Wigs

Before you decide on a wig, it might help to understand the differences between the types of wigs that are available.

Wigs can be man made (synthetic) or real (human hair). Or you can get wigs that are made of a mix of man made and human hair.

There are a variety of wigs available for different ages, hair colours and ethnic groups.

Talk to your specialist nurse or wig fitter if you can’t find what you want. They might be able to point you in the right direction.

Man made (synthetic) wigs

Synthetic wigs are a lot cheaper than real hair wigs. 

Most synthetic wigs come ready to wear in a wide variety of styles, lengths and colours. You don’t have to style them and they won’t get damaged in the rain.

Synthetic wigs can be washed in cold water and they usually last between 6 and 9 months. 

Check the manufacturer's information before you expose your synthetic wig to direct heat. Hair dryers and electric styling tools, such as hair straighteners or curling wands can melt the fibres and make the hair frizz. You might be able to find some man made wigs that you can use heat on. Or use your dryer or straighteners on a cooler setting.

Real hair wigs

Real hair wigs are much more expensive than synthetic ones. The exact cost depends on where you buy the wig, its style and its length. 

Real hair wigs last between 3 and 4 years. Some people prefer to have a real hair wig despite the cost. They think it gives them a more natural look and they can be easier to style than synthetic wigs.

You can also have a custom real hair wig made. It's worth bearing in mind that it can take about 2 to 3 months to make it. It might also take several fittings to get the wig right for you. 

Some real hair wigs need to be styled and set by a hairdresser. You might need to buy 2 wigs so that you always have one to wear if your wig needs to be professionally cleaned. Your wig fitter can tell you if your wig can be washed at home.

Getting a wig through your health service or the NHS

England

In England, man made (synthetic) wigs are free of charge on the NHS if:

• you have your treatment as an inpatient. This means that you stay in hospital overnight)
• you're under 19 years old and in full time education
• you're getting Income Support, Income based Jobseeker’s Allowance or Income related Employment and Support Allowance
• you're getting Pension Credit Guarantee Credit
• you get Universal Credit - this will depend on your earnings
• you have an NHS tax credit exemption certificate or HC2 certificate (Help with Costs certificate)
• you have a War Pension or Armed Forces Compensation Scheme exemption certificate

If you are entitled to a free wig, the NHS will provide you with a new one every 6 months. There is no national limit on the number of wigs the NHS can supply you with. But individual hospitals may set their own limits.

Buying a wig through the NHS in England

You will have to pay for a wig if you don't qualify for a free wig. You can buy one through the NHS. Buying a synthetic wig through the NHS starts at around £78. Partial and full human hair wigs cost more.

Speak to your social worker or clinical nurse specialist if you are not sure if you qualify for a free wig. 

Human hair wigs are not usually free on the NHS in England unless one of the following applies to you:

• you are allergic to synthetic wigs
• you have a skin condition that will be made worse by a synthetic wig

Help towards the cost of a wig

You might still be able to get some help towards the cost of a wig if you are on a low income but don’t qualify for a free wig. You can read more about this on the leaflet called 'Help with health costs'. 

Refunds

If you paid for an NHS wig and later find out that you can have help with the costs, you can claim a refund. You will need the receipt for proof of purchase and to submit an HC5 (W) form within 3 months of buying the NHS wig. 

Wales, Scotland and Northern Ireland

You can get a wig for free through the NHS if you live in Wales and Scotland. Wigs are also provided for free through the Health and Social Care services if you live in Northern Ireland.

Other financial help

Other charities might be able to give financial help towards the cost of a wig.

Macmillan Cancer Support give a one off grant to people with cancer for a variety of things, including heating bills, extra clothing and wigs. You need to apply through a health or social care professional, such as a clinical nurse specialist (CNS), district nurse or social worker. 

Buying a wig privately

You might decide to buy your wig privately.

You can buy it:

• from a wig supplier such as a department store
• directly from a wig manufacturer
• from a specialist wig store

Some companies will come to your home to fit wigs. The fitting and styling cost is usually included in the price of the wig, but it is always best to check.

