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. 

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. 

Purposely paying attention to the present moment with a certain attitude towards yourself that is non-judgmental and accepting.

If you’re not paying attention, your thoughts are in the past (regrets, ruminating about things you can’t change) or racing about the future (worries of the unknown.)

Stress is largely how we interpret or perceive what is happening. There are two sides to it; there’s the cognitive—or the way we think about, or what causes stress—and there’s what it does to our body.

Understanding mindfulness and being in the present stops us from thinking about the past and worrying about the future and being mindful in that moment can help manage stress.

We will never know for any individual how much of a role stress may have played in leading up to risk for cancer but what we do know, though, is that when people learn to manage and especially manage emotions like depression, they may have better cancer outcomes.

Mindfulness retraining is a skill.  

Our minds have learned to operate a certain way through so many years, and often those paths support anxiety or depression or worry, those are the neural connections that we so often tread. So, with mindfulness training, even something as simple as directing your attention to the breath repeatedly actually starts a new path and rewires the neurons in our brain to a path that supports the ability to be conducive to happy minutes.

Studies have shown that even two months of training changes the patterns, the function as well as the connectivity in your brain. It’s that training that skill building that does it well.

Incorporate 10, 20 or 30 minutes a day if that’s what you can do. Regular practice is useful. Making it part of your life and applying those attitudes towards not only your mindfulness practice, but other elements of your life, can be beneficial.

Mindfulness is a meditation practice where we do the formal act, where we set aside the time every day to practice mindfulness of breath. Paying attention to your breathing is a way to retrain the mind, there are many other forms of meditation that also strengthen your capacity to be mindful.

Mindfulness practice is a time where you can purposefully open the doors to your emotions. Emotions are healthy. What’s unhealthy is suppressing emotions or pretending they don’t exist, and thinking you have to put on a happy face all the time. Letting go of the facade and just saying, ‘it’s okay to feel rotten’, ‘it’s okay to be scared’, ‘it’s okay to be sad’. There’s grief in this process.

The mindfulness practice is a wonderful container where you can allow yourself to just work through and process those different emotions, because they will shift and change, but only if we give them the space to move.

People often believe that it’s our job to manage the emotions of the people in our lives; but it’s not your job to do that. It’s your job to manage how you respond to their distress, it’s not your job to fix their distress.

Refer them to sources of support and counselors you know. Supporting people usually feel like they have to pull it together because the focus is usually on the patient; mindfulness helps everyone.

When pain arises, what we do is actually turn our attention towards the pain and deconstruct the sensation. Instead of turning away from the pain, we turn towards it and embrace it again with kindness and compassion and learn to understand it a little bit better. So, the pain itself may not go away, but the suffering we experience can be much less.

Yoga is a moving mediation. It’s paying attention in a mindful way and it’s really about connecting with the body. Our mind and body are not separate. Every state of mind is the state of body and sometimes we’re so disconnected from our physical bodies.

When you’ve gone through the experience of cancer there can be more of that disconnection, and there can be hard feelings; you can be mad at your body or feel betrayed. It’s really an opportunity to reconnect with the body and re-friend the body and realize that you know as long as you’re here, you’re breathing and moving that there’s more going right then there is going wrong.

You can get in a negative spiral where maybe you have a symptom that was something you had when you first got diagnosed with cancer, you become very vigilant and you’re stressing, you keep monitoring it. Maybe you’re poking yourself. You get really wound up and that tends to make the symptom worse.

One way to avoid this is when you notice the symptom, say okay well this may or may not be related to cancer so I’m not going to worry about it right now. I’ll just use what I know how to relax do a few deep breaths. And if this persists, then go to the doctor.

Recognize it, you set it aside, you do the kind of relaxation and meditation practices and often it’ll just pass. But if it does persist, then you’ve got a plan that you’re going to get it looked into.

• 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.