Wigs, scarves, or nothing at all: choosing during hair loss

Some people wear a wig every day and would not answer the door without it. Some rotate a drawer full of scarves. Some walk out bald on day one and never cover their head again.

All three are correct. NCI lists head coverings such as wigs, scarves, turbans and hats as options, not requirements. What follows is meant to help you work out which of these fits you, rather than to point you at one.

Hair loss can be hard to face. NCI notes that some people cut their hair short to make it easier to deal with when it starts to fall out. Others shave their heads. The appeal for many is control over when it happens.

Others cannot face pre-empting it and would rather it happen in its own time. That is equally reasonable.

There is no version of this that is braver than the others.

Practical points worth knowing:

• NCI suggests buying a wig while you still have hair, so you can match its color to your own
• Some people choose something close to their own hair, others treat it as a chance to try something different entirely
• Comfort matters as much as appearance, since a wig that is hot or itchy will not get worn
• Ask your center whether they have a wig service, a lending scheme or a local charity contact

NCI's page does not address insurance coverage for wigs, so ask your own plan directly. It is worth asking rather than assuming either way.

Scarves, turbans and hats appear on NCI's list alongside wigs. Many people find them lighter and quicker to put on than a wig. NCI suggests choosing a comfortable scarf or hat that you enjoy and that keeps your head warm.

Soft fabrics are kinder to a scalp that may be sensitive. Having several means not thinking about it. And there is no rule against wearing a hat indoors.

Plenty of people find covering up more uncomfortable than being bald — physically or emotionally. Going without is a real option.

One genuine piece of care goes with it. NCI advises applying sunscreen and wearing protective headwear outdoors, because an uncovered scalp is exposed to the sun. This applies whichever choice you make, whenever your head is uncovered.

NCI also recommends gentle handling of whatever hair remains: a soft-bristled brush, mild shampoo, and avoiding heat styling tools.

Most people do not settle on one answer. A wig for work and a bare head at home. A scarf for the school run and nothing on the sofa. A hat when the weather is cold and no covering at all in summer.

You are allowed to change your mind daily, and you are allowed to change it because of who is going to be in the room.

NCI is straightforward that many people experience anger, depression or embarrassment about losing their hair. It suggests connecting with others going through similar experiences, and talking openly with family, as sources of support. It also points to the Look Good…Feel Better program.

Hair loss is often the point at which an illness that was private becomes visible to everyone. That is a real change, not a superficial one, and it is a legitimate thing to raise with your team or a counselor.

NCI says that after chemotherapy, hair often grows back in 2 to 3 months once treatment has ended. After radiation therapy, it says hair often grows back in 3 to 6 months, though higher doses can mean permanent thinning or no regrowth in the treated area.

Expect the return to be its own adjustment. NCI notes that new hair may be very fine at first, and can come in curlier, straighter or a different color — which catches many people by surprise, and is a reason not to give the wig away too quickly.