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Choosing the Right Hat

If you lose your hair because of chemotherapy or other cancer treatment, hats can be a comfortable alternative to wigs and scarves. But without your hair, a hat can fit and feel different on your head. Here are a few tips to help you find the right one.

A senior woman with cancer does yoga at home in her living room. She is wearing black active wear.

Hat liners

As you lose your hair, your scalp might be itchy or sensitive. Scratchy hats can be uncomfortable, so look for ones with soft cotton linings.

For hats with liners: Wear the liner with the seams facing out, so they don’t touch your scalp.

For unlined hats (and wigs): Add a soft cap liner to make the hat more comfortable. This will also absorb sweat and wick it away to keep you cool.

How to find the right size and fit

Finding the right size is important for comfort and style.

woman measures head back to front with measuring tape

Measuring your head

To measure your head:

  1. Wrap a soft measuring tape around your head, just above your ears and across your forehead.
  2. Note the measurement in inches or centimeters.
  3. Use a hat size chart to match your head measurement to the best hat size.

Getting a snug fit

Some hat styles might gap at the sides or lay flat on top of your head. Here are a few tips for getting a good fit.

  • If your head is small, consider adding a padded cap liner under your hats. The liner will provide fullness and a snug fit.
  • An adhesive hat sizer is another option. This is a band that sticks to the inside of a hat to make it fit tighter. For maximum size reduction, 2 sizers can be added to fit all the way around the inside circumference of the hat.  
  • You can also look for hats with adjustable straps or stretch bands.
  • A deeper cut and a snug fit will prevent gaping at the sides of the hat.

Styling for your face shape

Different hat styles complement different face shapes.

  • Oval: Most hat styles will suit you. Try fedoras, beanies, or wide-brimmed hats.
  • Round: Look for hats with height and angles, such as fedoras or trilbies, to elongate your face.
  • Square: Soft, rounded hats such as cloches or bowler hats can soften your features.
  • Heart-shaped: Wide-brimmed hats or hats with a medium brim balance out a wider forehead.

The best hats for hot and cold weather

Depending on the season, some hat materials work better than others.

  • Summer: Lightweight materials like cotton, linen, or bamboo to keep you cool.
  • Winter: Wool, felt, or knit hats to keep you warm.

Consider your personal style

Choose a hat that reflects your personal style.

  • Classic: Fedoras, bowler hats, and newsboy caps offer a classic look.
  • Trendy: Experiment with bucket hats, berets, or wide-brimmed hats for a trendy look.
  • Sporty: Try baseballs caps and visors for a sporty style.

Try before you buy (if you can)

Whenever possible, try on a hat before you purchase. Think about:

  • Fit: Does it fit snugly but comfortably without being too tight?
  • Comfort: Are there pressure points or sore spots?
  • Look: Does it feel right for you?

Other ways to style your hat

Hats are a great option because they can be worn as-is or styled with other pieces.

Scarves and headbands: A scarf or headband around the crown of a hat can add style and help keep your hat in place.

Hair accents: Many people who lose their hair worry about the lack of hair in front of their ears. This bare spot can be especially obvious when you wear glasses. Look for hair accents that attach with peel-and-stick adhesive backing. These are often made of real hair that can be cut and styled.

Halos: Halos are another easy, inexpensive way to get the look of hair while enjoying the comfort of a nice, soft hat. Halos are wigs designed to be worn with hats. They are open at the top to keep your head cool.

More resources

The American Cancer Society medical and editorial content team

Our team is made up of doctors and oncology certified nurses with deep knowledge of cancer care as well as editors and translators with extensive experience in medical writing.

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Rugo HS & Van Den Hurk, C. Alopecia related to systemic cancer therapy. UpToDate. UpToDate, Inc; 2024. Last updated August 3, 2023. Accessed June 26, 2024. https://www.uptodate.com/contents/alopecia-related-to-systemic-cancer-therapy

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Wikramanayake TC, Haberland NI, Akhundlu A, Laboy Nieves A, Miteva M. Prevention and Treatment of Chemotherapy-Induced Alopecia: What Is Available and What Is Coming? Current Oncology. 2023; 30(4):3609-3626. https://doi.org/10.3390/curroncol30040275

Zeppieri M, Gagliano C, Spadea L, et al. From Eye Care to Hair Growth: Bimatoprost. Pharmaceuticals (Basel). 2024;17(5):561. Published 2024 Apr 27. doi:10.3390/ph17050561

Last Revised: September 5, 2024

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