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.

Do I need hair loss treatment?

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

Is male baldness attractive?

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!

What treatments are available for hair loss?

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:

References

 

FUE 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 an FUE 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.

FUE Hair Transplant 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 FUE Hair Transplant Surgery

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.

UK Hair Transplants

UK Hair Transplants

UK Hair Transplants– why is the UK one of the best places in the World to have your hair transplant? This blog helps to explain some of the reasons why.

Medical Tourism

Medical tourism is a term used to describe people going abroad to have a medical or surgical treatment. It has always existed and in many ways is a good thing. In some countries some treatments may simply be unavailable. Medical tourism therefore opens doors for patients to go and seek treatment from a Surgeon or Doctor who is practicing in a different country.

Modern Day Medical Tourism

However, with the rise of social media and posting of before and after pictures, medical tourism has showed an ugly side. Some clinics are now able to aggressively advertise treatments attracting people from abroad for low cost treatments. In many cases these treatments are cheap because the clinic is cutting corners in the quality of care. This may include not even having a qualified Doctor or Surgeon carry out the treatment, (1,2). This really does put patients at risk. The worldwide press was shocked to hear about Leah Cambridge who died from going to Turkey to have her cosmetic surgery. The lure of cheap treatment can be enticing but should not trump quality of care.

Medical Tourism and Hair Transplants

For hair transplants, clinics offering cheap hair transplants often combine the treatment with the following advertisements:

In the UK, hair transplant clinics are bound by the Advertising Standards Authority. The ASA puts a framework in place whereby clinics cannot advertise false claims or incentivise patients to undergo a medical treatment- including having a hair transplant. This means patients are given the time to reflect on whether a UK hair transplant clinic is suited to them. It also gives patients a chance to objectively assess a hair transplant clinic and surgeon on their expertise and experience in performing the surgery. There are no “add-ons” like those listed above to cloud a patient’s judgement.

Ultimately, a patient should judge a hair transplant clinic and surgeon on the following baseline criteria:

  • The licensing and regulation of the clinic and surgeon
  • Trust in the surgeon and their experience around managing hair loss not just hair transplantation

UK Hair Transplant Clinics

There are many UK hair transplant clinics like The Treatment Rooms London. These clinics, like ours, should be:

  1. Registered with the Care Quality Commission (CQC)
  2. Only employ licensed Doctors and Surgeons who are registered with the General Medical Council (GMC)

cqc thread liftThere are over 100 UK hair transplant clinics and some may not fulfil the two stipulations above. It is always important to double check the clinic. Feel free to go onto both the CQC and GMC websites to search for the clinic.

  1. CQC
  2. GMC

The Treatment Rooms, London is listed HERE on the CQC’s website.

The UK healthcare system has always put patients at the centre of care quality. The country has frameworks and legislation in place to ensure that safe and quality care is provided in any clinic. This means that as a patient you can expect your clinic and its surgeons to act professionally and provide objective advice to your concerns.

UK hair transplant clinics are considered the elite for a reason. They have been set up under a British medical system geared to ensure safe and quality care for patients. Doctors and Surgeons often lead their patient’s care, providing direct one to one care. This will ultimately benefit a patient in the following ways:

  • The patient can ask questions about his or her procedure at any time directly to the person in charge of their care
  • The Doctor or Surgeon can check the quality of grafts- making sure everything is being done to ensure the patient’s best outcome
  • Better aftercare management, as the Doctor or Surgeon have been directly present during the transplant- noting any difficulties or problems that may have occurred

Choosing a UK Hair Transplant Clinic

If you live in the UK, choosing a UK hair transplant clinic is an easier decision. As you may know already, hair transplant surgery is a long day and being able to go back home to rest afterwards is important.

Secondly, as a transplant involves surgery, there can be side effects and complications. You will want to see or touch base with your Surgeon at your convenience. Not only will this mean your mind is put at ease but also any treatment that is needed can be started immediately. This is obviously very difficult if you have had your transplant abroad.

The Treatment Rooms London, A UK Hair Transplant Clinic

The Treatment Rooms London is South London’s First Hair Transplant Clinic. We take pride in seeing our patients one to one. We cut no corners when developing holistic, personalised hair treatment plans. These plans should always take into account your current and predicted hair loss.

Without factoring in how you will continue to lose hair, a definitive treatment like a hair transplant can be futile. Hair transplant clinics abroad may advertise a one-stop-shop for all hair transplants. However, you need careful planning before undergoing the procedure. We have seen too many gentleman coming from abroad having had a bad hair transplant. Their experiences can be frightening with poor surgical technique, over-harvesting of hair and lack of hair loss planning for the future. What if you continue to lose hair behind your hair transplant? It will ultimately render your hair transplant useless and you may find yourself back to square one.

If you needed more advice about your hair loss or about hair transplants in general our Doctors and Surgeons would love to see you. Book yourself a free consultation at The Treatment Rooms London by clicking HERE.

Read more

 

References:

  1. https://abc13.com/health/arrested-medical-assistants-botox-not-fda-approved-police/5126525/
  2. https://abc7chicago.com/health/medical-assistant-gave-patients-illegal-botox-injections-police/5125331/
  3. https://www.itv.com/news/central/2019-02-12/lip-filler-disaster-prompts-parliament-debate-cosmetic-surgery-botox/
  4. https://www.bbc.co.uk/news/health-45731191
  5. https://www.bbc.co.uk/news/uk-england-45367980
  6. https://www.treatmentroomslondon.com/5-considerations-before-having-a-hair-transplant/
  7. https://www.treatmentroomslondon.com/are-hair-transplants-dangerous/
  8. https://www.webmd.com/skin-problems-and-treatments/hair-loss/what-look-surgeon#1
  9. https://www.bahrs.co.uk/

Hair Transplant Side Effects

hair transplant side effects

What are the main side effects after a hair transplant? This is a common question asked by our patients visiting The Treatment Rooms London. This blog will aim to inform you about the main side effects you need to be aware of such as:

  1. Pain in the scalp donor and recipient area
  2. Swelling around your hair transplant, forehead and eyes
  3. Itching
  4. Bleeding at the donor or recipient site
  5. Crusting of the implanted grafts or at the donor site
  6. Inflammation or infection of the hair grafts
  7. Temporary loss of hair (shock loss)

Hair Transplantation

Before undergoing a hair transplant you will need to meet with your surgeon beforehand. In these meetings you should address all your concerns including the process of the surgery, what to expect afterwards, side effects to look out for and how your hair will grow in the future.

