The crown is in court when it comes to hair transplantation. We might even be tempted to say that it’s a thorny issue……But why is this?
For the patient, a bald crown can be a source of hurt feelings – but unlike the forelock, which is easily on view, it doesn’t affect your appearance in the same way. Nor does it visibly age the patient, in that losing some hair in this area doesn’t appear to alter the shape of the face.
Because patients don’t see their crown every day, it’s an easy area to overlook – until the shock of a caught glimpse in a barbers mirror or in a lift, for example. It is the pain of this sudden realisation that often brings a patient to the hair transplantation clinic.
For the professionals, the crown is a complex area. The experienced professional knows that simply adding to the density in the crown area can often leave and circle of bald skin around permanently transplanted hair.
Given that every hair transplant patient will have a limited supply of donor-hair (and that the balding process will continue over a period of time) it is vital that the patient discusses their priorities in terms of which hair to plant where. Each patient will feel very differently about this issue. And their priorities might shift as they age.
Many variables, including the shape of the face, the texture of the hair, the desired density and future projected hair-loss will need to be carefully weighed-up by the patient and the experts at Paradigm.
The general rule of thumb is that you don’t transplant hair to the crowns of men in their twenties and thirties. This is because they will probably go on to lose more hair and you should always wait until a man’s hair-loss pattern is established before transplanting the crown.
In this photograph you can see how a young Bruce Willis with a full head of hair was destined to develop a Norwood 6 pattern of hair-loss. When transplanting the younger man in the middle you must take in to account the fully established hair-loss pattern of the mature Bruce Willis. To not do so will inevitably result in an unnatural looking transplant.
Donor grafts are precious and they need to be used with skill and care. The right area for the hair transplant, at the right time, is always an important consideration.
Achieving the goal of naturalness in a hair transplant is always the most important factor in planning and executing the procedure.
And the crown area is particularly significant in order to make sure the overview of the hair transplantation is congruent with the forelock and with the age of the patient. This factors, combined with the potential scarcity of available grafts and future hair-loss must be taken into consideration in order for a successful outcome to be achieved.
This gentleman had a thinned forlock and a bald crown. He did not want density in the crown as he doesn’t have density in the forelock. He wanted to cover the crown with hair.
We transplanted 1239 follicular units / 2389 hairs into the bald area and we blended permanent hair in to the edge of the bald area to anticipate any further hair-loss over his lifetime. This will ensure that the transplant always looks natural.
Paradigm Clinic are a Plastic Surgeon-led company dedicated to providing an exceptional hair transplantation experience for clients throughout the United Kingdom and Ireland. Contact us today to discuss your hair transplant with our team.