Scalp Cooling (Paxman)

Hair loss is a common side effect of chemotherapy—and it can be one of the hardest parts of treatment. At the Lewis and Faye Manderson Cancer Center, scalp cooling with the Paxman Scalp Cooling System is available for certain patients to help reduce chemotherapy-related hair loss. Your oncology team can help you understand whether it’s a good fit for your treatment plan.

WHAT IS SCALP COOLING?

Scalp cooling (sometimes called a “cold cap”) uses a closely fitted, temperature-controlled cap to cool the scalp before, during, and after chemotherapy. Cooling the scalp may help protect hair follicles during treatment.

HOW IT WORKS

Chemotherapy can affect fast-growing cells, including cells in hair follicles. Paxman explains that cooling the scalp may help by reducing blood flow in the scalp and lowering follicle activity, which can reduce how much chemotherapy reaches hair follicles.

WHAT TO EXPECT

Scalp cooling adds a few steps to your infusion visit, and your care team will guide you through each one:

Planning ahead: Scalp cooling typically needs to start with your first infusion, so it’s best to ask early—often when chemotherapy is being scheduled.

Cap fitting: Fit matters. The cap must be snug and positioned correctly for the best chance of success, and our team will help with setup and comfort adjustments.

Timing on treatment day: You’ll wear the cap before chemotherapy begins, keep it on during your infusion, and continue after treatment for a period of time. This means your appointment may be longer than a standard infusion visit.

Comfort: The cold can feel intense at first. Many patients adjust after the initial cooling period. Your team can share practical comfort tips (warm blankets, layers, drinks, and breaks as appropriate).

Results vary: Some patients keep a significant amount of hair, while others still have thinning or hair loss. Your regimen and your body’s response both play a role.

HAIR CARE DURING TREATMENT

Gentle hair care is an important part of scalp cooling. You’ll receive guidance on what to do before, during, and after chemotherapy—such as minimizing heat styling and avoiding harsh chemical treatments—to help reduce breakage and shedding.

HOW TO GET STARTED

If scalp cooling is something you’d like to consider, talk with your oncology team at Manderson Cancer Center. We’ll review your treatment plan, discuss what to expect, and help you decide next steps.

Call 205-759-7800 to ask about scalp cooling at the Lewis and Faye Manderson Cancer Center.