Crown Hair Transplant

hair transplant crown

A crown hair transplant uses the hair taken from the back and the sides of the head and transfers this hair to the crown area. Thinking about having a crown hair transplant? This blog will help you find out more about the procedure and what you need to consider.

What is the crown?

The crown of your hair is also called your “hair whorl”. This is a spiral of hair at the back of your head. You might sometimes see that you have 2 hair whorls in your crown- a so called “double crown”. This is also normal.

Hair thinning in the crown

As part of the process of male pattern baldness, you may notice your hair starting to become thin in your crown. This is because dihydrotestosterone (DHT) targets not only the hairs on the front and top of your head but also your crown.

This is depicted in the Norwood scale for male pattern baldness, (see below).

norwood scale for hair loss
Norwood scale of balding showing the different stages of hair loss

You will notice that the crown can be affected in male pattern baldness. In some men the crown can thin and bald quicker than the front of the head. In others it can thin and become bald over time in keeping with the natural progression of male pattern baldness. For example you may realise you have reached Norwood 3 Vertex in your mid 30s or 40s.

Some cases of male pattern baldness can be rapid, with crown and frontal hair thinning & loss by the age of 25-30. This is of course unfortunate for those who value having hair on their head!

Is crown hair loss different?

Losing hair on your crown can appear different to balding on the front. The underlying process that drives crown and frontal hair balding is the same. However, there are subtle differences that mean they look very different.

Because you look at your/ someone else’s crown from a steep angle- you look down onto the hair vertically. This means you can see more scalp- especially if you have dark hair and light skin. Have a look at the example below:

male hair loss crown

You can see that there are still lots of hairs in this gentleman’s crown but as they have thinned, more scalp is now visible. This has consequences for crown hair loss treatment.

Treating and Preventing Crown Hair Loss

The visible scalp in crown hair thinning means treatment can have be really beneficial. By using treatment like Finasteride, Minoxidil and in some cases PRP injections, you can increase the density of each hair and therefore hide any visible scalp. This means that by treating hair loss you have a secondary bonus of hiding signs of crown hair loss and balding.

Have a look at the case below. You will notice he has thinning and balding in his crown. By taking treatment to promote hair growth and thicken hair he has treated his hair loss and hidden more scalp in his crown. This has reversed his Norwood 3 Vertex/4 to a Norwood 2a/3a.

crown hair transplant before and after
Hair regrowth following 5 months of treatment


What about a crown hair transplant?

Unlike hair transplants to the front of the head, crown hair transplants generally require a lot more hair. This is because of the angle with which you look at the crown. Take the picture above for an example. We are looking directly down onto the gentleman’s crown. Each hair is pointed directly at us and therefore less of the hair shaft is covering the surface of the scalp from our viewpoint. This means more scalp is visible.

For this reason, when we perform hair transplants on the crown we require much greater numbers of hairs. This allows us to cover more area in the crown and make the signs of hair loss less obvious.

Because crown hair transplants require more hairs, your surgeon needs to carefully plan your operation. With higher numbers of grafts, you and your surgeon will need to take into account the following points:

  1. How much hair do you have on the back and the sides of your head
  2. Are your hairs thick or thin?
  3. The approximate number of grafts required to give you good dense coverage
  4. If you need a high number of grafts (e.g. >1500 follicles) then how will your surgeon plan the operation to make sure they all survive?
  5. If it is a lengthy procedure should you and your surgeon consider splitting the operation over 2 sessions?
crown hair transplant before and after
6 months of early growth following a crown hair transplant

Crown hair transplants can also be tricky to take care of once you have finished your operation. Because new grafts have been put into your crown, sleeping at night can be problematic. You might need to sleep at an angle to make sure you protect your grafts in the first 14 days.

As the grafts are at the back of your head you might find you forget that they are there! We have had a few patients bump their heads getting in and out of cars in the first few days after the operation. This is particularly problematic on the day of the operation. As you have had your head numbed, your ability to know where the top of your head is in relation to ceilings, roofs and doors can be impaired.

Going through this journey with your hair transplant surgeon is important. They need to make you aware of all the nuisances that you might encounter in the days following your operation.

Choosing to have a hair transplant

As we have mentioned before, choosing to undergo a hair transplant should be a well thought out decision, (click here to read blog). A crown hair transplant has some extra points you need to consider (as described above).

We encourage you to make sure your hair transplant surgeon is fully registered and licensed, including the clinic they work at. In the UK this includes both:

  • A GMC registration for the Surgeon
  • A CQC licence for the clinic

At The Treatment Rooms London we welcome new patients exploring treatment options for their hair loss. This includes having a crown hair transplant. Feel free to contact us today and book your free initial consultation, (click here).

How Important Is Your Hair To You?

male Hair Loss clinic london

Hair is one of the best ways to express identity. You often cut, colour and style it in ways that will improve your appearance, but on a deeper level you might even change your hair to reflect mood, personality and even career. Suffering from hair loss can therefore be devastating and with up to 50% of both men and women being affected by the age of 50, the issue is a common one.

