Skip to content

Transgender hair systems and wigs

People in our community who wish to manage their hair loss on their scalps have several medical options:

  • non-surgical
  • surgical
    • hair transplants
    • scalp surgeries
  • prosthetic
    • extensions
    • hair systems
    • wigs

Hair systems

Sometimes after consulting with a couple of experts, they’ll say it’s unlikely you’ll be able to correct your hair loss surgically. If you can get away with a small hairpiece just in front or on top, it’s generally better to use at least some of your own hair.

If a small piece is not an option, get the best custom-fit system you can afford.

The information below was shared by a reader with first-hand experience with wearing wigs full-time.

Synthetic or human?

Before starting the fun stuff, let’s talk about wigs. Synthetic wigs are cheap! both in dollars and quality, a good one will last 4 to 6 weeks if worn around the clock and then start to frizz and mat. You can’t curl or color synthetics, and you can’t use normal hair care products.

On the other hand, the hair I am wearing now is 5 months old, looks great (even if I do say so myself) and I shower, blow-dry and style it as if it were my own. It’s human hair and nothing can duplicate it, I expect it to last another 5 or 6 months with a little maintenance.

Wig construction

There are many types of construction. A “mono” top is a must, there should be a “tape strip” along the front. The “mono” top allows you to part it anywhere you want and appears to have individual hairs “growing” out . It also moves realistically. The “tape strip” is for applying double face tape. Use the tape alone for temporary attachment, or for semi-permanent attachment, you will apply a “bonding” agent to the tape.there are several companies that will make you a custom wig( still saving a lot over salon prices) custom human hair starts at around $500.00 and goes up from there (way up!!) . “Off the shelf” prices start at $300.00.

Attachment methods

For temporary attachment you will need to sew in at least 4 “hair clips” as used for men’s toupees, one on each side, at the rear edge of the “ear extensions” and at least
one at each corner of the “nape extension.” An extra clip in the middle of the nape is best. Apply double face tape to tape strip and position the wig at the hairline,the correct position is everything, (most people tend to position wigs too low in front which is a dead give a way), then attach the clips by your ears, (if you are wearing a color that is close to your own, leave at least 1/4″ of your hair exposed from the temple to your ear,then brush “your hair” back into the wig for an authentic looking hair line). Do the same at the nape ( I wear my hair in a “high” pony tail at work,with my own hair pulled into it, there is no way you can tell it’s not all mine!!) I have fallen while water-skiing at over 30 mph using this method of attachment, It works!!

Several things to keep in mind:

  • The less hair you have on the top of your head, the closer the wig will fit and look more natural.
  • Make sure you are oil free were the tape is used.
  • Tape is good for 3-5 days, sweat will lesson the hold somewhat, water doesn’t effect it.
  • DO NOT leave wigs on Styrofoam head forms as this will stretch it. Dry wigs on a wire form.
  • If you buy a wig that is too small, it can be stretched on a headform that has been wrapped with an “ace” bandage (don’t overdo it) .
  • Avoid getting conditioner on the wig base as conditioners will soften the stitching and promote hair loss.
  • ALWAYS start brushing from the ends and work your way up.
  • Start with a pick and then use a wide spaced brush with individual bristles.
  • DO NOT brush when wet.
  • Use steam rollers (Carruso Hair Setter) or a curling iron on low setting for styling.
  • I use a blow dryer on low and a flat or large round brush when my hair is almost dry (be very gentle).
  • Use water-based hair spray.
  • Use alcohol-free products such as mousse and spray on conditioners (only if necessary).
  • If long or straight styles are what you like, buy one that is too long and have a professional hair stylist cut it while it is on you. It will naturally suit your features better.
  • (I’m sure I’m forgetting something)

For semi-permanent attachment it is best to have a custom hairpiece made, it needs to have a urethane tape strip around the perimeter and you will have to have your hair cut to 1/16th of an inch long just inside your natural hairline, leaving some fringe hair as before, the bonding agent adheres to your hair not your head so it will loosen as your hair grows,every 4 to 6 weeks it will have to be removed by cutting it loose from your hair, the tape is then removed from the tape strip, new tape applied, your hair trimmed and then rebonded, it is possible to do this by yourself but I don’t recommend it, the bonding agent is permanent , if you make a mistake your stuck with it, have a professional do it the first time and have a friend who can help watch.

I hope some of this is helpful, I am not a writer (I can’t even type).

Sherry Joanne writes in July 2003:

I don’t know whether you would like to link to that, or prefer that I submit something for the project directly. Please let me know. I also have an essay about my Apollo hair replacement system at:

sherrylanina dot tripod dot com/hair.htm

Denise’s tips

The section on hair at your site is a little “thin,” so for those of us without enough to have it medically corrected I thought I may (or may not) have something to contribute. I wear a human hair wig that I altered to be attached semi-permanently, it stays on 24/7 and is undetectable (it can also be made to be removed and reattached at will). I go jet-skiing and water skiing with no problems, it can cost $2000 or more to get this from a salon and about $150 a month for maintenance, I spend about $700 a year and do it myself (longer hair costs more and mine is about 20 inches), besides I still need two more facial surgeries.

This can be time consuming but once it’s done, it’s done!! Time or money? Hmmm!

Here is what you need to do: First, consult a professional about what style, length and color suit the shape of your face and is appropriate for your age (important!) nothing screams “read me” like an unsuitable style.

Stacy A., from Long Beach, CA, writes in August 2006:

I recently bought a very high quality wig from Amy Gibson’s Crown and Glory Enterprises, located on Wilshire Blvd, here in LA.  She is an emmy nominated actress who lost her hair from alopecia aerata, so she understands the need to feel complete and comfortable. Among her many creations is a wig that has been superiorly-designed for sports and swimming which is made from Cyberhair, a high-quality synthetic fiber.

Her wigs are extremely lightweight which feel and look very much like real hair, and are beautifully styled. Her line is being offered all over the country in high end wig salons and hair replacement centers The website for Amy’s company is . An on-line catalogue with photos of her wigs is available at

Some sites to visit (not an endorsement):

  • (they do repairs in 24 hours,and have downloadable instructions on attachment, sizing, etc.)