{"id":96456,"date":"2026-09-04T16:30:26","date_gmt":"2026-09-04T16:30:26","guid":{"rendered":"https:\/\/elithair.com\/uk\/blog\/hair-loss-after-radiotherapy\/"},"modified":"2026-09-04T16:30:26","modified_gmt":"2026-09-04T16:30:26","slug":"hair-loss-after-radiotherapy","status":"publish","type":"post","link":"https:\/\/elithair.com\/uk\/blog\/hair-loss-after-radiotherapy\/","title":{"rendered":"Hair Loss After Radiotherapy: When It Starts and When the Hair Comes Back"},"content":{"rendered":"\n<div style=\"border-left:4px solid #0079F1;padding:0 0 0 14px;margin:0 0 26px\">\n<p style=\"margin:0 0 14px;color:#2e3033;font-size:17px;line-height:1.65\">Hair is one of the most common concerns people raise before radiotherapy, and for most of them the answer comes as a relief. Radiotherapy only acts where the beam is aimed. Scalp hair therefore only falls out if the scalp lies inside the radiation field: with radiotherapy to the breast it is spared, while hair inside the field itself can be lost, in the armpit for example. The German Cancer Information Service at the DKFZ puts it this way: radiotherapy only damages the hair in the area the beams reach, whereas hair loss across the entire head usually comes from chemotherapy. If the head lies inside the radiation field, the loss usually begins 2 to 3 weeks after the first session.<\/p>\n<p style=\"margin:0 0 8px;color:#013366;font-weight:700;font-size:16px\">Key takeaways<\/p>\n<ul style=\"margin:0 0 14px;padding:0;color:#2e3033;list-style:none\">\n<li style=\"position:relative;padding:3px 0 3px 24px\"><span style=\"position:absolute;left:0;top:3px;color:#0079F1;font-weight:700\">&#10003;<\/span>Radiotherapy acts locally: hair only falls out inside the treated field, not all over the body<\/li>\n<li style=\"position:relative;padding:3px 0 3px 24px\"><span style=\"position:absolute;left:0;top:3px;color:#0079F1;font-weight:700\">&#10003;<\/span>With radiotherapy to the breast, scalp hair is spared; the underarm hair on the treated side may be affected<\/li>\n<li style=\"position:relative;padding:3px 0 3px 24px\"><span style=\"position:absolute;left:0;top:3px;color:#0079F1;font-weight:700\">&#10003;<\/span>Hair loss usually starts in the 2nd to 3rd week of treatment, and visible regrowth can be expected roughly 3 to 6 months after treatment ends<\/li>\n<li style=\"position:relative;padding:3px 0 3px 24px\"><span style=\"position:absolute;left:0;top:3px;color:#0079F1;font-weight:700\">&#10003;<\/span>Whether the loss is temporary or permanent depends above all on the radiation dose reaching the scalp<\/li>\n<\/ul>\n<p style=\"margin:0;color:#2e3033\">The table of contents shows what is covered where: from the question of scalp hair during breast radiotherapy to the timeline and the role of the radiation dose, through to scalp care, hair prostheses and regrowth.<\/p>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Radiotherapy for breast cancer: does the hair on your head fall out?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Radiotherapy to the breast does not cause hair loss on the head. Radiotherapy acts exclusively in the area being treated, and the scalp lies outside that field. Cancer Research UK describes scalp hair loss in breast cancer only for cases in which the head is irradiated as well because of brain metastases.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hair inside the radiation field itself can fall out. When the lymphatic drainage pathways are treated as well in breast cancer, this often affects the underarm hair on the treated side; the fine hair on the chest wall and upper chest can thin out too. These areas usually recover, because the dose reaching the follicle there is lower than during radiotherapy to the head.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The hair loss across the whole head that many breast cancer patients experience almost always comes from chemotherapy. Anyone receiving both treatments goes through them at different times and can easily attribute the loss to the wrong one. The section on radiotherapy and chemotherapy further down, including a comparison table, shows how to tell the two apart.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A third cause is often overlooked: endocrine therapy. In a case series of 112 patients reported in 2018 in the journal hautnah dermatologie, the thinning was attributable to aromatase inhibitors in 75 women and to tamoxifen in 37, and in more than 90 per cent of cases it was only mild. More on this in the article on <a href=\"\/uk\/blog\/medication-induced-hair-loss\/\">hair loss caused by medication<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Common assumption:<\/strong> Every course of cancer radiotherapy causes hair loss. <strong>In fact:<\/strong> Only the hair that lies inside the radiation field falls out.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Common assumption:<\/strong> With breast cancer, radiotherapy makes the hair on your head fall out. <strong>In fact:<\/strong> Radiotherapy to the breast does not affect scalp hair; loss across the whole head almost always comes from chemotherapy given at the same time.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\" style=\"max-width:720px;margin-left:auto;margin-right:auto\"><img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/bestrahlungsfelder_koerper__uk.webp\" alt=\"Infographic: body silhouette with the radiation fields for head, chest wall and armpit; hair loss occurs only in the marked field\" class=\"wp-image-96447\" style=\"width:720px;max-width:100%;height:auto\" srcset=\"https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/bestrahlungsfelder_koerper__uk.webp 1536w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/bestrahlungsfelder_koerper__uk-300x200.webp 300w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/bestrahlungsfelder_koerper__uk-1024x683.webp 1024w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/bestrahlungsfelder_koerper__uk-768x512.webp 768w\" sizes=\"(max-width: 767px) 100vw, 660px\" \/><\/figure>\n<\/div>\n\n\n<style>\n@media (max-width:640px){\n.rt-table-wrap{overflow-x:visible!important;border:0!important;border-radius:0!important}\n.rt-table{min-width:0!important}\n.rt-table thead{display:none}\n.rt-table,.rt-table tbody,.rt-table tr,.rt-table td{display:block;width:100%}\n.rt-table caption{display:block;padding:0 0 12px!important}\n.rt-table tr{margin:0 0 12px;border:1px solid #dbe4f0;border-radius:10px;overflow:hidden}\n.rt-table tr:last-child{margin-bottom:0}\n.rt-table td{display:flex!important;flex-direction:column;gap:3px;padding:12px 14px!important;\nborder:0!important;border-bottom:1px solid #e3e8ef!important;background:#ffffff!important}\n.rt-table tr td:last-child{border-bottom:0!important}\n.rt-table td::before{content:attr(data-label);font-size:12px;font-weight:700;letter-spacing:.04em;\ntext-transform:uppercase;color:#5799F1}\n.rt-table td:not([data-label])::before,.rt-table td[data-label=\"\"]::before{display:none}\n}\n<\/style>\n<div class=\"rt-table-wrap\" style=\"overflow-x:auto;-webkit-overflow-scrolling:touch;margin:28px 0;border:1px solid #dbe4f0;border-radius:12px\">\n  <table class=\"rt-table\" style=\"width:100%;min-width:660px;table-layout:fixed;border-collapse:separate;border-spacing:0;font-size:15px;margin:0\">\n    <caption style=\"caption-side:top;text-align:left;color:#003366;font-weight:700;font-size:16px;line-height:1.35;padding:14px 16px 10px;background:#ffffff\">Which radiation field affects which hair (based on Cancer Research UK, the German Cancer Information Service and the American Cancer Society)<\/caption>\n    <thead>\n      <tr>\n        <th style=\"width:22%;background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Irradiated region<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Scalp hair affected?<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Other hair in the field<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Typical course<\/th>\n      <\/tr>\n    <\/thead>\n    <tbody>\n      <tr>\n        <td data-label=\"Irradiated region\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Breast and chest wall<\/td>\n        <td data-label=\"Scalp hair affected?\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">No<\/td>\n        <td data-label=\"Other hair in the field\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Fine hair on the chest wall and upper chest possible<\/td>\n        <td data-label=\"Typical course\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Usually temporary, dose at the follicle lower than on the head<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Irradiated region\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Armpit and lymph node region<\/td>\n        <td data-label=\"Scalp hair affected?\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">No<\/td>\n        <td data-label=\"Other hair in the field\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Underarm hair on the treated side<\/td>\n        <td data-label=\"Typical course\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Usually temporary<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Irradiated region\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Head, for a brain tumour or brain metastases<\/td>\n        <td data-label=\"Scalp hair affected?\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Yes, inside the radiation field<\/td>\n        <td data-label=\"Other hair in the field\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Scalp hair inside the field, often at the exit point as well<\/td>\n        <td data-label=\"Typical course\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Dose-dependent, permanent loss possible at high doses<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Irradiated region\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Whole-brain radiotherapy<\/td>\n        <td data-label=\"Scalp hair affected?\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Yes, the entire head<\/td>\n        <td data-label=\"Other hair in the field\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">All scalp hair<\/td>\n        <td data-label=\"Typical course\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Higher risk of permanent loss at high total doses<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Irradiated region\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Head and neck region<\/td>\n        <td data-label=\"Scalp hair affected?