It may take longer if you have a wig made for you and you might need 2 or 3 fittings.

You don’t have to pay VAT (Value Added Tax) on wigs that are bought for hair loss caused by cancer treatment. But you must fill in a VAT form at the time you buy your wig. Be sure to ask the supplier for this form, because you can’t claim the VAT back later.

Choosing and fitting your wig

Your nurse can organise a wig fitter to come and visit you on the ward if you are an inpatient and you're getting a wig on the NHS. Many hospitals will organise a wig fitter if you're an outpatient, but it may not happen everywhere. Ask about wig services in your hospital.

Your wig fitter will help you decide on a style and colour that you are happy with. Seeing the wig fitter can be upsetting for some people. It might be the first time you think about losing your hair.

Wig specialists are very sensitive to this and will try to make the fitting as easy as possible for you. The most important thing is that you don’t rush things and you get a wig that you feel suits you.

You might want to choose your wig before your hair begins to fall out. This way it's much easier for the wig specialist to match your real hair style and colour. It also gives you a bit of time to get used to the idea of wearing a wig. If you try wigs on when you still have hair, remember that you might need a smaller size so that it fits when you have lost your hair. Ask the wig fitter for advice about this. Or you can choose a wig that adjusts to head size.

Some people find that their complexion changes slightly once they start treatment. Predicting what colour wig might suit you later on is hard to do. But this might be something to bear in mind when choosing a wig. The wig fitter will be able to give you some advice about which colour to choose. 

Don’t be afraid to ask if there is a private room to try on the wigs if you can't see one. Many people find it helps to bring along a relative or good friend to their wig fitting. They can support you and help you choose a wig that suits you best.

Think about the following when choosing a wig.

• You can choose a wig that is most like your original hair colour and style. Or you could go for something completely different.
• Your hairdresser or wig specialist can cut or style a particular wig to suit you.
• Buying a more expensive wig doesn’t guarantee it will look more real. Some less expensive ones can look very real.

Tips for wearing a wig

For the first few days or weeks, it might feel very strange to wear a wig. Some people never really get used to wearing a wig and feel more comfortable without it. Others say that they forget they have their wig on. You won’t know until you try it.

Always check that you have the wig on the right way around as it is easy to put them on backwards.

You can get sticky (adhesive) pads with your wig to stop it from slipping if all your hair has fallen out. Some people say wearing these pads makes the wig feel more secure and helps them feel more confident.

Your wig supplier should give you instructions about how to wear it and care for it. Follow these instructions carefully.

When can I stop wearing my wig?

This is up to you. It can take a bit of time for you to feel confident enough to go out without your wig.

You might feel ready to stop wearing it before your hair gets back to your pre treatment length. A shorter look might suit you and give you a new image.

Some people say it is a relief to get rid of the wig and feel like themselves again. Others may need more time.

Be kind to yourself and don’t expect too much. You have been through a lot in the past few months and had to deal with many changes in your life. So go at your own pace.

Other ways to cover your head

You may not want to wear a wig or wear one all the time. You could try different ways to cover your head such as hats, scarves, beanies or stretchy tubes.

Other body hair

Cancer treatments can cause other body hair to thin or to completely fall out. This includes your eyelashes and eyebrows.

You can use make up to help disguise these effects.

Organisations that can help with hair loss

Cancer Hair Care

Cancer Hair Care is a hair loss support charity. They offer free, expert advice and support on all aspects of hair loss, hair loss prevention (scalp cooling) and hair care, before, during and after cancer treatments. 

They also have an Afro hair chemotherapy hair loss guide. 

Look good feel better

This charity aims to help with the physical and emotional wellbeing of people going through cancer treatment. They provide confidence boosting workshops, which gives a chance for people to meet others going through a similar experience and to learn skills to manage some of the side effects of treatment, such as skincare and make up techniques. 

Workshops take place in hospitals and support centres across the UK. You can find your nearest workshop and read more about the work of the charity on their website.

West Hill House
32 West Hill
Epsom
Surrey
KT19 8JD

Phone: 01372 747500
Email: info@lgfb.co.uk