Crown Restoration: Indications, Technique and Design
The crown has always presented the hair transplant surgeon with a dilemma in terms of when to treat as well as how much restoration is appropriate. Whilst it is difficult to be certain of hair loss progression anywhere, crown hair loss deterioration around a transplanted area will potentially result in a pattern that does not occur in nature which is that of an island of hair surrounded by a ring of baldness. Therefore, the later in life the crown is transplanted and the more certain the surgeon is of hair stability, the lesser the risk of the above pattern developing. Early treatment with non-surgical options and stabilizing the crown will hopefully help the surgeon avoid having to make a surgical decision about the crown in the first place.
KeywordsCrown Vertex Whorl Swirl
- 1.Ziering C, Krenitsky G. The Ziering whorl classification of scalp hair. Dermatol Surg. 2003;8:817–21.Google Scholar
- 2.Stough DB. The paradox of crown transplantation. Hair transplant Forum Int’l. 2005;15(4):117–8.Google Scholar
- 4.Lam SM. In: Lam SM, editor. Hair transplant 360 for physicians. New Delhi (India): Jaypee Brothers medical Publishers Ltd; 2010. p. 119–26.Google Scholar
- 6.Unger W. Surgical planning and organization. In: Unger W, Shapiro R, Unger R, et al., editors. Hair transplantation. 5th ed. Informa Healthcare: New York, London; 2011. p. 106–97.Google Scholar