As a general rule, keep your skincare routine as simple as possible – no serums, acids, toners, etc.

Historically, the point of toners was that cleansers would strip the essential oil off of the skin, because they were quite strong, and the point of toners is to replenish.  If you use a neutral based cleanser followed by a moisturizer, you do not really need that toner.

Serums are very nice, but they tend to have a lot of added ingredients, like retinol. However, some of the ingredients can be helpful like niacinamide, which is an anti-inflammatory.

Simple rule:  Gentle cleanser.  Good moisturizer.  Great sunscreen. 

The type of base (or “vehicle”) you a product is in—ointment, gel, lotion, or cream—affects how well it works. These terms describe different chemistries, but they can be compared by their viscosity, or thickness. In terms of eczema, the strongest vehicle, from a moisturization standpoint, is an ointment. The issue with an ointment is that it might not be cosmetically pleasing as it can be quite greasy and sticky.

The next best thing is a cream. They are rich, thick, and have a bit of weight to them when you actually scoop them up or put them in your hand. However, they might not rub in quite as nicely as a lotion, which people tend to gravitate to because pump dispensers make application easier and quicker. Lotions contain lots of water and very little oil. Because the amount of oil drops as you move from an ointment to a cream, then to a lotion, oil, or gel, these later products can actually be dehydrating rather than hydrating.

Yes! People going through cancer have skin that is equivalent to eczema. People with eczema have a higher propensity to developing allergies to a product they are using. Even outside of cancer, people come to my clinic experiencing allergies, and I say to them: “I think you are reacting to xxx product” … and they say: “That product? I’ve been using it for the last 20 years.”.

That is exactly right. No one is born with allergies in their skin. We all need to be sensitized to products first and certain treatments can make your skin more sensitive, and therefore make your skin have a greater ability to be sensitized to an allergen. You can use something a million times, and the million and one time, you become allergic to it.

Key signs you are allergic to something:

• If things are getting worse rather than better, when using a product
• If things are red, itchy, scaly, especially in the areas where you are applying the product

I also recommend the website www.producteliminationdiet.com . It’s a wonderful resource and Dr. Skotnicki is fantastic dermatologist. I learn so much from her all the time.

I feel that way too, and I know these products inside and out. Every time I go, I discover new products that I was not aware of.

In general, you want to treat your skin like a person who has eczema – but you don’t necessarily need to get products for “eczema”.

Key words to look for are:

• hypo-allergenic
• fragrance-free – not scent-free (there is actually a difference)
• PH balanced or PH neutral product

There are lots to avoid in the pharmacy or drugstore – especially the acne aisle. Over the counter and prescription treatments tend to be quite irritating . And, acne – or something that looks like acne – is the single biggest side effect that I need to manage as a dermatologist for people that have cancer.

So, you might see an acne-like rash on your skin, but it’s not a great idea to get a strong acne cleanser. Most of these cleansers have acids in them (salicylic acid, lactic acid, alpha/beta hydroxyl acids), which can be irritating to the skin and disrupt the skin’s PH and/or moisture barrier. 

The same caution applies to retinol products. The prescription‑strength form is a retinoic acid (the active acid version of vitamin A) that can cause significant dryness, redness, and irritation. Over‑the‑counter retinol is a milder, non‑metabolically active form, but it still tends to dry the skin, which is exactly what we want to avoid.

Cancer treatments can cause skin reactions that are worsened by sun exposure, regardless of skin pigmentation. Using sunscreen helps protect against harmful UV radiation and prevents these reactions.  

To protect your skin from the sun, it is recommended to apply sunscreen every day, all year round, regardless of the weather. This is because UVA rays are present throughout the year and throughout the day, and they can even penetrate windows. 

If you go outside and engage in physical activities, it’s important to re-apply sunscreen frequently and generously – at least once every 2 hours, and immediately after heavy sweating or swimming. 

When choosing a sunscreen, select one with SPF 30 or higher to protect against UVB, and make sure it is labeled “Broad Spectrum” or shows the UVA symbol to ensure UVA protection as well.  

Apply sunscreen about 20 minutes before sun exposure for maximum effectiveness, and if using a moisturizer first, let it fully absorb to avoid diluting the sunscreen. 

It’s crucial to remember that UVA rays are present year-round and can penetrate windows, while UVB rays are more intense and primarily cause sunburn. For this reason, sunscreen should be applied daily, even when indoors near windows, to protect skin that may be more vulnerable due to cancer treatments. 

If a product is labeled “mineral”, it almost always contains zinc, titanium, or both. Some brands also include chemical filters in mineral formulas, but these filters aren’t inherently bad. In fact, many are safe and well-tolerated. Mineral sunscreens offer excellent protection, though they can be harder to blend in, especially over larger areas of skin.

