Money and alopecia

Young people talked about the money they spent on managing their alopecia. Costs included:

The costs associated with alopecia varied from a little to a lot, depending on what people used. Becky thought she must have spent at least £1,000 over the 10 years she has had alopecia on different hair shampoos and hair thickening products. A few people mentioned savings because of their alopecia, such as not needing haircuts or to buy shampoo, for those with fully bald scalps.

Some people talked about entitlements to wigs provided free or at lower cost on prescription from the NHS. If a person with alopecia and their dermatologist agree that a wig would be helpful, the dermatologist can write them a prescription. Usually children and young people under the age of 16 or those in full time education under the age of 18 are entitled to some free wigs on prescription. Emilie and Rosie, both age 18, have alopecia universalis and said they are entitled to two free NHS wigs a year.

Other prescription costs include for treatments, including those containing steroids for people with alopecia areata.

Professor Moss explains the NHS allowance for wigs.

Gender Female

View profile

Hannah hadn’t known that she was eligible for free NHS wigs and had been buying her own wigs for a few years.

Age at interview 21

Gender Female

Age at diagnosis 16

View profile

Emma tops up the NHS wig prescription with her own money so that she can get a human hair wig rather than a synthetic one.

Age at interview 23

Gender Female

Age at diagnosis 14

View profile

There are different ways of obtaining a wig from the NHS. Rosie goes to her local hospital prosthetic department and chooses a wig there. Emilie takes her prescription to a local wig shop which is one of the NHS wig suppliers. Imogen felt that human hair wigs should be available free on the NHS in addition to synthetic ones, as many people could not afford to buy human hair wigs themselves. People said their wigs usually lasted six months to a year and a half, depending on how often they used them.

At first, Arti’s dermatologist did not refer her for an NHS hair wig because her hair loss wasn’t severe enough. A wig she bought herself cost £100-£200.

Age at interview 22

Gender Female

Age at diagnosis 22

View profile

Others bought their own wigs, hair-pieces and extensions. The price of wigs can vary a lot, depending on the type of wig cap (e.g. lace front, monofilament base, suction base), whether they are made from human or synthetic hair, and if they are a full or partial wig. Kayla likes to buy wigs with a lace front but says they need to be replaced every two or three months because the hairs fall out, which can be expensive. Hannah bought a human hair wig when she was a bridesmaid at her sister’s wedding, even though it cost much more than she usually paid. Some people bought special tape to attach their wigs securely to their scalp and this could also be expensive. Kayla pays £40 for a pack of tape which usually lasts her about two months.

Annie Y compares her experience of buying a real hair wig with the NHS wig she had in school.

Age at interview 23

Gender Female

Age at diagnosis 3

View profile

Beth buys cheap synthetic wigs from the internet which cost between £30-£50. She hasn’t ever bought expensive wigs.

Age at interview 24

Gender Female

View profile

Other people bought cheaper wigs which cost under £50 off the internet. Emily found “a really lovely wig” for £2 on eBay. Hannah and Emily bought lots of different wigs, some were fun and cheap (about £10) and, as Emily says, “A little pick-me-up”. Others felt it was important to spend a bit more on wigs which they hoped would last longer and look more ‘natural’. Arti’s parents bought her a human hair wig in India for cheaper than she would pay in the UK. Kayla’s aunt, a hairdresser, can get hold of good quality wigs at a cheaper price. In addition to the cost of wigs, many talked about needing special shampoos and products to care for their wigs.

Emily has bought many different wigs, some more expensive than others. Having the option of wearing a better quality wig when she goes out is important to her.

Age at interview 20

Gender Female

Age at diagnosis 19

View profile

As well as wigs, some people had bought other products and procedures. Meghan has spent a lot on hair extensions during the 10 years she has had alopecia. Beth had her eyebrows tattooed on while on holiday in the Philippines at a much cheaper cost than is usually charged for it in the UK. Krista and Hannah had their eyebrows tattooed for free by friends or relatives.

Kayla researched online and found a tattooist who did her eyebrows very well and at half the cost of other people.

Age at interview 20

Gender Female

Age at diagnosis 4

View profile

Another cost for some was buying products for their hair and scalp. Many people said they tried various products, including hair regrowth products. Grace said the minoxidil she used was reasonably cheap because her parents bought it in bulk. Trying out different products in a ‘trial and error’ way could be costly as well as time-consuming.

Parents and other family members usually paid for or helped with the cost of wigs, hair products and treatments. This includes private treatment and alternative therapies. Ben saw a trichologist (hair specialist) privately. Michael had a private appointment with a dermatologist because the appointment waiting time on the NHS was long. Annie X has tried various alternative therapies, such as health kinesiology which cost £45 a session. A few people were concerned about costs and how they would pay for products when they went to university or were working. Those at university talked about how the costs of wigs and products added up which was hard on a student budget.

Annie X says alternative treatments, hair products and wigs have cost her parents a lot of money. She is very grateful for their support.

Age at interview 15

Gender Female

Age at diagnosis 11

View profile

Michael’s mum paid for him to have private appointments with a dermatologist and a counsellor.

Age at interview 19

Gender Male

Age at diagnosis 13

View profile

Jobs, work and alopecia

Some of the young people were currently working or had experience of part-time jobs. Most people said alopecia didn't have a big impact on their...