Advice and support if you lose your hair - In association with: Endorsed by
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Advice and support
if you lose your hair
In association with:
Endorsed by:
Registered Charity Number 1130815
My New Hair is a national independent charity providing information, advice
and support for people experiencing medical hair loss. They provide access to a
responsibly trained national network of hairdressers.
Registered Charity Number 1130815.
For further information please visit www.mynewhair.org
You can contact our helpdesk on info@mynewhair.org
or call us on 01798 812547
Acknowledgements Project and Print Sponsors
We wish to thank all of our specialist With kind thanks to the Department of
contributors to this My New Health, Trendco Wig Suppliers and Herb
Hair publication and gratefully UK Limited.
acknowledge the project support from
the Department of Health. Education Sponsors
We gratefully acknowledge L’Oreal
Copyright and credit for use of images Professional and Trendco Wig Suppliers
© My New Hair 2011. Copyright, as our original and ongoing valuable
design, photography and booklet education sponsors.
content is intended for authorised My
New Hair use only. No unauthorised
reproduction of any part of this booklet
without the prior permission of My New
Hair.
This booklet has been produced by Printed by Foundry Press Ltd Horsham
My New Hair specialist advisers and who are proud to support My New Hair.
has been reviewed by The Institute of
Trichologists, healthcare professionals Paper Supplied by Antalis/
and people affected by medical hair McNaughtons.
loss. This booklet is endorsed by the
Department of Health. Graphic design by Debbie Beaney
My New Hair images kindly supplied
by Catherine Harbour Photography.
A selection of other images kindly
supplied by Christine Headwear, Herb
UK, Sleek, Look Good ... Feel Better and
Trendco Wig Suppliers.
“I feel my incredible career to date has led me to
this moment and this opportunity to help people.
I am so grateful that I have the skills to do this. My
New Hair isn’t just about hair, it’s psychological
medicine for people suffering from hair loss through
illness and for many of the people I have seen, it’s
the missing link in their treatment. Giving people
back their hair, hair that looks natural, attractive
and feminine gives them back a little of their
confidence to face the world in what could be
their darkest hour. It was my personal experience of
helping a family member during cancer treatment
Trevor Sorbie, MBE that inspired the idea of My New Hair.
I support both short term and long term hair loss
sufferers and it affects men, women and children of all ages. If this is as a result
of treatment for cancer, the outward effects of this can often remain invisible
until you start losing your hair. What we can do is give people a chance to
feel confident and normal. When people are fit and well, we look after them,
so when they are ill it is even more important as a hairdresser, to be sensitive
and make them feel special.
Many people suffering from hair loss don’t want to feel different, they often
want to be able to go out and feel normal with hair that looks real and
natural.”
Using his skills and his personal insight,
Trevor recognised the need for the hair
industry to support people suffering from
medical hair loss. An accomplished
hairdresser for over 40 years, Trevor Sorbie
MBE has created and committed himself
to an entirely not for profit initiative “My
New Hair”. Trevor sought to gain the
support of his industry peers in creating
a network of “salons that care”. In
July 2009, this was awarded national
registered charity status by the Charity
Commission.
Contents
Introduction........................................................................................................5
What My New Hair can do to help you .........................................................5
Hair Loss .............................................................................................................6
Your feelings.................................................................................................6
Preventing hair loss .....................................................................................6
How you may lose your hair.......................................................................6
Hair loss through Chemotherapy...............................................................7
Hair loss through Radiotherapy . ...............................................................7
Hair Loss from Hormone Treatments..........................................................7
Wig Provision . ....................................................................................................8
Choosing a Wig...........................................................................................8
Comfort and considerations......................................................................9
Different types of Wig - The Options........................................................10
Synthetic Fibre and Human Hair Wigs.....................................................10
Options for Men.........................................................................................11
Options for Children and Young Adults..................................................11
Options for different ethnic groups.........................................................11
Wig Bases . .................................................................................................12
Individual/Custom made wigs.................................................................13
Thinning Options .......................................................................................14
Wig Size/Securing......................................................................................14
Caring for your Wig...................................................................................14
Fitting and Wearing a Wig . .....................................................................15
Alternative Head Wear.............................................................................16
Masking Solutions for Patchy Hair Loss....................................................17
Hair after Cancer Treatment...........................................................................19
Basic Facts about Hair .............................................................................19
When new hair grows back.....................................................................19
Hair and Cancer........................................................................................20
If you do not lose your hair during treatment........................................21
Caring for Hair............................................................................................21
Thinning Hair...............................................................................................21
The Scalp and Hair Re-Growth.................................................................22
Colouring Hair Post-Cancer Treatment...................................................23
Relaxing / Straightening Hair Post-Cancer Treatment..........................25
Benefits and Side Effects of Hair Extensions and Weaving...................26
Other Useful Information ................................................................................27
Introduction
Introduction What My New Hair can
do to help you
My New Hair is a national,
independent charity providing • We provide unbiased public
information, advice and support for information, support and advice
people experiencing medical hair around losing your hair and
loss. considerations when choosing
a wig. This information is
We work with medical advisors, the professionally endorsed. We also
wig industry, specialists in aftercare provide guidance on cutting
and experienced independent hair and styling of wigs and advice
professionals to give you the very when your hair begins to grow
best support. back. We provide this via our
helpline or you can visit our
My New Hair has developed this website
resource in partnership with the www.mynewhair.org
Department of Health to help you
through your journey from hair loss • We provide access to a
through to aftercare if your hair responsibly trained national
grows back. It is recognised that network of hairdressers through
there can be differences, within our network of Salons that Care.
healthcare, in the provision of All our hairdressers cut and style
service and unbiased information wigs. Some also stock a range
regarding the supply and cutting of of wigs and many have trained
wigs. with us to advanced level which
includes advice on when your
The impact of losing your hair can hair begins to grow back. You
be profound. Some people choose can access the locations of
to wear hats or scarves. Some our trained hairdressers plus
people choose to wear nothing. details of wig suppliers who are
For people who choose to wear a members of the UK Wigmakers
wig, some worry that this may look Association via the salon
unnatural. The difference that a information on our website.
professionally cut wig can make • The My New Hair charity founded
should not be underestimated. the UK’s first national hairdressers
Whilst many wigs now look much training programme to support
more realistic, it is possible to people with medical hair loss.
transform an “obvious wig” into Our programme is nurse-led,
an individual’s “new hair”. Many providing specialist expertise
people are unaware that this is across all areas of advice, wig
possible and assume that a wig cutting and aftercare. We
cannot be cut and styled further. believe in supporting hairdressers
We would always advise that this to deliver a responsible service
service be carried out by a trained with respect and discretion for all
hairdresser. clients.
