Hair Transplants: Crown Restoration and Planning for Future Hair Loss

This question, asked by a member of the Hair Loss Discussion Forums, was answered by Coalition physician Dr. Bernardino Arocha

Restoring crown hair loss can use a lot of grafts. How do hair transplant surgeons design crown restorations while planning for future balding?

Crowns are said to be the “black hole of hair restoration”. They can put great demand on precious hair transplant donor hair so it is usually advisable to consider future hair loss progression, donor/demand ratio and contemplating the quandary of “robbing from Peter to pay Paul”. In other words, weather there will be enough available donor to complete the restoration completely as the Norwood pattern is fully expressed. Propecia (finasteride) use can help conserve donor by maintaining the crown.

In restoring crowns, it is important to anchor the transplant into the thinning areas that are furthest out: that is, to work from the outside in so the first area of hair loss is the last to be restored. This is to prevent hair islands from developing or the “halo effect”.

Dr. Bernardino Arocha

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David (TakingThePlunge)
Editorial Assistant and Forum Co-Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q & A Blog.
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