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My doctor said I shouldn’t transplant the crown

I am naturally a Norwood 3-temple recession and minor crown recession as well.

Had a 1200 graft hair transplant last year on my temples, and slightly slowered the hairline. The doc did not put enough grafts in, so I am getting a 2nd HT Nov 20 for an additional 300-500 grafts to fill it in, free of charge (there was sooo much drama surrounding this, see my post history for more info).

My crown was not operated on during my last HT, but since I am already going under the knife, I would really like my crown filled in as well. I’m not sure how to rate my crown loss-I guess a Norwood 2- in that my crown clearly has loss, but it is not unbearable. Sort of like how Norwood 2 on the hairline is noticeable, but a lot of people can still get away with it.

Both my doc and another doc in the office looked at my crown. They both advised against getting grafts on my crown. One of the docs said he never operates on the crown on people under 40 (I am 30) because of potential future loss. They also said I do have significant hair on the crown still (albeit miniaturized) and putting new grafts in could shock loss out these already fragile hairs. Essentially, they are saying that while I clearly have crown loss, it is not bad enough to merit a hair transplant for it.

I was very disappointed these docs advised against operating on the crown. My arguments for getting a crown are, if they do grafts on it and I do have future loss, I am prepared to get a 3rd HT. I am currently taking Dut and using Rogaine on this area, so not sure if I would even have more loss.

The docs recommended SMP as an option for the crown. I actually visited an SMP guy Thursday. It just seems like so much maintenance. The tattoo only lasts 4-6 years, have to put sunscreen on it everyday. Nervous it would look unnatural. So don’t want to do SMP.

Toppik works VERY WELL on the area, but again, it is still a lot of maintenance. And I would rather have the permanent option of a HT. I’m kind of confused as well. I’m sure if I consulted other doctors, or went to Turkey, I could find a reasonable # of doctors who would work on the crown. Not sure why both these docs are advising against it.

My questions are:

-Should I insist my doc operate on my crown?

-Has anyone here had any experience with doctors advising not to get grafts on the crown?

-Would you side with the doctors or me in this situation?

-Any advice on how to deal with crown loss? Toppik works very well, but Id rather have the permanence of a HT.

Transplanting the crown is something that I have been doing for 29 years with no problems. Clearly the issue is skill of the doctor, experience, and proper indications for doing it (never too early if it responds to minoxidil for example). I have had my crown transplanted and it looks great!


2020-02-20 17:47:42My doctor said I shouldn’t transplant the crown

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Can Any of These Supplements Cause Hair Loss?

Dr.
I wanted to know, since I have been taking creatine, animal m stack and muscle milk I have noticed my hair has been falling off, I also take ocuvite, fish oil, and korean ginseng, do any of these supplements contain anything that may make my hair fall faster, I mean im just concerned since I am only 20 years old.

It is a cruel fate of nature for some of us to lose hair at such young age. While I cannot comment on every supplement and their efficacy on hair growth or loss, sometimes the cause of hair loss can be related to increased androgens (example: testosterone) in your body. Drugs like finasteride (Propecia) work by addressing this fact. It is my general opinion that no one source of food or supplements are a cause of hair loss unless it has steroid type of activities (of which there are probably a few natural type of substances out there on the market). If you are losing hair then it is likely you may have a genetic component of hair loss. To be certain, you should have your scalp hair examined by a doctor and if possible have you scalp hair mapped for miniaturization.

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My Doctor Won’t Prescribe Proscar to Cut

Hi,
My Dr gave me a prescription for propecia for my hair loss. He was not willing to write for proscar for me to split. What options do I have? Can I send my script to be rewritten to someone out there who is willing to write for the proscar?

You can always seek another opinion from another doctor. There are those that focus on patient finances and those who do not and tend to be more rigid (a proper approach, of course). Proscar and Propecia are the same medication in different dosages, but it is up to the doctor to prescribe it to you.


2009-01-07 15:31:12My Doctor Won’t Prescribe Proscar to Cut

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Can Divorce Lead To A Broken Heart and Hair Loss?

“People who divorce face a higher risk of acute myocardial infarction (AMI) than those who remain married” said an article published online in Circulation some time ago as shown in a website for the Journal of the American Heart Association. The overall risk of death from a heart attack is eight percent but it is not as simple a statistic as it appears to be.

