Medical Wigs
Restorative, breathable, empowering
What Are Medical Wigs?
Hand tied, made to measure wigs for total or near total hair loss, from alopecia, chemotherapy or another medical cause, built on a breathable full lace base and colour matched without dye from the finest Russian hair. Every bespoke wig is handcrafted over 8 to 12 weeks and fitted in London, Manchester or by video, worldwide.
Medical wigs are designed for clients experiencing significant or total hair loss due to medical conditions, chemotherapy or alopecia. They are also ideal during the regrowth phase, when coverage and comfort matter most. Our medical wigs are handcrafted from Russian hair, with cap styles designed for sensitive scalps, providing breathability and softness, an empowering solution that restores confidence during a challenging time.
8 to 12 weeks
Handcrafted for you
From £2,600
Made to measure wigs
Full lace base
Breathable and lightweight
100% Russian hair
Colour matched without dye
Built entirely around you
For Total or Near Total Hair Loss
Where thinning has progressed to total or near total hair loss, whether from alopecia, chemotherapy or another medical cause, a bespoke wig offers full coverage built entirely to your own head shape, hairline and colouring. Nothing is taken from a shelf; every wig begins with you.
Each medical wig is hand tied strand by strand onto a made to measure base, using Russian hair colour matched without dye. Strands are drawn from several ponytails and recombined to mirror your own depth and highlights, so the wig moves, falls and catches the light exactly like natural hair, with a realistic scalp and parting even close up.
The full lace base is fine, lightweight and breathable, taken from a complete measurement of your head, which matters most for a sensitive scalp during or after medical treatment. A 50% deposit confirms your order, handcrafting takes 8 to 12 weeks and the balance is settled on completion. Made to measure wigs start from £2,600.
The detail, in brief
Bespoke Medical Wig Explained
A Comfortable Full Lace Base, Worn All Day
Our medical wigs are built on a fine, breathable full lace cap, fitted to your exact head measurements rather than a standard size. The construction is light enough for all day wear and adjustable for comfort as hair or sensitivity changes, a secure, discreet fit for a sensitive scalp. Because the cap is made to measure, the hairline sits where your hairline sits and the parting reads as skin, the details that make a hand tied wig undetectable in daily life.
From Consultation to Final Fitting, With You
We take time at your consultation to understand your hair history and your preferred colour, length and style, whether that means matching how your hair looked before or choosing something entirely new. For clients who cannot travel, the whole journey works by video: measurements guided on the call, colour matched from photos and video against our Russian hair library, and the finished wig delivered ready to wear, with a trim by your own stylist if you wish.
Ordering ahead of treatment
Before Chemotherapy Begins
Many of our medical wig clients order before treatment starts, and it is the approach we most often recommend. Ordering early lets us photograph and match your natural colour exactly as it is today, so your wig mirrors the hair you know rather than a memory of it.
We fit around your treatment calendar throughout. Your wig can be ready and waiting for the moment you want it, whether that is the first day of treatment or the day you decide for yourself. Every appointment is private and unhurried, in the salon or by video, and led entirely by you.
If treatment has already begun, nothing is lost. We colour match from photographs, from family references or to something entirely new that you choose. There is no wrong door into this process, only the door you are ready to walk through.
WHAT TO EXPECT
The Medical Wig Journey
- A compassionate consultationYour journey begins in our London or Manchester salon or by video call. We understand the emotional impact of hair loss and approach every conversation with empathy.
- Measuring and cap styleWe discuss your needs and lifestyle, measure your head for a secure and comfortable fit, and guide you in choosing a cap style to suit your preferences.
- Colour matchingWe select and blend strands from several Russian ponytails, creating a perfect dye free match to your natural colour.
- HandcraftingYour bespoke wig is handcrafted over 8 to 12 weeks, hand knotted onto a full lace base for the most natural movement and appearance.
- The final fittingWhen it is ready we invite you back for a final fitting, gentle trimming and any last adjustments, so your wig feels and looks entirely natural.
Real transformations
Wig Before and Afters
EVERYTHING YOU WANT TO KNOW
Frequently Asked Questions
Choose a medical wig if you are experiencing total or significant hair loss and want natural coverage with comfort and support.
Our medical wigs are handmade from Russian hair and customised to your measurements for the most natural look and comfortable fit. Hair is hand blended without dye, and each cap is ventilated by hand using lace, mono or silk sections to create a realistic scalp and hairline. Soft, breathable linings ensure comfort for sensitive scalps. With private fittings, video consultations, UK-wide delivery and ongoing aftercare, Tatiana Karelina is a trusted leader in medical wigs.
Medical wigs are designed for women experiencing total or significant hair loss caused by chemotherapy, alopecia, radiation therapy, or other medical treatments. They are also an excellent option during the regrowth phase, when natural hair may be sparse, patchy, or fragile. A bespoke medical wig provides discreet, comfortable coverage, helping you feel more confident at every stage of your journey.
Unlike mass-produced wigs, each of our medical wigs is handcrafted from Russian hair, chosen for its softness and natural movement. We hand blend shades to create a multi tonal, dye free colour match. Every wig is custom fitted, with a choice of lace front, monofilament, or hand knotted caps. Soft linings and adjustable straps ensure a secure fit that feels gentle on sensitive scalps.
From your initial consultation to final fitting, a custom medical wig typically takes nine to twelve weeks to complete. This timeframe allows us to carefully source the right hair, blend colours, construct the base, and complete a series of quality checks so that the finished wig looks natural and feels comfortable.
Yes. We offer several cap styles to meet different needs, including breathable lace front wigs, monofilament caps for a realistic scalp appearance, and hand knotted bases for softness and durability. These can also be combined for personalised comfort and coverage.
We design our medical wigs with lightweight construction, soft cotton linings, and adjustable straps. This ensures a secure fit that can be adapted for scalp sensitivity, which may vary during or after treatment. While no wig can feel exactly like your own hair, our focus is always on maximising comfort and reducing irritation, so you feel confident wearing it all day.
Caring for a medical wig is simple. Wash it gently using a mild, sulphate free shampoo, then allow it to air dry on a stand. Use a wide tooth comb or soft brush, and style with low heat to maintain softness and longevity. With the right aftercare, a high quality Russian hair wig can last for years.
We recommend removing your wig before sleeping, as this helps preserve its shape and prevents unnecessary tension on the cap. You may swim in your wig, but chlorine and salt water can shorten its lifespan, so we suggest rinsing thoroughly afterwards and applying a light conditioner to keep the hair in good condition.
Our wigs are designed with discreet clips, combs, and adjustable straps that hold them comfortably in place. For clients seeking additional security, we can also advise on adhesive options. The goal is always to balance security with comfort, so your wig feels safe yet natural to wear.
Yes. Every detail of our wigs is created to mimic the look and flow of natural hair. Russian hair provides the softness and shine, while our dye free blending and customised cap designs ensure your wig blends seamlessly with your complexion and facial features. The result is a wig that is virtually undetectable, even up close.
Yes. We provide ongoing support and guidance on wearing, maintaining, and styling your medical wig. Many clients return to us for adjustments, care tips, or simply reassurance as their needs evolve. Our priority is to ensure your wig continues to look beautiful and feel comfortable long after your initial fitting. We are always here to support you.
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.