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Q: Should you perform a hair transplant on a crown that is just starting to thin? — R.R. Philadelphia, Pennsylvania
A: A “thin” crown should first be treated with Propecia, as it may thicken the hair to a cosmetically acceptable degree without the need for surgery. If Propecia is ineffective in restoring enough hair, then surgical hair restoration can be considered.
The surgeon must also factor whether or not the patient has enough donor reserves to transplant the front and top part of the scalp if the patient becomes very bald. This is hard to predict in patients who are still in their twenties.
See the paper Follicular Transplantation: Patient Evaluation and Surgical Planning for a more complete discussion.
- What Problems Can Arise from Transplanting the Crown Too Early?
- Can You Have a Hair Transplant to the Crown Before the Front or Top of Scalp?
- Will Hair Transplant Grow Slower in Crown than Front of Scalp and Will Hair Grow More Slowly After Second Transplant?
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