“Among women, those who were divorced once were one-quarter more likely” to have a heart attack than men who are at a lower risk. The risk rises significantly for men who were divorced multiple times, as high as 77 percent. Men on their second divorce had a 30 percent increase of heart attack. “Once men remarried, that increase disappeared,” said the article.

Married men and women have less heart attacks when compared to divorced pairs. It does seem that marriage may decrease stress and stress may be the important factor in the risk of having a heart attack.


2017-06-01 06:47:39Can Divorce Lead To A Broken Heart and Hair Loss?

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My Girlfriend Has No Body Hair Growth

My girlfriend doesn’t grow any body hair except on top of her head. Is this a condition? What is it called? Thank you

Does she have eyebrows, eyelashes, pubic hair? I need to know these facts before I understand what is going on.


2006-12-19 14:32:53My Girlfriend Has No Body Hair Growth

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Can Finasteride Cause Diabetes?

There is no known relationship with people taking finasteride and the appearance of diabetes. If you developed diabetes while on the drug, I suspect it is related to both your diet and heredity,


2018-08-15 08:50:11Can Finasteride Cause Diabetes?

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My Hair is Already Thin and I Will Soon Have Bariatric Surgery

(female)
I have thin hair and soon will have bariatric surgery. I am worried about hair loss. I will follow my doctor to the letter, however is there something else I can do to minimize hair loss?

It seem like you have a conflict in choosing the lesser of two evils — lose weight or lose hair. I do not know the answer to your dilemma.

Bariatric surgery does not necessarily cause hair loss in everyone that has it done, but it is a possibility. I do not know of anything that can minimize that chance, though.


2014-01-02 11:25:53My Hair is Already Thin and I Will Soon Have Bariatric Surgery

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Can Finasteride Thicken Hair, But Not Grow New Ones?

Hi,

I have read quite a few times individual people have said finasteride thickened their hair up but they did not actually grow new hairs. How can the hair thicken up without new hair growth. Does this mean the hair root expanded and got thicker making the hair on our head appear thicker or fatter?

Thank you.

Propecia (finasteride) generally thickens the miniaturized hairs, as well as grow new ones. For men that see thicker hair but no growth, there is probably some new growth that just isn’t being noticed.

Seeing results could also have to do with the age of the patient and the degree of hair loss they have. In general, the older you are, the less effective the drug will be. If you have early hair loss, the medication helps to reverse miniaturization (thus thickening the hair).

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My Hair Loss Started at 14 Years Old!

I grabbed this from a comment left on another post on BaldingBlog…

I know how you feel I’ve been losing my hair since i was 14 as well, now at 18 I’m almost completely bald. I started using rogain when i was 15 and saw great results within the first 6 months and most of my hairline had grown back but all out sudden it fell and my hairline receded back to where it was previously. Now at 18 I’ve been on propecia for 7 months and have seen no results by itself but hopefully now that I’ve added rogaine the last couple weeks I will see better results.

Anyways I hope you have better luck then me because i know how it feels to lose hair at such a young age which complete destroyed my high school experience. Visit your doctor before its too late.

Rogaine (minoxidil) is not effective a thwarting genetic balding when it is aggressive, particularly in someone as young as 14 years old. Finasteride (Propecia) may have been a better choice when you were 14, though on a counter note, finasteride can also have an impact in growth potential of young men going through puberty. So each and every case is different and the doctor treating the patient needs to exercise good clinical judgement when recommending treatment with risks and benefits in mind.

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Can Hair Reverse Miniaturization During a Life Cycle?

You often talk of shedding and how in theory if miniaturized hairs are shedding after starting medication like Propecia it might be making way for new thicker hair. Is this the only way that reversing miniaturization can occur or can it happen within the same cycle? A reverse “exclamation point hair” I guess. Thin at the end and thick at the root.

Considering that most people have a hair cycle of 3 years and we see changes in miniaturization with medications in months, the answer is that changes do occur within cycles. I have the means to measure hair shaft thickness and maybe on a patient with an 8 month reversal of miniaturized hairs, I will measure the two ends of a single hair shaft.