If your chemo treatment is causing hair loss, you may consider wigs. You can try a human hair or synthetic wig. Different wig caps, such as lace front, monofilament, or hand-tied, come at different prices.

Hair loss is a common side effect of chemo and radiation therapy. How you decide to manage it is a personal choice.

You may choose to cover your head with a scarf, hat, or wig. If you decide to wear a wig, there are several types to consider. Ideally, you’ll want to select one that helps you feel comfortable and confident.

Hair loss typically isn’t permanent. After you finish your chemo treatments, the timeline of your hair regrowth may look something like this:

  • 3 to 4 weeks: soft fuzz
  • 1 month to 6 weeks: real hair starts to grow
  • 2 to 3 months: about an inch of hair
  • 3 to 6 months: about 2 to 3 inches of hair
  • 12 months: 4 to 6 inches of hair

It may often grow back in a different color, texture, or thickness than your hair before treatment. These changes can be permanent. An example is getting “chemo curls.”

When selecting a wig, you may want to ask yourself:

  • How often will I wear it?
  • How long will I use it?
  • How much money do I want to spend?

Also consider the climate around you, especially if you live somewhere with frequent hot or rainy weather.

Decide if you want a full or partial wig. You can opt to attach bangs, side pieces, and ponytails to any remaining hair or head coverings, such as baseball caps.

If you want to wear a wig that matches your current hairstyle, snap a few pictures of your current hair and bookmark recent photos. Cut a lock of hair to represent your desired wig color. Always use natural light to compare wigs to your hair sample.

If you decide to try a new style, color, or length, gather photos to inspire you. You can chat with your hairstylist for tips, ideas, and insights.

To ensure a proper fit, wet or slick down your hair before measuring your head. If possible, select an adjustable wig in case your head size changes.

Some wigs have a cushioned grip band that reduces heat and adds comfort, especially if the chemo increases scalp sensitivity.

Wigs vary according to the materials and construction.

Synthetic wigs

Synthetic wigs are often affordable and durable. They require minimal styling and keep their color well.

Synthetic wigs take 8 to 12 hours to dry, so plan your washes accordingly.

Human hair wigs

Human hair wigs are more expensive but can look and feel more natural than synthetic options. They last longer and offer more styling options, making them easier to:

  • dye
  • cut
  • style

Human hair wigs, however, respond to weather and fade in sunlight, requiring more maintenance than synthetic wigs.

Wig cap options

Wig construction options include:

  • Basic: Wefted wigs are rows of hair strands sewn onto fabric. They’re the coolest option temperature-wise, plus they offer volume.
  • Lace front: This option features a sheer lace fabric with hand-tied hair at the front hairline for a more natural look with movability.
  • Monofilament: These wigs are made by hand-tying hairs into a lace wig cap for a natural look that’s easy to style. They’re cool, lightweight, breathable, and feature a less voluminous look. You can buy a full wig or just a crown, part, or top.
  • Hand tied: As the name suggests, this type of wig is hand tied onto a soft material good for sensitive scalps. This option is the most expensive, but hand tying offers the most natural look and movement.

You can buy a wig in person at a local shop or from an online retailer. Consider requesting advice from oncologists, nurses, or social workers at your treatment center. You can also talk with your hairstylist.

Shopping in person allows you to ensure the right fit and see how the wig looks before you buy it. You can also visit the shop if you need to have the wig resized or refitted.

If you prefer privacy, check if the shop offers private one-on-one services. Also, find out if you can try on and return wigs where you live since health regulations vary by area.

After you buy your wig, you may have your hairstylist trim and style it to your liking. Only use products, combs, and brushes designed for wig care, and avoid using heat on it unless heat resistant.

Wash your wig every 10 to 14 days. If you use hair products, you may need to wash it more frequently. Other tips include:

  • Use cool water when shampooing, since hot water may cause any glue to melt. Soak it for a few minutes, then gently dip it up and down.
  • Blot it dry with a towel. Do not rub, brush, or comb the wig while it is wet.
  • When not in use, keep it on a wig stand away from heat, dust, and humidity. You may wish to cover it.
  • Be cautious when wearing a wig around heat sources, such as the stove or open flames.

Do I need to wear a wig cap under a wig?

You can wear a wig cap under your wig to:

  • add comfort
  • protect your scalp
  • smooth your hair

However, if it feels too hot, tight, or uncomfortable, you can go without one.

Does insurance cover wigs?

Some wigs may cost more than others:

  • Wefted wigs are the cheapest, costing around $75 to $150.
  • Lace front wig prices range from around $150 to $200. Custom lace front wigs will cost more.
  • Monofilament wigs cost around $200 to $300.
  • Hand tied wigs are the most expensive, costing around $300 to $500.

If you have insurance, explore whether your policy covers wigs. Some plans cover them if you have a prescription for a cranial prosthesis or hair prosthesis wig. Other providers might reimburse you for them. You might even be able to use FSA/HSA money on them.

Original Medicare parts A and B don’t regard wigs as a medical necessity and won’t cover them. Certain private Medicare Advantage (Part C) plans cover wigs, though coverage plans vary.

You may be able to claim a wig as a tax-deductible expense.

Where can I find free or inexpensive wigs?

Some charitable organizations help people with cancer find free or inexpensive wigs. Consider contacting:

Undergoing chemotherapy is likely to be a sensitive time, so be easy on yourself.

Make sure you prepare for potential hair loss and have an idea of your wig preferences — including the type of materials, construction, and style.

It’s natural to experience a range of emotions during chemotherapy. Do your best to honor and acknowledge your feelings throughout the process.

For additional help and advice, reach out to a trusted loved one, contact a health professional, or join a support group.

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