UV-protective clothing is very effective for sun protection and is strongly recommended for anyone spending long periods outdoors or swimming, since water can wash off or reduce the effectiveness of sunscreen. A wide-brimmed hat offers better coverage for the face and neck than a baseball-style cap. Keep in mind that UPF fabrics can thin and lose effectiveness over time, so they will eventually need to be replaced. 

For cancers other than skin cancer, the skin is not the intended target of radiation; it is more of an “innocent bystander” as the radiation passes through to reach deeper tissues. When the skin itself is not the target, regular moisturizing before, during, and after treatment is often encouraged to help support the skin barrier. Some cancer centres also follow protocols that include a topical steroid to reduce inflammation, and this does not interfere with the effectiveness of the radiation. 

Certain targeted therapies can cause severe acne-like eruptions, known as acneiform eruptions. In these cases, over-the-counter products are usually not effective, and medical intervention is required. 

For adults not on these specific medications, acne can still flare due to underlying tendencies, particularly when the body is under stress. If you notice acne while on treatment, it is important to discuss it with your physician or oncologist first to determine whether it is a treatment-related side effect.  

If it is not linked to your therapy and is a flare of pre-existing acne, your family doctor or dermatologist can provide targeted care. There are many effective interventions for adult acne, including prescription medications and specialized topical treatments, tailored to the type and severity of acne. 

Skin changes are common during cancer treatment and can significantly impact quality of life. About two-thirds of patients say the effects are worse than expected, and around half will experience a treatment interruption or discontinuation because of skin issues. 

If your skin reaction is affecting your cancer therapy and quality of life, see a dermatologist familiar with treatment-related reactions. Often, these skin conditions are a sign the therapy is working, so stopping treatment unnecessarily can be harmful. Proper management can help you stay on therapy while protecting your skin. 

Whether or not you are experiencing hair loss, it’s recommended to use an anti-dandruff shampoo twice a week. Massage it into the scalp and let it sit for 2–5 minutes. These shampoos are anti-inflammatory and soothing. 

If you still have hair and experience redness or itchiness despite using the shampoo, a prescription anti-inflammatory lotion (usually a topical steroid) can be used. Apply nightly until symptoms improve, then gradually reduce frequency. 

For a hairless but itchy scalp, continue the anti-dandruff shampoo and follow with a rich moisturizer, cream, or balm to soothe the skin. 

Tea tree oil has anti-inflammatory and anti-microbial properties, so it can help with scalp irritation. However, some people may develop an allergy to tea tree oil, and many tea tree shampoos contain fragrances that can also cause reactions, so it’s advised to monitor your scalp for any worsening symptoms. 

For chemotherapies that cause anagen effluvium (hair loss), using an anti-dandruff shampoo twice a week can help keep the scalp healthy. Minoxidil (5% foam, brand name Rogaine) may also be useful—applied twice daily for men and once daily for women. Vitamin supplements can be beneficial as well. For certain chemotherapy regimens, a scalp cooling cap can help reduce hair loss, and there is data supporting its effectiveness. 

Nail changes during treatment can range from general issues like brittleness, cracking, or Beau’s lines—often related to stress—to more specific reactions from certain medications, such as painful inflammation of the nail bed. These problems can be distressing and significantly impact quality of life.

To care for your nails, stick to the basics: use a gentle soap (bring your own to public restrooms if possible), moisturize regularly, and wear gloves to protect your nails from trauma.

For general issues like brittleness or breaking, over-the-counter nail-strengthening lacquers can help. High doses of biotin are best avoided during treatment, as they can interfere with some lab results. 

It depends on the type of treatment. With hormonal therapies, the skin may experience lasting changes. For traditional chemotherapy, the skin usually returns to normal shortly after finishing treatment and once any reactions have subsided. 

• Gentle cleanser labelled for sensitive skin or for eczema
  
• Non-irritating and pH balanced or neutral

• Use lukewarm or cool water (hot water strips natural oils). Keep showers brief (less than 10 minutes) to minimize skin irritation 

A cream is likely best for you right now. The type of moisturizer you choose (called the “vehicle”) matters because your skin may be more sensitive and dry during treatment. 

Understanding moisturizer types: 

• Gels – Lightest, may not provide enough moisture during treatment

• Lotions – Light to medium, absorb quickly but need frequent reapplication

• Creams – Thicker and more moisturizing, ideal for treatment-sensitive skin

• Ointments – Heaviest and most protective, but can feel greasy 

Creams typically provide the right balance of moisture and protection for treatment-sensitive skin without being too heavy for daily facial use. Look for cream-based products that are: 

• Hypoallergenic

• Fragrance free

• pH balanced or neutral

• Avoid anything labelled “anti-ageing” 

Fragrance-free and scent-free are not the same. Scent-free products may still contain masking fragrances, which can be irritating. Look for ‘fragrance-free’ on the label whenever possible. 

