The goal of scalp cooling is to reduce overall hair loss so that a wig, cap, scarf or other head covering is not needed. Any added stress or friction on the scalp and hair follicles may affect the outcome of treatment. However, the use of a wig or head covering may be desirable for reasons other than hair loss. For example, changes in hair color, hair texture, or hair quality, or for patients experiencing patchy hair loss or thinning.

However, some patients have found that wearing a wig causes additional heat and friction on the scalp. If you want to preserve the option to use a wig, you may wish to have a wig fitting before you start scalp cooling treatment to minimize friction on the scalp and hair follicles.