Q: I was radiated in 1987 on my head and neck. My hair fell out in the radiated area, grew back and fell out again. Have you
heard of that happening before? Also, I would LOVE to get my salon colored hair professionally relaxed (straightened) but I'm afraid it
might fall out in the radiated area. I know you can't predict the future but I am curious as to what your opinion is. If it were your hair would you?
A: Having seen the effects of cancer treatments on both my sister and my aunt, and my best friendís mother, there is little that would
surprise me as far as reactions to cancer treatments. My sisterís hair became very thin and brittle but she didnít lose any significant
amounts in her first course of radiation. Later treatments caused total hair loss. My aunt lost her hair immediately after her first
treatment with radiation and pretty much never grew it back the same. My best friendís mother didnít lose a single strand of her hair
after her radiation treatment. Her hair simply turned snow white over the course of a week or so.
As I understand it, the hair can respond in a variety of ways to radiation therapy depending on
the individual. In some cases, the radiation damages the hair follicle sufficiently to kill the ability to grow the hair, but usually
the therapy simply triggers the hair to enter the shedding phase as a group, resulting in mass hair loss. At this point, however,
almost twenty years after your initial treatment, I would think that your hair is ready to be treated again. Particularly since youíve stated that your hair has been professionally colored.
My advice is this: Talk to your stylist about your concerns and discuss your options. It may be
possible to apply protective creams and coatings to the scalp to prevent the chemicals from contacting the skin and therefore affecting
the follicles. Furthermore, make sure to perform a patch test/strand test on the hair before committing to a full-scalp service. This
could eliminate your concerns altogether, and can give your stylist much-needed information on precisely how your hair will respond to the chemical service.