Moisturize immediately after patting your skin dry from bathing to lock in moisture. If you don’t bathe daily, moisturizing on dry skin is still beneficial. 

It’s important to note that oils don’t add moisture – they lock in existing hydration.

For best results, apply oils to slightly damp skin or use them in combination with a moisturizer. The exception is scalp care when you have hair, where oils can be used alone since applying cream to the scalp isn’t practical.

If you want to use oils to lock in moisture, look for ones that are fragrance-free and non-comedogenic (won’t clog pores). Gentle, non-comedogenic options include: 

• Rosehip seed oil

• Shea butter

• Squalene
  
• Argan oil

• Grapeseed oil (cosmetic grade)

• Castor oil

• Baby oil

• Petroleum Jelly

• Bio-oil 

Coconut oil can be absorbed through skin and may affect cholesterol levels in some cases. It may cause allergic reactions in those sensitive to cocamidopropyl betaine. It’s better to avoid using cooking oils on your skin and opt for products specifically designed for skincare.  

Always test on a patch test on a small skin area that isn’t your face first. 

Treat your skin as if you have eczema. Hyaluronic acid is suitable for sensitive skin, but put aside other acids until 6 months after treatment ends. That includes retinol any other active ingredients.  

Wait until treatment is complete, or ensure the practitioner is trained to work with cancer patients using extremely gentle, non-irritating products. 

Toners are OK if your skin tolerates them and they’re not too drying. With a neutral cleanser and moisturizer, you may not need toner. 

Vitamin C serums are generally safe during cancer treatment. Vitamin C is an antioxidant and unlikely to cause problems. However, avoid Vitamin C serums mixed with retinol, as retinol can be drying and harsh on sensitive skin during treatment. 

• Start slowly – use every other day to test tolerance

• Choose lower concentrations (10-15%) and stabilized forms for gentler application
  
• Stop if you experience stinging, redness, or irritation

• Always follow with moisturizer and sunscreen

It really depends. While many people associate hair loss primarily with scalp hair, other hair types, including eyelashes and eyebrows, can also be affected. Some people might experience thinning rather than complete loss of eyelashes and eyebrows, and others may not lose them at all. Your treatment team may have more information about your specific protocol and the side effects others have experienced. 

Deciding when to shave your head is a personal choice that varies by individual. Many people notice significant thinning or loss a few weeks into treatment, making that a good time to consider shaving if you’re uncomfortable with your hair’s appearance. 

Shaving can provide a sense of relief and control, especially if your scalp becomes sensitive due to chemotherapy. It also creates a smooth surface for wearing wigs or head coverings. 

If you’re unsure, discussing the decision with a trusted friend or healthcare provider can offer support. Ultimately, do what feels right for you. But be sure to use clippers with a #1 guard, leaving 1/8″ of stubble. 

Do what feels right to you but do not go shorter than 1/8″ as this could irritate the scalp. Many people find that cutting their hair shorter before treatment makes the hair loss process feel more manageable. Keeping short hair can also make regrowth look more even. 

It’s a personal choice. You may want to keep a short cut which can make thinning less noticeable. 

It could be irritation, inflammation of the hair follicles or ingrown hairs. Instead of using a razor, use clippers with #1 guard to remove hair to prevent bumps from appearing or reoccurring. 

You can use either shampoo or facial cleanser on your scalp. Either continue your facial cleanser upward to your scalp, use body wash if tolerated, or try moisturizing shampoo. Look for shampoos that are sulfate-free, gentle and moisturizing. Choose products that are gentle, hypoallergenic, and pH balanced or neutral. 

Yes! Gently massage your scalp with facial moisturizer to: 

• Increase comfort and circulation
• Reduce sensitivity and itchiness
• Make wigs, scarves, or hats more comfortable 

Jojoba oil is particularly good for scalp care as it’s known for its soothing properties and ability to lock in moisture. Other gentle, non-comedogenic options include: 

• Rosehip seed oil 
• Shea butter 
• Squalene 
• Argan oil 
• Grapeseed oil (cosmetic grade) 
• Castor oil 
• Baby oil 
• Petroleum Jelly 
• Bio-oil 

Exfoliating the scalp can be beneficial as it helps remove dead skin cells, excess oil, and product buildup. Use a gentle cleanser and a baby washcloth to remove dry skin, then follow up with a moisturizer. If you require further exfoliation, try a gentle exfoliating product for sensitive skin. 

