Amma™ gives patients a choice about whether or not they want to keep their hair during chemo.
Amma™ brings your scalp temperature down to 65 F before, during, and after chemotherapy. The cold temperature prevents your hair follicles from absorbing as much chemotherapy so you will be able to preserve most of your hair. Amma™ is designed to cool the scalp over the course of a chemotherapy session, beginning 30 minutes before an infusion, during the chemotherapy infusion, and continuing for 2 hours after. The device consists of three main components: 1) a Cooling Wrap that delivers a cooling solution to the scalp and 2) a Compression Cap that keeps the cooling wrap in place and 3) a Portable Cooling Unit that keeps the solution circulating through the Cooling Wrap at the correct temperature.
Your hair will still thin from chemotherapy, but successful scalp cooling will limit your hair loss to approximately 50%. Your hair will be thinner, but our goal is to preserve enough of your hair so you can look like yourself to the outside world. Amma™ also helps your hair regenerate more quickly after chemotherapy so you can get back to normal faster.
Amma™ has to be cold to be effective. We recommend you bring a warm jacket or a blanket with you to chemotherapy to help you feel warm. Most users say they get used to the cold feeling within the first 30 minutes of treatment.
Please do not use Amma™ if you have been diagnosed with any of the following:
- Cancers of the head and neck
- CNS malignancies (either primary or metastatic)
- Cold sensitivity or cold urticaria
- Existing history of scalp metastases or suspected presence of scalp metastasis
- Hematological malignancies and non-solid tumors (leukemia, non-Hodgkin and other generalized lymphomas) or hematological malignancies that are being treated for cure
- History of cold agglutinin disease
- Imminent bone marrow ablation chemotherapy
- Imminent or previously received skull irradiation
- Post-traumatic cold dystrophy
- Scalp and/or cutaneous metastases have been reported in patients with nonsmall cell lung cancer, colon cancer, renal cell carcinoma, ovarian cancer, and bladder cancer. Patients with advanced forms of these cancers may be more likely to experience scalp metastases with the scalp cooling system.
- Severe liver or renal disease from any etiology who may not be able to metabolize or clear the metabolites of the chemotherapeutic agent
- Skin cancers (melanoma, squamous cell carcinoma, and Merkel cell carcinoma)
- Small cell carcinoma of the lung
You will use Amma™ beginning 30 minutes prior to your chemotherapy, continue for the duration of your entire chemotherapy, and then for an additional 2 hours after chemotherapy is complete. After your infusion is complete, you can leave the infusion chair to complete your scalp cooling therapy anywhere in the infusion center with an outlet. We will train you on how to prepare for scalp cooling and how to care for your hair so you get the best results.
Wash your hair on day 3 following chemo using lukewarm water (between 98-105 F, non-sulfate, paraben free shampoo and conditioner. You will blot your hair dry or let your hair air dry. Avoid hair dryers, heated styling tools, braids, ponytails, tight hats, and any excess heat that will make you sweat. It is not recommended to saturate your hair in pools or the ocean during this time.
Your infusion center will provide you with required accessories and will connect you with Cooler Heads Customer Care. Cooler Heads Customer Care will provide comprehensive training, a digital resource library, and virtual support during infusions.
Please contact your infusion center for pricing.
You may check with the following non-profit organizations to see if financial assistance is available for you:
- Sharsheret (sharsheret.org/)- is the “only national organization supporting Jewish women and families, of all backgrounds, facing breast and ovarian cancer.” Their subsidy program, Best Face Forward 2.0, includes scalp cooling and other services supporting breast and ovarian cancer.
- HairToStay (hairtostay.org) – is the “first and only national nonprofit organization dedicated to helping cancer patients afford scalp cooling.”
- Hope for Hair (hopeforhair.org) – partners with HairToStay, specifically for scalp cooling patients in North Carolina.
- Cold Capital Fund (coldcapitalfund.org) – provides financial assistance to scalp cooling patients in DC, Maryland and Virginia.
- Cap and Conquer (capandconquer.org) – provides financial assistance for scalp cooling patients in Southeast Michigan.