Crown: Area of Concern

    January 2010
    Jerry Wong
    TLDR Prioritize hairline and front scalp before crown in hair transplants.
    The document discussed the strategy for hair transplantation in individuals with extensive hair loss, emphasizing the importance of prioritizing the hairline and frontal two-thirds of the scalp before considering crown coverage. It was advised against spreading grafts too thinly to cover the crown, as this could result in an unnatural appearance. Patients were typically placed on finasteride post-transplant and encouraged to wait 9 to 12 months to assess the results. If satisfied with the frontal coverage, and if hair supply permitted, crown transplantation could be considered in a subsequent surgery. The document highlighted concerns about ongoing hair loss creating a gap between transplanted areas and thinning margins, particularly in younger patients, and suggested delaying crown work with finasteride to manage future hair loss more effectively.
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