If your scalp is sensitive, irritated, or doesn’t have visible flaking, avoid exfoliating entirely. When in doubt, stick to gentle cleansing and moisturizing only. 

• For general comfort and sensitive scalps: 
  Bamboo, cotton, linen, and modal are excellent choices because they are lightweight, moisture-wicking, and allow for good airflow. Bamboo regulates temperature and is soft on sensitive skin, while cotton offers all-day comfort and linen is highly breathable. 

• For winter/cold weather: 
  Look for soft, breathable, and non-irritating fabrics like bamboo, fleece-lined cotton, and wool blends with a soft inner lining. Avoid scratchy wool or synthetic fibres that can cause irritation. A silk or satin lining inside hats can also help prevent friction and dryness.

• For maximum coolness: 
  Bamboo, cotton, linen, and modal are your best options. In terms of design, loose-fitting caps and lightweight scarves offer versatility, while turban-style wraps provide full coverage. 

Consider owning at least 3 to 5 head coverings to ensure you have enough options for different occasions while allowing for washing and drying. Sleep head coverings should be made from softer, more comfortable materials that provide warmth and minimise friction against the scalp, making cotton or bamboo ideal choices. Like pyjamas, it’s important for hygiene to reserve specific items for sleep to reduce transfer of dirt and sweat from daytime activities to bed. 

For daily wear, a variety of styles, including caps, scarves, turbans, and hats, can be beneficial. These should be made from lightweight, breathable fabrics that keep the scalp cool and comfortable while providing coverage. 

Head coverings can be purchased from various sources, both online and in stores. Most wig boutiques will also carry head coverings and many other accessories. You can also find head coverings on specialty websites that cater specifically to those undergoing treatment. Cancer support organisations often provide resources or even free caps. Department stores and local boutiques may also carry suitable headwear. Additionally, some hospitals/cancer centres provide head coverings or purchasing resources. When selecting a head covering, consider comfort, material, and style to find the best option for your needs. 

Ideally, you should wash them every 2 to 3 days, especially if you sweat or wear them for extended periods; daily wear may necessitate more frequent washing. The fabric type can also influence washing frequency—cotton and bamboo can be laundered more often without damage, while delicate fabrics like silk may require less frequent cleaning. Additionally, since chemotherapy can make the skin more sensitive, it’s important to use gentle, hypoallergenic detergents and avoid fabric softeners that could irritate the scalp. If you notice any odours, visible dirt, or signs of irritation on your scalp, wash your head coverings immediately. 

A sleep cap is designed for nighttime use and is made from soft breathable material. They help keep the head warm while collecting hair that is coming out and protecting the scalp from friction against pillows. 

Unless it is specifically listed as having UV protection you should wear sunscreen under a head covering because UV rays can penetrate these materials. The scalp may be more sensitive during and after chemotherapy, increasing the risk of sunburn. If you plan to be outside for an extended period, sunscreen adds an essential layer of protection, providing peace of mind, particularly if you adjust or remove your head covering throughout the day. 

Keep sun protection top of mind by wearing a waterproof sunscreen and/or a swim cap, wide-brimmed hat or head covering with UV protection. 

Wear a head covering like a simple cap or wig grip band underneath. 

The square knot (or reef knot) is recommended due to its simplicity and security. To tie a square knot, start by positioning the scarf on your head so that the ends hang evenly down your back or to the sides, depending on your style preference. Cross the right end of the scarf over the left end, then bring the right end under the left and pull both ends tight to form the first part of the knot. Next, take the left end and cross it over the right end, bringing the left end under the right and pulling both ends tight again to complete the knot. The square knot is known for staying tied, making it suitable for all-day wear, and it can be easily adjusted to tighten or loosen the fit as needed. Additionally, the knot lies flat against your head, preventing bulkiness and discomfort. 

Yes, at minimum the top of the ears should be covered to create a more comfortable and polished look. 

Yes! Search terms like “scarf tying tutorial for cancer patients,” “how to tie a scarf for hair loss,” and “headscarf tying techniques for chemotherapy.” Other effective phrases include “chemo scarf styles,” “head covering tutorials for cancer,” and “easy scarf styles for cancer patients.” Utilizing these search terms on platforms like YouTube or Google can help you find a variety of helpful tutorials tailored to your needs. 

• Blend until colour matches your natural scalp colour

• Use a disposable sponge for smoother blending

• Limit makeup on forehead to reduce stark transitions 

Yes. Foundation helps eyebrow pencil cling to skin. Apply foundation first, let dry, then draw in eyebrows.  

Yes. This creates a lighter, more hydrating base that’s comfortable on dry or sensitive skin. It may reduce coverage, so experiment to find your balance. 