\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Yes, wherever the scalp lies inside the field<\/td>\n        <td data-label=\"Other hair in the field\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Beard hair; close to the face, eyelashes and eyebrows as well<\/td>\n        <td data-label=\"Typical course\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Depends on the exact course of the field<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Irradiated region\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Pelvis and lower abdomen<\/td>\n        <td data-label=\"Scalp hair affected?\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">No<\/td>\n        <td data-label=\"Other hair in the field\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Pubic hair inside the field<\/td>\n        <td data-label=\"Typical course\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Usually temporary<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Irradiated region\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">Total body irradiation before a stem cell transplant<\/td>\n        <td data-label=\"Scalp hair affected?\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">Yes, the entire head<\/td>\n        <td data-label=\"Other hair in the field\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">All body hair<\/td>\n        <td data-label=\"Typical course\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">Usually combined with chemotherapy, course depends on the dose<\/td>\n      <\/tr>\n    <\/tbody>\n  <\/table>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Why radiotherapy causes hair loss<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Ionising radiation hits rapidly dividing cells hardest, and that includes the matrix cells of the hair follicle during the growth phase. The acute hair loss seen with radiotherapy is therefore called anagen effluvium: the hair breaks off or falls out inside the treated field, while the follicles outside the field remain untouched.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">To reach the tumour, the beam passes through the scalp and the hair follicles located there. Even with carefully planned radiotherapy, this cannot be avoided entirely. The higher the dose arriving at the follicle and the larger the field, the greater the risk of hair loss.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This has to be distinguished from telogen effluvium: a diffuse hair loss that only sets in weeks after a trigger such as a serious illness or surgery and affects the whole head. The two forms are tied to different phases of the hair cycle, which explains why they run such different courses.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The radiotherapy itself follows the treatment plan drawn up by the radiotherapy team. Hair loss is a side effect that resolves in many cases, and it is no reason to skip a session or postpone treatment. If the hair loss is weighing on you, bring it up with your treatment team.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\" style=\"max-width:560px;margin-left:auto;margin-right:auto\"><img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/strahl_trifft_follikel.webp\" alt=\"Illustration: a focused beam cone hits exactly one hair follicle in a cross-section of the scalp, while the neighbouring follicles remain untouched\" class=\"wp-image-96448\" style=\"width:560px;max-width:100%;height:auto\" srcset=\"https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/strahl_trifft_follikel.webp 1536w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/strahl_trifft_follikel-300x200.webp 300w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/strahl_trifft_follikel-1024x683.webp 1024w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/strahl_trifft_follikel-768x512.webp 768w\" sizes=\"(max-width: 767px) 100vw, 660px\" \/><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\">Hair loss after radiotherapy to the head: only inside the treated field<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hair loss after radiotherapy to the head almost always affects exactly the treated area, not the whole head. The typical pattern is circumscribed, often roundish, with a blurred edge. Diffuse loss across the entire scalp is rare with radiotherapy to the head alone.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">What surprises many people: the hair often falls out on the opposite side as well, where the beam exits the head. Cancer Research UK describes this exit point explicitly, and Macmillan Cancer Support names both the entry and the exit area of the beam as affected.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The whole head is only affected if the field covers it, that is, with whole-brain radiotherapy or with total body irradiation before a stem cell transplant. The American Cancer Society notes that nearly all patients receiving external beam radiotherapy to the head, neck or central nervous system experience hair loss.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If loss does occur across the entire head, neither the radiotherapy nor the psychological strain is usually responsible. The cause is most often chemotherapy given at the same time, and less often telogen effluvium after a serious illness or surgery. For help telling the patterns apart, see the article on <a href=\"\/uk\/blog\/telogen-effluvium\/\">diffuse hair loss<\/a>.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\" style=\"max-width:560px;margin-left:auto;margin-right:auto\"><img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/kopf_ein_und_austrittsstelle.webp\" alt=\"Illustration of a head in profile: the beam creates bald patches at the entry point and at the exit point on the opposite side\" class=\"wp-image-96449\" style=\"width:560px;max-width:100%;height:auto\" srcset=\"https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/kopf_ein_und_austrittsstelle.webp 1536w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/kopf_ein_und_austrittsstelle-300x200.webp 300w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/kopf_ein_und_austrittsstelle-1024x683.webp 1024w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/kopf_ein_und_austrittsstelle-768x512.webp 768w\" sizes=\"(max-width: 767px) 100vw, 660px\" \/><\/figure>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\">What happens to eyebrows and eyelashes?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Eyebrows and eyelashes only fall out during radiotherapy if they lie inside the radiation field. In practice this only happens with radiotherapy to the head and neck region, when the field reaches close to the face; the American Cancer Society lists head, neck and central nervous system radiotherapy as the situations in which hair loss occurs almost as a rule. With radiotherapy to the breast or the pelvis, brows and lashes are untouched.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you lose scalp hair, eyebrows and eyelashes at the same time, that argues against radiotherapy as the cause. This pattern fits chemotherapy, which travels through the bloodstream and reaches every hair root in the growth phase, and not a locally confined treatment. If in doubt, ask your team which areas your radiation field actually covers.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The same logic applies to regrowth as on the head: at a lower dose inside the field the follicles are likely to recover, while at a high dose permanent loss is possible here too. The literature does not provide solid figures specifically for brows and lashes. Many people fill the gap cosmetically with an eyebrow pencil or stick-on eyebrows; on irritated skin inside the field, the same caution applies as with any other product.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What people typically report after radiotherapy to the head<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Anyone looking for accounts of hair loss caused by radiotherapy to the head will find four observations that come up again and again and that are also documented in the patient information from Cancer Research UK and Macmillan: the bald patch at the exit point on the opposite side, the sharp edge between irradiated and non-irradiated hair, the changed texture of the regrowth, and a scalp that feels tight or burns even before the hair falls out.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">You will find no invented personal accounts here, and that is deliberate. Anyone looking to connect with others going through the same thing can do so through psychosocial cancer counselling services and support groups; the social work team at the centre where you are treated, or a cancer charity, can point you to the ones near you.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Radiotherapy or chemotherapy: two different kinds of hair loss<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hair loss during radiotherapy and during chemotherapy arises in two different ways. Chemotherapy acts systemically through the bloodstream and reaches every hair root in the growth phase, while radiotherapy acts locally and only inside the treated field. This results in different patterns, different courses and different prospects for regrowth.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">After chemotherapy, the hair virtually always comes back, usually within a few weeks to months after treatment ends and at first as fine fuzz. After radiotherapy, whether it returns depends on the dose, and regrowth tends to set in more slowly. The literature gives no reliable figures for how much more slowly.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Scalp cooling caps are of no help during radiotherapy. Their lack of effect has been published under the title \u201cNo prevention of radiotherapy-induced alopecia by scalp cooling\u201d (PMID 26381532); with chemotherapy, by contrast, the effect is documented, in the HOPE trial among others. The reason lies in the mechanism: cooling reduces blood flow and thereby keeps the drug away from the follicle, and that offers no protection against ionising radiation.