To achieve a supremely natural appearance, each and every hair is individually tied by hand to a soft mesh cap. Neither mechanical stitching nor wefts of hair are used. The process relies on artisan craftsmanship; it takes around three days for an experienced wig maker to complete one hand tied wig. The individual hairs knotted to the mesh cap look like individual hairs growing from the scalp. Just like follicular hairs, hand tied hairs can swivel freely in every direction. This mobility means the hair can be parted and styled in any direction. Plus, since human hair can be styled with heat tools, hand-tied human hair wigs provide the same unlimited versatility as natural hair.

The hand-tied process can be applied to portions of otherwise machine wefted wigs, such as open cap wigs with hand tied lace fronts, full lace or hand tied monofilament caps.