Cranial Prosthesis 101
“Cranial prosthesis” is a term you may hear when searching for a medical wig. At its simplest, it describes a hair prosthesis designed for medically related hair loss.
But not every cranial prosthesis is built the same way.
Why the term matters
The word “wig” is often used broadly. “Cranial prosthesis” more specifically describes hair replacement associated with medically related hair loss.
Your insurance company may also use different terminology in its benefit documents or claims process. Always ask your insurer which terminology and documentation it requires.
Who may consider a cranial prosthesis?
People experiencing significant hair loss associated with:
- alopecia
- cancer treatment
- chemotherapy
- radiation therapy
- certain medical conditions
- trauma
- congenital or other causes of substantial hair loss
may consider a cranial prosthesis. The appropriate option depends on the individual.
Common cranial prosthesis features
Depending on the system, features may include:
- lace front
- monofilament top
- hand-tied construction
- lightweight wefting
- human hair
- premium synthetic fiber
- custom color
- custom density
- custom hairline
- customized cap sizing
- adhesive attachment
- clips or other mechanical attachment
- custom vacuum or suction construction
Not every feature is appropriate for every wearer.
Custom fitting
Custom fitting becomes increasingly important as hair loss becomes more extensive. A custom process may involve:
- detailed measurements
- evaluation of the scalp and hair-loss pattern
- determining the desired hairline
- selecting density
- selecting color and texture
- choosing the appropriate base
- fitting or molding
- cutting and styling
- follow-up adjustments
Advanced custom systems may use digital head scanning or other individualized measurement methods.
Vacuum and suction systems
A vacuum or suction prosthesis uses a custom-fitted base designed to create a secure seal against the scalp.
These systems can be particularly useful for individuals with extensive or complete scalp hair loss because they do not rely solely on clips or existing hair for stability.
Depending on the system, the base may incorporate medical-grade silicone or other specialized materials.
A custom fitting is essential. Not every person is a candidate for every vacuum system.
Attachment options
Attachment can include:
- natural hair integration
- clips
- combs
- adjustable straps
- elastic systems
- medical-grade adhesive
- tape
- suction or vacuum
Attachment choice depends on hair loss, scalp condition, lifestyle, desired security, and the construction of the prosthesis.
Adhesives can irritate some scalps. Always follow product instructions, and discuss persistent irritation with a healthcare professional.
How long does it take?
Timelines vary considerably. Ready-to-wear systems may be available much sooner than fully customized prostheses.
Custom systems can require multiple stages, including consultation, measurements, fabrication, fitting, and final styling. Your specialist should provide an estimated timeline for your specific system.
What makes a good cranial prosthesis?
A good cranial prosthesis should balance fit, comfort, appearance, security, scalp considerations, lifestyle, maintenance, durability, and personal preference.
The most expensive system is not automatically the best system for every wearer. The best system is the one that fits your actual needs.
Have a question before you begin?
Email support@mswigs.com or book a consultation.
Medical information disclaimer
The information provided by Mswigs Medical is for educational purposes and is not a substitute for medical advice, diagnosis, or treatment. Hair loss can have many causes. If you are experiencing new, sudden, severe, or unexplained hair loss, speak with a qualified healthcare professional. Your healthcare provider can help determine the cause of your hair loss and whether a cranial prosthesis or other hair-replacement option is appropriate for you.