A Guide to Managing Hair Loss for Women

Expert Advice, Solutions & Support from Mandeville London

Hair loss can be a life-changing experience for women, impacting self-image, confidence, and emotional well-being. At Mandeville London, we believe that hair loss shouldn’t define you - but how you manage it can empower you. With over 50 years of experience in bespoke wig-making and compassionate care, this guide is designed to help women understand the causes of hair loss, explore treatment options, and discover the most natural-looking human hair wigs and hairpieces available.

Understanding Female Pattern Hair Loss in Women

Hair loss in women can take many forms, from thinning at the crown to total hair loss. It’s more common than most people think and yet often goes undiscussed. Causes of female hair loss include:

• Medical conditions such as alopecia areata, trichotillomania, or thyroid disorders
• Hormonal changes including menopause, PCOS, pregnancy, and postpartum hair shedding
• Cancer treatment, particularly chemotherapy and radiotherapy
• Stress, trauma or grief, which can lead to temporary or long-term shedding
• Genetic conditions, such as female pattern baldness (androgenetic alopecia)

No matter the cause, the first step in managing hair loss is understanding it, so you can make informed choices with confidence.

Diagnosing Female Hair Loss

Medical Evaluation

Diagnosing female hair loss typically begins with a comprehensive medical evaluation to rule out any underlying conditions that may be contributing to hair loss. During this evaluation, your doctor will perform a physical exam and take a thorough medical history, asking about your diet, hair care routine, and family history. They may also conduct specific tests, such as blood tests or a scalp biopsy, to pinpoint the exact cause of your hair loss.

During the physical exam, the healthcare professional may closely examine your scalp to look for signs of hair loss, such as thinning or patchy areas, and assess the overall health of your hair follicles. They may use a dermatoscope, a specialised tool that provides a magnified view of the scalp and existing hair follicles, to get a detailed look at the condition of your hair and scalp. This thorough evaluation is crucial in understanding the root cause of your hair loss and developing an effective treatment plan.

It's important to note that many doctors do not investigate so thoroughly after ruling out underlying health conditions. Many clients opt to see a trichologist or dermatologist who are much more specialised in hair loss in women as their goal is to assist you with regrowing you hair if possible, though this service usually doesn't come cheap. Some doctors consider hair loss to be more aesthetic as it isn't life threatening, a sentiment we don't agree with at all, knowing how life-altering it can still be. If you feel your hair loss has not been taken seriously by your GP and are feeling lost in your diagnosis, find support online, visit a support group or get advice from a charity such as Alopecia UK.

Understanding Patterns of Hair Loss

Identifying the pattern of hair loss is a key step in diagnosing female hair loss. Your specialist will examine your scalp to determine the specific pattern of hair loss, which can provide valuable clues about the underlying cause. For instance, female pattern hair loss (FPHL) often presents with a distinct pattern of hair thinning that starts at the part line and gradually spreads outward.

To describe the pattern of hair loss, doctors often use the Ludwig Classification system, which includes three stages:

• Type I: Minimal thinning that can be easily camouflaged with hair styling techniques.
• Type II: Noticeable decrease in hair volume and widening of the mid-line part.
• Type III: Diffuse thinning with a see-through appearance on the top of the scalp.

If you have other types of alopecia, your hair loss patterns will present differently. Alopecia areata for example will cause patchy patterns that move around the scalp and Frontal Fibrosing Alopecia will give the look of a receding hairline. By identifying the specific pattern of hair loss, your trichologist or healthcare professional can tailor a treatment plan to that addresses the underlying cause and stimulate hair growth. Understanding your unique pattern of hair loss is essential for finding the most effective solutions to manage and treat hair loss.

The Emotional Impact of Hair Loss

Hair is deeply tied to identity, femininity, and self-expression. When it begins to thin or fall out, many women experience feelings of grief, embarrassment, anxiety or even isolation. You may avoid photos, social gatherings or looking in the mirror altogether.

At Mandeville, we understand that you’re not just looking for a wig - you’re seeking to feel like yourself again. Our private, pressure-free consultations allow you to speak openly and find the right hair solution in a supportive space. You’re never alone in your hair loss journey.

