Hair Restoration, Start With The Crown Or Frontal Third First

The crown is an important area and not forgotten but due to limitations with surgical hair restoration common sense and planning are vital to ensure a balanced natural look of hair coverage

Some men keep a relatively intact frontal area, relatively minor recession points that do not accentuate the size of the forehead; but instead the hair loss is more aggressive over the crown or vertex area

Others and more common is a thinning and receding from the hair line back over the frontal section, and the crown showing signs of thinning until the two areas meet with an advanced hair loss stage

Many feel crown restoration is considered second and unimportant, especially considering the frontal and mid-sections of the scalp. This is only because fixing the hair line and frontal generally will have a much greater impact as a cosmetic result

Due to the nature hair lays in the crown and coupled with the surface area the crown can require a large number of grafts; eating into the finite resources of the donor hair

The crown can expand on all sides, moving forward, backward and down both sides, it can open at quite a pace making it difficult to track; also the surface area can be large with not much difference to the frontal and mid-sections combined

If the crown is treated first it can complicate future restoration; if too high a density is placed it will require more grafts than is safe, if treated to early the area around can open leaving an island of hair that was transplanted

With the onset of thinning the best initial option is possibly hair retention medications; if caught early enough they can preserve the growth of the hair so hair loss is not obvious; even if not treated early it may be a good option and plan restoration with this in mind

As the donor area is a finite resource and the aim of hair restoration is to create a natural looking coverage of hair each individual has to take into consideration the limitations of their donor hair, the amount of hair available, the hair characteristics and the best technique to use to over time maximise the graft numbers

If a plan is made from the first procedure and understanding the donor limitations even high Norwood hair loss sufferers can achieve crown coverage with a natural looking density


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