Should I cut my hair into a very short style for scalp cooling to be more effective?
Having a very short hairstyle won’t have an effect on hair retention. You don’t need to cut your hair unless you want to. The only occasions in which you might want to consider cutting and/or thinning your hair are if it is very thick and very long, as the weight may put tension on the roots and you want to ensure good contact with the cap and the scalp. Manageability throughout treatment is the thing to concentrate on. Having a trim is a good idea to get rid of any damaged or dry hair as this is more likely to tangle or knot.
Do I need to wash my hair in cold water?
No, not unless you want to. We would advise using luke warm water, mainly as your scalp will likely be sensitive as a result of the chemotherapy. The temperature won’t effect hair retention. If you do want to wash your hair with cold water, try doing it over the side of a bath so you don’t have to suffer a cold shower, but it certainly isn’t necessary.
Can I order Paxman shampoo and conditioner?
You can order our haircare products through our shop.
Can I order additional supplies that came with my kit?
You can contact us at patient@PAXMANUSA.com and/or go to https://shop.paxmanusa.com/ to reorder haircare
So, I’ll be able to keep all my hair? I won’t lose any of it, right?
No. Shedding is a unavoidable part of scalp cooling, no matter how successful. Shedding does not mean that scalp cooling isn’t working either. Shedding will begin like clockwork for almost everyone between days 14 and 21 after your first treatment. Without the cold cap, this would be the point where you would have extensive if not complete hair loss with most regimens.
You need to anticipate shedding at some level throughout your treatment, but you can lose an awful lot of hair and still retain an enormous amount.
For more information on potential success rates for your regimen, try our decision making guide or alternatively hear from those that have gone through the process themselves on our Facebook Group
Is there a blog or support group for patients?
Yes, you may find the Paxman Scalp Cooling Facebook Group a really good place to start. It’s a place to talk all things scalp cooling, and find advice and support from individuals who have who have been through the process and who are different stages of their treatment, all over the world. You can also find information and answers to questions direct from Paxman. All you need to do is answer a couple of questions to join.
We also have a haircare blog, which is full of lots of information help and guidance on how to best care for your hair while cold capping, as well as more in depth information on how hair follicles are affected by chemo, how to identify which hair type you are and lots more.
Can I brush my hair?
Yes, it is fundamentally important that you brush your hair every day, as it will liberate any shed hairs that can lead to tangling and in extreme cases matting. While it may sound counter-intuitive this is even more important if you are experiencing heavy shedding. We would recommend brushing in the morning and evening, and before washing your hair with a detangling brush or something similar. Not brushing your hair cause tangling and even lead to severe knotting which can cause the hair to fuse together. Please see more haircare information in our Common Sense Guide to Cold Cap Haircare or our blog
What should I do if my hair tangles?
We would recommend that you get the help of a family member, friend or indeed a hairdresser to try to detangle the hair. Use lots of conditioner or natural oil such as olive or argan oil, hold the hair at the root and slowly and carefully begin to detangle the hair starting from the bottom with a detangling brush. We are sorry that in some cases it is impossible to untangle the hair and the only remedy is to cut away the affected area. But be patient, it is much better to try and detangle what is there rather and using cutting as a last resort.
For more detailed information please visit the post on tangled hair on our blog here
Will wearing a wig, hat or head covering be bad for my hair?
No, just try to avoid anything too tight or that will pull on your hair causing tension at the roots or rub on your scalp.
How often can I wash my hair?
However often you would feel comfortable with, however, we would strongly recommend washing your hair less regularly than your usual hair care routine. It varies from person to person, but it should no more than twice a week. Chemo has a drying effect on your scalp and hair, and it won’t take long until your hair feels less greasy and needs less washing anyway, plus over frequent washing will strip the hair of natural oil that will help to keep hair in good condition and contribute to hair becoming dry and unmanageable.