Hair Transplant Closeup: Crown Reconstruction, Revision

This patient had a total of 12 procedures done elsewhere, including 7 hair transplant and 5 scalp reductions. With one procedure, Dr. Lam completely covered his crown. For more information, please visit www.hairtx.com.

Crown (or vertex) hair restoration represents one of the most technically challenging areas to reconstruct for a host of reasons. First, the natural whorl, or spiral, pattern of hair in the crown region of the scalp must be meticulously recreated in which every hair angle matches the existing hair and blends seamlessly toward the outer fringes to the sides and as the hair transitions forward to the midscalp (vertex transition point). Second, the hair must be tighly interlocked to achieve the greatest amount of hair density, especially in the upper arc of hair where the hair cascades over the other hairs in the crown. Judicious graft selection and placement will afford the optimal result without wastage of follicular grafts. Finally, the canvas of the crown region can be ever changing with the risk of further hair recession: medical management with FDA-approved solutions can help to stabilize, reverse, or slow down further hair loss in this region.