5Hair Loss Preventing hair loss
Whilst little can be done to prevent
Your feelings hair loss to the local area during
radiotherapy, if you are having
Many, but not all, people face
chemotherapy, you may ask your
the prospect of losing their hair as
specialist nurse about the possibility
part of their treatment for cancer.
of scalp cooling with your particular
Hair loss can be one of the most
cancer and type of drug treatment.
distressing side effects of cancer
Hair Loss
They will advise you if this may be
treatment. Hair can also have
suitable for you.
particular significance across
different cultures.
How you may lose your
For short term, or longer term, hair
hair loss sufferers, this distress is
understandable as the way we feel Often people ask how they may
about ourselves and how we look, lose their hair and when it might
is closely linked to our feelings of self happen. Always check with your
esteem and self confidence. It can medical team as this may vary
also be a constant “reminder” of according to your treatment.
your treatment for cancer. Some people may experience
Whether hair loss be as a result of scalp sensitivity prior to and during
treatment or diagnosed as longer hair loss and also through the
term alopecia this may make you course of their treatment. You may
feel vulnerable. For additional experience hair loss during the night
support that you may find helpful and may wish to wear a soft cotton
please see our “Other Useful cap.
Information” at the back of this
booklet.
6Hair loss through Unlike chemotherapy, hair loss only
applies to areas which receive
Chemotherapy radiotherapy. If, for example, you
are receiving radiotherapy to a
Chemotherapy uses anti cancer
specific part of your head, the
drugs, which travel around the
hair will fall out in that area. In this
body and reach the cancer cells
instance, you may also lose hair
wherever they are. Damage to
from the other side of your head
healthy cells also occurs during this
where radiotherapy beams pass
process – especially to cells that are
through.
Hair Loss
always growing and dividing like
the ones that make your hair grow.
Hair may take six months or more to
Not all chemotherapy treatment
grow back following radiotherapy.
causes hair loss. Your medical team
It may also be patchy when it
and specialist nurse will talk to
grows back. Although hair usually
you about your treatment and will
grows back over time it is possible
discuss with you how you are likely
that it may not grow back at all.
to lose your hair. You may also
This depends upon the dose of
have thinning or loss of eyelashes,
radiotherapy and the number of
eyebrows and other body hair.
treatments.
Healthy cells normally repair
themselves quite quickly so
your hair may grow back once Hair Loss from
treatment is finished or sometimes Hormone Treatments
even before you finish your full
course of treatment. This may take Some hormone treatments can
several months but it will probably result in hair thinning due to the
grow at the same rate as it grew lowering of levels of oestrogen.
before. There is more information This is a similar effect to that which
about this in our “Hair After Cancer may occur during the menopause
Treatment” section. when periods stop. Once you
stop taking the drug, your hair will
Hair loss through probably grow back. It is important
to recognise that hair thinning can
Radiotherapy also be distressing and you may
wish to contact a professional wig
Radiotherapy uses high energy
supplier who will also be able to
x-rays to treat cancer and is used
advise you on appropriate hair
to treat a specific part of the body.
pieces should you require this. Most
Like chemotherapy, radiotherapy
wig suppliers can also provide
affects healthy cells and can
ready to wear or custom made hair
cause hair loss. Your radiographer,
pieces.
consultant or nurse will talk to you
about the likelihood of losing your
hair during treatment.
7Wig Provision The Department of Health leaflet
HC11 “Are you Entitled to Help with
Health Costs ?” can tell you whether
you can get a free wig from the
NHS.
If you are not entitled to a free
wig you can still get one from
the hospital at a subsidised price.
Currently, the level of subsidy varies
depending on the hospital so you
will need to check this with your
specialist nurse. You will need to
apply for help with the costs on an
HC1 form which the Hospital can
provide you with.
Choosing a Wig
Wig Provision
The National Health Service (NHS) Choosing a wig for the first time
makes provision for the supply of can be bewildering. If you need to
wigs to people who need them choose a wig for the first time, some
in order to help with medical hair of the following considerations may
loss. To obtain a wig you will need be useful :-
to have a referral from a specialist
eg: oncology or dermatology • Sometimes people wish to
department. choose their wig prior to losing
their hair and you may wish
The process of wig provision varies to familiarise yourself with
around the country. It is expected headwear options before your
that wig suppliers under contract treatment begins. Your wig may
to the NHS must supply a good need some slight adjustment
standard of wig, offer choice and once you lose your hair. This is
provide a confidential and quality usually easy to do yourself using
service. The majority of suppliers the adjustable straps or your wig
are members of the Hairdressing supplier will also be able to help
and Beauty Suppliers Association you with this.
and have subscribed to a code
• If you are losing your hair as a
of conduct and practices which
result of cancer treatment, it can
comply with British Standard ISO
be helpful to start by considering
9001. Such wig fitters are checked
whether you want to recreate a
by the Criminal Records Bureau to
style as close to what you have
be “fit to deal with children and
with your own hair or whether
vulnerable adults”.
