How to Keep Looking—And Feeling—Like Yourself During Chemotherapy

In the most basic sense, cancer involves cells dividing unchecked. Chemotherapy treats the disease with anticancer drugs, which may be taken orally or through an IV. The drugs travel through your bloodstream to destroy rapidly proliferating cancer cells—either before surgery, to shrink a tumour; after, to kill remaining cancer cells; or as a stand-alone treatment, for more advanced cancers. The problem is, they’re also toxic to other rapidly replicating cells, including those in your skin, hair follicles, and nails.

Soothing Your Skin

Facing this? Major acne. Drugs called HER2 inhibitors may lead to an acne-like rash on your scalp and face. One bright spot? Studies of lung cancer show that this rash is associated with improved tumour response. The same molecule that’s in the cancer is in the normal skin structures, so having the rash indicates the drug is blocking the right molecule. Try this: Oral or topical antibiotics or topical steroids can reduce inflammation and speed healing. (Avoid over-the-counter acne creams that contain benzoyl peroxide or salicylic acid, as they can severely dry skin.)

Facing this? Parched patches. Inflammation resulting from chemo prompts skin to shed faster, which leads to flaking. On top of that, hormone therapy can dry skin. Patients are often on hormone therapy for at least five years after their treatment ends. Some survivors tell us their skin is far drier than it ever was. Try this: As soon as you start treatment, moisturise regularly with a thick, rich, unscented product that contains protective essential oils. Bathe with a moisturising and fragrance-free soap. Keep up the good skincare habits after treatment.

Facing this? Heat rash. Some chemotherapy infusions, like fluorouracil (used in the treatment of metastatic breast cancer), may cause a friction rash in areas prone to sweating and moisture, like the armpits, breasts, and groin. Try this: Aim to keep cool during infusions (don’t wrap yourself in a blanket if you can avoid it), and take a refreshing shower immediately after.

Facing this? Sun sensitivity. Some cancer therapies can trigger a dramatic response in skin to UV damage. Try this: After slathering on a broad-spectrum sunscreen (SPF 30 or higher) every morning, carry a stick or a powder formulation for facial touch-up. Lotion can get messy in baby hairs or a buzz cut, so consider a mist like Supergoop! Antioxidant-Infused Sunscreen Mist with Vitamin C SPF 50. Don’t forget UV-protective clothing, wide-brimmed UPF hats, and gloves. All survivors should also undergo an annual skin check.