Scalp Cooling Support & Guidance

Our landing page has been designed for simplicity and ease, providing a one-click platform to all of the education, support and guidance Paxman has to offer. Simply use the links and videos to access the information you require. For any additional queries or direct contact, please use the Contact form at the end of the page.

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Cold Cap Sizing

Sizing a patient to select the appropriate cap size is crucial to achieving the best possible outcome. Please get as familiar as you can with our cap tutorial videos, they walk you through the sizing process and give you guidance on what a good fit should look like.
Cap Sizing 

Fitting the Cold Cap

A good cap fit is crucial to achieving the best possible outcome. Please get as familiar as you can with our cap tutorial
videos, they walk you through the fitting process and give you guidance on what a good fit should look like.
Cap Fitting 

Hair Preparation

It is important that the patient’s hair is prepared appropriately before their cold cap is fitted. Preparation will vary depending on their hair type.

Please get as familiar as you can with our hair preparation tutorial videos, they walk you through the process and give you guidance on the difference between preparing types 1 & 2 and types 3 & 4 hair.
Hair Prep Tutorial Videos

Types 1 & 2 Hair

Straight or wavy:

Types 3 & 4 Hair

Curly or coily:

Cooling Times

Recommendations for post-infusion cooling times are based on peak plasma concentrations, drug half-life, potential interactions, recent trials and the experience of current users of the Paxman Scalp Cooling System.
View our Quick Reference Guide

Patient Haircare Advice

In between their scalp cooling treatments, it is really important that patient’s look after their hair, and tailor it to reflect their hair type.

The diagrams to the right will help patients identify which hair type they have. This is based on their natural hair texture – so how it would naturally look if it was unstyled and left to its own devices when drying.

Types 1 & 2 Hair

Straight or wavy:
Types 1 & 2 Haircare Guide

Types 3 & 4 Hair

Curly or coily:
Types 3 & 4 Haircare Guide

Patient Haircare Shop

As part of our commitment to scalp cooling, we have developed a range of products that will help to achieve the best possible results during treatment and provide great hair care during a patient’s chemo.
Visit our Haircare Shop

Patient Support & Education helps patients make an informed choice and guide them through their scalp cooling treatment. Includes our patient tutorial videos.

Our patient haircare blog, sharing advice on how to care for their hair during and after cold capping. Includes advice on washing, shedding, and regrowth.

Facebook Support 

A private, patient Facebook group where they can talk all things scalp cooling, and find advice and support from people who have been through the process.

Decision Making Guide

The decision making guide will provide specific information about potential hair retention based on chemotherapy type and regimen, calculated using data from the Dutch Scalp Cooling Registry.

This is a source with data from over 7000 patients, providing you and your patient the most accurate indication of what they can expect.
Decision Making Guide

Regrowth with Scalp Cooling

The majority of people choose to scalp cool to retain their hair, but increasingly there is an additional motivation in the form of faster, healthier and stronger hair regrowth as a result of scalp cooling.

As we know, retention rates with cold capping can vary a lot from drug to drug as well as from person to person – even those with the highest rates of hair retention see shedding, so faster regrowth is a true benefit to anyone who chooses to scalp cool.

Efficacy of Scalp Cooling in Preventing and Recovering from Chemotherapy-Induced Alopecia in Breast Cancer Patients: The HOPE Study’, Kinoshita et al., 2019

It was suspected that scalp cooling resulted in faster regrowth for a long time, and now there are several clinical studies to confirm this.

Alopecia is measured in grades – grade 0 = no hair loss, grade 1 = <50% hair loss, grade 2 = >50% hair loss

A study conducted in Japan in 2019, concluded that scalp cooling resulted in faster recovery of hair volume within 12 weeks of chemotherapy, even in patients where scalp cooling failed to prevent chemotherapy-induced alopecia.

This was particularly important as the patients in the trial received TC (docetaxel and cyclophosphamide), or AC (doxorubicin and cyclophosphamide) both of which are particularly challenging regimens for hair retention.

Regrowth results:

Read the HOPE Study

This is why we would always encourage patients to continue to scalp cool, even if they do see a lot of hair loss.

Those patients who are facing anthracycline-based regimens may see the potential retention rates with their treatment plans and decide that scalp cooling isn’t for them, but many patients are now citing increased hair regrowth as motivation enough to scalp cool, and that any hair retention is a bonus.

The Scalp Cooling Study Library

The Scalp Cooling Study Library unites key clinical research studies and data to provide an independent overview of global research and practice on scalp cooling and cryotherapy for chemotherapy side effect management.

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