Lizzy’s Tips

Having successfully used cold caps through 6 rounds, I learned a whole bunch of things that I really would have liked to have known earlier. Please find below a list of some of my observations and tips. If you have any others that we should put up here for everyone else please send them to me and I’ll get them posted. You can do this!

Hair Tips

Refer to the hair care document on your clipboard for complete information and tips.

You should not wash your hair for three days before through three days after your treatment.

If you need to color your hair, do so at least two weeks before your first treatment and then not again until 3 months after the first round.

Trim your hair only during treatment, this is not the time for a style change.  No wigs or tight caps.

Wash your hair no more than twice a week during treatment, use water that is cool or no warmer than your body temp and use a mild shampoo and conditioner that contain no sulfates or parabens. We love the line by Beauty Counter, refer to the page on your clipboard or  Your hair will feel greasy at first but after about a week this will go away.

Be very gentle with your scalp; don’t scrub your head when you wash your hair.

Avoid a high-power shower head.

If you have long hair you can style the ends with a blow dryer, curling iron, or straightener. You want to protect your roots.

Use a wide tooth comb when your hair is wet. If you need added conditioner, Kenra Spray leave-in conditioner is a good one.  We love 12 Benefits too!

Sleep on a satin pillow case.

If you pull your hair back in a pony tail use a loose band and don’t pull it too tight.

I did a partial highlight on my hair 3 months after the first round. My hairdresser used a light color with no bleach and low ammonia. I did another partial highlight 6 weeks later and have decided to stop all-over color and just do highlights. 7 months after the first round I did get a highlight with some bleach. If you color your hair this can be one of the most trying aspects about this process, but you will be happy in the end that you have hair to color!

When your hair is stable, meaning you see about the same about of shedding as pre-treatment, you can resume your normal hair care.

Treatment Day Tips

Eat breakfast and wear comfortable clothes.

Use an electric blanket to help you stay warm and toasty during the day.

DRINK LOTS OF WATER!!! I tried to drink 4oz every 15 minutes.

The first 3 to 5 minutes of the cap application are the hardest, just stay focused and push through.

The first few caps are the most important, be sure to follow the instructions.

What You Can Expect

You will shed some hair and to you it may seem that a whole lot is coming out but it isn’t. Don’t get discouraged and think that it is not working. You will still have a lot of hair and again you will be the person who notices it the most. I shed up to 6 weeks post my last treatment and then it stopped. My hairdresser estimates that I lost about 20% of my hair during treatment. For me, having 80% of my hair remaining versus it being 100% gone was well worth the effort of this process!!  You will be cold – but you can do it!  Reach out to your your capper with your questions, they are there to help you.

Establish a good relationship with your nurse, even if you don’t get a warm fuzzy feeling from them at first. Remember that this may be your first brush with this but these caregivers see hundreds of patients and can become desensitized. Kill ’em with kindness:)

Frequently Asked Questions

How do Cold Caps work?

The technical answer is vasoconstriction. This means when wearing our specially designed cap that is cooled to a very low temperature (approximately -30 degrees C), the blood vessels to the scalp area become constricted and damage the hair follicles may be minimal.

Are Chemo Cold Caps covered by insurance?

Insurance coverage for scalp cooling is not yet standard in the United States, however many patients have submitted insurance claims and received reimbursement for treatment costs at varying levels. Success with reimbursement varies depending on plan, coverage, and location.Chemo Cold Caps has no formal agreement with any Third Party Payer (insurance company) and will not be a preferred or network provider with any of them. We cannot bill a third party payer on your behalf for scalp cooling services, you must submit for reimbursement after payment. Medical coding, coverage, and payment of medical scalp cooling for the prevention of chemotherapy-related alopecia has not yet become an industry standard. Requesting reimbursement from a third party payer may not result in payment. We can provide a detailed payment receipt with medical coding for you to submit for reimbursement upon request. Scalp cooling service may or may not be covered by the insurance company. Criteria such as co-pays, deductibles, out of network and minimums may be a factor, and the dollar amount of coverage may vary. If it is not covered, no payment would result. Additionally, there may be circumstances where the service is covered and can be used on a patient and billed for, but no additional payment or a reduced payment is what the insurance company concludes according to your plan. You may call your insurance company and confirm your coverage using the following medical codes:

Procedure CPT code commonly used:  E1399 Durable Medical Equipment Misc.

