Lace front wig is a piece that goes over the scalp, concealing the entire scalp of the person; whereas hair extensions are attached to the own natural hair of the wearer. The lace front wig gives a complete transformation to the look of the wearer, whereas hair extensions uplifts the appearance of the natural hair; thus, retaining the natural look of the wearer.

As lace front wigs conceal the entire scalp, the sweat and heat trapped underneath can cause headaches, scalp irritation, dandruff, and hair loss if the wigs are used frequently and extensively. On the other hand, hair extensions cause zero damage, as they are merely tools attached to existing hair. The scalp is left exposed, providing proper ventilation to the scalp and hair.