you wish to choose a different
8style or colour. Some people If you are bewildered by the
chose to have their hair cut short choice of styles and colours, ask a
before their treatment and also professional for help. Generally, if
choose to wear a shorter wig. the colour is right and the style is
Others wear a longer wig and close to what you are looking for,
have the wig cut much shorter the wig can be customised by a
in preparation for when their trained hair professional and any
own hair begins to grow back. excess “bulk” in the wig, can be
You should check that this is thinned out and the wig shaped to
possible with the supplier when give a more natural appearance.
choosing the wig. Each person is
individual and there is no right or Comfort and
wrong way to approach this.
considerations
• When choosing a wig, you may
wish to take someone you trust Comfort and fit for a wig are
along with you if you feel you important considerations. If a wig
may want a second opinion or fits snugly to your head all over, it is
additional support. Discussing likely to look more natural and be
Wig Provision
your thoughts and ideas more secure. However, wearing a
together before choosing the wig can be hot particularly in warm
wig may be helpful too. If you weather. Some people find that a
have already lost some or all of cushion band which runs around
your hair, taking some pictures the perimeter of a wig and “lifts” it,
from magazines or photographs can be slightly cooling to the head,
can help guide a professional making it more comfortable in
wig supplier to what you are warm weather.
looking to achieve.
Some wig bases are more
• It can be helpful to contact “breathable” but these tend to be
the wig supplier in advance to used in wigs made for the more
make an appointment and also long term client and can be more
to establish that they have a expensive.
discreet, private environment in
which you can try on a range of
wigs. Wearing a wig is likely to
feel quite different at first and it
is perfectly normal to feel unsure
about this. It is important that
any wig is fitted well and does
not move around on your head.
A professional supplier will be
able to do this and alter the wig
if necessary. Wig cap
9Different types of Wig - colour fade than human hair but
generally cannot be heat styled.
The Options They can develop “friction frizz”
after a period of time, especially
It can be helpful to understand
when in constant contact with
the main choice of wigs available.
clothing, particularly at the nape of
There are two main wig options:
the neck. However, the aftercare
synthetic fibre and human hair.
instructions detailed later can help
Each type has advantages and
you minimise this.
disadvantages. There are no set
rules regarding selection however,
Synthetic wigs usually last for 9-12
the following information should be
months depending upon how well
considered to support the selection
they are cared for and how often
process:-
they are worn. A longer wig will
have a shorter life span as it is more
Synthetic Fibre Wigs prone to develop friction frizz by
rubbing against clothing.
Synthetic fibre wigs have the
advantage of being pre-styled and
Wig Provision
come in a large range of colours.
Human Hair Wigs
They also provide wash and wear
Human hair wigs can be heat styled
convenience as, when washed
to suit: blowdried, straightened
correctly, they revert back to their
or curled and can be treated like
original style. If you are being
growing hair. This does however
treated for cancer, this is a key
mean that they require regular
consideration for you as you may
attention and can be more prone
not be well enough or have the
to colour fade. Using the very best
energy to style a wig on a regular
products can help prolong the life
basis. These wigs are less prone to
of the wig.
Synthetic Wigs Human Hair Wigs
Advantages Disadvantages Advantages Disadvantages
No colour fading Friction Frizz No frizzing Colour fades
Permanent wave Unable to tint Can apply heat Porous
or colour Can be coloured Can be more
No styling No heat costly
application Soft to touch May be
difficult to
Easy to maintain May be seen manage
as inferior
Vast colour
Style can be Not available
selection changed in grey
Price
10Options for Men
Alternatively, many children are
Hair loss for men can be just as happy to wear a cap or bandana.
traumatic as it is for women. Men These are also available with hair/
may be reluctant to seek help fringe attached and look attractive
or enquire about their options. as well as being practical.
However, rest assured that these
feelings and concerns are perfectly Options for different
natural, and that the services exist
just as much for men as for women. ethnic groups
There is a more limited selection
of ready to wear and custom-
made full hair wigs and toupees
specifically designed for men. These
are available at some reputable
wig suppliers. These are also likely
to require customisation and can
be styled for a very natural look.
Wig Provision
Options for Children and There is a fairly good selection of
Young Adults wigs for most hair types available
from wig fitters and manufacturers.
However, there are also specialist
wig suppliers available in the High
Street and on-line that provide a
huge array of wigs/pieces in Afro
Caribbean, Indian, Asian and other
styles.
The range of children’s wigs can High Street stores tend to be for
be limited but are available from “off the peg” purchases and, often
several reputable UK wig suppliers. lack facilities to select and try on
Older children requiring an adult wigs discreetly in-store. Therefore,
styled wig can have it adapted to if you decide to purchase a wig
make it smaller or try a petite style from a High Street store without an
adult wig. The manufacturer’s opportunity to have the wig fitted,
advice should be sought for this we would advise that you check
service. the Store’s sale or return policy
before you make a purchase.
You may wish to contact the Hair
and Beauty Suppliers Association
or My New Hair for a list of suppliers
who stock a range of children’s and
petite range wigs.
11Wig Bases
In addition to the choice of
wearing a synthetic or a human
hair wig, there are also many more
choices of wig base which can be
confusing.
Machine Wefted
Hand knotted wig foundation
Most synthetic wigs are produced
on a machine made weft. This
is then sewn onto a stretch Monofilament
foundation. The machine wefting
Both human hair and synthetic
and stretch foundation allows for
wigs can be manufactured with a
breathe-ability and comfort of fit.
transparent monofilament top. This
gives a smoother, softer feel to the
scalp at the top and the crown.
Wig Provision
The hair/fibre are hand knotted
into the monofilament base to give
the appearance of growing hair.
Monofilament top wigs have the
added advantage of allowing the
hair to be brushed in any direction,
making it easier to change the
parting for a style. A double layer
Machine wefted lace top wig foundation of monofilament is also available
which can increase comfort for the
wearer.