ICD-10 Diagnosis codes commonly provided by your doctor:  Z51-11 Anti Neoplastic Chemotherapy, L65.9 Chemo Induced Alopecia.

Is wearing the cap painful?

Most people experience a few minutes of mild discomfort when the first cap is put on. After about 10 minutes the scalp area becomes mostly numb. The most commonly reported side effects include headaches, complaints of coldness or uncomfortable sensations, dizziness and to a lesser degree, claustrophobia. In general, scalp cooling is very well tolerated with very few cases resulting in suspension of the scalp cooling process due to discomfort. Studies have shown that on a pain scale of 1-10, with 1 = “not tolerable” and 10 = “really well tolerable”, mean scores vary between 6.9 and 8.0.

Will Cold Caps be effective with my treatment type?

While Cold Caps are effective with a great number of treatment types, they are not a universal solution. Many factors determine the success. Please see Clinical Studies on what may have been most effective with and, most importantly, consult with your doctor about whether cold cap therapy is right for you..

How long are the Cold Caps worn for?

It is recommended that caps be worn for 50 minutes prior to the start of the treatment, and throughout the entire period, and finally for at least 3 hours following the treatment. Refer to your specific timesheet for your regimen timing. Depending on your treatment, the entire process can take up to 6 hours. Note: the longer the caps are worn (up to 8 hours) the more effective they can be.

Is there any training available?

Our company is committed to ensuring all users are completely comfortable with how the cap wearing/changing process works. A training video, written reference guide with photos, and phone training with a capping specialist are included. Everything you need for maximum success will be made available to you. Additionally, we are always available by telephone for any questions or concerns.

Am I committed to using your caps for my entire treatment?

No. If for any reason you do not wish to use our caps for your entire treatment,  you may cancel at any time.  The first month and shipping are non-refundable.  After that, rental may be prorated.

What is the cost?

Cold caps are rented on a monthly basis.  The cost is $500 per calendar month. The initial charge is non refundable and will be the $500 rental plus the shipping fee. The FedEx ground shipping fee is $60. Expedited shipping is available. Please see the order page. Our company has created a crowd funding alternative for those users that are unable to pay the entire costs of their scalp cooling treatments themselves. Please have anyone that would like to assist you financially to click on the “Donate” tab and enter the relevant information.

Are Cold Caps right for me?

Cold Caps are effective for many patients, but success rates do vary. Determinants such as age, health, dosage and type of treatment, and even hair characteristics are all factors that must be taken into consideration when determining whether scalp cooling will be a successful choice for you. According to researchers Wim Breed, Corina van den Hurk et al, in a study of over 1400 Dutch patients taken from the Dutch Scalp Cooling Registry, factors such as treatment length, older age, female gender and non-West-European type of hair significantly increased” the chances of heavy hair shedding. It is advised to discuss all options with your doctor prior to treatment.

Links & Resources:

There are an ever growing number of resources and places for you to get help that are available to help you today.  Please take a look at some of the links we have provided below.  They are great resources for getting additional information or just finding someone who is or has gone through what you are going through now to speak with.  If there are any new organizations or links that we should add to our site please send an email to us at


American Cancer Society

Susan G. Komen For The Cure

National Breast Cancer Foundation


The Rapunzel Project

American Association for Cancer Research

Locks of Love

Triple Negative Breast Cancer Foundation

Look Good, Feel Better

Beauty Counter

Chemo Cold Caps provides a scalp cooling system. Hair loss prevention is not guaranteed and Individual results may vary. Combining this treatment with other established measures is recommended for the best possible outcome. As with any supplementary medicinal treatment, you should consult with your doctor before using this product.
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