What is best option for hair loss in crown only?

Question

I looking to get surgery as I've been on minoxidil and fin astride for 5 years with dismal results. I just want the back of my head done only.

Jason Emer, MD · Answer

You need a formal consultation to see what is best , often a combination approach is needed after it is determined that you have genetic areas of loss.  Best, Dr. Emer.

Scott Boden, MD · Answer

It's important to do everything medically that may help to stabilize the crown hair.  There may be a role for dutasteride if you are not responding to finasteride.  Platelet rich plasma has shown some promise in stimulating growth of miniaturized hairs. If you choose to have hair transplantation, you should seek the recommendations of a physician experienced in medical and surgical treatment for thinning hair.  Transplanting some hairs into the thinning "fringe" where you may have ongoing hair loss is necessary so that your hair will always look natural. Good luck to you.

Jae Pak, MD · Answer

The best way to find the right option is to see a doctor for an examination and understand what is possible.

Jeff Donovan, MD, PhD · Answer

You should see a physician who specializes in hair loss for further advice. If you've used Rogaine and finasteride, options including platelet rich plasma or hair transplant surgery. While finasteride and Rogaine may not be helping to grow more hair, be sure to consider whether they are in fact stopping further loss.

William Rassman, MD (retired) · Answer

I had a bald crown with a diameter of about 5 inches. This was been transplants and now I have a full head of crown hair (and also frontal hair that I did not lose). See my picture in thew web weference below

Brian Goertz, MD (retired) · Answer

Hair transplant in the crown is possible but candidate selection is important. Age, stability of hair loss, family history, etc. Finasteride is very effective in crown hair loss if treatment is started early. Have you discussed finasteride with your family doctor. Hair transplant in the crown may look unsightly if thinning continues around the transplanted area. If you want to consider hair transplant see a reputable full time hair restoration surgeon and avoid clinics that are part time or have sales people selling hair transplants. A hair transplant may be for you but avoid bad choices and results.

Gregory Pistone, MD - Account Suspended · Answer

Hello, you didn't mention your age and that's very important.  In a young man (under 45-50) with an unstable hair loss pattern, transplanting the crown alone can be problematic if the hair loss extends forward later on and there is not sufficient donor area to cover the new hair loss. If you do have a good donor area, you should know that you may require more procedures in the future.  See a specialist and be sure your donor area is fully evaluated for density and miniaturization with a densitometer and a video microscope.

Michael Meshkin, MD - Account Suspended · Answer

We initially suggest medical treatment options such as rogaine and propecia to slow down the hair loss. If it is not working for you, then hair transplant would be your best option.  The crown is a little bit tricky because of the direction if the orientation of the existing hair.  It is of utmost importance that it is done correctly.  However in the hands of a experienced doctor it will look very natural. In addition to hair transplant it is important that you remain and You can continue with your regiment routine to prevent or slow down the progression of hair loss.

What is best option for hair loss in crown only?

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Answers (8)

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