Tag Archives: donor area hair transplant

Hair Transplants for a Thinning Crown

crown hair transplant
The crown region – sometimes referred to as the ‘bald spot’ – is located on the back portion of the scalp and is an area commonly affected by male pattern baldness. In fact, most men begin looking into hair transplants for the first time after noticing balding in this region. First time clients often tell us: “I hate the bald spot on the back of my head, it makes me look so much older than I am!”
So, what’s the matter? Aren’t all types of male pattern baldness equally treatable? Here at Modena Hair Institute we are experts in every type of hair transplant procedure, so is a hair transplant for the crown any different?
Simply put: yes. There are a number of things a patient with a balding crown must consider and talk to with their doctor, such as:
Prioritizing Frontal Hairlines First

While the crown features prominently on the scalp, it’s usually less cosmetically significant than more visible regions like the hairline and frontal scalp. Balding in the crown, because it’s at the back of the head, can be hidden more easily. Most men find it less discomforting than frontal hair loss, which is why we advise working from the front to the back when it comes to hair restoration.
If you’re experiencing hair thinning on the frontal area of the scalp, it’s highly advisable to tackle this area first, before attempting to restore the crown.
Even if you’re seeking to tackle both areas of thinning at once, it’s still usually better to start in the front and work back to the crown. That way if you do run out of grafts, the hairline, frontal scalp, and mid-scalp regions – which are more visible – are restored first. But why does this matter? Is running out of grafts an actual concern? Yes, you and your doctor will need to discuss:
Considering the Health and Strength of the Donor Area

The donor region – the area on the sides and back of the scalp where follicles are harvested for use in a hair transplantation – is limited. This means that a patient may not have enough life-time grafts available to cover the entire scalp if progressive hair loss occurs.
Both FUE and FUT/Strip methods of hair transplant surgery rely on a healthy and sufficient donor area to extract grafts for transplantation. If your donor area does not contain enough healthy, strong follicles to extract, it might result in a limited number of possible hair transplant operations.
When considering a hair transplant for the crown region, you must assess whether there is enough viable donor hairs to cover the frontal hairline in the future. If you fill out the crown area and begin to thin in the front, what will the result look like?
In most cases, the result would look unnatural. No man would like to have a full and thick crown, accompanied by a thin and empty frontal hairline. The opposite, however – men with fuller fronts and thinner crowns – is more natural and therefore more aesthetically desirable. So if you are faced with a limited donor supply, it is better to consider first what can be transplanted to the frontal hairline. An experienced hair transplant specialist should know how to approach splitting up the grafts, and will guide you through the process during the consultation phase.
Now, there are situations where men only thin in the crown and not the front. In this case, donor regions should be assessed differently and strategically. Certainty about how the hair loss will progress is impossible, but the closest approximation should be made. It is always wise to make sure there is adequate donor hair for the front first, as addressing the front first is almost always the safest and most strategic move.
So, should you have a hair transplant in the crown? Well, review your answers to the questions above and see how you feel. If you understand the need for a long-term approach and the idiosyncrasies of crown transplantation, you may be a good candidate. Consult with a clinic experienced with transplants in this region (make sure they can show you multiple examples of crown transplants) and make an informed decision with the above in mind.
Here is an example of a patient who met the criteria above and was able to restore his crown. Maybe you will be next!
crown hair transplant

Dr. Amir Yazdan, MD, is an internationally renowned hair transplant surgeon, expert guest on Dr. Phil and The Doctors, creator of the GroMD hair restoration product line, ISHRS member, accredited member of the IAHRS and a visceral advocate for patient care. Learn more about Dr. Yazdan or read rave reviews from his patients.

Your Main Donor Areas for a Hair Transplant

If you’ve done your fair share of research into hair transplants, you’ve probably heard the phrase “donor area” mentioned here & there. Essentially, this refers to the part of your body where follicles are removed from during the transplant process, so that they may be placed in their new location, whether its your head, beard, eyebrows or chest.

As you begin to plan with the hair transplant expert of your choice, there will be due consideration of where they’ll find the follicles to be donated & relocated. There are a few options available, and it’s important for you to know what happens when each of these spots are selected to be the donor area.

Back of the Scalp

Think of someone you know who’s almost completely bald. Not all the way, but they’re getting there. Where do you see them still having hair? Is it along the sides & back of the head, by any chance?

You making that assumption is no coincidence; the part of your head known as the posterior scalp is usually the last to succumb to baldness. For this reason, that’s the area most commonly selected as the donor area.