Hand Knotted Foundations
Hand knotted wigs are constructed
on a stretch net, lace or full
monofilament foundation. This type
of foundation is very lightweight
and extremely comfortable to
wear. Each strand of hair/fibre
is individually knotted into the
foundation for a natural life like
look.
Machine wefted monofilament top wig
foundation
12Other Wig Bases Vacuum Wigs
Custom fitted “vacuum” wigs
These tend to be aimed at the
require no bonding to the scalp
long term wearer and frequently
feature as part of custom made wig
ranges. However, with advances Individual/Custom made
in technology, they are becoming wigs
increasingly available as a “ready
to wear” options. This type of wig is most often used
for the long-term wearer. They
Lace can be very expensive as a great
deal of expertise is required for the
Ready to wear and custom made
wigs can incorporate areas of the measuring and the production of
cap (usually the front for a natural this type of wig. A bespoke wig can
hair line) or full caps of lace that are enable you to lead an active life
virtually undetectable to the eye. including swimming, sport, dancing
They tend to have bleached knots with the added security of a wig
that create the appearance of hair that is virtually undetectable and
Wig Provision
growing out of a scalp. secure.
There are a number of specialist
Silicone
companies that produce custom
Edges, larger areas or the whole of made wigs as well as partial hair
the cap can be made from a type pieces, patches for scars, burns
of silicone which creates a second and patches for hair loss. It is
skin. This can be secured with tapes important to note that these wigs
to provide a secure fit. take 8-12 weeks to produce, and a
number of fittings on a bald head
Before carried out by a highly trained
individual is necessary. This is one
of the reasons that this wig would
not be recommended if you are
undergoing cancer treatment.
After
13Thinning Options • Turn the wig inside out, use warm
water and cleanse with an
There are a number of hair appropriate product for the wig
integration systems available, type.
some are similar to a wig, but with • This process may need to be
an open weft base that allows carried out more than once
the client’s own hair to be pulled depending on whether deep
through with a hook or tail comb. cleansing is required.
This will give the hair more volume.
• Use appropriate conditioning
products for real hair wigs, and
Wig Size/Securing leave on the hair for a minimum
of 3-5 minutes. These products
The majority of ready to wear
may be leave on conditioners
wigs are available in average or
or mask style treatments and
petite sizes. The standard cap size
should be used according to the
for wigs is 54cm and petite sizes
manufacturer’s guidelines.
are around 52cm. All wigs have
elastic adjusters with velcro or hook • Conditioning is the most
Wig Provision
fastenings at the nape. These can important part of the cleansing
be altered to ensure best comfort process for human hair wigs.
and fit. This will help to maintain the
condition, extend the life span of
Some wigs provide an area for the the wig and to ensure the quality
additional use of toupee tape for of the hair.
added security, or this can be sewn
• The wig should be thoroughly
into the wig by the wig supplier
rinsed using warm water and
should you feel the need.
dried using a gentle squeezing
and patting technique to
Caring for your Wig remove excess moisture. It is
best to avoid rubbing the wig to
Care instructions should be given prevent the hair from tangling.
to you with your wig. This will help
to ensure the life and quality of
the wig is prolonged for as long as
possible.
Washing Process
When washing a synthetic or a real
hair wig:
• The wig should be pre-brushed
through, prior to the washing
process.
14Aftercare for synthetic wigs Fitting and Wearing a
One of the problems regarding Wig
synthetic wigs is the development
of “friction frizz”. By following the Styling and Aftercare
correct aftercare instructions you Products for Wigs
can reduce the risk of friction frizz
on longer length wigs by using a Shampoo
serum. Never use direct heat such Gentle action and formulated
as hair dryers, ceramic irons or especially for fibre hair. Human
curling tongs as this will damage hair wigs need a high quality
the fibre. It is also important to shampoo particularly for bleached
recognise that you need to be or coloured hair. Anti-frizz shampoos
extremely careful around heat also work very well.
sources such as barbecues, open
fires, cigarettes/lighters, outdoor Spray on conditioner
heaters. Caution is also required
A daily use leave in conditioner
when opening the oven door as the
and protection spray is ideal for
first, initial heat blast, can damage
Wig Provision
synthetic wigs. These sprays often
the fibres.
contain fibre oil, which helps to
protect the wig. For human hair,
Aftercare for human hair use a high quality anti-frizz style
wigs conditioner and use according to
After washing, these wigs should the manufacturer’s guidelines.
be combed through using a wide
tooth comb, always combing from
the tips of the hair to the root. At
this stage, care should be taken
when combing the hair, as the
knots become loose when wet
and will tighten as the wig begins
to dry. All human hair wigs can be
set using conventional curlers and
hood dryers. Heated rollers also
offer a quick curling solution and
Products shown are just an example of
curling tongs and straightening irons available products, other brands and makes
can also be used. It is important are available.
when using heat on the human
hair, that a thermal heat protection
product is used.
15Wig Lustre/Silicone based sprays
(Serum)
This type of spray is recommended
for all types of wigs, it will reduce
the tendency to frizz if used at the
nape area. It will also add shine
and generally revitalise the fibre.
Holding Spray
Fixing Spray, a water based spray Au Naturale
for hold without build-up. Use a This is totally down to personal
holding spray that can be removed preference and individual style.
with cold or tepid water or one that There is no right or wrong choice.
brushes out. Some people simply prefer to
go bare, and define themselves
Alternative Head Wear with make up and earrings. There
are potential advantages to this,
Hats and Scarves namely simplicity, ease, comfort
Wig Provision
and freedom as well as having an
Hats and scarves can be an individual style that some people
alternative to wigs, and many seek.
people will use these as a
comfortable replacement. There If you choose not to wear any head
are a huge amount of options cover in the future, you might find
ranging from regular hats and the following advice helpful:
scarves to self-made headwear
(from sarongs and fabrics) as well • Bare heads are more sensitive to
as specialist headwear which can heat and cold. The head should
offer: be covered appropriately when
• Comfort it is hot and sunny or cold and
windy.
