Hair loss is one of the most visible and emotionally challenging side effects of cancer treatment. For children and teens, it can serve as a constant reminder of their illness and often impacts their self-esteem. This side effect — known as alopecia — commonly results from chemotherapy or radiation therapy, which target fast-growing cells, including those in hair follicles.
Several factors influence the likelihood and severity of hair loss:
- Frequency of treatment: Chemotherapy every 2–3 weeks may cause more hair loss than weekly treatments.
- Dosage: Higher doses often result in greater hair loss.
- Method of administration: IV chemotherapy generally increases the risk compared to oral forms.
- Combination of drugs: Multiple chemotherapy agents used together can increase hair loss risk.
COPING BEFORE HAIR LOSS
Preparing ahead of time can help ease anxiety. Speak with your care team—including child life specialists, social workers, or psychologists, about what to expect and how to discuss it with your child in age-appropriate ways. Some families find comfort in making a plan: Will your child want to shave their head early? Try a fun new hairstyle or hair color first? These small steps can offer a sense of control and comfort.
Exploring head covering options can also help children express their personalities. Whether it’s hats, scarves, or going without—there is no right or wrong choice. What matters most is your child’s comfort and confidence.
COPING DURING HAIR LOSS
Once hair loss begins, gentle care is essential. The scalp may become more sensitive, so help your child treat it with care. Practicing responses to questions or comments from peers can empower them and ease social stress. If appearance concerns start to interfere with daily life, consider reaching out to a mental health professional for extra support.
COPING AFTER HAIR LOSS
Even as hair begins to grow back, be gentle and cautious with styling products and sun exposure. Each child’s emotional journey is unique—some days may be harder than others. Friends and family should check in regularly and ask directly how they can offer support.
Meet Maddie
Maddie was diagnosed with B-cell acute lymphoblastic leukemia at 9 years old and has experienced hair loss through two relapses. “I had no idea what cancer was or what it meant. I had no idea until my parents told me I would lose my hair. My mom had my long hair cut to a bob and then as it started to fall out my mom and dad both shaved the rest off. I tried different colored wigs in the beginning for fun, but I didn’t like wearing them, so I really embraced my baldness. My mom bought hats with bows and headbands with bows, but I only wore them a little.”
She continues: “When I relapsed the first time, I was almost 13 and in junior high so I was devastated. I just grew out my hair and just could not believe I was going to lose it again. Junior high is the worst time to feel different. I wore a wig my mom ordered that was custom made and free from a wig charity. And although I wore the wig to important events, dances etc., I still didn’t like the wig. I felt like I was different, or worse, that someone would take it off.”
Maddie’s advice: “You have to do what makes you feel like you.”
Hair loss may be one of the most visible aspects of cancer treatment, but with time, support, and personal choice, children can learn to cope—and even embrace—their new look. For more insight, download The Other Side of the Mountain: A Parent’s Guide to Surviving Childhood Cancer, available on our website.