Pictured: A properly healed FUE donor area.

The reasoning behind this boils down to three letters: DHT. This is the acronym used to describe a certain hormone in the body that’s widely known to cause hair loss & baldness. For reasons still unknown to experts in the field, the hair on the top of our heads is especially vulnerable to it, and thus becomes the first area of the head to begin on the road to baldness.

The hairs along the posterior scalp, however, are essentially resistant. There also tends to be dense crowds of follicles in those areas as well, especially the back of the scalp. Since they’re extremely similar to the hairs that were growing on top, they can be harvested & placed in the transplant area with no incident.

Beard, Neck, Chest Underarms, Back, and Groin

Even though the back of your head is typically the best donor area, there are a few reasons as to why this might not be the case. For those who have had multiple transplants beforehand, that area might be over harvested & can’t reasonably be exploited again.

In this case, though, it’s entirely possible for someone to have their beard, or other parts of their body such as their chest or groin, used to donate follicles.

If you’re wondering whether these hairs will blend well, the answer depends on how good your doctor is. When Dr. Yazdan performs his hair restoration procedures at Modena’s Beverly Hills, Newport Beach, & Las Vegas offices, he takes his time to understand how different types of hair should be integrated into the scalp, and his placement methods make any differences almost impossible to notice.

When the doctor isn’t properly trained however, the results are unnatural at best & devastating at worst. The rising popularity of hair replacement means that a swarm of amateurs have come onto the scene, willing to curtail attention to detail in order to get your cash in their pocket quicker.

When selecting your hair transplant doctor, make sure that they take due time to closely consider your specific case, making a note of any factors that might come into play.

Here at Modena Hair Institute, we do exactly that. When you consult with Dr. Yazdan, he’ll examine every possible detail of your potential donor areas, and make sure you understand every part of the hair restoration procedure.

Scarring is minimal to non-existent with the specialized, precise tools that Dr. Yazdan uses for his procedures. Regardless of the donor area selected for the procedure, the healing process is far quicker than it would be after a transplant done at a run-of-the-mill discount clinic.

Learn more about post-op care for the donor area by checking out our recent blog post. Reach out today to learn more about our clinic & what we can do to help restore your hair!

Why you should consider multiple hair transplants (part two)

To read part one of why you should consider multiple hair transplants, click here.
Individuals needing more than 3500 grafts are typically those who have rather severe hair loss spanning across the top of the scalp, crown, and hairline. If you are one of these individuals who requires over 3500 grafts to achieve your hair goals, there are benefits to considering breaking the hair transplant into multiple procedures. The reason has to do with safety and healing. Transplanting more than 3500 grafts in one procedure can have extremely damaging effects that may be counter-productive to your goals.
Hair transplants exceeding 4000 grafts are categorized as ‘mega-sessions.’ Mega-sessions have many unfortunate side effects such as trauma-induced hair loss, increased risk of visibly unappealing scarring, graft failure, and the list goes on. The research has shown that if a patient is in need of a high number of grafts, the best practice is to break the hair transplant into two or more procedures in order to allow the scalp to conduct its normal healing processes and to not overload or ‘shock’ the scalp.
So, how is a hair transplant ‘split’ into multiple procedures? The ideal way of splitting the hair transplant is to focus on one or two areas that the patient wishes to treat per procedure. In other words, the first procedure could be for the hairline and top of scalp, while the second addresses the crown. This allows the patient to maintain a nice, even, symmetrical look on the scalp as the hair grows in.
How long do I have to wait in between multiple hair transplants? The hair transplant healing process typically takes about a year. This is the minimum recommended time to wait before conducting another hair transplant procedure. This year will allow the scalp to fully heal and be in the best condition for the next procedure.
Something to keep in mind when getting quotes is that some doctor’s quote a very high number such as 5000-6000 grafts needed for the patient and to be transplanted during the procedure when not only does the patient not need that many grafts, but in fact they are not actually transplanting that many during your procedure. This is a tactic some doctors use to drive the price of hair transplantation up and make the patient believe they are getting more for their money. This is an extremely dishonest and unfortunate way of practicing. Be cautious of this when getting quotes. We always recommend our patients ‘shop’ around and get multiple quotes, not to try and get the ‘best deal,’ but to ensure they are getting a proper evaluation.
If you’d like to find out more about hair transplantation and get a quote for a graft count as well as a price estimate, give us a call today.