It is the difference between a client who wears their unit comfortably for years and a client who develops folliculitis, yeast overgrowth, or contact dermatitis within weeks. We see it more than we should. A client invests in a beautifully constructed prosthesis. The fit is good. The hair looks natural. She loves it. And then three weeks later she is calling because her scalp is itching, inflamed, and reacting in ways nobody prepared her for. The prosthesis did not fail her.

The word "cranial prosthesis" is not a material specification. It is a marketing decision. And right now, it is being made without conscience. A growing number of products are being sold under the clinical title of cranial prosthesis while being constructed with industrial-grade silicone. Not medical-grade. Not biocompatibility-tested. Industrial silicone, the same class of material used in machinery, sealants, and manufacturing applications, is placed against the scalps of

Breathability has become one of the most overused selling points in this industry. A cap is breathable. A lace front is breathable. A monofilament top is breathable. The word appears in every product description, every consultation script, every comparison chart. And it means almost nothing on its own. Breathability describes airflow through a material. It tells you how a cap was constructed. It does not tell you how a compromised scalp will respond to it. Those are two entir