How cancer treatments may affect your appearance This information is an extract from the booklet Feel more like you. You may find the full booklet helpful. We can send you a free copy – see page 4. Contents • Introduction • Changes to your appearance Introduction Cancer may be the toughest fight you have to face but remember you are not alone. You might start to see certain changes in your appearance during and after treatment. But Boots Macmillan Beauty Advisors are here to help. Boots Macmillan Beauty Advisors are No7 Advisors, based in some Boots stores, who have been trained by Boots UK and Macmillan to provide support to people living with cancer. You may find that some of the side effects of treatment are having an impact on how you feel about yourself. If you want to manage or disguise any changes to your appearance, this leaflet has useful information to help you do this. This can go some way to helping you feel good again. As well as reading this information, you may also find it helpful to speak to a Boots Macmillan Beauty Advisor. They can give you face to face advice about caring for your skin, nails and hair. Questions about cancer? Ask Macmillan 0808 808 00 00 www.macmillan.org.uk Page 1 of 4 How cancer treatments may affect your appearance Changes to your appearance Changes to the condition and appearance of your skin, nails and hair depend on the type of cancer treatment you’re having. This information gives a brief overview of some common cancer treatments and how they can affect your skin, nails and hair. Chemotherapy This treatment is the most common cause of hair, nail and skin changes. Most people know that some chemotherapy treatments can cause hair loss from the head, but fewer people know that other areas of your body may be affected too. This can include hair loss from eyebrows, eyelashes, facial hair, underarm hair and pubic hair. Chemotherapy may affect your fingernails and toenails too. Your nails may become more brittle and develop lines or ridges. During treatment your skin may become dry and more sensitive. Steroids are often given with chemotherapy, which may make your skin more prone to spots and reddening. Hormonal therapy This is used to treat cancers such as breast and prostate cancer, and can affect your skin, nails and hair. These effects are usually mild, but some people have more noticeable hair loss. Hormonal therapies may also cause dry skin, rashes, or in some rare cases, spots. Targeted therapy (also called biological therapy) Targeted therapies use drugs that mimic substances that are naturally present in the body to destroy cancer cells. Some targeted therapies, such as cetuximab, erlotinib, gefitinib, panitumumab and lapatinib can cause skin, hair and nail changes. They can make your skin drier and more sensitive. Skin rashes are also common. These treatments may cause hair loss from the head, but they can also make hair grow thicker or longer in other parts of the body. Your cancer nurse specialist or oncology team will give you specific advice on how to manage these changes if you’re prescribed a targeted therapy. Page 2 of 4 Questions about cancer? Ask Macmillan 0808 808 00 00 www.macmillan.org.uk How cancer treatments may affect your appearance ‘When I was having chemotherapy my entire complexion became very dull. It becomes easy to forget to focus on how you look on the outside, or to even know where to start to make yourself feel better. Reconnecting with how you look on the outside is the first step to longer-term recovery.’ Venus Otar, 41, from Nottingham ‘I want to be there for my customers because I really care about making them feel good about themselves. And the training I’ve had from Boots and Macmillan means that I have a better awareness of what people with cancer may be facing.’ Karen White, Boots Macmillan Beauty Advisor, Northwich Radiotherapy Radiotherapy can cause changes to your skin and hair, but only in the area(s) being treated. If you’re having radiotherapy, you’ll be told how to look after the skin and hair in the area(s) being treated. You should only use products in the affected area(s) that are recommended by one of your radiotherapy team. For detailed information about a particular treatment type, call the Macmillan Support Line on 0800 808 00 00. You can also order Macmillan’s free information booklets from be.macmillan.org.uk Questions about cancer? Ask Macmillan 0808 808 00 00 www.macmillan.org.uk Page 3 of 4 How cancer treatments may affect your appearance More information and support More than one in three of us will get cancer. For most of us it will be the toughest fight we ever face. And the feelings of isolation and loneliness that so many people experience make it even harder. But you don’t have to go through it alone. The Macmillan team is with you every step of the way. To order a copy of Feel more like you, visit be.macmillan. org.uk or call 0808 808 00 00. We make every effort to ensure that the information we provide is accurate and up to date but it should not be relied upon as a substitute for specialist professional advice tailored to your situation. So far as is permitted by law, Macmillan does not accept liability in relation to the use of any information contained in this publication, or thirdparty information or websites included or referred to in it. © Macmillan Cancer Support 2013. Registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Registered office 89 Albert Embankment, London, SE1 7UQ REVISED IN AUGUST 2013 Planned review in 2016 Page 4 of 4 Questions about cancer? Ask Macmillan 0808 808 00 00 www.macmillan.org.uk