It is not always easy to know what suits us best when we want to acquire a hair prosthesis for the first time. Indeed, it is important to take into account different aspects in order to make an informed choice. In this article, I explain how to choose between these two types of products based on your alopecia.
The hair topper: the best choice in case of moderate androgenetic alopecia.


The hair topper is a partial hair prosthesis that is particularly suitable for classic androgenetic alopecia. It blends with your hair for a natural and completely undetectable result. As long as a woman has enough hair to clip the topper, it remains the preferred option for comfort (it is lighter to wear than a wig and therefore less restrictive on a daily basis).
But what do we mean by 'enough hair'? One can have very pronounced androgenetic alopecia and still manage to secure their topper (I am a very good example of this). However, if the scalp is really very thinning, with almost no hair left (very visible scalp), a wig should be considered instead. Because in the absence of a sufficient amount of hair, the hair topper will tend to slip, which is very uncomfortable.
The wig
Advanced androgenetic alopecia
As explained earlier, it is preferable to opt for a wig in cases of very advanced androgenetic alopecia. If the scalp is really very thinning, the topper will not hold and will further weaken the area of alopecia.
Pelade
In case of alopecia patches, a wig will also be recommended. Indeed, as alopecia patches can evolve over time in size and location, the hair topper may no longer clip in certain areas after a few months, making the product's hold less secure. However, if the patch is very small and seems unlikely to change, it may be possible to opt for a hair topper. It is not necessarily easy psychologically to go directly to a wig, and this is also a factor to consider. If the patch evolves, the clip will need to be unstitched and resewn in an area not affected by alopecia to secure the hold of the hair topper.
Total or universal alopecia
In cases of total or universal alopecia (total absence of hair), the wig will be the only option to consider.
Hair loss related to cancer treatments
Cancer treatments can lead to total hair loss. In this case, a wig will also be indicated, rather than a hair topper.
Trichotillomanie
In cases of trichotillomania, the hair topper or wig may be considered depending on the extent of the alopecia. In cases of significant alopecia on the top of the head, even if the frontal hairline is not affected, the wig should be prioritized.
Sensitivity to clips
Some women have particularly sensitive scalps and cannot tolerate the clips of a hair topper. In this case, sensitive grip or a wig may be an interesting option. A wig has two clips that attach above the ears. This area is generally less sensitive than the top of the head. If the wig is the right size, it is also possible not to use these two clips.
For the pleasure of changing hairstyles according to your desires!
Finally, if you love the incomparable volume that a wig provides or easily changing colors and lengths without touching your own hair, the wig is the ideal choice!




If you need advice on choosing the product best suited to your situation, feel free to contact us via email at contact@commeundiademe.com or on WhatsApp at +33 6 95 28 78 85. We will be happy to assist you in your process 😉
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Bonjour,
I just discovered my alopecia for now, despite my three in my hair I manage to hide it, but in my mind I already see myself almost bald! What do you think of the hair topper and the wig, isn't it uncomfortable? Have you had any problems, for example: pulling on the wig or it coming off, etc.? Can you tie your hair up?
Thank you
J’ai tellement perdu mes cheveux
I prevent myself from going out
Je suis tellement triste
These on top of the head
Good evening, how do you maintain a hair topper or a wig? Can you swim in the sea or in the pool? Thank youuuu