Sunday, February 25, 2024

Scalp Cooling Cap For Chemo

Can Scalp Cooling Stop Hair Loss From Chemotherapy

# 06 Reduce Scalp Cooling discomfort wearing a Cold Cap | Chemo hair loss prevention

Prema P. Peethambaram, MD, is a medical oncologist and Associate Professor of Oncology at the Mayo Clinic in Rochester, Minnesota. She has a passion for treating womens cancers and providing compassionate cancer care.

Charles L. Loprinzi, MD, FASCO, is the Regis Professor of Breast Cancer Research at the Mayo Clinic in Rochester, Minnesota, where he is an emeritus chair of the Division of Medical Oncology and an emeritus vice-chair of the Department of Oncology. He is also the Cancer.Net Associate Editor for Psychosocial Oncology.

Ashley* had breast cancer and needed several rounds of chemotherapy to improve her chance of being cured. Her oncologist described the potential side effects, including hair loss. Ashley didnt want her colleagues to know she had cancer, and she worried that losing her hair would make it obvious. She shared this concern with her oncologist, who talked with her about trying to prevent hair loss with scalp-cooling therapy. Fortunately for Ashley, the therapy worked. She didnt lose significant amounts of hairor her privacyduring her chemotherapy treatments.

Could this story be possible? Yes. By cooling the scalp, scalp blood vessels narrow, which results in less chemotherapy reaching the hair follicles. In addition, cooler hair follicles become inactive, making them less susceptible to the treatment. The result can be reduced hair loss.

How Does Scalp Cooling Work

To undergo scalp cooling, patients wear a special cap during chemotherapy that chills the scalp. The cold temperature slows blood flow to the hair follicles, limiting the amount of chemotherapy that can reach them. Ideally, this will keep the hair from falling out.

It is necessary to wear the cap before, during, and after receiving chemotherapy. The cap is lightweight, and you can get up and move around if you need to. You must continue the scalp cooling procedure throughout all of your chemotherapy treatments for it to be effective.

for additional information about scalp cooling.

Caring For Your Hair And Head

Here are suggestions on how to care for your hair and head while youre getting treatment. For more information, read our resource Hair Loss and Your Cancer Treatment.

  • Wash and condition your hair every 2 to 4 days with a fragrance-free shampoo and a cream rinse or hair conditioner.
  • Always rinse your hair well and pat it dry with a soft towel.
  • Brush or comb your hair gently with a soft-bristle brush or comb. Start brushing or combing your hair at the ends and gently work your way up to your scalp. You can also finger-comb your hair by wetting your fingers with water.
  • If your hair is long, you may want to have it cut short before you begin treatment.
  • Try using hair products specially designed to cover bald spots and thinning areas of your hair .

Do not use the following things on your hair during treatment. They can be too harsh or pull on your hair.

  • Hair spray, creams or oils, hair dye, bleach, relaxers, or permanents
  • Clips, barrettes, bobby pins, pony tail holders, or scrunchies
  • Hair dryers, curlers, curling irons, hot rollers, or a hair straightener
  • Rubber bathing or swimming caps

Also, dont put your hair in braids, corn rows, or pony tails.

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Reducing Hair Loss With Scalp Cooling

Scalp cooling is a way to reduce hair loss while youre getting chemotherapy to treat solid tumors. Solid tumors are cancers that are not leukemia or lymphoma. Scalp cooling involves wearing a cold cap on your head before, during, and after receiving chemotherapy.

Scalp cooling has been used by people in Canada and parts of Europe for years. It has more recently been used in the United States since the Food and Drug Administration approved scalp cooling machines in 2015. The FDA approval was based on clinical trials that showed what we might expect from scalp cooling and how to best use this method to reduce hair loss during chemotherapy for breast cancer.

Is Scalp Cooling For Me

Scalp cooling cap design wins international Exhibitor Innovations ...

