Restoring the Crown

Hello Dr.Rassman,
I am 25 yrs old and have experienced thinning (slightly noticeable) throughout as well as the formation of a bald spot at the crown of my head. I have sought help regarding this and was told that transplant procedures were not typically done to replace hair at the crown. Is there no way to correct hair loss at the crown surgically? I have been on Propecia for about a year now.

Take a look at Patient’s Guide– How Many Grafts Will I Need? and you will see that the crown loss can be huge and take up a considerable number of grafts that could deplete the donor supply. You can transplant hair anywhere on your body, including the crown! If you are bald (have no hair) on the crown area, a hair transplant may be indicated. At your age, if you are truly thinning with MPB, I would explore the possibility of a medical treatment such as Propecia. Propecia alone may restore your crown area. The misconception stems from the fact that hair transplant to the crown area often requires more hair to accomplish the task for patient satisfaction and many doctors are reluctant, because the patients may not have enough hair after filling up the crown to address frontal hair loss, if it should occur. The crown area typically requires more hair, because the hair on the crown does not layer well as the hair changes direction at the swirl. There are many patients with good results (when appropriately indicated) from hair transplant to the crown area. See NHI Photo Gallery – Crown for examples.