Scalp cooling for hair preservation — beyond chemotherapy
Scalp cooling has moved beyond oncology. Trichology clinics in London now use it for TE, alopecia flare cover, and post-transplant recovery.
Dr. Amara Okafor
Consultant Trichologist · Harley Street
In short
- Chemotherapy is the primary indication — 50–70% preservation.
- Emerging: reducing shed intensity in acute TE.
- Post-transplant scalp cooling reduces oedema and discomfort.
- Cost: £150–£300 per session privately.
Scalp cooling reduces follicular metabolic demand and blood flow. Beyond its established chemotherapy use, London clinics are exploring adjacent applications — some evidence-based, some early.
Established uses
Chemotherapy-induced hair loss remains the only fully evidence-based indication. Reviewed elsewhere in our guides.
Emerging uses
- Acute severe TE: cooling during shed peak (case reports only)
- Post-transplant day 0–7: reduces graft-site oedema
- Alopecia areata acute flare: adjunctive to steroid injections
- Post-chemical processing recovery: reduces breakage inflammation
How to try it
A few W1 trichology clinics offer standalone cooling sessions. Cost £150–£300 for 60 minutes. Evidence outside chemotherapy remains preliminary — treat as adjunct, not primary.
Frequently asked
Common questions
Is it worth doing without chemo?+
Only if evidence-based indication and your clinician has real experience.
Can I buy a home cooling cap?+
Not the same technology — home caps don't reach therapeutic temperatures.
Any risks?+
Cold headache, transient scalp numbness. Very safe.
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