<\/p>\n\n\n\n<style>\n@media (max-width:640px){\n.rt-table-wrap{overflow-x:visible!important;border:0!important;border-radius:0!important}\n.rt-table{min-width:0!important}\n.rt-table thead{display:none}\n.rt-table,.rt-table tbody,.rt-table tr,.rt-table td{display:block;width:100%}\n.rt-table caption{display:block;padding:0 0 12px!important}\n.rt-table tr{margin:0 0 12px;border:1px solid #dbe4f0;border-radius:10px;overflow:hidden}\n.rt-table tr:last-child{margin-bottom:0}\n.rt-table td{display:flex!important;flex-direction:column;gap:3px;padding:12px 14px!important;\nborder:0!important;border-bottom:1px solid #e3e8ef!important;background:#ffffff!important}\n.rt-table tr td:last-child{border-bottom:0!important}\n.rt-table td::before{content:attr(data-label);font-size:12px;font-weight:700;letter-spacing:.04em;\ntext-transform:uppercase;color:#5799F1}\n.rt-table td:not([data-label])::before,.rt-table td[data-label=\"\"]::before{display:none}\n}\n<\/style>\n<div class=\"rt-table-wrap\" style=\"overflow-x:auto;-webkit-overflow-scrolling:touch;margin:28px 0;border:1px solid #dbe4f0;border-radius:12px\">\n  <table class=\"rt-table\" style=\"width:100%;min-width:620px;table-layout:fixed;border-collapse:separate;border-spacing:0;font-size:15px;margin:0\">\n    <caption style=\"caption-side:top;text-align:left;color:#003366;font-weight:700;font-size:16px;line-height:1.35;padding:14px 16px 10px;background:#ffffff\">Hair loss from radiotherapy and from chemotherapy compared<\/caption>\n    <thead>\n      <tr>\n        <th style=\"width:22%;background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Feature<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Radiotherapy<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Chemotherapy<\/th>\n      <\/tr>\n    <\/thead>\n    <tbody>\n      <tr>\n        <td data-label=\"Feature\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">How it acts<\/td>\n        <td data-label=\"Radiotherapy\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Locally, only inside the treated field<\/td>\n        <td data-label=\"Chemotherapy\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Systemically through the bloodstream, throughout the body<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Feature\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Areas affected<\/td>\n        <td data-label=\"Radiotherapy\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Only the treated area, often the exit point as well<\/td>\n        <td data-label=\"Chemotherapy\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Scalp hair, eyebrows, eyelashes and body hair<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Feature\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Onset<\/td>\n        <td data-label=\"Radiotherapy\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Usually 2 to 3 weeks after treatment starts<\/td>\n        <td data-label=\"Chemotherapy\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Usually 2 to 3 weeks after the first dose<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Feature\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Pattern<\/td>\n        <td data-label=\"Radiotherapy\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Circumscribed, with a blurred edge<\/td>\n        <td data-label=\"Chemotherapy\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Diffuse across the entire head<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Feature\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Return of the hair<\/td>\n        <td data-label=\"Radiotherapy\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Dose-dependent: usually yes at a low dose, not certain at a high dose<\/td>\n        <td data-label=\"Chemotherapy\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Virtually always, once treatment has ended<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Feature\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Speed of regrowth<\/td>\n        <td data-label=\"Radiotherapy\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Tends to be slower<\/td>\n        <td data-label=\"Chemotherapy\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Comparatively fast, often within weeks as fine fuzz<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Feature\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Permanent loss possible?<\/td>\n        <td data-label=\"Radiotherapy\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Yes, at a high cumulative dose at the follicle<\/td>\n        <td data-label=\"Chemotherapy\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Rarely, only with certain intensive protocols<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Feature\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">Scalp cooling cap effective?<\/td>\n        <td data-label=\"Radiotherapy\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">No, documented to be ineffective (PMID 26381532)<\/td>\n        <td data-label=\"Chemotherapy\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">Yes, effect documented (HOPE trial)<\/td>\n      <\/tr>\n    <\/tbody>\n  <\/table>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">How long does hair loss last after radiotherapy?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hair loss after radiotherapy usually begins 2 to 3 weeks after the first session. This time frame is given consistently around the world, by Cancer Research UK, Macmillan Cancer Support, the American Cancer Society and the German Cancer Information Service at the DKFZ among others. Once the loss has begun, Macmillan says it takes about another week for the hair inside the field to fall out completely.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The literature does not name a precise low point. Clinically it falls towards the end of the course of radiotherapy or shortly afterwards, because the loss comes to a standstill once the radiotherapy ends. According to patient information, visible regrowth is to be expected roughly 3 to 6 months after treatment ends, as a guide value and not as a firm promise.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">How long hair loss lasts after radiotherapy depends on several factors at once: on the dose arriving at the scalp, on the size of the field, on the fractionation schedule, on any concurrent chemotherapy and on any previous radiotherapy to the same region. Two people with the same diagnosis can therefore experience very different courses.<\/p>\n\n\n\n<style>\n@media (max-width:640px){\n.rt-table-wrap{overflow-x:visible!important;border:0!important;border-radius:0!important}\n.rt-table{min-width:0!important}\n.rt-table thead{display:none}\n.rt-table,.rt-table tbody,.rt-table tr,.rt-table td{display:block;width:100%}\n.rt-table caption{display:block;padding:0 0 12px!important}\n.rt-table tr{margin:0 0 12px;border:1px solid #dbe4f0;border-radius:10px;overflow:hidden}\n.rt-table tr:last-child{margin-bottom:0}\n.rt-table td{display:flex!important;flex-direction:column;gap:3px;padding:12px 14px!important;\nborder:0!important;border-bottom:1px solid #e3e8ef!important;background:#ffffff!important}\n.rt-table tr td:last-child{border-bottom:0!important}\n.rt-table td::before{content:attr(data-label);font-size:12px;font-weight:700;letter-spacing:.04em;\ntext-transform:uppercase;color:#5799F1}\n.rt-table td:not([data-label])::before,.rt-table td[data-label=\"\"]::before{display:none}\n}\n<\/style>\n<div class=\"rt-table-wrap\" style=\"overflow-x:auto;-webkit-overflow-scrolling:touch;margin:28px 0;border:1px solid #dbe4f0;border-radius:12px\">\n  <table class=\"rt-table\" style=\"width:100%;min-width:620px;table-layout:fixed;border-collapse:separate;border-spacing:0;font-size:15px;margin:0\">\n    <caption style=\"caption-side:top;text-align:left;color:#003366;font-weight:700;font-size:16px;line-height:1.35;padding:14px 16px 10px;background:#ffffff\">Timeline: hair loss and regrowth after radiotherapy (guide values based on Cancer Research UK, Macmillan and the German Cancer Information Service)<\/caption>\n    <thead>\n      <tr>\n        <th style=\"width:22%;background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Point in time<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">What happens to the hair<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">What you can do<\/th>\n      <\/tr>\n    <\/thead>\n    <tbody>\n      <tr>\n        <td data-label=\"Point in time\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Start of treatment<\/td>\n        <td data-label=\"What happens to the hair\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">No visible loss yet<\/td>\n        <td data-label=\"What you can do\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Arrange a hair prosthesis and a fitting now, while your own colour and volume can still serve as a template<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Point in time\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">2nd to 3rd week of treatment<\/td>\n        <td data-label=\"What happens to the hair\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">The loss begins inside the treated field<\/td>\n        <td data-label=\"What you can do\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Cleanse the scalp gently, avoid friction, report changes to your team<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Point in time\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">About 1 week after the loss begins<\/td>\n        <td data-label=\"What happens to the hair\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">The hair inside the field has usually fallen out completely<\/td>\n        <td data-label=\"What you can do\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Wear a soft head covering, protect bare areas from the sun consistently<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Point in time\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">End of radiotherapy<\/td>\n        <td data-label=\"What happens to the hair\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">The loss comes to a standstill<\/td>\n        <td data-label=\"What you can do\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Keep your follow-up appointments, let the skin reaction heal<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Point in time\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">About 3 to 6 months after treatment ends<\/td>\n        <td data-label=\"What happens to the hair\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">First visible fuzz, density builds up gradually<\/td>\n        <td data-label=\"What you can do\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Stick with gentle care, and continue to hold off on colouring and chemical treatments<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Point in time\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">From 6 to 12 months with no regrowth<\/td>\n        <td data-label=\"What happens to the hair\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">Permanent loss becomes more likely<\/td>\n        <td data-label=\"What you can do\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">Have it assessed by your radiotherapy team and a dermatologist<\/td>\n      <\/tr>\n    <\/tbody>\n  <\/table>\n<\/div>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\" style=\"max-width:560px;margin-left:auto;margin-right:auto\"><img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/zeitachse_haarausfall_bestrahlung__uk.webp\" alt=\"Timeline: hair density drops from week 2 to 3 of radiotherapy and builds back up from month 3 to 6 after treatment ends\" class=\"wp-image-96450\" style=\"width:560px;max-width:100%;height:auto\" srcset=\"https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/zeitachse_haarausfall_bestrahlung__uk.webp 1536w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/zeitachse_haarausfall_bestrahlung__uk-300x200.webp 300w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/zeitachse_haarausfall_bestrahlung__uk-1024x683.webp 1024w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/zeitachse_haarausfall_bestrahlung__uk-768x512.webp 768w\" sizes=\"(max-width: 767px) 100vw, 660px\" \/><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\">Does hair grow back after radiotherapy?