"I started losing my hair in chunks in the shower," she said. "It was one of the scariest things. It got to the point where it was visibly gone. I struggled with that a lot, especially going into high school. You have so many pressures—what people are going to think of you—and I was going into it losing all my hair. I had, like, nothing left. It was patches of missing hair that people would point out, because people are mean in high school."
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Cara said she would try to hide her bald spots with different hair styles, unsure why she had to deal with this at such a young age.
"I didn't want people to look at me, I didn't want people to get too close," she said. "Even now, I struggle with it; sometimes, you can see that my hair is missing in some spots. I have just learned how to accept it. Being in the public eye, you're always worried about what angle people are going to take pictures of you at. I don't really care anymore. I just let my hair dry naturally; I don't hide it."
Alessia also spoke about her pledge to appear makeup-free for every performance of and interview about "Scars to Your Beautiful."
"How could I be preaching a song about being yourself and being beautiful and perfect the way you are—and have a full face of makeup?" she said. "I want to show people that I am comfortable enough to go on national television and just be myself. It would only feel right if I am 100 percent me."