My mother-in-law had substantial loss by the time she died. She was never without her wig--had several including one for the pool. There was a woman, my mother-in-law's contemporary, who was profoundly bald, literally just a horseshoe. But she never wore a wig, she had the shoe grown out and coifed in a page boy. She would be dressed in otherwise immaculate style, just bald as a billiard ball. Went to all the parties and Mardi Gras balls dressed to the nines and a shining bald pate! Obviously she had a lot of self confidence!