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">In most cases yes: the hair grows back after radiotherapy once treatment is complete, although more slowly than after chemotherapy. How completely depends above all on the dose that reached the follicles inside the field.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It can take weeks to months after radiotherapy before the first hairs become visible on bald or heavily thinned areas. With chemotherapy, fine fuzz often appears shortly after the drugs are stopped. With shorter, lower-dose radiotherapy, the hair roots usually recover on their own.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The regrowing hair can change. Macmillan Cancer Support mentions thinner, uneven hair and a different colour, and the American Cancer Society additionally mentions a changed texture, straight instead of curly for example. How pronounced this is varies from person to person; the literature gives no figure for how often it happens. In many cases the hair evens out again over the following months.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There is no documented number of weeks after which regrown hair may be coloured or toned again. As a rule of thumb: only once the skin reaction on the scalp has healed completely and after checking with your treatment team, because freshly regrown hair and irradiated skin can react more sensitively.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If nothing grows back after 6 to 12 months, this should be assessed by your radiotherapy team and a dermatologist. Behind it can lie permanent radiation-induced alopecia, in which the follicles inside the field have been destroyed. What tips the balance is explained in the next section.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\" style=\"max-width:720px;margin-left:auto;margin-right:auto\"><img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/nachwuchs_kopfhaut_nahaufnahme.webp\" alt=\"Close-up of the back of a head with very short, fine hair in soft daylight\" class=\"wp-image-96451\" style=\"width:720px;max-width:100%;height:auto\" srcset=\"https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/nachwuchs_kopfhaut_nahaufnahme.webp 1536w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/nachwuchs_kopfhaut_nahaufnahme-300x200.webp 300w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/nachwuchs_kopfhaut_nahaufnahme-1024x683.webp 1024w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/nachwuchs_kopfhaut_nahaufnahme-768x512.webp 768w\" sizes=\"(max-width: 767px) 100vw, 660px\" \/><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\">Temporary or permanent: the role of the radiation dose<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Whether the hair comes back is decided above all by the radiation dose that reached the scalp. Below certain thresholds the follicles usually recover, and as the dose rises the risk of permanent alopecia increases. The published threshold values, however, differ widely depending on the study, the technique and the patient group.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Writing in the International Journal of Radiation Oncology, Biology, Physics in 2004, Lawenda and colleagues reported a cumulative follicle dose of about 43 Gy at which half of the patients developed permanent alopecia. Phillips and colleagues, writing in JAMA Dermatology in 2020, placed temporary loss at around 20 Gy and above, and permanent loss rather above 30 to 36 Gy mean dose.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A prospective study by Jia-Mahasap and colleagues (2024) found thresholds for the scalp as a whole of around 22 Gy for temporary and around 37 Gy for permanent loss, each as a D2 value and assessed after six months. These figures are reference points from individual cohorts and not a universally valid limit for the individual case.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In technical terms, two processes exist side by side. In temporary alopecia the follicle survives and merely pauses its growth phase. In permanent, scarring radiation-induced alopecia the follicle is destroyed: studies of irradiated skin describe a thinned epidermis, atrophied follicles, denser collagen and a reduced blood supply. This is the same underlying process as in <a href=\"\/uk\/blog\/scarring-alopecia\/\">scarring hair loss<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">So radiotherapy to the head does not automatically leave the scalp free of scarring. The risk rises further with repeat radiotherapy to the same field, with very large fields and with concurrent chemotherapy: in the paediatric group in Phillips (2020), the threshold for permanent loss under combination therapy was already around 21 Gy. Pre-existing hereditary hair loss is likely to overlay the picture further, although the dose studies do not document this.<\/p>\n\n\n\n<div style=\"margin:26px 0\">\n<p style=\"margin:0 0 12px;color:#013366;font-weight:700;font-size:17px\">Temporary or permanent: how to classify it by dose and situation<\/p>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:16px;line-height:1.45\"><span style=\"color:#0079F1;font-weight:700\">&#10003;<\/span> If the dose inside the field was low<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">Roughly below the lower documented thresholds of about 20 Gy follicle dose, the hair loss is usually temporary. Regrowth after treatment ends is likely.<\/p><\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:16px;line-height:1.45\"><span style=\"color:#0079F1;font-weight:700\">&#10003;<\/span> If the dose was in the middle range<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">Roughly between 20 and 40 Gy, depending on the study, the risk of delayed or incomplete regrowth increases. The course varies widely from person to person here.<\/p><\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:16px;line-height:1.45\"><span style=\"color:#0079F1;font-weight:700\">&#10003;<\/span> If the dose was high or the whole brain was irradiated<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">Roughly above 40 to 50 Gy cumulative follicle dose, depending on the study, the risk of permanent, scarring alopecia is clearly increased.<\/p><\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:16px;line-height:1.45\"><span style=\"color:#0079F1;font-weight:700\">&#10003;<\/span> If the same field was irradiated again<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">The doses add up at the follicle. That further increases the risk of permanent damage, even if the individual course was low-dose on its own.<\/p><\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:16px;line-height:1.45\"><span style=\"color:#0079F1;font-weight:700\">&#10003;<\/span> If radiotherapy and chemotherapy came together<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">The hair loss tends to be more pronounced and to last longer. In children on combination therapy, a lower threshold for permanent loss was observed (Phillips 2020).<\/p><\/div>\n<p style=\"margin:6px 0 0;color:#6b7683;font-size:14px;line-height:1.6\">This classification is not a prognosis for the individual case. The dose your scalp actually received is recorded in your radiotherapy treatment plan and can only be assessed by your radiotherapy team.<\/p>\n<\/div>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\" style=\"max-width:560px;margin-left:auto;margin-right:auto\"><img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/bestrahlte_haut_querschnitt.webp\" alt=\"Illustration comparison: on the left a healthy scalp with dense capillaries, on the right an irradiated scalp with denser connective tissue and reduced blood flow\" class=\"wp-image-96452\" style=\"width:560px;max-width:100%;height:auto\" srcset=\"https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/bestrahlte_haut_querschnitt.webp 1536w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/bestrahlte_haut_querschnitt-300x200.webp 300w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/bestrahlte_haut_querschnitt-1024x683.webp 1024w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/bestrahlte_haut_querschnitt-768x512.webp 768w\" sizes=\"(max-width: 767px) 100vw, 660px\" \/><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\">Scalp care during radiotherapy<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">An irradiated scalp is more sensitive than healthy skin. Gentle cleansing, consistent sun protection and as little mechanical irritation as possible are what you can do yourself during radiotherapy. The instructions from your radiotherapy team always take priority, because the skin markings and the hospital&#8217;s own rules come into play there as well.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Specialist articles on preventing radiation dermatitis, including reports from the German Society of Radiation Oncology (DEGRO), recommend pH-neutral cleansing products free of fragrances and irritants as well as urea-based creams for care. Powder is advised against, because it dries the skin out further.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Once the hair inside the field falls out, the scalp loses its natural UV protection. The Spanish cancer society AECC points out explicitly that the scalp is then no longer protected from the sun and should be covered. Which products are suitable on irradiated skin is something to clarify with your treatment team.