• Different fabrics appropriate
to the temperature and • The scalp can be particularly
environment sensitive to sunshine and it is
recommended that a high
• Shape with padding for structure factor sun block is used and/or a
or extra fabric for tying designs or shady hat is worn.
to provide extra cover up
• Some people receiving anti
• Complete coverage of the cancer treatment should avoid
hairline direct exposure to the sun and
• Secure fit and anti-slippage you should advise them to
discuss this with their healthcare
• Added hairlines such as fringes professional.
or at the side and back of head
can create the illusion of hair.
16Masking Solutions for The application process is very easy
and straight forward:
Patchy Hair Loss
• Apply cream to the sponge
Unisex Spray Hair Thickener applicator supplied
This is a fast and effective • Lightly cover the scalp in the hair
thickening spray, which not only loss area
thickens hair but also helps to
• Comb the hair into desired style
mask thinning areas. The product is
to finish the look
dispensed as a colour powder and
can be quickly sprayed onto the The cream is available in black,
hair and scalp areas where the hair dark brown, medium brown, light
is thinnest. This application offers brown/blonde, grey and grey/
the benefits of disguising the scalp’s white.
reflection of light and the powder
molecules attached to each hair
strand makes them appear thicker. Products
shown are just
The product needs to be sealed in an example
place with a follow up application
Wig Provision
of available
of holding spray. Colours available products,
other brands
are black, dark brown, medium
and makes
brown, light brown, auburn, hazel, are available
light blonde, ash blonde, silver
and grey. Care should be taken if
your scalp is sensitive or your skin is
damaged in any way. If in doubt,
please discuss this with your health
professional.
Make Up
Unisex Masking Solution
You can use make up to draw
Unisex masking cream provides in a lash line and eyebrows and
an instant, convenient and safe enhance your features. Advice
way to disguise thinning areas. This regarding how to achieve this and
non-greasy cream has a gentle the best products to use can be
action and is ideal for both men obtained from make up counters
and women. It is 98% water and rub and beauty salons. Some cancer
proof, it does not stain or discolour charities provide support and
hair and only takes minutes to advice around aspects of well
apply. By selecting a colour slightly being and appearance.
darker than the hair, the scalp is
subtly darkened, which neutralises
the skin’s reflection of light.
17Look Good … Feel Better hold free There are various options
skincare and make up workshops to available to you to help you gain
help combat the visible side effects self distinguishing features and
of cancer treatment. Care should confidence.
be taken if your skin is sensitive
or damaged in any way. If in False eyelashes and eyebrows are
doubt discuss this with your health readily available at both high street
professional. beauty departments and on-line
stores. For men, some moustaches
and beards are available, but the
options are limited. Care should
be taken if your skin is sensitive or
damaged in any way. If in doubt
please discuss this with your health
professional.
Please also see our “Other
Useful Information” section
Wig Provision
at the back of this booklet.
Facial Hair Options
A less considered aspect of
medical hair loss is the absence
of eyelashes, eyebrows, beard
growth and body hair that may
accompany the scalp hairloss. The
loss of facial hair can change your
appearance. Eyebrows provide a
frame for the face, and you may
find the absence of eyebrows and
eyelashes difficult.
18Hair after Cancer Treatment
Basic Facts about Hair
The cells that produce our hair have the fastest growth rate of all cells in
the human body. Each hair goes through an independent cycle of growth,
which lasts on average 5 years. Each day we shed approximately 100 hairs
as part of this cycle.
When new hair grows back
There are some differences between hair and growth rates across different
ethnic groups.
Caucasian Asian Afro-Caribbean
Hair Shaft Oval Round Flat
Thickness Mid-thickness Thickest Finest
Key Characteristics Most variable Straight. Most Curly, tight
type. Can be regular type coiled. The
Hair after Cancer
straight, wavy or shape hinders
Treatment
curly the spread of
natural sebum
across the hair,
leaving it fragile
and easily
damaged.
Colour Blonde, brown, Black Black
red
Rate of Growth 1.2cm/month 1.3cm/month 0.9cm/month
Density of Follicles Most dense Least dense Mid-density
19On average our hair grows around Hair and Cancer
1 cm per month (dependent on
ethnicity). Healthy hair is actually Cancer cells also reproduce
rather strong; each hair can rapidly. Chemotherapy and
withstand up to 100gm. Made up of radiotherapy are designed to
3 layers, the outer layer (the cuticle) target these fast growing cells,
offers a protective function. The which is why our hair can be
cuticle can be damaged by daily affected. Radiotherapy causes hair
combing and brushing, as well as loss only in the area being treated.
environmental influences, e.g. the
sun. The hair that grows back following
treatment for cancer can be
Hair is composed partially from a weak due to a lack of protein.
special protein called keratin. When With chemotherapy, your hair may
we colour hair, it is the protein start to grow back before the end
in hair that the colour pigments of the treatment. You may have
attach to and so it is essential to a full head of hair between 3-6
have the correct protein levels. months following the end of your
The rest of our hair is made up of chemotherapy. There may be a
water, fatty acids and other trace number of differences between
elements. your new hair and your hair before
treatment. For example, the hair
often grows back very fine at first
and may be a different texture,
colour and possibly curly, even if
it was previously straight. In most
cases, your hair will revert over time
Hair after Cancer
back to its pre-cancer treatment
condition and colour.
Treatment
With radiotherapy, your hair re-
growth may be slower than with
chemotherapy; it usually takes 6-12
months before you have a full head
of hair and it may grow back finer
than before the treatment. Some
people’s hair never grows back
following radiotherapy or it may
grow back patchy. The process of
re-growth can be a lot slower if you
tend to wear your wig or cover your
scalp 24 hours a day. If your new
hair is exposed to daylight it tends
to speed up the growth of your hair
after treatment.