Scalp cooling is usually recommended if youre receiving chemo treatment for breast cancer or cancer that involves solid tumors.

Most cancer treatment centers will have more options than smaller facilities. Many scalp cooling systems, such as DigniCap, have been specifically tested and approved by the Food and Drug Administration for use during breast cancer treatments.

Scalp cooling is most effective if youre undergoing a limited number of chemo treatments.

Your doctor may not recommend scalp cooling if:

  • youre going to need chemo treatment for a long period or undetermined amount of time
  • your body cant tolerate extreme cold for an extended time
  • your dosage of chemo medication is high
  • you have thick hair, since the cooling device may not make enough contact with your hair follicles to effectively constrict your blood vessels
  • your doctor believes that you have cancer cells in your scalp

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How Much Does Scalp Cooling Cost

The cost of scalp cooling depends on the type of scalp cooling system you use and the number of treatments you need. Most insurance companies dont cover the cost of scalp cooling at this time.

For information on the cost of frozen cooling caps, contact the company or look on their website.

If you use the Paxman scalp cooling system, you will be charged directly by Paxman for your cap and treatments. Pricing depends on how many treatments you need but can be as much as $2,200. For more information, visit the Paxman website at

You will also be charged a facilities fee by MSK each time you use the cooling machines. This is about $73 per treatment and isnt usually covered by insurance.

If you have any questions about cost, call Patient Billing Services at .

Theres some financial support available for scalp cooling from an organization called Hair to Stay. For more information, visit their website at

What Are Cold Caps

Cold caps are frozen devices intended to decrease the risk of hair loss from chemo treatments. The cold temperatures may decrease blood flow to your scalp, thereby preventing chemotherapy drugs from affecting your hair follicles.

In theory, by preserving your hair follicles, you may be able to thwart significant subsequent hair loss. However, its still possible that youll shed some hair. The purpose isnt to prevent all hair loss rather, its to prevent more noticeable, widespread hair loss.

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Together We Can Make A Difference

We have been pioneering scalp cooling technology to help prevent chemotherapy-induced alopecia worldwide for over 20 years.

Having carried out extensive trials and product development within the cryotherapy field, we have created a cold cap system that is clinically proven and widely embraced by clinicians and patients alike. We are committed to improving the efficacy of scalp cooling for patients globally.

How Does It Work

Paxman Chemo Cooling Cap at Loyola Medicine

Youll wear a cooling cap, which is a helmet-like device with circulating cooling fluid that cools the scalp to 36 degrees Fahrenheit . Youll typically have to wear the cooling cap for 30 to 60 minutes before, during and after chemotherapy treatment.

Expect some hair loss, though. Dr. Kruse has seen individuals keep 50% to 70% of their hair, which is considered a success.

Some people go in thinking theyre going to keep all of their hair and that it wont look any different, says Dr. Kruse. But thats not usually true. Typically, youll still have some hair loss and it can be more pronounced at the top or crown of your head.

And youll need to decide about using a cold cap before your first treatment, says Dr. Kruse.

The effects of chemo, in terms of hair loss, will set in after that first treatment, she says.

So what should you expect when using a cold cap? Youll notice the coldness of the cap and may experience some mild discomfort. It can also feel a bit constricting since the cap is a tight fit on your head and typically contains a strap that goes under your chin to keep it secure.

It can also be tough for those who have a history of headaches or migraines, Dr. Kruse says. Some people will need to take an anti-inflammatory medication to help with some of the discomfort.

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Hear From People Who Have Cold Capped

We have stories from people around the world who have gone through cold capping, what it meant to them and the valuable knowledge they have to share.

We know that an informed patient has a better outcome.

If you have decided that scalp cooling is the right choice for you, then we are committed to support you from beginning to end. But this is a two-way street, we also need you to be committed to the process too. It has been proven that an informed patient has a better outcome.