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">With head coverings, the material makes the difference. Smooth cotton, silk, modal and bamboo viscose are soft and breathable; they sit comfortably without scratching and do not trap heat. Avoid coarse wool, stiff inner seams, labels at the neck and tight bands, because pressure and chafing inside the treated field intensify the skin reaction, something the DEGRO recommendations warn about explicitly.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A scalp that feels tight, burns or is tender to pressure, often even before the hair falls out, is a known side effect and is described as radiation dermatitis. That is not unusual and is no sign that anything has gone wrong. Redness, itching and flaking should still be brought up rather than treated on your own.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There is no universal rule about wearing a wig during the radiotherapy session itself. With radiotherapy to the head using an immobilisation mask there is usually no room for one anyway, and material on the skin can increase the skin dose, an effect described for thermoplastic masks. As a rule, no wig is worn during the session; what applies in your case is something your team on site will tell you.<\/p>\n\n\n\n<div style=\"border-left:4px solid #c0392b;background:#fdf3f2;border-radius:0 10px 10px 0;padding:16px 18px;margin:28px 0\"><p style=\"margin:0 0 6px;color:#8e2b21;font-weight:700;font-size:17px\">No hair growth products on irradiated scalp without medical advice<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.65\">Inside the treated field the skin barrier is disrupted. The patient information leaflets for minoxidil products note that a disrupted skin barrier can lead to increased absorption of the active ingredient; alcohol-based solutions and propylene glycol can also sting badly. Minoxidil has not been studied specifically on acutely irradiated scalp, which is why the precautionary principle applies here. The same goes for home remedies, oils and tinctures on irritated skin.<\/p><\/div>\n\n\n\n<style>\n@media (max-width:640px){\n.rt-table-wrap{overflow-x:visible!important;border:0!important;border-radius:0!important}\n.rt-table{min-width:0!important}\n.rt-table thead{display:none}\n.rt-table,.rt-table tbody,.rt-table tr,.rt-table td{display:block;width:100%}\n.rt-table caption{display:block;padding:0 0 12px!important}\n.rt-table tr{margin:0 0 12px;border:1px solid #dbe4f0;border-radius:10px;overflow:hidden}\n.rt-table tr:last-child{margin-bottom:0}\n.rt-table td{display:flex!important;flex-direction:column;gap:3px;padding:12px 14px!important;\nborder:0!important;border-bottom:1px solid #e3e8ef!important;background:#ffffff!important}\n.rt-table tr td:last-child{border-bottom:0!important}\n.rt-table td::before{content:attr(data-label);font-size:12px;font-weight:700;letter-spacing:.04em;\ntext-transform:uppercase;color:#5799F1}\n.rt-table td:not([data-label])::before,.rt-table td[data-label=\"\"]::before{display:none}\n}\n<\/style>\n<div class=\"rt-table-wrap\" style=\"overflow-x:auto;-webkit-overflow-scrolling:touch;margin:28px 0;border:1px solid #dbe4f0;border-radius:12px\">\n  <table class=\"rt-table\" style=\"width:100%;min-width:620px;table-layout:fixed;border-collapse:separate;border-spacing:0;font-size:15px;margin:0\">\n    <caption style=\"caption-side:top;text-align:left;color:#003366;font-weight:700;font-size:16px;line-height:1.35;padding:14px 16px 10px;background:#ffffff\">Care checklist for the scalp during radiotherapy. The instructions from your radiotherapy team take priority over any general recommendation<\/caption>\n    <thead>\n      <tr>\n        <th style=\"width:22%;background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Area<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Recommendation<\/th>\n        <th style=\"background:#003366;color:#ffffff;font-weight:700;text-align:left;vertical-align:middle;padding:13px 16px;font-size:15px;line-height:1.4;border:0;overflow-wrap:break-word\">Background<\/th>\n      <\/tr>\n    <\/thead>\n    <tbody>\n      <tr>\n        <td data-label=\"Area\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Washing<\/td>\n        <td data-label=\"Recommendation\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Lukewarm water, a mild pH-neutral shampoo without fragrances, gently and without rubbing<\/td>\n        <td data-label=\"Background\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Irritants and hot water intensify radiation dermatitis (DEGRO)<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Area\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Drying<\/td>\n        <td data-label=\"Recommendation\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Let it air-dry or blow-dry on a cool setting<\/td>\n        <td data-label=\"Background\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Heat puts additional strain on already damaged skin<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Area\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Brushing and styling<\/td>\n        <td data-label=\"Recommendation\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Soft brush, no tight braids, no clips<\/td>\n        <td data-label=\"Background\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Pulling and friction irritate the scalp inside the field mechanically<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Area\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Colouring and chemical treatments<\/td>\n        <td data-label=\"Recommendation\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Pause during treatment and the recovery phase<\/td>\n        <td data-label=\"Background\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Principle: no irritants on sensitive skin. There is no dedicated study on hair dye during radiotherapy<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Area\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Sun protection<\/td>\n        <td data-label=\"Recommendation\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Cover bare and irradiated areas consistently, discuss product choice with your team<\/td>\n        <td data-label=\"Background\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Without hair, the scalp lacks its natural UV protection (AECC, DEGRO)<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Area\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Head covering<\/td>\n        <td data-label=\"Recommendation\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Smooth cotton, silk, modal or bamboo viscose; no coarse wool, no scratchy seams, nothing that presses on the irradiated area<\/td>\n        <td data-label=\"Background\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Pressure and chafing inside the field add to the skin reaction<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Area\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Shaving<\/td>\n        <td data-label=\"Recommendation\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Electric rather than wet shaving inside the treated field<\/td>\n        <td data-label=\"Background\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Precautionary principle on irritated, vulnerable skin<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Area\" style=\"background:#f6f9fc;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Itching and redness<\/td>\n        <td data-label=\"Recommendation\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Raise it with your treatment team, do not treat it yourself<\/td>\n        <td data-label=\"Background\" style=\"background:#f6f9fc;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;border-bottom:1px solid #e3e8ef;overflow-wrap:break-word\">Your hospital team knows your field and your dose and can prescribe something targeted<\/td>\n      <\/tr>\n      <tr>\n        <td data-label=\"Area\" style=\"background:#ffffff;color:#003366;font-weight:700;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">Hair growth products<\/td>\n        <td data-label=\"Recommendation\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">Do not apply them on irradiated skin without medical advice<\/td>\n        <td data-label=\"Background\" style=\"background:#ffffff;color:#22303e;font-weight:400;text-align:left;vertical-align:top;padding:13px 16px;font-size:15px;line-height:1.55;border:0;overflow-wrap:break-word\">A disrupted skin barrier can increase absorption (minoxidil patient information leaflet)<\/td>\n      <\/tr>\n    <\/tbody>\n  <\/table>\n<\/div>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\" style=\"max-width:720px;margin-left:auto;margin-right:auto\"><img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/kopfbedeckung_sonnenschutz.webp\" alt=\"Woman wearing a soft cotton head covering sits in the shade, her scalp protected from the sun\" class=\"wp-image-96453\" style=\"width:720px;max-width:100%;height:auto\" srcset=\"https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/kopfbedeckung_sonnenschutz.webp 1536w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/kopfbedeckung_sonnenschutz-300x200.webp 300w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/kopfbedeckung_sonnenschutz-1024x683.webp 1024w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/kopfbedeckung_sonnenschutz-768x512.webp 768w\" sizes=\"(max-width: 767px) 100vw, 660px\" \/><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\">Wigs and hair prostheses: sorting out who pays<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">When hair loss is caused by illness, a hair prosthesis is a reimbursable benefit in many countries. How much is covered differs from country to country, and often from region to region as well. In the UK a wig or hair prosthesis is usually arranged through the hospital treating you; for certain groups of patients it is free of charge, otherwise set charges apply, and the arrangements differ between England, Scotland, Wales and Northern Ireland.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The practical route is much the same everywhere: get written confirmation of the medical need from your doctor, and do it early. Clarify who covers the cost before you buy, not afterwards, and have the paperwork drawn up accordingly. You can get binding information from the team treating you at the hospital, from the patient support at your cancer centre or from the service that arranges hair prostheses there.