Many prefer foundation first to create an even base, then concealer to spot-correct areas needing extra coverage. 

Apply concealer dots from inner to outer corner of eye with clean finger, applicator, or disposable sponge, then blend gently. 

• Purple: brightens dullness, evens yellow skin

•  Yellow: conceals dark purple or blue discolouration

• Green: hides red blemishes, blotchiness, sun spots

• Peach: cancels dark circles (light skin tones)

• Orange: cancels dark circles (darker skin tones) 

To prevent makeup from melting: 

• Press translucent powder with cotton round to absorb oils

• Blot oil before applying powder 
• Consider lightweight primer

• Ensure sunscreen and moisturiser are fully absorbed first 

Foundation provides the most coverage and is best for evening out skin tone and covering discolouration. 

BB creams (Beauty Balm) offer lighter coverage and often include moisturiser, sunscreen, and skin-caring ingredients. They’re ideal when you want a natural look with some coverage and added skin benefits. 

CC creams (Colour Correcting) focus on evening out skin tone and correcting discolouration with light to medium coverage. They’re useful when you want to address redness or uneven colour without heavy coverage. 

During treatment, BB and CC creams can be gentler options for your skin since they’re typically more hydrating and less heavy than traditional foundation. Choose products that are hypoallergenic, fragrance-free, and pH balanced, and use whichever feels most comfortable on your sensitive skin. 

No, it’s not a good idea. It’s better to use them separately to avoid diluting the sunscreen’s potency and losing protection. 

You likely won’t use enough foundation for adequate coverage, and areas like ears and neck would be missed. It’s best to use sunscreen, let it absorb in the skin and then apply foundation. You may also like a mineral sunscreen powder for re-application over makeup. 

It’s a personal preference. Use photos where you liked your eyebrows as a reference guide. 

Look for a universal taupe pencil – a slightly warm tone that’s not too grey or silvery. 

Rub the pencil on the back of your hand to warm and soften it. 

No, but be very gentle when removing makeup to protect delicate regrowth. 

No, procedures that create open wounds aren’t recommended during treatment. 

Its effectiveness isn’t scientifically proven. If you try it, do a patch test on skin first, avoiding eyes. Ask your healthcare team if unsure. 

Yes! Follow proper hygiene, don’t apply to waterline, and sharpen pencils between uses or spray isopropyl alcohol on the tip to disinfect it. 

Avoid eye makeup while eyes are watering. Focus on brows and blush for facial dimension. 

These aren’t recommended. Glue can irritate sensitive skin, and magnetic lashes may require excessive rubbing to remove. 

No, but be gentle removing it. To protect your lashes:

• Avoid waterproof formulas

• Use gentle remover (see eye makeup remover question below) 

Any gentle cleanser labelled for sensitive skin works. It should be non-irritating and non-oily. Use a cotton pad, hold on eyelid for a few seconds, then wipe downwards from inner to outer corner. 

During treatment, lipstick is OK for 3 months if applied with Q-tips or disposable applicators. 

Using Q-tips or disposable applicators to apply lipstick is the best way to keep your lipstick clean. If applying directly, spray with isopropyl alcohol after each use. 

Ask your pharmacist for products specifically formulated for severely dry skin/lips. 

Ask your medical team or pharmacist for mouth rinse recommendations – they often have samples. 

• Use pump dispensers when possible

• Use spatulas to remove products instead of fingers (and no double-dipping with spatulas)

• Close lids tightly after use

• Never blow on applicators

• Don’t share products

• Test new products on hands/wrists, not face

• Follow expiry dates 

Regular brushes and sponges hold bacteria. Use disposable applicators or clean fingers to apply makeup during treatment. You can find disposable applicators online, at dollar stores, or in the makeup sections of large retailers. 

• Mascara: 1 month once opened

• Most other products: 3 months with proper hygiene 

Sunscreen and hand sanitizer become less effective after expiry. Throw away makeup with separation or off-odours, even before the expiry date. 

Yes. Remove with oily, acetone-free remover. Use petroleum jelly instead of cutting cuticles. Avoid acrylics (bacteria risk) and wear rubber gloves for chores.

Ask if professionals are trained for cancer patients. Avoid anything causing breaks or bleeding. Skip acrylics due to infection risk. Do not push back, cut, or push down cuticles. Only basic nail polish application is recommended—avoid other specialty services.

Petroleum jelly can be applied to nails to moisturize and act as a barrier cream, helping protect them from everyday damage. You can also consider using a hydro-soluble nail strengthener. Ask your healthcare team or pharmacist for recommendations on products specifically designed to strengthen brittle nails during treatment.

