Medical wig fitting in London — NHS, private, and what to expect
A well-fitted medical wig is invisible, comfortable, and life-restoring. Here is how to get one in London — free and paid.
Dr. Amara Okafor
Consultant Trichologist · Harley Street
In short
- NHS medical wigs are free with a valid indication (cancer, alopecia).
- Private bespoke: £800–£3,500; human hair £2,000+.
- Fitting takes 60–90 min; delivery 4–8 weeks bespoke.
- Silicone-grip bases are the current standard.
A medical wig is not a costume wig. It's a personalised hair replacement built for comfort, discretion and daily wear — often for months or years. London has both a strong NHS pathway and world-leading private makers.
NHS pathway
Eligibility: cancer treatment, alopecia areata/totalis/universalis, congenital hair conditions. Referral via oncology CNS or dermatology. Choice of synthetic (free) or human hair (part-paid). Providers: Trendco, Freedom Wigs and NHS-contracted salons.
Private London specialists
- Bloomsbury: several bespoke wig-makers
- Marylebone/W1: high-end human hair options
- Notting Hill: Afro-textured specialists
- South London: Afro/Caribbean specialists
Materials and construction
- Synthetic: durable, easy care, less realistic — £150–£400
- Human hair: highest realism, higher care — £800–£3,500
- Silk top: undetectable parting — premium
- Silicone base: grips bald scalp without tape — best for alopecia totalis
Frequently asked
Common questions
How often do wigs need replacing?+
Synthetic: 4–6 months daily wear. Human hair: 12–24 months.
Can I swim in it?+
Chlorine damages both types. Swim cap recommended.
How do I care for it?+
Specialist detergent, wide-tooth comb, wig stand. Every provider offers care training.
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