Wigs can help chemotherapy patients regain confidence and a sense of normalcy. Here's a detailed guide to choosing, wearing, and caring for wigs:

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1. Prepare for Hair Loss

• Hair Loss Timeline: Hair begins falling out 1–3 weeks after chemo starts and becomes noticeable after a month.
• Shaving Tips: Use electric clippers, leaving about an inch of hair to avoid scalp sensitivity.
• Preserve Your Hair Look: Save a hair sample or take photos for reference. Visit a wig stylist early if you want a close match.
• Scalp Care:
• Exfoliate with a soft brush or gloves.
• Use salicylic acid cleansers and moisturizers.
• Consider castor oil for hair regrowth support.

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2. Where to Shop for a Wig

• Local Shops: Provide professional advice, fittings, and customizations. Ask your oncology team or support groups for recommendations.
• Online Stores: Check return policies and use a measuring tape for proper sizing.
• Financial Assistance:
• Contact wig banks, charities like Hana’s Hope, or the American Cancer Society for free or reduced-cost wigs.
• Use the ACS Cancer Helpline (800-227-2345) for resources.

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3. Filing an Insurance Claim

• Check Coverage: Call your insurer to see if wigs (labeled "cranial hair prostheses") are covered.
• Documents Needed:
• Doctor’s prescription with diagnosis and National Provider Identifier (NPI) code.
• Invoice labeled "cranial hair prosthesis" with the wig shop's tax ID.
• HCPCS codes for medical supplies.
• Appeals: If denied, submit an appeal with photos and detailed personal impacts.
• Tax Deductions: Save receipts for potential medical tax deductions or use an FSA/HSA.

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4. Synthetic vs. Human Hair Wigs

• Synthetic Wigs ($200–$300):
• Low maintenance, hold their style, but avoid heat exposure.
• Last about 5 months with daily use.
• Human Hair Wigs ($800–$6,000):
• Natural appearance, customizable, and heat-friendly.
• Require more care and last about a year.
• Key Tip: Synthetic wigs are more popular for chemo patients due to ease of use.

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5. Wig Types

• Machine-Made Wigs ($200–$400): Affordable but may need a cap for comfort.
• Hand-Tied Wigs ($400+): Flexible and natural-looking with soft mesh caps.
• Monofilament Wigs: Combine machine-made and hand-tied construction.
• Lace Fronts: Offer a natural hairline and styling versatility.

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6. Essential Wig Accessories

• Caps: Bamboo or cotton caps provide comfort and absorb sweat. Avoid nylon or fishnet caps.
• Wig Bands: Keep wigs secure and in place.
• Storage: Use wig stands, away from sunlight, heat, and moisture.

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7. Wearing and Caring for Your Wig

• Fitting: Learn proper alignment during an in-store fitting or through workshops like those from Look Good Feel Better.
• Washing:
• Wash every 14–18 wearings (or more often if active).
• Use gentle shampoo and cold water, and air dry on a wig stand.
• Styling:
• Synthetic wigs: Avoid heat unless labeled "heat-friendly."
• Human hair: Style as you would natural hair.
• Maintenance:
• Regularly trim and defrizz synthetic wigs to prolong their life.
• Consult a wig stylist for professional repairs and upkeep.

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Empowering Confidence

Choosing the right wig and learning to care for it can provide comfort and confidence during a challenging time. Remember, resources are available to help find the perfect fit emotionally and physically.

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