Yes, as long as skin isn’t scratched or broken and you tolerate it.

Recovery timelines:

Fingernails: Nails grow one millimetre per month, so full recovery takes six to twelve months. Bumpy ridges are from treatment interrupting nail growth—they’ll grow out normally.

Toenails: Toenails grow half a millimetre per month, so full regrowth takes twelve to eighteen months, especially the big toe.

Both kinds of wigs have their advantages and disadvantages. Synthetic hair wigs are lightweight and comfortable to wear and generally easy to care for and style. They are often much less expensive than real hair wigs and are available in a wide variety of colours and styles. Their drawbacks are that they can be damaged by heat and steam, including hair dryers, hair curlers, heat from the oven and steam from a dishwasher. 

Human hair wigs feel natural and can be styled using regular hair tools like hair dryers, curling irons and flat irons. They are also quite durable. But, they are more expensive, their colours can fade and they take more maintenance to clean and style. 

Hair toppers share characteristics of both hair extensions and wigs. They clip in at the top of your hair, but they generally just cover the crown of the head. Since they have a smaller cap, they sit flatter on the head. Toppers allow you to still use your natural hair and blend it in with the topper. Similar to other forms of wigs and extensions, you can purchase curly hair toppers, toppers with bangs, or even custom pieces with balayage to match your own style. 

Halo wigs are a curtain of hair that fit around your head similar to a headband. These are usually used if you have thinning hair or if you are bald and want a curtain of hair on the sides and back of your head under a hat or scarf wrap, but don’t want to wear a full wig. 

If you were to wear a halo wig with existing hair, a thick weft of hair wraps around your head and has a thin, clear “fishing line” or elastic that hides under your natural hair to make the halo extension blend in with your hair and be hidden. 

Yes, you can buy a wig online. There are pros and cons to looking at wigs online versus visiting a wig salon with medical quality wigs. Online allows you privacy and anonymity with lots of wig styles available. Some people find the options overwhelming, so seeing a few wigs in a salon may feel more manageable. Generally, online wigs are less expensive than wigs in stores. Just remember that it’s harder to tell texture, colour and quality from an online photo and there’s no way to try it on for fit. 

It can be useful to talk to an expert, regardless of how you choose to shop. Some online wig shops do offer consultations with a wig professional over zoom, chat or email. 

• The climate you live in, especially if you live somewhere with frequent hot or rainy weather.
  
  • Do you want a full or partial wig? You can also opt to attach bangs, side pieces, and ponytails to any remaining hair or head coverings. Think about potential accessories, including scarves, barrettes, and clips.
  
  • Do you want to wear a wig similar to your regular hairstyle? If so, snap a few pics of your current hair and bookmark recent photos. Cut a lock of hair to represent your desired wig colour. Always use natural light to compare wigs to your hair sample.
  
  • If you decide to try out a new style, colour, or length, gather a collection of photos to use for inspiration. You can have a chat with your hairstylist for tips, ideas, and insights. In fact, buying a wig can be a great way to try out a new look. 

Medical-grade wigs are designed for long-term wear and can sometimes be covered by health insurance due to their necessity for medical reasons. Both medical-grade and higher-quality wigs are constructed to feel natural and fit well on the scalp, using materials that are hypoallergenic, gentle on the scalp, and designed for extended wear during treatment. 

More expensive wigs (whether medical-grade or high-quality beauty wigs) typically have better cap construction, more natural-looking hairlines, and superior craftsmanship. Less expensive wigs may use lower-quality materials and construction that don’t feel as natural and may not be as comfortable for extended wear during treatment. 

The Canadian Cancer Society offers an online wig bank where you can submit a picture of your hair style, and they will ship you a wig that best matches what you are looking for (based on their inventory). If you would prefer something local/in-person, you may find a wig bank at your local cancer support organisation, wig shop or at the cancer centre. 

If you still have hair but anticipate that you’ll lose it all, you will want to consider this when trying on wigs. You can wet or slick down your hair to help with getting proper sizing. Find out the measurement of your head using a soft measuring tape around your forehead, above your ears, and around the nape of your neck. Wigs typically come in petite, average, and large sizes, so compare your measurements to the manufacturer’s sizing chart. Be sure to always wear a hygiene cap when trying on wigs. Position the wig comfortably at your natural hairline (this is four fingers above your eyebrows), making sure the front aligns with your forehead, and the back covers the nape of your neck. 

There are several effective methods:

• Wig grip bands: Adjustable, non-slip bands worn underneath the wig that sit firmly around your head like a headband, providing a surface for your wig to ‘grab’ onto.

• Wig tape: Double-sided, hypoallergenic tape applied to small areas like the front hairline, sides, and nape of the neck. Clean your scalp first, apply tape to scalp, then position the wig and press down where tape is applied.