20If you do not lose your Please note, due to the effect of
the chemotherapy drugs on the
hair through treatment hair, the end colour result may be
affected. You may not end up
Some people do not experience
with the exact colour you were
hair loss throughout their cancer
expecting.
treatment.
We do not recommend that hair Caring for Hair
is coloured during treatment.
However, we recognise that some As we have discussed, hair growing
people will want to colour their hair back after chemotherapy or
and therefore we offer the following radiotherapy treatment is often
advice: weak and low in protein. Therefore
it is recommended to avoid
• Advise your hairdresser of your strenuous or harsh brushing. Use the
medical treatment so they can hairdryer on a gentle heat setting,
allow for any influence this might rather than high heat.
have on the colour result.
• A strand test is also advised. In addition, the condition of the hair
may be improved through regular
• A skin sensitivity test should cutting by removing the damaged
always be carried out, hair and promoting positive hair
according to the manufacturer’s regrowth.
instructions.
• If there is any sign of a reaction Thinning Hair
– redness, soreness, itching,
irritation, etc – the colour should Thinning hair needs gentle
Hair after Cancer
be immediately washed off the treatment. Avoid vigorous or
Treatment
hair. strenuous brushing and combing.
Paddle brushes often include
• Use foiling techniques to keep
nodules on the bristles, which offer
the colour from coming into
gentle massage of the hair and
contact with the scalp.
scalp. This encourages sebum
• Avoid colours containing harsh production and stimulates blood
chemicals, such as ammonia or flow. There are also massage
resorcinol. brushes available for use during
shampooing. These offer a gentle
• Choose a semi-permanent
scalp massage, as well as helping
colour and so avoid oxidative
to distribute the product across the
pigments (PPDs/PTDs).
head.
• If using permanent colours, avoid
the darker shades, as these have
higher percentages of PPDs/PTDs
(subject to hair analysis results).
20 21Avoid shampoos containing harsh They can also help to repair and
sulphates. Instead look for ones moisturise your scalp, reducing
with natural plant oils (eg; Jojoba irritation and inflammation.
and Sweet Almond Oil), which work
in a similar way to the naturally Some ingredients used in such scalp
occurring oils from our scalp and treatments include:
condition the hair. Other key
ingredients are UV filters, to protect Biotin, Folic Acid, Niacin, Thiamine
the hair from harmful environmental HCL, Pantothenic Acid (Panthenol):
influences and anti-oxidants, (eg; B vitamins, required for healthy skin,
green tea and fennel), which help hair and nails.
to prevent damage. Remember
to advise your hairdresser of your Chamomile, Aloe Vera,
treatment, so they can recommend Geranium, Rosemary extracts:
the most suitable products for you anti-inflammatory, anti-septic and
to use. soothing agents.
When using hairdryers, use a low Fennel, green tea and tocopherol
heat setting and minimise use of (vitamin E): anti-oxidants, which
hair straighteners and other styling help to prevent damage caused
appliances, as these operate at by unstable molecules.
high temperatures. Regular trims
may help to stimulate positive hair Until such time that your hair is
regrowth. Also, avoid tight hair-up long enough to shampoo, an
styles, to prevent stress on the hair. aqueous cream may be suitable for
cleansing and moisturising the hair
The Scalp and Hair and scalp. Once your hair is long
Hair after Cancer
enough, you can begin to use a
Re-Growth gentle shampoo and conditioner.
Treatment
Selected ingredients that can have
Healthy hair requires a healthy a positive influence on hair and
scalp. Hair needs the correct scalp include the following:
amount of nutrients which are
supplied through the network of Proteins, for example, Hydrolysed
vessels and nerves in the scalp and Wheat Protein, Hydrolysed
which stimulate growth. Your scalp Keratin and Wheat Amino Acids
can be very dry, sensitive and scaly are ingredients in some hair
following chemotherapy. There conditioners. They help to build up
are special treatments available the strength and stability of the hair.
for scalps. These treatments deliver The structure of these proteins is
nutrients to the scalp and protect similar to that of naturally occurring
it from harmful environmental keratin in our hair.
influences.
22Plant oils, such as Jojoba and Sweet Surfactants are the cleansing agent
Almond Oil, are popular ingredients. in a shampoo. They are partly
They work in a similar way to the water soluble, partly oil soluble and
natural occurring oils from our scalp increase the spreading and wetting
(sebum), form a thin film over the properties of a liquid. They are often
hair’s cuticle and condition and the foaming agent in shampoos.
soften the hair. This can improve Disodium Cocoamphodiacetate is
the feel, suppleness and shine of an example of an extremely mild
the hair. Dry hair lacks sebum and surfactant made from coconut
can be helped by using products derivatives.
which contain Pantothenic Acid
(also called Panthenol). This is used (The above information is endorsed
in both rinse off and leave in hair by the Institute of Trichologists)
conditioner.
Colouring Hair Post-
Sunflower Seed Oil contains a high
content of Vitamin E and may give Cancer Treatment
other beneficial properties when
applied to skin and hair. It can Although there is little evidence-
also protect from UV light. UV filters based research in this area, current
are important to help protect the medical guidance suggests waiting
hair from harmful environmental six months before permanently
influences, such as damage from colouring your hair. This is due to
the sun, pollution, etc. scalp sensitivity and the fragility of
the new hair growth. Even after
Anti-inflammatory, anti-septic a suitable period of time, a hair
and soothing agents are useful professional should always do a
skin sensitivity test to highlight any
Hair after Cancer
for sensitive scalps, for example
Aloe Vera, Geranium, Rosemary, potential allergic reaction to the
Treatment
Bergamot and Chamomile extracts. colour, as well as doing a wet
stretch test on your hair to check
Conditioning and moisturising strength and elasticity before
agents include Panthenol (Vitamin colouring. Finally, a strand test to
B12) and Comfrey extract. check the colour result should be
completed.
