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Design Principles
Crown Design
A natural whorl (or cowlick) is created in the crown by transplanting hair to match the patient’s original hair direction. This is based on the patient’s pattern of hair loss, donor availability, and hair density. Some transplant surgeons will not treat the crown area, arguing that the limited donor supply is best focused on the front. However, this is a necessity only for patients with an exceptionally limited donor supply. Most patients with Class 5-6 baldness do have sufficient supply to treat some or all of the crown, provided the whorl is reconstructed.
Special care does have to be taken in treating the crown in younger patients. Is such cases where the further progression of the balding is a strong likelihood, the first options should be medical treatment and then if doing transplants it is crucial that there be a comprehensive long term plan that assures proportionate use of donor supply for current and future needs
While some patients may choose partial restoration focused on the front and top only, those who want full head coverage may achieve their goals in the hands of a transplant surgeon skilled in crown restoration. Often Propecia ® and Rogaine ® are recommended to slow the progression of hair loss in the crown. It is with this combined approach, that Dr. True and Dr. Dorin are able to successfully treat this cosmetically important part of the restoration.
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