Self advocate

Eyebrows Eyelashes And Make

With some chemotherapies, people might also lose their eyebrows and eyelashes. Make-up, eyebrow pencil, eyeliner or false eyelashes can help, and many cancer support groups have workshops to help patients learn these techniques.

For example, the charity Look Good Feel Better holds free skincare and make-up workshops and masterclasses across the UK for women undergoing treatment for cancer.

Find cancer support services near you.

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Wigs And Head Coverings

You may still want to wear a wig or other hair covering during chemotherapy. If you have any questions or concerns, talk with your healthcare provider.


If you want to wear a wig or hair piece, try to get one before your hair falls out because it will be easier to match your hair color and style. If youve already lost some or all of your hair, bring a photo of your usual hairstyle and, if you can, a lock of your hair to the store. This will help you find a wig or hair piece that looks like your hair did before your treatment started.

When shopping for wigs or hair pieces, you may want to shop around and compare prices. A wig or hair piece should fit properly, be comfortable, and be easy to care for. You may want to start wearing it as soon as your hair begins to thin. As your hair gets thinner, you may need to have your wig or hair piece adjusted to make it fit better.

Many insurance companies will pay for wigs or hair pieces when hair loss is related to medical treatment. Contact your insurance company to find out what your plan offers. If you need help finding a place to buy a wig or hairpiece, talk with your healthcare provider.

Head coverings

Some people choose not to wear any head covering during their chemotherapy. This is your choice.

With Assistance From A Nurse

Can scalp cooling stop hair loss from chemotherapy?

Arctic Cold Caps offers a complete system that includes eight caps, a cooler, a timer, and more.

If you have questions about the treatment, the company provides free access to a registered nurse.

When considering cold caps, its important to also consider computerized scalp cooling systems and any lifestyle changes that may minimize hair loss. Discuss the following information with your doctor.

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Why Scalp Cooling

Paxman as a company was born out of a husbandâs desire to prevent his wife from suffering through the trauma of chemotherapy-induced hair loss. Our founder and chairman Glenn Paxman used his knowledge and expertise in the refrigeration industry to pioneer a scalp cooling system that enables people going through chemotherapy treatment to maintain their hair.

The family mentality of caring and supporting those going through what can be traumatic treatment side effects is maintained to this day and has become a core value as Paxman continues to grow. We understand how important consistency, privacy and control are to a patient facing cancer.

To find out more about the Paxman family and their experience, view our story on

How Do They Work

Cold caps offer scalp cooling therapy that doctors may also refer to as scalp hypothermia. These devices narrow the blood vessels under the scalp to limit the amount of chemotherapy that reaches the hair follicles. Less exposure to chemotherapy can reduce the risk of hair loss.

A 2017 study found that women with breast cancer who received chemotherapy and underwent scalp cooling maintained most of their hair. However, those who did not get scalp cooling experienced substantial hair loss.

A 2017 review found that scalp hypothermia can reduce alopecia and appears to be effective for people receiving chemotherapy for breast cancer and solid tumors.

A more recent 2018 article suggests that cold cap treatment works better in individuals undergoing taxane-based chemotherapy than in those receiving anthracycline. These are two different types of chemotherapy drugs.

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Cold Caps During Chemotherapy

A cold cap is a hat that is worn during some chemotherapy treatments. Its cooling effect reduces blood flow to the scalp, which also reduces the amount of chemotherapy medication that reaches this area. This helps to prevent hair loss.

It’s usually worn for 15 minutes before each chemotherapy treatment. You can find out about scalp cooling caps on the Macmillan website.

Scalp Cooling Can Help Some Breast Cancer Patients Retain Hair

Reducing chemo-associated hair loss with scalp cooling cap

Cold comfort: Carolyn Dempsey wore the DigniCap during chemotherapy. Photo provided by Carolyn Dempsey.

Scalp cooling can lessen some chemotherapy-induced hair loss one of the most devastating hallmarks of cancer in certain breast cancer patients, according to a new multicenter study from UC San Francisco, Weill Cornell Medicine, NewYork-Presbyterian and three other medical centers.