If you are distressed by the colour
of your new hair, professionals
advise that temporary or semi-
permanent hair colours be used
until the hair becomes stronger. If
using permanent colours, avoid the
darker shades, as these have higher
percentages of pigments (PPDs and
PTDs).
23It is recommended to use off- any discomfort. It is very difficult
the-scalp (foiling) techniques to to achieve a satisfactory colour
begin with, to stop the colour from result on hair which is not in good
coming into contact with the scalp. condition and different results
Also, avoid aggressive chemicals achieved can be due to hair in
in hair colours, such as ammonia or different condition. It is important
resorcinol. that you seek expert stylist advice
prior to any attempts to colour your
Before you begin to colour your hair.
hair, consult a hair professional, who
will be able to assess the strength In the initial period following
and condition of your hair and chemotherapy, hair may not
advise any specific products you respond to colour in the normal
should use. It is essential to note that way and a trained hair professional
colouring should not take place will draw this to your attention.
if your hair and scalp are brittle, The final colour result can be
excessively dry or flaky, irritated or affected by many things such as
breaking. Colouring must only be medication, condition of hair and
carried out once your scalp and previous colouring. A professional
hair are both healthy and able to colourist, who is familiar with these
go through the colouring process considerations, will be able to
without damage or causing you advise you.
Types of Hair Colour
Hair after Cancer
Technique Pigment Type Effect on Hair Example
Products
Treatment
Temporary Direct Pigment Coats the hair and Colour mousse
lasts 1 wash
Semi-permanent Direct Pigment Coats the hair and Semi-permanent
lasts 6-8 washes colour
Demi-permanent Oxidative Penerates the Permanent
Pigment cuticle and lasts colour with a
more than 8 low level of
washes peroxide
Permanent Oxidative Changes the Permanent
Pigment existing colour in colour with
the hair medium to high
level of peroxide
24Hair colour has been extensively Relaxing/Straightening
tested to ensure it is safe to use
under the conditions stated by Hair Post-Cancer
the manufacturer. However, it is Treatment
possible to be or become allergic
to one or more of the ingredients The relaxing and straightening of
used in hair colour. Other factors hair is only recommended for hair
which can cause an adverse that is in good condition and of
reaction to hair colour include a suitable length. The repeated
tattoos, permanent make-up and combing of the hair during the
medication. process can put it under a lot of
stress and particularly hair that is
If any of these apply to you or weak in protein can be prone to
you have experienced a previous breaking under these conditions.
reaction to hair colour or have Damaged hair should be treated
other allergies, always advise your according to the results of the wet
stylist. A skin sensitivity test should stretch test until it is in a suitable
always be carried out before condition for relaxing/straightening.
colouring.
Hair after Cancer
Treatment
25The straightening of Afro Caribbean method you choose, hair extensions
hair is not advised at all until the and weavings can also lead to
hair and scalp are fully recovered. further hair loss or thinning. When
As with colouring, relaxing or the weave is done too tightly it
straightening should not take place can pull on existing hair and lead
if the hair and scalp are brittle, to premature shedding. Weaving
excessively dry or flaky, irritated or can also damage hair follicles
breaking. causing breakage at the point of
attachment. To help reduce the
chance of damage or shedding,
Benefits and Side Effects professional stylists should only
apply extensions and proper care
of Hair Extensions and should be taken of existing hair
Weaving and extensions as long as they are
attached.
Hair extensions and weaving can As this technique can be damaging
offer some temporary benefits, to existing hair strands, individuals
including giving hair more volume. need to think about the risk of
For individuals with healthy hair, this procedure. If you have very
extensions offer an alternative little hair, or excessive thinning,
to thinning hair and hair loss. extensions may increase the risk of
However, for damaged hair this is further hair loss.
not generally encouraged. Many
individuals do not like the worry
that accompanies temporary hair
extensions. These extensions can
fall out easily, must be removed
Hair after Cancer
before bathing or swimming, and
can be blown off in the wind.
Treatment
However, depending on the
We hope that you have found this information helpful. If you have further
queries regarding hair loss that you would like to discuss, please do
contact us.
Helpline: 01798 812547
www.mynewhair.org
email: info@mynewhair.org
Registered charity number 1130815
We rely solely on donations to continue our work
26Other Useful Information
Alopecia Areata Support Cancer and Careers UK
Alopecia Areata Support run a Directory of essential contacts for
support group for people suffering women living and working with
from Alopecia. They host regular cancer. You can find information
support meetings and have and advice on everything from
representatives in the UK and hair loss to programmes offered by
internationally. employers for working women with
www.alopeciaareatasupport.co.uk cancer.
www.cancerandcareersuk.org
Alopecia Beauty Tips
Alopecia Beauty Tips aims to Cancerbackup
provide women suffering from Cancerbackup has merged with
Alopecia the confidence they Macmillan to provide more than
need to look and feel fantastic. 6,000 pages of online advice and
www.alopeciabeautytips.com pledges to answer ‘any questions
about any cancer’.
Helpline: 0808 800 0000
Cancer and Alopecia Support Tel: 020 7840 7840
Services www.cancerbackup.org.uk
The aim of Alopecia UK is to provide
information, advice and support
for people with experience of Cancer Black Care
alopecia areata, alopecia totalis, Cancer Black Care information
and alopecia universalis. centres offer information and
www.alopeciaonline.org.uk support for people with cancer
from ethnic communities, their
friends, carers and families.
Tel: 020 8961 4151
www.cancerblackcare.org.uk
Other Useful
Information
27CLIC Sargent Look Good...Feel Better
CLIC Sargent is a children’s cancer Look Good...Feel Better is the
charity that aims to help children beauty industry’s charity. It runs free
and young people survive cancer skin care and make up workshops
and make the most of their lives. for cancer sufferers across the UK.
