Shock Therapy by Serpent

Puzzle explanation

Initially, the top row of the grid contained ANDROGENIC ALOPECIA, starting in column 12. After changing the first letters of down entries, it became WIG TOUPÉE HAIRPIECE.

Clue explanations

Conventions: * = anagram, < = reversal

No Extra word (modified entry) Answer Explanation [extra letter]
Across
19 hurried (10 HARED) STELLAR RAS < around TELL
20 woman (17 CINDY) EMAILED ’EM + AILED
21 Eulogy (7 PEAN) AVERRED AV + ERRED
22 Eddies (1 WEILS) SNAILED S + DELIAN <
23 pass (18 ELAPSE) VEERING (NEVER + I(n) G(oal)) *
24 figure (15 IMAGE) PLEADER PER around LEAD
25 Implement (4 TEDDER) STERNER STEER around RN
27 judgements (11 ARRÊTS) TENSELY TEE around N(urse)S + L(egitimac)Y
31 legend (3 GREAT) CANING CANNING − (Tow)N
35 willow (5 OSIER) PRESET TREES * after P(ark)
39 advising (13 REDING) ATTUNES ENTHUSIAST * − HIS *
43 simple (16 EASY) EMULATE EMU + (ET AL) <
45 vainest (2 IDLEST) CRACKER CRACK + (v)ER(y)
46 fish (8 ELVER) AEROBIC A + (m)ICROBE(s) *
47 flap (9 ELEVON) TURNKEY TURN + KEY
48 Labourers (14 NOSED) WREATHE WEATHER with (Olive)R moved
49 river (12 ISÈRE) ACID DYE DECAY * around ID
50 reversal (6 U-TURN) DROOLED (ODD ROLE) *
Upper down
1 (NEILS) LINES 2 meanings
2 (IDLEST) LISTED LID around STE
3 (CREAT) TRACE T + RACE
4 (AEDDER) DEADER (b)A(n)D in DEER
5 (LSIER) RILES (RELIES − E) *
6 (OTURN) RUN TO RUNT + O
7 (PEAN) PANE homophone of PAIN
8 (ELVER) REVEL REVEAL − A
9 (CLEVON) CLOVEN COVEN around L
10 (IARED) AIRED RE in AID
11 (ARRETS) ARREST RES in ART
12 (ASERE) SAREE RE in SAE
13 (NEDING) ENDING (p)ENDING
14 (DEONS) NOSED NOOSED − O(rkney)
15 (RMAGE) GAMER GERMA(n) *
16 (OASY) SOYA (mi)SO YA(kitori)
17 (GINDY) DINGY DIN + (upsettin)G (everybod)Y
18 (ELAPSE) PLEASE homophone of PLEAS
Lower down
26   ENTRY TRY after [P]EN
28   LEMME LE M[Ê]ME
29   TARTS T(hin) + [W]ARTS
30   ZEBRA ZA[G]REB *
31   COCK CO[O]K around C
32   ITCHY H[E] in CITY *
33   GNAWS WAS[H]ING * − I
34   ASKED A + SK[I] + E(nsure) D(elivery)
35   PART PO[P] ART − O
36   SUAVE A[C] in SUV + E-
37   TOUT (h)[I]T OUT
38   ZINC NC after ZI[T]
39   AGED AG[U]ED
40   URGE UR + GE[E]
41   ECRU (hir)E C[A]R U(pholstery)
42   DEAR D[R]EAR
43   ECHO H[I] in ECO
44   LEAD ADEL[E] *
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