Breast cancer treatment is a big challenge, both physically and mentally. Treatment can change the way you look and feel. But remember, with all of this, you are in control of your life. I am telling you these things to help you feel comfortable, healthy, and confident during this difficult time.
What kind of clothes should I wear during treatment?
It's important to choose clothes that are comfortable and flattering to you during this time. Your body may be bigger, thinner, or have changed due to surgery. So choose clothes that are comfortable and soft for your body.
- Comfortable, soft clothing: If you've had breast surgery, especially a mastectomy (complete removal of the breast) or reconstruction (breast reconstruction), your skin may be more sensitive. So choose clothes that are comfortable , made of soft fabrics like cotton , and that are easy to put on and take off.
- Comfortable clothing for treatment: If you have a port in your neck (a small device that is placed under the skin to deliver treatment), a V-neck T-shirt or a shirt with buttons or a zipper in the front is most comfortable. If you are receiving chemotherapy through a vein in your arm, a short-sleeved shirt is the best choice.
- Layering: You may feel hot or cold during treatment, so it's a good idea to wear clothing that you can easily remove, such as a T-shirt over another shirt.
- Avoid tight clothing: Avoid wearing tight, uncomfortable clothing. Wearing loose clothing will not only reduce your physical discomfort, but it will also prevent any surgical drains from showing through.
- Ask for help: Fatigue is a big problem with cancer treatment . Don't hesitate to ask for help with chores like laundry or ironing. Save your energy for things you enjoy and that bring you joy.
How to choose the best bra?
This will depend on the treatment you are receiving. Some people may be able to go braless for a while, but be sure to ask your doctor about this. You may need to wear a special bra (`surgical bra`) after surgery.
These medical-grade bras are usually very soft, have no underwire, and have a zipper in the front, making them easy to put on and take off.
When you switch back to a regular bra, the first thing you should think about is comfort.
It is especially important to wear a bra that is seamless, has fewer seams, and is seamless inside and out, especially if you are undergoing radiation treatment. It is best to stay away from bras with lace or elastic bands that are uncomfortable for your skin during this time.
If you need a wig...
If your treatment includes chemotherapy, and it's a type of hair loss, you have several decisions to make about how to cope with it.
Hair loss usually starts 2-3 weeks after starting chemo. It doesn't happen overnight. Many people shave their heads as soon as they start, feeling like they're taking control of themselves.
Hair loss is a very emotional experience for many women. Some say that losing hair is harder to bear than losing a breast.
"You weren't planning on explaining to strangers why you don't have hair. That's your personal matter."
If that's the case for you, a wig is a great way to protect your privacy and maintain your self-confidence. But if you don't want a wig or don't mind going hairless, that's fine too. This is entirely your personal decision.
If your doctor prescribes a "cranial prosthesis " (an artificial covering for the skull), you may be able to get money from your health insurance. Ask your insurance company about this in advance.
There are advantages and disadvantages to different types of wigs.
| Wig type | Description (advantages and disadvantages) |
|---|---|
| Human Hair | These give a natural look. But they are expensive and a bit difficult to maintain. Since they lack the natural oils from the scalp, they can lose their appearance over time. |
| Synthetic hair | These are usually cheaper. They are also much easier to maintain. It is easy to keep them the same way every day. |
Scalp Cooling
Some people can use devices called "cold caps" to reduce hair loss from chemotherapy. These cool the scalp and reduce the amount of medication that reaches the hair follicles. Ask your doctor if the hospital where you are receiving treatment has this facility and if it is suitable for you.
Other things you can wear on your head
Your head may feel colder than usual when you don't have hair or a wig on, so it's a good idea to wear a cap or scarf.
You want a soft, snug-fitting head covering. For summer, choose a lightweight fabric like cotton or rayon. For winter, you can keep warm with a fleece.
- A small cap worn under the wig (`Skull cap`)
- A sleep cap
- A hat that fits over the head, such as a beanie
- Scarves for different styles
It takes a little practice to learn how to tie a scarf around your head. There are many videos on the internet for that.
Treat your scalp and skin with love.
Your skin can be very sensitive to the sun, especially after radiation and chemotherapy treatments. So remember these things when going out in the sun:
- Use a broad-spectrum sunscreen with SPF 50 or higher. Don't forget to apply it to your scalp as well.
- Wear a wide-brimmed hat.
- Avoid direct sunlight exposure to areas where radiation treatment has been given.
- Wear a large shirt that covers your arms and chest.
When your hair starts to fall out, your scalp may feel a little sore and sensitive. During this time, treat it like this:
- Use a mild shampoo, like baby shampoo.
- Gently wet your hair, without rubbing it too hard.
- Use a baby brush with soft bristles.
- Do not use a hair dryer (`blow dry`).
Let's also learn about eyelashes and eyebrows.
It can take several months for eyelashes to grow back after chemo treatment. They may not be as full as they were before. Some people use ``lash boosters`` or artificial eyelashes for this.
Eyebrows can also be lost during this time. Some people get a permanent makeup procedure called ``microblading'' before starting chemo. This can help keep the shape of their eyebrows intact. Talk to your doctor about this.
Get help for yourself.
The journey through cancer treatment is not easy. Dealing with changes in your body is not as simple as changing clothes. It is a profound emotional experience.
Talk to your loved ones about what you're thinking and feeling. Also, ask your doctor for a referral to a mental health counselor if you need one. Specialized counseling can be very important for cancer patients.
"A lot of times, it's worth the world to be where you are and talk to someone who has been through that experience."
So, join breast cancer support groups. Don't try to go through this journey alone.
Take-Home Message
- Prioritize your physical and mental well-being. Do what feels good to you during this time.
- Choose soft, loose-fitting, and comfortable clothing. Wear a smooth, underwired bra, especially during radiation treatment.
- How you deal with hair loss is a personal decision. Wigs and scarves are just tools to protect your confidence and privacy.
- Protect your skin and scalp from the sun. Always treat it gently.
- Don't go through this journey alone. Talk about your feelings with family, friends, and your doctor. Seek counseling if necessary.
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