• Wig liners: Preferably non-slip or silicone-lined, these create a smooth surface that helps prevent slippage.

• Adjustable straps: Many wigs feature built-in straps that can be tightened for a better fit.

• Secure cap constructions: Lace fronts or polyurethane bases provide additional grip.

When removing wig tape, gently lift the wig off and use an adhesive remover or gentle oil to dissolve any remaining residue. Many people find wig grip bands easier to use than tape.

For wigs that are too big: 
Many wigs come with adjustable straps inside the cap that can be tightened. Wearing a wig liner can help reduce excess space and provide a snugger fit. For a professional solution, a stylist who specialises in wigs can make alterations, such as taking in the sides or adding structure. 

For very large or very small heads: 
Look for specialty brands that offer wigs specifically designed for your head size. Choose wigs with adjustable straps or hooks for a customised fit. Stretch caps or lace front wigs provide additional flexibility. If you have difficulty finding a suitable option, consider investing in a custom-made wig tailored to your specific measurements. 

If it’s mesh on the front of the wig, the excess lace/mesh can be cut off right back to your hairline (you may want professional help for this). Another option is to hide the mesh along the hairline with eyeshadow, or try dark or dim earthy coloured nontoxic marker or eyeliner to shade the zones where tracks are appearing. 

Try these solutions: 

Securing the wig: Use small pieces of wig tape on the hearing aids or close to the ear to stop the wig from shifting. 

Securing your hearing aids: Look for ear grips (also called anchors or retention lines)—plastic wires that attach to your hearing aid and coil up inside your outer ear, holding the hearing aid in place even with slight jostling from your wig. 

Synthetic wigs are lighter and cooler than human hair wigs. You may also want to opt for a shorter style so that airflow reaches your neck. Look for wigs that are wefted at the back to allow air flow to the scalp—these are also called cap-less or open capped wigs. 

Choose lightweight, breathable wigs with cap designs that allow air circulation, such as lace front or open wefted styles. Wearing a moisture-wicking wig liner made from breathable materials like bamboo can help absorb sweat and keep your scalp cool. Keep cool accessories handy, such as a portable fan, cooling wipes, or a misting spray. Make sure your wig isn’t too tight, as a snug fit can trap heat. 

Wig liners designed for scalp protection (different from fashion wig liners) can help. Look for cotton or bamboo materials. Bamboo is especially beneficial as it is soft, hypoallergenic, and moisture-wicking. Choose seamless or tagless designs to reduce pressure points, and ensure they’re machine washable for hygiene. 

Caring for your scalp may also help—cleanse and moisturize regularly and consider using a dandruff shampoo about 2 times per week. Massage into the scalp, let it sit for 2-5 minutes, then rinse off. 

Consider having the wig thinned to make it less full, which would reduce the weight. It’s best to go to a stylist experienced with wigs for this service. 

Your hairdresser may be able to cut your wig, but it’s important they have experience working with wigs. For human hair wigs, experienced stylists can cut, colour, and style them much like natural hair. For synthetic wigs, the fibres fall differently than human hair, so wig-specific experience is crucial. 

Many wig boutiques offer styling services specifically for wigs with trained professionals who can help with cutting, shaping, and adjusting the fit. 

Yes, but be careful not to damage the wig cap. Because of the way a wig is constructed, a high-top ponytail or bun won’t work and will show the wig cap. 

Yes, especially with synthetic wigs. Avoid heat from hot ovens, BBQs, fire-pits, steam from dishwashers, or very humid, hot environments. Never use hair dryers, curling irons or flat irons on synthetic wigs unless they’re specifically heat-resistant. 

Throughout your wig experience, don’t hesitate to consult with professionals. Wig boutiques, experienced hairstylists, and wig specialists can provide valuable guidance on selection, fitting, styling, and maintenance. Many offer services even if you didn’t purchase the wig from them. 

Use products specifically designed for synthetic fibres to maintain their appearance and longevity. This includes synthetic wig shampoo, synthetic wig conditioner, and synthetic wig leave-in conditioner. 

Yes, but proceed with caution. A light dusting of powder (baby powder, cornstarch, or translucent face powder) can sometimes help tone down excess shine. For darker wigs, a tinted dry shampoo is a better option to avoid leaving a chalky cast. These are DIY, at-your-own-risk methods and may leave the wig looking dusty or uneven if overapplied. 

For a safer, longer-lasting solution, look for a synthetic wig dulling spray. These sprays are designed specifically for wig fibers to create a matte, natural finish without residue, stickiness, or buildup. Many are lightweight aerosols or “dry wax” sprays that also add a bit of texture and hold. Using wig-specific shampoos and conditioning sprays can also help manage shine over time. 