They provide support to the patient Tel: 01372 747 500
and their family through diagnosis,
Email: info@lgfb.co.uk
treatment and afterwards.
www.lookgoodfeelbetter.co.uk
Helpline: 0800 197 0068
Tel: 020 8752 2800 (London branch)
Email: helpline@clicsargent.org.uk Macmillan Cancer Support
www.clicsargent.org.uk Macmillan Cancer Support aim
to improve the lives of people
affected by cancer. They provide
Christine Headwear practical, medical and financial
Tel: 01538 399541 support and push for better cancer
www.christineheadwear.co.uk care.
Tel: 0808 800 0000
www.macmillan.org.uk
Institute of Trichologists
The Institute of Trichologists is the
foremost professional association Maggie’s Centres
for Trichologists in the world. You Maggie’s Centres allow people
can contact them or check living with cancer to access help
their website to find a registered with information, benefits advice,
trichologist in your area. psychological support both
Helpline: 0845 604 4657 individually and in groups, courses
Email: admin@trichologists.org.uk and stress reducing strategies under
one roof.
www.trichologists.org.uk
Tel: 0300 123 1801
Email: enquiries@maggiescentres.
Little Princess Trust org
The Little Princess Trust provides real www.maggiescentres.org
hair wigs to children suffering from
hair loss. They supply and fully fund
Other Useful
the wigs from all over the world,
Information
and provide personal fitting/styling
to ensure the wig is as close as
possible to the original hair.
Tel: 0845 094 4509
www.littleprincesses.org.uk
28My New Hair Wig Suppliers and Alternative
My New Hair is a national Headwear
independent charity providing
Bandanashop.com
information, advice and support
for people experiencing medical Claims to offer the largest selection
hair loss. They provide access to a of bandanas in the UK. Although
responsibly trained national network not specifically geared towards
of hairdressers. cancer sufferers, the products have
a young and funky feel.
Helpline: 01798 812547
Tel: 0800 678 5528
www.mynewhair.org
www.bandanashop.com
National Alopecia Areata
Foundation Black Care UK
NAAF support research to find a Black Care UK is an internet based
cure or acceptable treatment for company selling Afro Caribbean
alopecia, they support those with beauty products. They offer a wide
the disease and educate the public range of hair care products which
about alopecia areata. can be purchased online.
www.naaf.org Tel: 020 8279 0335/0337
Email: info@blackcareuk.com
www.blackcareuk.com
Teenage Cancer Trust
The Teenage Cancer Trust provide
advice and support for young Buff
people suffering from cancer. ‘Buff’ headwear is a versatile strip of
Teenage Cancer Trust units exist in breathable micro-fibre material that
hospitals around the country. can be worn in 12 different ways.
Tel: 020 7612 0370 It is not specifically designed for
www.teenagecancertrust.org cancer sufferers which will appeal
to younger women (or the young at
heart).
Top 50 Blogs for Understanding & Tel: 01707 852 244
Coping with Alopecia www.buffwear.co.uk
This article provides sources of
support and information for men,
Other Useful
Information
women and children living with
alopecia.
www.msndegree.com/top-50-
blogs-for-understanding-coping-
with-alopecia
29The Hairdressing and Beauty NHC Necessity Headwear
Suppliers Association Collection
The HBSA is a network of industry At NHC the ranges of hats, hair
professionals, and includes the accessories, wraps, caps, turbans,
Association of UK Wig Suppliers. fringes and headscarves are
The HBSA website contains a uniquely designed for those
list of all of the UK wig suppliers suffering from medical hair loss.
registered with them that you can Tel: 01992 474104
contact directly to find your most
Email: info@necessityheadwear.
local agent.
com
Tel: 01707 649 499
www.necessityheadwear.com
www.hbsa.uk.com
Suburban Turban
Hats 4 Heads
Suburban Turban, founded by
Hats 4 Heads aim to provide milliner Nicky Zip, has a range
stylish hats for all ages with one of contemporary headwear
main requirement: they must be designed specifically for women
comfortable for people who have experiencing hair loss.
lost their hair through illness.
Tel: 0845 003 2800
Tel: 0161 941 6748
Email: nicky@suburbanturban.
Email: info@hats4heads.co.uk co.uk
www.hats4heads.co.uk www.suburbanturban.co.uk
Headstrong from Breast Cancer 4myhead.com
Care
4myhead.com is an online shop
Free service offered by Breast providing stylish hats and scarves
Cancer Care for people with for those experiencing hair loss
cancer. They offer tips on hair from cancer treatment.
and scalp care, and help people
Tel: 07505 028099
experiment with scarves, hats and
hairpieces in a comfortable and Email: info@4myhead.com
private environment. www.4myhead.com
Helpline: 0808 800 600
Tel: 0845 092 0800
Other Useful
Information
Email: info@breastcancercare.
org.uk
www.breastcancercare.org.uk
30Would you like more information or to become a Friend of My New Hair We would like to be able to keep you up-to-date with what is happening in our charity, future fundraising and other planned events. If you would like further information or to become a “Friend of My New Hair” and are happy for us to contact you, please would you kindly complete the information below and return this to us. My New Hair Roffey Park Institute Forest Road Horsham West Sussex RH12 4TB You can contact our helpdesk on 01798 812547 or email info@mynewhair.org I would like to become a “friend of My New Hair” please tick I would like further information please tick Name :_ _______________________________________________________ Address:_ ______________________________________________________ _______________________________________________________________ _______________________________________________________________ Email:__________________________________________________________ Telephone:_____________________________________________________ Please note that this information is for My New Hair use only. Should you not wish to receive any further information you can unsubscribe by emailing info@mynewhair.org or by calling our helpdesk 01798 812547
My New Hair is a national independent charity providing
information, advice and support for people experiencing medical
hair loss. They provide access to a responsibly trained national
network of hairdressers. Registered Charity Number 1130815
For further information please visit www.mynewhair.org
You can contact our helpdesk on info@mynewhair.org
or call us on 01798 812547
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