The start of a hair loss journey is usually a very personal experience. You may notice hairs falling out in the shower or stuck to your comb. Some people start to notice when they are unable to style their hair in the way they used to. Whichever way it happens, starting that hair loss journey can have many ramifications, both professional and personal.

For women it can be incredibly disheartening to start losing your hair. The reasons behind hair loss in females is still very misunderstood and a huge amount of research still needs to be done. For men, the diagnosis can often be male pattern baldness (present in 50% of males > 50 years of age). However, like females there can be other diagnoses. In all cases of hair loss- please visit your doctor or hair loss specialist to get an expert analysis on what is going on.

How important is hair to men?

The importance of hair and hair loss to each individual is very personal. If you don’t mind losing your hair and are completely content then there is no need for you to actively seek treatment.

Although some men may be able to embrace their hair loss, others are often left with a feeling of dread and a lack of control. Being unable to stop or reverse hair loss can instil a feeling of anxiety and depression in anyone. In extreme cases this may establish itself as a body dysmorphic disorder. This is where a person has an obsessive anxiety about their looks. It can result in self-imposed social isolation, especially if they experience humiliation when being compared to peers of a similar age.

In a social context, our brains are wired to make unconscious associations with hair loss and the end of youth. Some men feel that this turning of age is associated with less vitality, desirability and sexual potency. Consequently, this reduction in self-esteem can have a huge impact on being able to form new relationships.

There are some interesting facts and figures that a study has concluded about men who are suffering from hair loss. In a survey of 1000 men, the study showed:

  • 60% of men aged between 25-44 cover up a receding hairline to impress people at work
  • 53% of men aged between 25-44 feel they lost out on a date due to their lack of hair

So, should you care about going bald?

The psychology of hair and hair loss is fascinating. Hair loss has long been associated with attractiveness in the past but attitudes are changing in modern times. With well known celebrities like Dwayne “The Rock” Johnson and Jason Statham sporting the bald look, many men are happy to follow suit.

This is backed up by studies showing that “men with shaved heads are sexier”. There has been research into the perceived confidence, attractiveness and dominance of bald men. All 3 characteristics were perceived to be higher in groups of bald men compared to those who had hair. The 3 characteristics were linked to these men being rated as more attractive.

Interestingly, bald men have also been perceived as not only attractive and dominant but also friendly. This is thought to be the case as male pattern baldness may have evolved over centuries to act as an “appeasement signal and signal benign, non-threatening dominance“.

So, if you are losing your hair and are comfortable with it then there is no need to have treatment. Embrace baldness!

If you are worried about hair loss- what treatments are available?

Your hair loss can occur slowly as part of your natural ageing process. In some individuals it can be accelerated with the balding process being noticeable in their 20s.

Starting treatment will really depend on the “root cause” for your hair loss and the rate of loss too. In most men who suffer from male pattern baldness, starting finasteride is the first treatment option. Minoxidil can also be used as additional therapy.

To read more about Finasteride or Minoxidil click the following links:

However, in order to replenish hair in areas that have now become bald, a hair transplant can be considered.

To find out more about a hair transplant- feel free to navigate the following links:



Hair Transplant Success Story

Best hair transplant london

Another hair transplant success story! Here at The Treatment Rooms London we love sharing our patient’s success stories- especially after they have gone through a hair transplant.

A hair transplant doesn’t give you immediate results e.g. within days. As hairs have to be taken from one part of the scalp and re-implanted into another, the roots can take some time to grow. We tend to advise that the regrowth process takes at least 12- 18 months. So you can imagine our patients therefore have a huge amount of patience!

Read more about hair transplant surgery

The patient

Before Hairline Hair Transplant London

This friendly patient is often in the public eye. He takes part in body building competitions so he wanted his hair to fit his style. He was suffering from an early stage in male pattern baldness; receding in the temples and his frontal hairline.

In order to restore his hair to a hairline he wanted, the surgeons in our clinic agreed that he would benefit from a hair transplant.

However, the key to a successful hair transplant was discussing how the patient wanted to style in his hair in the future. Our surgeons are able to implant hairs to match natural hair direction. This patient wanted to style his hair up, giving his hair fullness at the front. With this in mind, our surgeons had to carefully plan how many hairs would be required to give density and volume for this hair style.

The surgery

Extraction of 637 grafts for implantation into the frontal hairline and temple region. This was carried out using the FUE (follicular unit excision) method in one session.

Before and after hair transplantation

This patient’s result is 7 months post surgery. His hair follicles have clearly grown at a fast rate!

Best hair transplant london

As you can see from the photo, instead of combing his hair to the side, our surgeons have implanted grafts so the patient can now style his hair up and back. This added volume and density has also rejuvenated his frontal hairline. You will notice that his hair appears more healthy and thick.

Treatment for hair loss

Some of you readers may also question what this patient will do if he loses more hair?

At The Treatment Rooms London we always think about the past, present and future of hair loss. The future of anybody’s hair loss is particularly important when it comes to choosing to have a hair transplant. If you don’t manage hair loss for the future you may end up with a hair transplant that looks odd in years to come. This is because you will continue to lose hair behind and around the transplant if you don’t take preventative measures against the ongoing hair loss process.

