5. Will my new hair grow back the same as before?

Regrown hair may initially be softer, have a different color, or display a new texture (curlier or straighter). These changes are often temporary, and over time, your hair generally resumes its normal appearance

6. Can I prevent or reduce hair loss during chemotherapy?

There is no guaranteed way to prevent chemotherapy-induced hair loss. Scalp cooling caps may help some people reduce hair loss, but results vary. Gentle hair care and avoiding harsh chemicals or heat may help minimize damage

7. How should I care for my hair and scalp during chemo?

·       Use mild shampoos and soft-bristled brushes.

·       Avoid hair coloring, perming, or heat styling.

·       Pat your hair dry with a towel, don’t rub vigorously.

·       Protect your scalp from the sun and cold with hats or scarves.

·       Moisturize and soothe a sensitive scalp with gentle lotions

8. Should I cut or shave my hair before it starts to fall out?

Some people choose to cut their hair short or shave it before significant hair loss begins. This may make the transition easier, reduce the distress of shedding, and can help you feel more in control of the process. 

9. What options do I have for head coverings?

Options include bamboo caps, turbans, head scarves, turbans, hats, and beanies.  Wear what feels most comfortable and confident for you—there’s no right or wrong choice

10. How can I emotionally cope with chemo-related hair loss?

Losing hair can feel upsetting and affect your self-esteem. Many find it helps to talk with loved ones or join support groups. Consider seeking help from counselors, support programs, or online communities for people dealing with cancer. Remember, you’re not alone, and your feelings are valid.