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In practical terms, an early appointment pays off: ideally get it arranged and fitted before the hair falls out, while your own colour and volume can still serve as a template. Several European cancer societies give this same advice. During the treatment period a hair prosthesis is often the simplest solution, because nothing about the scalp itself has to change.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For many people, visible hair loss is the most distressing part of treatment. There are places to turn to for this: cancer information services and cancer charities keep directories of psychosocial cancer counselling services, whose counselling is usually free of charge. Cancer centres additionally offer psycho-oncological support.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Hair transplant after radiotherapy: what is realistically possible<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">After radiotherapy, a hair transplant can only be considered once the oncological treatment is complete, the scalp has healed stably and the doctors treating you have given their approval. And on irradiated skin, the starting conditions are worse than on a healthy scalp.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The reason lies in the tissue. Studies of irradiated skin describe a thinned epidermis, denser collagen, atrophied hair follicles and a reduced blood supply. That blood supply is exactly what transplanted follicles need in order to take. In the professional forum of the International Society of Hair Restoration Surgery, transplantation on irradiated scalp is accordingly listed among the difficult cases.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">On timing: treatment completed, a stable situation and no repeat radiotherapy planned for the same region. Freshly transplanted follicles would not survive renewed radiotherapy in the same field. How long the interval has to be is decided by oncology, not by the wish for denser hair.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Whether a transplant is possible at all, and to what extent, is decided by a medical examination in each individual case. With extensive fibrosis the achievable result can be limited; sometimes several smaller sessions or a lower density are the more realistic plan. In methodological terms, the starting situation resembles a <a href=\"\/uk\/blog\/hair-transplant-on-scar\/\">hair transplant on scars<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That also includes an honest no: after high-dose radiotherapy, the tissue can be so severely damaged that a transplant is out of the question. In that case a medical hair prosthesis is the solution that holds up permanently, and it is not a step backwards. With an irradiated scalp, no one can responsibly promise you in advance that a procedure will succeed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Before any of this comes the question of what kind of hair loss is actually present: a radiation effect inside the field, a temporary effluvium after a serious illness, or an unrelated hereditary hair loss that happens to be progressing at the same time. A hair analysis classifies the pattern visually and is therefore one step towards clarity, not a finding and no substitute for a medical assessment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">With an irradiated scalp, this classification has a clear limit: radiation-induced fibrosis cannot be seen in photos. Whether the scalp meets the requirements for a procedure is only shown by an examination in person, with palpation of the skin and assessment of the blood supply, and exclusively after clearance from the oncologists treating you. The visual analysis therefore only answers the preliminary question of which hair loss pattern is present in the first place.<\/p>\n\n\n\n<p style=\"margin:28px 0 12px;text-align:center;color:#6b7683;font-size:14px;line-height:1.6;max-width:640px;margin-left:auto;margin-right:auto\">The free hair analysis classifies your hair visually. It does not assess an irradiated scalp, does not provide a diagnosis and replaces neither the conversation with your oncology team nor an examination in person.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-fe48e5de wp-block-buttons-is-layout-flex\" style=\"justify-content:center;margin-bottom:48px\"><div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" style=\"background-color:#0079F1;color:#ffffff;border-radius:8px;padding:15px 36px;font-weight:700;font-size:17px;display:flex;justify-content:center;align-items:center;max-width:400px;margin-inline:auto;text-align:center\" href=\"\/uk\/hair-analysis\/\">Start your free hair analysis<\/a><\/div><\/div>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\" style=\"max-width:720px;margin-left:auto;margin-right:auto\"><img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/aerztliche_untersuchung_kopfhaut.webp\" alt=\"A doctor examines a patient's scalp with a dermatoscope in a bright clinic\" class=\"wp-image-96454\" style=\"width:720px;max-width:100%;height:auto\" srcset=\"https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/aerztliche_untersuchung_kopfhaut.webp 1536w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/aerztliche_untersuchung_kopfhaut-300x200.webp 300w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/aerztliche_untersuchung_kopfhaut-1024x683.webp 1024w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/aerztliche_untersuchung_kopfhaut-768x512.webp 768w\" sizes=\"(max-width: 767px) 100vw, 660px\" \/><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\">When hair loss is temporary and when to have it assessed by a doctor<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Whether hair loss after radiotherapy remains temporary depends on the radiation dose and the duration of treatment. With shorter, lower-dose courses the hair roots usually recover on their own, and it is not unusual for hair that had already been given up for lost to grow back around six months after treatment ends without any further intervention.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">And this is not limited to radiotherapy for brain tumours. Hair loss on the head can occur with any radiotherapy in which the scalp lies in the beam path: with brain tumours and brain metastases, with head and neck tumours, with skin tumours of the scalp, with whole-brain radiotherapy and with total body irradiation before a stem cell transplant.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Patience is the right approach in the first months, because the follicles need time to recover. There are four situations in which that does not apply. In those cases you should have the hair loss assessed medically, by your radiotherapy team or by a dermatologist.<\/p>\n\n\n\n<div style=\"margin:26px 0\">\n<p style=\"margin:0 0 12px;color:#013366;font-weight:700;font-size:17px\">When to have your hair loss assessed by a doctor<\/p>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:16px;line-height:1.45\"><span style=\"color:#0079F1;font-weight:700\">&#10003;<\/span> No regrowth after 6 to 12 months<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">From this point on, permanent loss becomes more likely. In the dose studies, too, permanence is not assessed until six months at the earliest.<\/p><\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:16px;line-height:1.45\"><span style=\"color:#0079F1;font-weight:700\">&#10003;<\/span> Inflamed, weeping or shiny, scarred scalp<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">That can point to a scarring change inside the field and should be looked at promptly, regardless of hair growth.<\/p><\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:16px;line-height:1.45\"><span style=\"color:#0079F1;font-weight:700\">&#10003;<\/span> Sudden diffuse loss across the whole head<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">That does not fit locally confined radiotherapy and points instead to a telogen effluvium or a drug effect. For context, see the article on <a href=\"\/uk\/blog\/how-much-hair-loss-is-normal-in-one-day\/\">extreme hair loss<\/a> and on <a href=\"\/uk\/blog\/medication-induced-hair-loss\/\">hair loss caused by medication<\/a>.<\/p><\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:16px;line-height:1.45\"><span style=\"color:#0079F1;font-weight:700\">&#10003;<\/span> Round bald patches outside the radiation field<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">Sharply defined round patches beyond the treated area point instead to <a href=\"\/uk\/blog\/alopecia-areata\/\">alopecia areata<\/a>, a separate diagnosis with its own treatment.<\/p><\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Hair loss after radiotherapy: your next steps<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">When it comes to hair loss after radiotherapy, there are six things you can take into your own hands, wherever you currently are in your treatment. The order follows the timeline, from the planning consultation to follow-up care.<\/p>\n\n\n\n<div style=\"margin:26px 0\">\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:16px;line-height:1.45\"><span style=\"color:#0079F1;font-weight:700\">1.<\/span> Ask at the planning consultation whether your scalp lies inside the field<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">That is the question that determines whether you will lose scalp hair. Have them show you which region will be irradiated and whether the beam passes through the scalp on its way to the tumour. With radiotherapy to the breast, the answer is no.<\/p><\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:16px;line-height:1.45\"><span style=\"color:#0079F1;font-weight:700\">2.<\/span> Arrange your hair prosthesis early<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">When hair loss is caused by illness, a hair prosthesis is a reimbursable benefit in many places; in the UK it is usually arranged through the hospital treating you, free of charge for certain groups of patients and otherwise subject to set charges, with arrangements that differ between England, Scotland, Wales and Northern Ireland. Have the medical need documented, clarify who covers the cost before you buy, and schedule the fitting while your own colour and volume can still serve as a template, that is, before the hair falls out.<\/p><\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:16px;line-height:1.45\"><span style=\"color:#0079F1;font-weight:700\">3.