Hair Loss Solutions for Women
Toppers and medical wigs
For Every Stage of Hair Loss
You have already noticed the thinning, and you have already been brave enough to look for an answer. This page is that answer, quietly, beautifully and without surgery, from a team that has fitted hair toppers and medical wigs for women for 20 years.
Whatever stage you are at, there is a made to measure answer. Fine thinning at the parting, a widening crown, recession at the hairline, alopecia, chemotherapy or complete loss, each is met with a piece crafted from Russian hair, colour matched without dye and built around your own head shape, your own colour and the way you actually wear your hair. The right solution simply depends on how much healthy hair remains.
A topper is a made to measure piece that covers the crown and the parting, the places where thinning shows first. It clips securely into the healthy hair around it, adds density exactly where it is needed and blends into your own length so completely that nobody sees where it begins. If you still have good coverage at the sides and back, a hair topper is usually the answer.
A medical wig replaces the full head of hair, hand tied from Russian hair on a soft, fully laced base designed for sensitive scalps. If thinning is extensive, total or expected soon, a medical wig is the answer. Whichever you need, it is fitted in London, in Manchester or by video, wherever you are in the world.
Made for one woman only
Russian Hair Toppers for Thinning Hair
Every topper is made for one woman only. We measure the exact area you want to cover, select Russian hair to echo the depth and natural variation of your own colour and build the base around your parting, your crown and the way you actually wear your hair. Classic, Frontal and Halo designs answer different patterns of thinning, and smaller wiglets cover smaller areas.
The realism comes from restraint. The hair is never dyed, so it keeps the softness and shine that colour processing destroys. Shades are blended strand by strand until the piece disappears into your own hair in every light, indoors and out. Silk and mono bases recreate the look of scalp at the parting, so even at close range, even at the mirror, there is nothing to see.
A topper clips in and out in seconds, stays secure through a full working day and comes off at night like jewellery. Your remaining hair keeps breathing underneath it, nothing is glued and nothing is permanent. Hair toppers start from £615, made to measure Classic designs from £1,050 and Halo designs from £1,100, each crafted for you over 8 to 12 weeks.
Hand tied, fully laced
Medical Wigs Made to Measure
A medical wig from Tatiana Karelina is not a wig in the way most people imagine one. Each is hand tied strand by strand from unprocessed Russian hair on a soft, fully laced base, so the hair moves, parts and catches the light exactly as if it grew from your own scalp. Nothing about it reads as a wig, not the hairline, not the parting, not the movement.
Most of our medical wig clients are facing chemotherapy, alopecia or another sudden loss, and the process is built around that reality. We can photograph and match your natural colour before it changes, fit around your treatment calendar and have your wig ready for the moment you want it. Every fitting is private, unhurried and led entirely by you.
Made to measure wigs start from £2,600 and are crafted over 8 to 12 weeks, with a 50% deposit to begin and the balance on completion. The consultation and your exact quotation always come first, so there are never surprises, and our full price list is published for every piece we make.
WHAT TO EXPECT
Your Journey, Consultation to Fitting
- ConsultationIn London, in Manchester or by video, wherever you are in the world.
- DesignMeasurements, base choice and the exact coverage agreed together.
- ColourRussian hair selected and blended to your natural shade, never dyed.
- CraftingYour piece is hand made for you over 8 to 12 weeks.
- FittingCut, styled and blended to you, in the salon or guided by video.
- AftercareStyling guidance and ongoing support for the life of your piece.
EVERYTHING YOU WANT TO KNOW
Frequently Asked Questions
While we do not diagnose medical causes of hair loss, we specialise in cosmetic solutions that restore natural volume and confidence. For over five years we have supported women with lightweight toppers and bespoke medical wigs made from Russian hair, custom blended for realism and comfort. Consultations are available in London, Manchester or by video across the UK, with transparent pricing and ongoing aftercare included.
No. We are not medical specialists in diagnosing the causes of hair loss or prescribing treatments. We do, however, have extensive experience supporting clients in understanding how hair loss presents, and in providing cosmetic solutions that restore confidence. For medical advice, we recommend consulting a GP or dermatologist.
Female hair loss can result from genetics, hormonal changes, stress, nutritional deficiencies, autoimmune conditions, or medical treatments. Common triggers include pregnancy, menopause, PCOS, thyroid disorders, or rapid weight loss. Identifying the root cause helps determine whether hair loss is temporary or progressive.
Yes. Stress can trigger a condition called telogen effluvium, where hair follicles enter a resting phase and shed prematurely. This often appears a few months after a stressful event, illness, or lifestyle change. Thankfully, this type of hair loss is usually temporary once stress levels stabilise.
Genetic hair loss (female pattern hair loss) develops slowly over time, showing as thinning at the crown or parting. Medical hair loss can occur suddenly, for example from chemotherapy or autoimmune conditions like alopecia areata. Genetic loss is usually permanent, while medical loss may reverse depending on the condition.
It can begin at any age, though many women first notice thinning in their 30s or 40s. Hormonal changes, pregnancy, and menopause are common triggers. However, younger women can also experience hair loss due to stress, diet, or autoimmune factors.
Yes. Low iron, biotin, vitamin D, zinc, and protein deficiencies are all linked to shedding and thinning. A balanced diet is key to healthy hair growth, and in some cases blood tests can help identify deficiencies that may need supplementation.
Post-pregnancy shedding is common and usually temporary, resolving within a year. Menopausal hair loss tends to be more gradual and ongoing, as falling oestrogen levels can lead to reduced density and finer texture. Early support and management can help minimise long-term thinning.
Not all hair loss can be prevented, particularly genetic causes. However, reducing stress, maintaining a healthy diet, protecting hair from heat and chemical damage, and addressing hormonal or medical imbalances early can all help slow or reduce hair shedding.
Hair loss often impacts more than appearance. Many women describe feelings of embarrassment, anxiety, and low self-esteem, with some avoiding social situations. Understanding that hair loss is common and seeking supportive solutions can help rebuild confidence.
If hair loss is sudden, patchy, or accompanied by other symptoms such as fatigue or hormonal changes, it is important to consult a doctor. A GP or dermatologist can run tests, identify underlying causes, and recommend medical treatments where appropriate.
Take the First Step Back to Yourself
Book a private consultation in London, Manchester or by video, wherever you are in the world. No pressure and no obligation, just honest answers about your hair and what is possible.