If you’re unsure, it’s always best to consult a wig professional for product recommendations suited to your wig’s colour and fibre. 

Chlorine and saltwater can damage both synthetic and human hair wigs. If you choose to swim, rinse your wig with fresh water before entering the pool to create a barrier against chlorine or salt water. Rinse with fresh water immediately after and then wash and condition. 

Fixing frizzy ends: 
• Wash the wig with synthetic wig shampoo 
• Apply leave-in conditioner designed for synthetic wigs 
• Use a wide-tooth comb, starting from the ends and working up 
• Apply a small amount of anti-frizz serum designed for synthetic wigs 

Preventing frizzy ends: 
• Regular maintenance with proper products 
• Store on a wig stand away from direct sunlight or heat 
• Minimize heat exposure and friction 
• Use humidity-resistant products if you live in a humid climate 
• Be gentle when brushing, always starting from the ends 

Products designed specifically for synthetic wigs such as gel or mousse, anti-frizz serum, and finishing spray. 

Use a wide-tooth comb for detangling, especially when wet, as it minimizes tugging and prevents breakage. For daily maintenance, use a wig brush specifically designed for wigs with soft bristles. Always start brushing from the tips and work your way up to the roots, using gentle strokes when the wig is dry. 

Only if your wig is heat-resistant synthetic or human hair. Always check the manufacturer’s guidelines for maximum heat settings. Standard synthetic wigs cannot handle heat styling. If using heat on a heat-resistant wig, apply a heat protectant spray and keep temperatures below 300°F (150°C) for synthetic wigs. Test a small, inconspicuous section first. 

• Gentle compression to reduce swelling
• Front closure for easier wear
• Seamless, soft fabrics to prevent irritation

• Typically 2 to 6 weeks, or as advised by your surgeon
• Post-surgical camisoles offer support and help manage surgical drains

• Yes! Many post-op camisoles have built-in pockets to hold and secure drainage tubes comfortably.

Try a leisure bra:

• No underwire
• Soft, breathable fabric
• Gentle support to reduce tension and discomfort

• Yes, the terms can be used interchangeably. They are designed to replicate the shape and feel of a natural breast.

• No. It’s a solid, molded silicone form with a soft, realistic texture.

• Temporary forms (cotton/foam): lightweight and ideal for day and night
• Silicone forms: heavier and realistic; these best for daytime wear after healing

• Yes! Lightweight or swim-friendly prostheses are available for active lifestyles.

• Standard silicone: $200–$400
• Lightweight/specialty: $300–$600
• Custom-made: Up to $1,000+

Check if your provincial health plan or private insurance offers coverage.

• No. Fitters usually have forms you can try during your fitting. (You can always call and ask this in advance of your fitting).

• Post-surgical bras are for healing; soft, stretchy, wire-free, often with drain pockets
• Mastectomy bras are for everyday wear; includes pockets to hold prostheses

• Front-closure, wire-free bras with light compression
• Post-op: soft and adjustable
• After healing: padded bras or those with pockets for added symmetry

No. Comfort is key.
Consider:

• Leisure bras
• Camisoles with built-in bras
• Soft bralettes or seamless camisoles

• Yes! Specialty stores offer low-back, strapless, or front-closure options, some with built-in or removable prostheses.

• Use contoured or asymmetrical forms with tapered wings to fill underarm areas and smooth side bulges

• Pocketed nightgowns or PJs for temporary breast forms
• Sleep bras (soft and pocketed)
• Camisoles with built-in shelf bras
• Add sewn-in pockets to your favourite sleepwear

• Rinse with lukewarm water
• Use mild soap and a soft cloth
• Rinse thoroughly and air dry
• Store in a breathable container

• Fragrance-free, hypoallergenic detergent
• Wash by hand or use a lingerie bag on a gentle cycle
• Avoid bleach, fabric softener, or hot water

• Use gentle, fragrance-free cleansers and moisturizers
• Wear loose, soft clothing (cotton or bamboo)
• Avoid sun exposure; use a mineral sunscreen if you must put sunscreen near your radiation area
• Cool compresses and thermal spring water spray can help soothe irritation
• Ask your doctor about topical steroids if irritation occurs

• Prosthetic nipples (reusable, adhesive silicone)
• 3D nipple tattoos (semi-permanent)
• Surgical reconstruction
• Stick-on temporary tattoos
• Bras or prostheses with built-in nipples

• Specialty lingerie or mastectomy boutiques
• Medical supply stores
• Some large hospitals or department stores

• Yes, in Canada, it may qualify. Keep your receipts and check with CRA or a tax advisor.