Crown Hair Transplant: Everything You Need to Know

With age, everyone loses their hair and experiences thinning. Hair loss can occur anywhere on the head. There’s nothing to worry about if you haven’t experienced a significant hair loss in a brief period. However, androgenetic alopecia (AGA) sets in gradually. 

You might only notice the bald spot when it has almost completely set. And if it’s in an area that’s not even visible, you’re likely to detect the bald spot at an even later stage. That’s what can happen with the crown area of the head, also known as the vertex. And for this, many people choose to get a crown hair transplant.

Usually, among males, the hairline recedes slightly even if they’re not suffering from androgenetic alopecia. Women might notice a thinning ponytail as they lose hair. It is normal to lose hair on a day-to-day basis. If you see a bunch of drain hair, break a few strands while untangling your hair with a brush, it shouldn’t be of any concern. 

Crown hair loss is commonly seen in patients who have pattern baldness. There is a very popular myth that crown hair loss can occur as a result of wearing caps. That is not true. Those who have AGA don’t lose hair simply because they’ve started wearing caps. Many wear hats to hide their bald spots. There are different reasons why crown hair loss occurs, which can include your genetics, hormones, illnessmedicationschemotherapy, etc. 

What is the Crown Area of Head? 

The crown is essentially the highest point on your scalp. It’s the curving tip at the back of your head. The circular patch of hair that grows at the back of the head, with a visible centre point, is called a hair whorl (some people also have more than one of them). This is the area where the shedding and the thinning becomes most visible in crown hair loss. The area is also called the vertex (the top point) of the head. 

Crown Hair Loss in Males 

Beginning at the hair whorl, you’ll eventually notice that the thinning starts to happen all around except for the occipital region (back of the head) in many cases. This ends up acting as the donor area, which still has DHT-resistant hair in it. As the crown of the head continues to lose hair, the hairline also recedes in an M-shape. This goes on in Norwood stages 3-7. 

In both areas, hair continues to fall out until eventually, the whole area becomes bald. Men can also have diffuse thinning that is most visible around the part line of the head. In this, hair loss occurs in the whole head rather than certain specific areas like the crown or hairline. 

Crown Hair Loss in Females 

In females, the hair around the part line continues to thin. It goes back to the head, towards the crown region. However, not many women completely lose their hair as a result of androgenetic alopecia.

Although males can start losing their hair at an early age, in women, most hair loss happens after menopause. That’s because of the hormonal changes that occur in the body. The production of hormones progesterone and oestrogen decreases. But women too can experience crown hair loss. But rather than seeing bald spots, women generally experience an overall thinning of the hair on their head. 

How Long Does It Take for Crown Hair Loss to Occur? 

It is commonly associated with androgenetic alopecia. In any case, it isn’t something that happens in a short period. Many times, people come to realize that they’ve been losing hair after they see photos of themselves. Comparing photos that are taken in good lighting is quite a helpful way to find out whether you’re experiencing thinning. Most people don’t even know that it’s happening.  

Another indication you’ve been losing hair in the crown region is that if your head gets a sunburn far more easily and quickly than before. With the amount of misinformation available online, it’s easy to confuse some hair loss with something more problematic. But, if you want to find out for sure whether you have pattern baldness, you need to consult a professional surgeon. 

With women, it is harder to identify whether they have pattern baldness. Longer hair can easily hide some bald spots or thinning areas. In contrast, as males usually have shorter hair, their bald spots become easily visible. There is no exact timeline that we can give at which the crown hair loss starts to occur, but it can be at an early age or later years and can take years to completely set in. Before diagnosing crown hair loss, many factors must be taken into consideration. 

What Should You Do If You’re Suffering From Crown Hair Loss? 

If pattern baldness is not the reason behind crown hair loss, then you might be able to reverse the damage. You can try a few things which can help with this kind of hair loss. Many people simply try to hide their bald spots and expect them to fill up with hair after some time. Stress, seasonal hair losspoor dietillnesses and certain medications are a few reasons that can cause it. In most cases, your hair will grow back.

However, if things are getting worse, you shouldn’t delay a visit to the doctor. Try to get in touch with a doctor as soon as you can. Meanwhile, try doing the following:

  • Avoid hair straightening, perming, curling, or blow-drying. The heat can further weaken your hair. 
  • Be very gentle with your hair, and don’t tug on them unnecessarily. 
  • Try to use a moisturising conditioner that untangles the knots. Otherwise, you might end up breaking a lot of your hair while brushing. 
  • As your hair is primarily composed of proteins, consume more of them in your diet. 
  • Vitamin supplements can help, but too much of them can actually cause more hair loss. Therefore, consult about them with your doctor. 

Do Hair Transplants Work on The Crown? 

Yes, a crown hair transplant is possible. And if the hair loss is permanent, either medications or transplant surgery can help with it. Although the FDA- approved minoxidil and finasteride can be used for hair loss, you have to keep using them to see results. In addition, they have many side effects. 

Depending on the extent of baldness, you may end up needing anywhere between 500-4,000 grafts. Typically, 1200 to 2000 grafts are for a crown hair transplant. However, you can get a better estimate of it using the graft calculator

One way to get an idea of the kind of results that you can achieve from this restoration surgery you can look at the crown transplant before and after images of patients (especially those whose size of bald area/hair is similar to yours). You can also ask for the hair transplant results crown that have been achieved by the previous patients of the surgeon. 

Keep in mind that crown hair transplant is more difficult than the transplant on other regions of the head. That’s because of the hair whorl that is present in the region. The direction of the hair and the angle at which it comes out varies quite a lot. So, your surgeon needs to be experienced to ensure natural-looking results. 

What’s Different About Crown Hair Transplant Aftercare?

As far as the aftercare of crown hair restoration is concerned, it’s going to be a bit different than other regions of the scalp. You will experience the following:

Slower Healing 

The crown region doesn’t get as much blood as the other regions of the scalp. In addition, the skin is thicker around the crown region, which makes it more difficult for the hair grafts in the crown to grow. Therefore, the healing process will take place slowly. You might notice hair growth in other areas of the head at a quicker pace than in the crown. This can give a patchy appearance for a while. 

In other regions of the scalp, growth starts taking place in 5-6 months, and the patient can see full results after 9-12 months. However, growth after a crown hair transplant can take longer, somewhere around 12-16 months.

Lower Hair Density 

The front and the top of your head will have more hair density than the crown area. That’s normal. Our heads are naturally like that. The twisting whorl pattern of the crown makes it a naturally thinner and more translucent region of the scalp. 

Even those individuals who don’t have pattern baldness will have visible gaps and thinner areas in certain parts of the crown. Therefore, after a crown hair transplant, the hair density in that region won’t be as high in other areas of the scalp.

Concluding Remarks 

Remember, the crown area of the head has naturally lower hair density than the other areas. You might not necessarily be suffering from hair loss. However, if you are experiencing significant thinning of the crown area, you should consult with your dermatologist to get a diagnosis. Once you do get the crown hair transplant, you need to make sure that you follow the aftercare to get your desired results. 

Reviewed and Approved by Dr. Hassan Soueid.

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