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Suggestions for patients of color with tightly curled hair undergoing scalp cooling

Suggestions for patients of color with tightly curled hair undergoing scalp cooling
Hair type Preferable hairstyles Other considerations
Natural hair with no chemical straightener or relaxer Thermally straighten hair before treatment and apply hair grease to the hair only (not scalp) to keep the hair in partially straight form before lightly dampening the entire scalp with cold water. Small single twists or braids of natural hair without extensions are permissible. Minimize curl reversion by avoiding excessive wetting of the hair and focus water on scalp as much as possible. Cornrows with and without extensions should be avoided as well as dreadlocks because of the potential for large portions of unexposed scalp under the braids.
Chemically straightened (eg, keratin, Japanese straightener) or relaxed hair Treat hair before scalp cooling per manufacturer's recommendations. It is permissible to wet hair before treatment. Small twists or braids without extensions are acceptable. If the hair is only partially relaxed (eg, texturized), consider recommendations for natural hair.
Considerations for all patients (natural or chemically straightened hair) During treatment, avoid all forms of extensions that use synthetic hair, including braids, twists, cornrows, weaves, lacefront wigs, and crochet braids.  
From: Araoye EF, Stearns V, Aguh C. Considerations for the Use of Scalp Cooling Devices in Black Patients. J Clin Oncol 2020; 38(30):3575-3576. Reprinted with permission. Copyright © 2020 American Society of Clinical Oncology. All rights reserved.
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