A majority of the studys patients, all women with stage 1 or 2 breast cancer who underwent scalp cooling, retained more than half of their hair after completing chemotherapy, the investigators learned. The study, published which tracks patients over five years, used standardized photographs to grade hair loss. The study was published Feb. 14 in JAMA, the Journal of the American Medical Association.

Hair loss is almost universal among breast cancer patients receiving adjuvant chemotherapy and is one of the most distressing of adverse side effects, said first author Hope S. Rugo, MD, the corresponding author who led the study. Rugo is a UCSF professor of medicine specializing in breast cancer research and treatment, and director of the breast oncology and clinical trials education program at the UCSF Helen Diller Family Comprehensive Cancer Center.

Breast cancer is the most common cancer in women around the world, both in developed countries and less developed ones, according to the World Health Organization.

About UCSF

About Weill Cornell Medicine

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This Scalp Cooling Caps Report Identifies Industry Participants And Their Efforts To Distinguish Themselves From The Competition Through New Innovations And New Products

The MarketWatch News Department was not involved in the creation of this content.

To provide the necessary services from 2022 to 2028, the “Scalp Cooling Caps Market” has taken the initiative to understand the consumer base and consumer preferences. As the company grows, it has taken the initiative and established challenging targets for reporting and data analysis. This report contains 112 pages.

The global Scalp Cooling Caps market size is projected to reach multi million by 2028, in comparision to 2021, at unexpected CAGR during 2022-2028 .

Get Sample PDF of Scalp Cooling Caps Market Research Report

The top competitors in the Scalp Cooling Caps Market, as highlighted in the report, are:

  • Paxman Scalp Cooling

The worldwide Scalp Cooling Caps Market is categorized into Component, Deployment, Application, and Region.

The Scalp Cooling Caps Market Analysis by types is segmented into:

  • Chemotherapy Induced Hair Loss

The Scalp Cooling Caps Market Industry Research by Application is segmented into:

In terms of Region, the Scalp Cooling Caps Market Players available by Region are:

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Key Benefits for Industry Participants & Stakeholders

The Scalp Cooling Caps market research report contains the following TOC:

Sections in Scalp Cooling Caps Market Report

Prevention Of Hair Loss

In total, 26.7% of the patients in the scalp-cooling group and 0.0% in the control group were judged to have no alopecia by both independent assessors at the end of chemotherapy. Therefore, the proportion of patients with no alopecia was significantly higher in the scalp-cooling group . Meanwhile, there were 60.0% of patients in the scalp-cooling group and 0.0% in the control group who were judged to have no alopecia by either one of the independent doctors.

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How To Use The Paxman Scalp Cooling System

If youre interested in using the Paxman Scalp Cooling System, talk with your healthcare provider before your first chemotherapy treatment. They will sign you up and Paxman will send you your cooling cap and kit. You will receive it in 3 to 4 days.

Its important that you get ready for your scalp cooling treatment before your first appointment. Your nurse will connect your cap to the cooling machine, but you will need to prepare your hair and fit your cap on your head.

To learn how to get ready for your Paxman scalp cooling treatment, watch the videos on the Paxman website at

After you watch the videos, practice getting your hair ready and fitting your cap. You may need some help from a caregiver, friend, or family member. You may also bring someone to your appointment with you.

Remember to bring your cap and kit with you to your appointment.

Are There Any Side Effects

Hair Loss and Scalp Cooling

While scalp cooling is safe for the body, some patients find the intense cold to be uncomfortable and even painful. This sensation only tends to last 10 to 15 minutes and is worse during the initial treatments patients can grow accustomed to the cold over time. Patients may also notice chills, nausea, and dizziness while undergoing scalp cooling. Patients with migraine headaches or extreme cold sensitivity should not do scalp cooling.

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