<\/span> Switch your hair care from the first session onwards<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">Lukewarm water, a mild pH-neutral shampoo without fragrances, no rubbing, a soft brush, no tight braids. Put colouring, bleaching and straighteners on hold until after the recovery phase.<\/p><\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:16px;line-height:1.45\"><span style=\"color:#0079F1;font-weight:700\">4.<\/span> Cover bare areas and apply nothing without checking first<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">Without hair, the natural UV protection is missing. A soft head covering of cotton, silk or bamboo viscose, and sun protection products only after checking with your team. Hair growth products, oils and home remedies do not belong on irradiated skin without medical advice.<\/p><\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:16px;line-height:1.45\"><span style=\"color:#0079F1;font-weight:700\">5.<\/span> Note the date of your last session<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">From that day the clock starts running for regrowth: as a guide value, 3 to 6 months until the first visible fuzz. If nothing happens after 6 to 12 months, have it assessed by your radiotherapy team and a dermatologist instead of continuing to wait.<\/p><\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:16px;line-height:1.45\"><span style=\"color:#0079F1;font-weight:700\">6.<\/span> Speak up about the strain if it persists<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.6\">For many people, visible hair loss is the most distressing part of treatment. Cancer information services and cancer charities keep directories of psychosocial cancer counselling services, whose counselling is usually free of charge.<\/p><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">A hair transplant is only worth discussing once the oncological treatment is complete, the scalp has healed stably and a doctor has given clearance, and even then only after an examination in person. Until then the question stays open, and with an irradiated scalp that is the more honest answer than any promise.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently asked questions about hair loss after radiotherapy<\/h2>\n\n\n\n<div style=\"margin:26px 0\">\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:17px;line-height:1.45\">Does radiotherapy for breast cancer make the hair on your head fall out?<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.65\"><strong>No.<\/strong> Radiotherapy acts only in the treated field, and with radiotherapy to the breast the scalp lies outside it. Hair inside the field itself can fall out, above all the underarm hair on the treated side. The hair loss across the whole head that many breast cancer patients experience almost always comes from chemotherapy given at the same time.<\/p><\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:17px;line-height:1.45\">Does radiotherapy make eyebrows and eyelashes fall out too?<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.65\"><strong>Only if they lie inside the radiation field.<\/strong> In practice this only concerns radiotherapy to the head and neck region whose field reaches close to the face. With radiotherapy to the breast or the pelvis, brows and lashes are preserved. If scalp hair, brows and lashes fall out at the same time, that points to chemotherapy as the cause.<\/p><\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:17px;line-height:1.45\">How long does hair loss last after radiotherapy?<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.65\"><strong>The loss usually begins 2 to 3 weeks after the first session<\/strong> and is complete inside the field about a week later, as Cancer Research UK and Macmillan Cancer Support describe it. Once the radiotherapy ends, the loss comes to a standstill. Visible regrowth can be expected as a guide value 3 to 6 months after treatment ends.<\/p><\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:17px;line-height:1.45\">Does hair grow back after radiotherapy?<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.65\"><strong>In most cases yes, but more slowly than after chemotherapy.<\/strong> What matters is the dose that reached the follicles. At lower doses the hair roots usually recover on their own; at high doses the loss can be permanent. If nothing grows back after 6 to 12 months, you should have it assessed.<\/p><\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:17px;line-height:1.45\">Does hair grow back differently after radiotherapy?<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.65\"><strong>That does happen.<\/strong> Macmillan Cancer Support mentions thinner, uneven hair and a changed colour, and the American Cancer Society additionally mentions a different texture. How pronounced this is varies from person to person, and the literature gives no figure for how often it occurs. In many cases the hair evens out again over the following months.<\/p><\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:17px;line-height:1.45\">At what point is hair loss after radiotherapy permanent?<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.65\"><strong>There is no fixed limit; what matters is the dose at the follicle.<\/strong> Lawenda and colleagues (2004) named about 43 Gy as the dose at which half of the patients developed permanent alopecia; Phillips and colleagues (2020) placed permanent loss rather above 30 to 36 Gy mean dose. The values vary considerably depending on the study and the technique.<\/p><\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:17px;line-height:1.45\">May I wash and colour my hair during radiotherapy?<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.65\"><strong>Washing yes, colouring no.<\/strong> Lukewarm water and a mild, pH-neutral shampoo without fragrances are recommended, applied gently and without rubbing. Colouring, bleaching, perms and straighteners have no place during treatment and the recovery phase. The instructions from your radiotherapy team take priority over any general recommendation.<\/p><\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:17px;line-height:1.45\">When can I colour my regrown hair again?<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.65\"><strong>There is no documented number of weeks for this.<\/strong> As a rule of thumb: only once the skin reaction on the scalp has healed completely and after checking with your treatment team. Freshly regrown hair and irradiated skin react more sensitively, which is why a later date is the safer one.<\/p><\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:17px;line-height:1.45\">May I keep my wig on during the radiotherapy session?<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.65\"><strong>As a rule no, but ask your team.<\/strong> With radiotherapy to the head using an immobilisation mask there is usually no room for one, and material on the skin can increase the skin dose, an effect described for thermoplastic masks. There is no universal rule; what matters is your radiotherapy treatment plan.<\/p><\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:17px;line-height:1.45\">Who pays for a wig if cancer treatment causes hair loss?<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.65\"><strong>In many places it is covered, but the details differ.<\/strong> When hair loss is caused by illness, a hair prosthesis is a reimbursable benefit in many countries, and how much is covered differs from country to country and often from region to region. In the UK a wig or hair prosthesis is usually arranged through the hospital treating you: for certain groups of patients it is free of charge, otherwise set charges apply, and the arrangements differ between England, Scotland, Wales and Northern Ireland. The route is much the same everywhere: get written confirmation of the medical need early and clarify who covers the cost before you buy, with the team treating you at the hospital or the patient support at your cancer centre.<\/p><\/div>\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:16px;margin-bottom:12px;background:#ffffff\"><p style=\"margin:0 0 6px;color:#013366;font-weight:600;font-size:17px;line-height:1.45\">Is a hair transplant possible after radiotherapy?<\/p><p style=\"margin:0;color:#2e3033;font-size:15px;line-height:1.65\"><strong>The oncological treatment must be complete, the scalp healed stably and clearance given by the doctors treating you. Irradiated skin is often fibrotic and less well supplied with blood, which worsens the starting conditions. With extensive damage, a medical hair prosthesis is the solution that holds up.<\/strong> The oncological treatment must be complete, the scalp healed stably and clearance given by the treating physicians. Irradiated skin is often fibrotic and less well supplied with blood, which worsens the starting conditions. With extensive damage, a medical hair prosthesis is the solution that holds up.