While most toupées are small and designed to cover bald spots at the top and back of the head, large toupées are not unknown, particularly among television personalities.
Toupées are often referred to as "hairpieces", "units", or "hair systems" by those seeking to avoid the negative connotations that the word "toupée" conjures up. Many women now wear hairpieces rather than full wigs if their hair loss is confined to the top and crown of their heads.
It has been stated that many men often know they are fooling no one with the use of the toupée, but that the bias in Western culture against baldness is so strong that they feel the need to have hair on their heads. Unfortunately, in their desire for their baldness to be unnoticed, toupée wearers often become noticed for their toupées. Modern hair systems however, have advanced to the stage where they can be undetectable to the naked eye (especially lace systems) - and so go unnoticed, where only cheap alternatives only ever becoming obvious
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