Alopecia is one of the most common reasons women come to Milk & Honey Wigs — and one of the most varied in its presentation. Understanding which type of alopecia you have makes a meaningful difference to the wig that will work best for you. Here is a practical guide to the two most common forms and the wig options that suit each.
What Is Alopecia Areata?
Alopecia areata is an autoimmune condition where the immune system attacks hair follicles, causing hair to fall out in patches. Hair loss can occur anywhere on the scalp — and sometimes on the body — but the degree of loss varies significantly from person to person. Many people with alopecia areata retain hair in some areas while experiencing bald patches in others.
Wig options for alopecia areata: Because partial hair loss is common, hairpieces and toppers can be an excellent option for covering patches while blending with your existing hair. For more extensive patchy loss, a full lace front wig is typically the best choice — it provides a natural, complete hairline and full coverage without requiring a totally bare scalp. Glueless styles with adjustable straps are particularly comfortable for sensitive scalps.
What Is Alopecia Totalis?
Alopecia totalis is a more advanced form where hair loss covers the entire scalp. There is no remaining hair to blend with. People with alopecia totalis often experience complete baldness of the head, though body hair may or may not be affected.
Wig options for alopecia totalis: A full coverage wig is essential, and fit becomes the primary consideration. Without any natural hairline to blend with, the quality of the lace front and the accuracy of the cap fit are everything. We recommend a high-quality lace front with a soft inner cap lining, fitted precisely to your head measurement. Human hair wigs are particularly popular here for their natural movement and longevity.
What Both Types Have in Common
Regardless of which type of alopecia you experience, the most important factors in choosing a wig are comfort, fit, and how you feel wearing it. Alopecia can be unpredictable — hair may grow back partially, fully, or not at all — so we also recommend considering a style you love independently of your natural hair, rather than trying to replicate what you had.
Consultations for Alopecia at Milk & Honey
Our team has worked with many women experiencing both alopecia areata and alopecia totalis. We approach every consultation with empathy, discretion, and practical expertise. Book an appointment at our Sutherland studio, or browse our medical wig collection and human hair wigs from home.