Tailored Hair Loss Solutions for Every Stage

Every woman’s hair loss is different - which is why a one-size-fits-all solution simply won’t do. Hair regrowth can be stimulated through various medications and treatments prescribed by a trichologist. To effectively treat hair loss, it is essential to consider options like minoxidil, finasteride, and other treatments under the guidance of a healthcare provider. Side effects, including unwanted hair growth can occur alongside some hair loss treatments, so it's important to monitor this and any other symptoms alongside your practitioner.

While we cannot regrow your hair, here at Mandeville we can give you the closest you can get to a real head of hair by offering a full range of premium solutions, expertly tailored to suit your stage of hair loss, lifestyle, and preferences.

ReadyMade Wigs

Crafted with 100% European human hair, these wigs come in a range of sizes and shades with a medium hair density and can be cut and styled to your taste. Perfect for women who need something beautiful - and quickly. Ideal for clients undergoing chemotherapy, sudden hair loss, or thinning hair.

Custom Made to Measure Wigs

Our most personal solution. Handmade from scratch using a mould of your head, these wigs match every detail of your hair - texture, density, parting, hairline, length, and even the most unique characteristics of your natural hair. They’re ideal for long-term wear, full coverage, and maximum comfort.

Topper Hairpieces

A discreet option for women with partial hair loss, including those experiencing a diffuse thinning. Toppers blend seamlessly with your existing hair to add volume and coverage, especially at the crown or parting.

Every piece we create is fully hand-knotted and breathable—designed for daily wear, styling, and confidence.

📞 Book your free consultation today to speak with a compassionate expert and explore your options.

Maintaining Your Wig and Scalp Health

Caring for your wig is just as important as choosing the right one. Proper maintenance ensures longevity and keeps it looking natural and healthy.

1. Always store your wig on a head block to maintain its shape
2. Use gentle shampoos and conditioners designed for human hair
3. Air-dry your wig on a block and avoid sleeping or swimming in it
4. Apply a hydrating serum to keep the ends moisturised
5. Use heat tools sparingly, and always with a heat protector

Scalp care matters too—especially during or after hair loss. Keep your scalp clean, moisturised, and gently massaged to promote blood circulation and hair growth.

Visit our Tutorials page for step-by-step videos on washing, styling, and storing your wig.

The Mandeville London Difference

With over five decades of expertise in wig-making, we’re proud to offer an unparalleled level of care, craftsmanship and support. Our wigs are not mass-produced - they’re made by hand, using only the finest natural European hair.

What sets us apart:

• 50+ years of experience supporting women with hair loss
• Private, relaxing London studio where you can bring family or friends
• A team of dedicated consultants, stylists, and wigmakers
• In-house styling, washing, and maintenance services
• Unlimited aftercare and support

Living With Hair Loss: Rebuilding Confidence Every Day

Whether you’re at the beginning of your hair loss journey or navigating long-term conditions, it’s important to know there’s hope and beauty on the other side. We’ve seen hundreds of women walk into our studio with subtle or noticeable hair loss, and leave with a smile and renewed confidence, just by having a conversation.

We understand wigs will not give you the hair growth you desire, but they can be an incredibly effective tool to offer confidence and support that you can rely on everyday. We may not be able to give you your hair back, but we will give you the very closest you can get, so allow us to bring your vision to life.

Frequently Asked Questions (FAQs)

How soon should I look for a wig if I’m losing hair?

The earlier, the better. Seeing your natural hair allows us to find the most accurate match and fit. But rest assured, we support women at all stages—even if your hair loss has already progressed.

Is it obvious I’m wearing a wig?

Not with a Mandeville wig. Our handmade pieces are designed to replicate natural hair movement, shine, and texture, right down to the crown swirl and parting.

Are your wigs suitable for daily wear?

Yes. Our breathable lace foundations and premium materials are chosen for comfort and durability—even with everyday use. They are also designed with longevity in mind, so they are durable but lightweight and undetectable at the same time.

Do you provide support after the wig is fitted?

Absolutely. You’ll have access to tutorials, in-studio styling, maintenance options, and ongoing phone and email support whenever you need us.

Take the First Step Towards Confidence

Managing hair loss isn’t just about finding the right hair - it’s about feeling supported, empowered and understood. Permanent hair loss can be a significant concern for many individuals. At Mandeville London, we provide real solutions, heartfelt care, and stunning hair tailored just for you.

✨ Book a free, no-obligation consultation today and discover how we can help you look—and feel—like yourself again.

📞 Call us or visit mandevillelondon.com to get started.