As the vertex eats up so many grafts, why do Dr.s try to transplant without the swirl and simply part the hair. The direction of the top could be forward and the lower half downward. I believe many men would give up the swirl for more coverage, is this possible?
You are correct. The vertex (crown) ‘eats up’ many grafts. In other words, you need more grafts to cover the vertex than to cover the front to make it look full. So doctors generally do not recommend transplanting the vertex and many men give up the swirl for more coverage. But to some men, the vertex is an important issue and they go ahead with creating the swirl. This is a decision made by the patient AND the doctor. If the hair loss is early, the man’s age is above 28 and the patient will take Propecia (finasteride) for life, then the decision to transplant the swirl is reasonable.