Hi seven.... I have no issues at the nape..... with the first one [as I said] I did have some itching but after a while/2 washes the lace softened. If you want to do a daily de-bond as I do, you can use the lighter-hold tape `Sensi-tac`[the red rolls] Wearing a Fullcap is actually easier/less worrisome than a topper in terms of fears of it coming loose..... I find these are a snug fit and as long as the front hairline and sideburn area is reasonably ok there`s no issue. I don`t do an all-around bond.....simply a little tape at the front and sideburn area and that`s sufficient.... nightly removal takes about 2 minutes tops by releasing the lace from the tape with Lace-release and then I simply peel the tape strips off the skin. You have no need to literally super-glue the thing on all around or all over ...keep it simple. With a skin-condition, I imagine the less use of solvents/glue melters the better, to avoid possible problems? I`m not worried about having this stuck down right to the very last millimeter at the front/sides...as long as there is a strip of tape at the `vital`points [maybe 3/4s of an inch long] I don`t even bother bonding the nape most days. The factory does not style systems, but you could have Debbie to style it for you..that`s one of the advantages of Fullcaps...... no blending-in onto growing hair and no worries about color-matching either. I`m sure you could make contact with Debbie let her know what length to trim the nape hair to...just ask John to send your system to her on receipt from the factory. John tells me some people have / wear Fullcaps made of Swiss lace without any major issue....but the sideburn area is subject to `stress` from tugging during de-bonds so you could ask for French lace there or a double layer of Swiss if going for an all-Swiss system. French is that bit more robust in use/wear and can hold higher-densities better. Paul.