Basically, miko tie back their dark hair using the combination of a danshi (quality Japanese paper), mizuhiki (colored string made of paper) and a takenaga (paper for ornament) (this method of tying the hair is called emotoyui), and may wear kamoji (false hair) to make her hair look longer.
髪型については、長い黒髪を後ろで檀紙や水引、装飾用の丈長等を組み合わせて（絵元結と呼ばれる）束ねるのを基本としているが、髪の長さを足すために髢（かもじ）を付ける場合もある。