<\/p><\/div>\n<\/div>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\" style=\"max-width:720px;margin-left:auto;margin-right:auto\"><img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/ruhiger_ausblick_nach_therapie.webp\" alt=\"A man with very short hair sits quietly by the window, looking into the morning light\" class=\"wp-image-96455\" style=\"width:720px;max-width:100%;height:auto\" srcset=\"https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/ruhiger_ausblick_nach_therapie.webp 1536w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/ruhiger_ausblick_nach_therapie-300x200.webp 300w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/ruhiger_ausblick_nach_therapie-1024x683.webp 1024w, https:\/\/elithair.com\/uk\/wp-content\/uploads\/sites\/3\/2026\/09\/ruhiger_ausblick_nach_therapie-768x512.webp 768w\" sizes=\"(max-width: 767px) 100vw, 660px\" \/><\/figure>\n<\/div>\n\n\n<div style=\"border:1px solid #e3e8ef;border-radius:10px;padding:18px 20px;margin:28px 0\">\n<p style=\"margin:0 0 10px;color:#013366;font-weight:700;font-size:17px\">Sources<\/p>\n<ul style=\"margin:0;padding:0 0 0 18px;color:#2e3033;font-size:15px;line-height:1.7\">\n<li><a href=\"https:\/\/www.krebsinformationsdienst.de\/nebenwirkungen-bei-krebs\/haarausfall\" target=\"_blank\" rel=\"noopener\">German Cancer Information Service (DKFZ): Hair loss during cancer treatment<\/a> (local effect, timeline)<\/li>\n<li><a href=\"https:\/\/www.cancerresearchuk.org\/about-cancer\/treatment\/radiotherapy\/side-effects\/general\/radiotherapy-hair-loss\" target=\"_blank\" rel=\"noopener\">Cancer Research UK: Hair loss and radiotherapy<\/a> (field relation, exit point)<\/li>\n<li><a href=\"https:\/\/www.macmillan.org.uk\/cancer-information-and-support\/impacts-of-cancer\/hair-loss\/hair-loss-during-treatment\" target=\"_blank\" rel=\"noopener\">Macmillan Cancer Support: Hair loss during treatment<\/a> (onset after 2 to 3 weeks, changed regrowth)<\/li>\n<li><a href=\"https:\/\/www.cancer.org\/cancer\/managing-cancer\/side-effects\/hair-skin-nails\/hair-loss.html\" target=\"_blank\" rel=\"noopener\">American Cancer Society: Hair Loss (Alopecia)<\/a> (head, neck and CNS radiotherapy, changed texture)<\/li>\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15465206\/\" target=\"_blank\" rel=\"noopener\">Lawenda BD et al.: Permanent alopecia after cranial irradiation, dose-response relationship. Int J Radiat Oncol Biol Phys 2004, PMID 15465206<\/a><\/li>\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32756880\/\" target=\"_blank\" rel=\"noopener\">Phillips GS et al.: Assessment and Treatment Outcomes of Persistent Radiation-Induced Alopecia in Patients With Cancer. JAMA Dermatol 2020, PMID 32756880<\/a><\/li>\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11466407\/\" target=\"_blank\" rel=\"noopener\">Jia-Mahasap B et al.: Scalp dose analysis for transient and permanent alopecia following conventional cranial irradiation (IGRT), PLOS ONE 2024<\/a><\/li>\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26381532\/\" target=\"_blank\" rel=\"noopener\">No prevention of radiotherapy-induced alopecia by scalp cooling, PMID 26381532<\/a> (scalp cooling caps during radiotherapy)<\/li>\n<li><a href=\"https:\/\/www.degro.org\/neue-erkenntnisse-zur-prophylaxe-einer-dermatitis-in-folge-der-strahlentherapie\/\" target=\"_blank\" rel=\"noopener\">DEGRO, the German Society of Radiation Oncology: New findings on preventing dermatitis following radiotherapy<\/a> (scalp care, radiation dermatitis)<\/li>\n<li><a href=\"https:\/\/www.gkv-spitzenverband.de\/krankenversicherung\/hilfsmittel\/hilfsmittelverzeichnis\/hilfsmittelverzeichnis.jsp\" target=\"_blank\" rel=\"noopener\">Who pays for a hair prosthesis: information from the hospital treating you<\/a> (wig and hair prosthesis provision)<\/li>\n<li><a href=\"https:\/\/www.krebsinformationsdienst.de\/krebsberatungsstellen\" target=\"_blank\" rel=\"noopener\">German Cancer Information Service (DKFZ): Cancer counselling centres<\/a> (psychosocial support services)<\/li>\n<\/ul>\n<p style=\"margin:14px 0 0;color:#6b7683;font-size:14px;line-height:1.6\">Last updated: September 2026. This article is for information purposes and does not replace a conversation with the radiotherapy and oncology team treating you. The instructions from your radiotherapy team take priority over any general recommendation in this text.<\/p>\n<\/div>\n\n\n\n<script type=\"application\/ld+json\">\n{\n \"@context\": \"https:\/\/schema.org\",\n \"@type\": \"FAQPage\",\n \"mainEntity\": [\n  {\n   \"@type\": \"Question\",\n   \"name\": \"Does radiotherapy for breast cancer make the hair on your head fall out?\",\n   \"acceptedAnswer\": {\n    \"@type\": \"Answer\",\n    \"text\": \"No. Radiotherapy acts only in the treated field, and with radiotherapy to the breast the scalp lies outside it. Hair inside the field itself can fall out, above all the underarm hair on the treated side. The hair loss across the whole head that many breast cancer patients experience almost always comes from chemotherapy given at the same time.\"\n   }\n  },\n  {\n   \"@type\": \"Question\",\n   \"name\": \"Does radiotherapy make eyebrows and eyelashes fall out too?\",\n   \"acceptedAnswer\": {\n    \"@type\": \"Answer\",\n    \"text\": \"Only if they lie inside the radiation field. In practice this only concerns radiotherapy to the head and neck region whose field reaches close to the face. With radiotherapy to the breast or the pelvis, brows and lashes are preserved. If scalp hair, brows and lashes fall out at the same time, that points to chemotherapy as the cause.\"\n   }\n  },\n  {\n   \"@type\": \"Question\",\n   \"name\": \"How long does hair loss last after radiotherapy?\",\n   \"acceptedAnswer\": {\n    \"@type\": \"Answer\",\n    \"text\": \"The loss usually begins 2 to 3 weeks after the first session and is complete inside the field about a week later, as Cancer Research UK and Macmillan Cancer Support describe it. Once the radiotherapy ends, the loss comes to a standstill. Visible regrowth can be expected as a guide value 3 to 6 months after treatment ends.\"\n   }\n  },\n  {\n   \"@type\": \"Question\",\n   \"name\": \"Does hair grow back after radiotherapy?\",\n   \"acceptedAnswer\": {\n    \"@type\": \"Answer\",\n    \"text\": \"In most cases yes, but more slowly than after chemotherapy. What matters is the dose that reached the follicles. At lower doses the hair roots usually recover on their own; at high doses the loss can be permanent. If nothing grows back after 6 to 12 months, you should have it assessed.\"\n   }\n  },\n  {\n   \"@type\": \"Question\",\n   \"name\": \"Does hair grow back differently after radiotherapy?\",\n   \"acceptedAnswer\": {\n    \"@type\": \"Answer\",\n    \"text\": \"That does happen. Macmillan Cancer Support mentions thinner, uneven hair and a changed colour, and the American Cancer Society additionally mentions a different texture. How pronounced this is varies from person to person, and the literature gives no figure for how often it occurs. In many cases the hair evens out again over the following months.\"\n   }\n  },\n  {\n   \"@type\": \"Question\",\n   \"name\": \"At what point is hair loss after radiotherapy permanent?\",\n   \"acceptedAnswer\": {\n    \"@type\": \"Answer\",\n    \"text\": \"There is no fixed limit; what matters is the dose at the follicle. Lawenda and colleagues (2004) named about 43 Gy as the dose at which half of the patients developed permanent alopecia; Phillips and colleagues (2020) placed permanent loss rather above 30 to 36 Gy mean dose. The values vary considerably depending on the study and the technique.\"\n   }\n  },\n  {\n   \"@type\": \"Question\",\n   \"name\": \"May I wash and colour my hair during radiotherapy?\",\n   \"acceptedAnswer\": {\n    \"@type\": \"Answer\",\n    \"text\": \"Washing yes, colouring no. Lukewarm water and a mild, pH-neutral shampoo without fragrances are recommended, applied gently and without rubbing. Colouring, bleaching, perms and straighteners have no place during treatment and the recovery phase. The instructions from your radiotherapy team take priority over any general recommendation.\"\n   }\n  },\n  {\n   \"@type\": \"Question\",\n   \"name\": \"When can I colour my regrown hair again?\",\n   \"acceptedAnswer\": {\n    \"@type\": \"Answer\",\n    \"text\": \"There is no documented number of weeks for this. As a rule of thumb: only once the skin reaction on the scalp has healed completely and after checking with your treatment team. Freshly regrown hair and irradiated skin react more sensitively, which is why a later date is the safer one.\"\n   }\n  },\n  {\n   \"@type\": \"Question\",\n   \"name\": \"May I keep my wig on during the radiotherapy session?\",\n   \"acceptedAnswer\": {\n    \"@type\": \"Answer\",\n    \"text\": \"As a rule no, but ask your team. With radiotherapy to the head using an immobilisation mask there is usually no room for one, and material on the skin can increase the skin dose, an effect described for thermoplastic masks. There is no universal rule; what matters is your radiotherapy treatment plan.\"\n   }\n  },\n  {\n   \"@type\": \"Question\",\n   \"name\": \"Who pays for a wig if cancer treatment causes hair loss?\",\n   \"acceptedAnswer\": {\n    \"@type\": \"Answer\",\n    \"text\": \"In many places it is covered, but the details differ. When hair loss is caused by illness, a hair prosthesis is a reimbursable benefit in many countries, and how much is covered differs from country to country and often from region to region. In the UK a wig or hair prosthesis is usually arranged through the hospital treating you: for certain groups of patients it is free of charge, otherwise set charges apply, and the arrangements differ between England, Scotland, Wales and Northern Ireland. Get written confirmation of the medical need early and clarify who covers the cost before you buy, with the team treating you at the hospital or the patient support at your cancer centre.\"\n   }\n  },\n  {\n   \"@type\": \"Question\",\n   \"name\": \"Is a hair transplant possible after radiotherapy?\",\n   \"acceptedAnswer\": {\n    \"@type\": \"Answer\",\n    \"text\": \"Only under certain conditions and after an individual medical assessment. The oncological treatment must be complete, the scalp healed stably and clearance given by the doctors treating you. Irradiated skin is often fibrotic and less well supplied with blood, which worsens the starting conditions. With extensive damage, a medical hair prosthesis is the solution that holds up.\"\n   }\n  }\n ]\n}\n<\/script>\n\n","protected":false},"excerpt":{"rendered":"<p>Hair is one of the most common concerns people raise before radiotherapy, and for most of them the answer comes as a relief. Radiotherapy only acts where the beam is aimed. Scalp hair therefore only falls out if the scalp lies inside the radiation field: with radiotherapy to the breast it is spared, while hair [&hellip;]<\/p>\n","protected":false},"author":10,"featured_media":96457,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_yoast_wpseo_meta-robots-noindex":"2","_yoast_wpseo_meta-robots-nofollow":"","_yoast_wpseo_meta-robots-adv":"","_yoast_wpseo_canonical":"","_yoast_wpseo_opengraph-title":"","_yoast_wpseo_opengraph-description":"","_yoast_wpseo_opengraph-image":"","_yoast_wpseo_twitter-title":"","_yoast_wpseo_twitter-description":"","_yoast_wpseo_twitter-image":"","_hm_hreflang_map":{"de":50175,"en":97095,"uk":96456,"fr":37758,"es":35213,"it":107779,"pt":89825,"tr":83437,"x_default":97095},"_hm_language_code":"uk","footnotes":""},"categories":[18],"tags":[],"class_list":["post-96456","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog-hair-loss"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.4 (Yoast SEO v28.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Hair Loss After Radiotherapy: When It Starts, How Long It Lasts and When the Hair Grows Back<\/title>\n<meta name=\"description\" content=\"Radiotherapy only acts inside the treated field: with breast radiotherapy your scalp hair stays. 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