Why Is My Hair Not Growing After Radiation Therapy? - Dermatology

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Hair loss?


Hello doctor, I underwent radiation therapy on my brain, and it has been 8 months, but a part of my scalp is not growing hair.
Should I see a doctor, or should I just wait and see?

kiol, 20~29 year old female. Ask Date: 2004/08/03

Dr. Zheng Lizhen reply Dermatology


Hello: For now, we will continue to observe.
Sincerely, Dr.
Cheng Li-Chen, Dermatology.

Reply Date: 2004/08/03

More Info


After undergoing radiation therapy, particularly for conditions affecting the brain, it is not uncommon to experience hair loss or changes in hair growth patterns. Radiation can damage hair follicles, leading to hair that may not grow back in the treated areas. The timeline for hair regrowth can vary significantly from person to person, and several factors can influence this process.

Typically, hair growth after radiation therapy can take time. It is essential to understand that hair follicles have a growth cycle that includes phases of growth (anagen), rest (telogen), and shedding (catagen). After radiation, the affected follicles may enter a prolonged resting phase, which can delay visible hair regrowth. In many cases, it can take several months to a year for hair to start growing back, and even then, the texture and color may differ from the original hair.

In your case, since it has been eight months since your radiation therapy, it is reasonable to be concerned about the areas where hair has not yet regrown. While some individuals may see gradual improvement in hair growth over time, others may experience persistent hair loss in the irradiated areas. It is advisable to monitor the situation closely. If you notice any signs of improvement, such as new hair growth or changes in the texture of the hair, it may be a positive indication that the follicles are recovering.

However, if you are experiencing significant hair loss or if the areas of hair loss are not showing any signs of regrowth after a year, it would be prudent to consult with a healthcare professional. A dermatologist or a specialist in hair restoration can provide a thorough evaluation. They may perform a scalp examination and possibly recommend treatments that could stimulate hair growth, such as topical minoxidil or other therapies.

In addition to medical advice, there are supportive measures you can take to promote overall scalp health. Maintaining a balanced diet rich in vitamins and minerals, particularly those known to support hair health (like biotin, zinc, and vitamins A, C, D, and E), can be beneficial. Gentle scalp massages may also improve blood circulation to the hair follicles, potentially aiding in the regrowth process.

In conclusion, while it is common for hair to take time to regrow after radiation therapy, if you have concerns about persistent hair loss, seeking medical advice is a wise decision. A healthcare professional can provide personalized recommendations and help you understand the best course of action for your specific situation. Remember, patience is key, as hair regrowth can be a slow process, but with the right support and care, there may be options available to help you.

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