For this patient, taking medication like finasteride was undesirable. So he is currently on a regimen of Minoxidil which he is using to preserve his hair growth and thickness.

Dr Fernando- Executive Committee Member of BAHRS

Dr Fernando Hair Restoration Surgeon British Association of Hair Restoration Surgery

We are delighted to announce our very own lead hair transplant surgeon, Dr Fernando has been appointed into the Executive Committee for the British Association of Hair Restoration Surgery, (BAHRS).

What is BAHRS?

BAHRS is a non-profit association of professionals with an interest in hair loss, hair restoration including hair transplant surgery, hair research and education. It works to put in place standards for its members when it comes to treating hair loss.

Dr Fernando- Executive Committee for BAHRS

His role in the committee will be Treasurer for BAHRS. This role will be an incredibly important one as he looks to expand the association. He is welcoming new members into the association as a way to further its reputation.

He comments,

It is a privilege to be a hair transplant surgeon and now a committee member for the British Association of Hair Restoration Surgery. I fully support the organisation’s work putting professional and ethical standards in place when it comes to hair restoration surgery. I look forward to being part of BAHRS’ journey over the coming years as it heralds a new era of hair restoration for existing and new surgeons.

Dr Fernando takes huge pride in giving patients the opportunity of restoring their hair. Having now co-founded and established South London’s first hair transplant clinic he looks forward to welcoming more patients. Hair transplant surgery is one treatment alongside many other non-surgical treatments provided by The Treatment Rooms London. Dr Fernando’s aim for each patient is to create a holistic treatment plan to restore hair for the future. This can include a combination of both surgical and non-surgical options for hair loss treatment.

Also, by being part of BAHRS he will further his professional development particularly around novel therapies for hair loss. These will include:

  • Stem cell therapy for hair loss
  • Topical medications to prevent hair loss
  • Hair cloning

Hair Transplants Gone Wrong

skin necrosis after attending unregulated hair transplant clinic

Hair Transplants can go wrong and we are seeing more patients turn up in our clinic to have their’s fixed. This is completely disheartening- find out more and read this blog.

Beware of the Black Market Hair Transplant Clinic

This is a campaign launched by the International Society of Hair Restoration Surgery. It is highlighting the dangers of going to a hair transplant clinic for cheap procedures. There are many problems patients face when they turn up to these types of clinics. We have talked about them extensively in our recent blog- please click on it to find out more:

A Sad Story About A Businessman In India

Sadly, a gentleman in India has passed away after undergoing a hair transplant. We don’t know yet whether the transplant caused his death. He presented to a hospital with a swollen mouth with breathing problems so it is possible he had an allergic reaction to a medication given after his surgery. However, the details about his procedure are very worrying.

He had an astronomical 9000 grafts taken out in one session! We cannot stress how dangerous this is.

At The Treatment Rooms London we can safely extract 2000 grafts in one day. If you require more we will plan your surgery over multiple sessions. This makes sure:

  • Your grafts have the highest chance of survival and growing
  • Reduces the length of the procedure and your fatigue
  • Makes your recovery more comfortable

Taking out 9000 grafts would have probably depleted his donor hair zone with a see-through effect. It is also far too many grafts to be taken out in one session of Follicular Unit Excision. Most of those grafts would likely have not been re-implanted in time for them to survive. The gentleman’s surgery was during the night and lasted 12 hours. This is a long time for the grafts to be potentially of the body. We wonder whether his surgeon could have considered operating over 2-3 sessions. Not only would this have meant a smaller “bite-sized” hair transplant but would have been safer for the patient too.

What Should You Look For In A Hair Transplant Clinic?

In the UK, a hair transplant clinic should fulfil the following criteria:

  • Be CQC registered
  • Have a GMC-licensed Surgeon

To operate legally in the UK, a hair transplant clinic should meet these criteria. If you are looking to undergo the procedure please make sure you check these details. Hair transplants can go wrong if you find yourself in a clinic that is not regulated and have surgeons operating unlawfully in the UK.

Going Abroad

There are black market hair transplant clinics everywhere including the UK. However, there are currently a higher proportion of these clinics in countries like Turkey and India. Patients travelling to these countries for their transplant put themselves at high risk of poor outcomes and life changing complications.

One of the most important aspects of having a hair transplant is being able to contact your surgeon straight away if anything goes wrong. Having an open line of communication is key. Don’t be coerced into going abroad or a black market hair transplant clinic. Take your time to make your decision. Try and choose a clinic you can go back to if you had any problems or questions.

At The Treatment Rooms London we go the extra mile to keep in touch with all our patients after their procedure. We understand undergoing surgery can be daunting. Holding your hand throughout this process is what we do best.

Have You Been Affected By A Poor Hair Transplant?

Every week we are seeing patients come to The Treatment Rooms London asking for help. We understand the sense of guilt and frustration you might be feeling after having a poor transplant. It might be hard to initially reach out but please feel free to contact us. We will see you free of charge and explain to you the different treatment options available to you.

To contact us please click on the link below:

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