The surgery itself involves taking hair at the back and sides of the head and moving them to areas you are balding in. These hairs are not affected by the hair loss and thinning process, so when they are moved they remain where they have been implanted.

The surgery sounds simple- so are there any side effects you need to worry about? In short- yes there are.

As hair transplant is surgery you will realise that the process involves pre-operation assessment, anaesthesia, blood pressure control, precise cutting around and accurate implantation of grafts. Your aftercare following surgery is therefore incredibly important. You should expect a detailed breakdown of side effects and how to manage them by your hair transplant surgeon.

The main side effects you will need to be aware of are the following:

  1. Pain
  2. Swelling
  3. Itching
  4. Bleeding
  5. Crusting
  6. Inflammation/ Infection

Pain

Your pain should typically be worst on the evening of your surgery. The pain can be felt in your donor area but also where hairs have just been implanted, (1). It is often described as a graze like pain but shouldn’t be severe.

What is happening? The hair transplant involves many small cuts to your head. After the local anaesthetic has worn off you may start to feel some of these small cuts. By the next day the worst of the feeling should have worn off and you should feel comfortable. In a small number of patients where the transplant has been a large one, you might feel mild pain that persists for 1- 2 weeks.

How can you treat the pain? Any pain you feel can be easily managed using Paracetamol with Ibuprofen (or Nurofen). If you needed something stronger it is worth going back to your hair transplant surgeon to discuss what can be given.

What is your pain isn’t going away? If your pain is persistent following a hair transplant you ought to go back and see your surgeon. The pain might go away with a bit more time but in some cases the pain can be because of another problem. For example, in patients who have been over-harvested with poor implantation of grafts and delayed scalp healing.

Swelling

Swelling can start to develop the next day after a hair transplant (3). This tends to be worse in the forehead and around the eyes. It can last for 7-10 days post-surgery. In most patients this is mild but can in some cases be severe.

What is happening? As you have undergone surgery there will be an element of inflammation from the surgery. This inflammation will cause the skin tissue in the scalp to swell and feel tight. This can sometimes move down the forehead and affect the eyes.

How can you treat swelling? At The Treatment Rooms London, we routinely provide anti-inflammatory medications such as dexamethasone (a steroid). This is a tablet that you take once a day in the morning and it helps to reduce the swelling. In most patients the swelling is kept completely at bay.

What if your swelling isn’t going away? Sometimes in large hair transplant cases your swelling may persist for a bit longer that 7-10 days or might start to affect your eyes. You should at this point make an appointment to see your hair transplant surgeon. They will be able to advise on how to best manage the side effect. Rest assured this side effect should disappear.

Itching

Itching is often the last side effect to develop. It often affects the back and sides of the head where donor was taken. It can also affect the area where grafts have been implanted. Itching may start as early as 4-5 days after the procedure and can last up to a month.

What is happening? Like swelling, itching is secondary to the inflammation and healing processes your scalp is going through after surgery. Itching can also be due to a dry scalp after hair transplantation. In both circumstances the side effect tends to go away with time

How can you treat itching? At The Treatment Rooms London, we have written an extensive blog on this topic. Feel free to read it by clicking HERE. In summary you can use the following treatments:

1. Do not scratch the itch!
2. Salt water spray
3. Taking an anti-histamine
4. Medicated shampoo
5. Steroid scalp solution

Bleeding

Bleeding can occur as a side effect straight after your transplant. The back of the head where your hair follicles have been taken out will bleed on the day of your surgery. This will stop after the procedure and you will develop scabs. The area will heal over the next few days- weeks.

Bleeding in the area where follicles have been implanted is normal on the day of the procedure. You should not be bleeding the day after the procedure. If you are, you may have dislodged or removed an implanted hair follicle.

How can you treat bleeding? If you find you are bleeding the day after the procedure don’t panic. Simply get a clean swab/ cotton bud or cloth and apply gentle pressure to the area. Don’t rub as it might dislodge any follicles. The bleeding should eventually stop. You should notify your surgeon that this has happened as it could mean you have lost a hair follicle.

What if the bleeding isn’t going away? If you bleed despite applying light pressure then you should contact your surgeon who should see you as soon as they can.

Crusting

You may notice some crusts that appear in the donor area-these are scabs and they are normal. Crusts may also appear where your grafts have been implanted- this is also normal.

What is happening? The crusts appear because of dried blood and fluid from your surgery settling around each of your implanted hairs. Crusting can be prevented during your surgery by careful washing and spraying by your surgeon. Crusts may appear after your surgery too.

How can you treat crusting? Firstly- DO NOT pick the crusts off. You risk pulling the grafts out and ruining your hair transplant. We recommend spraying your grafts regularly in the first 5 days after surgery. This helps to prevent hard crusts forming. Once you start washing on the 5th day, soak your crusts for 5-10 minutes and wash the area away. Do not spray the area directly with your shower head but instead let water trickle over and wash the foam away. After 1-2 weeks you should be crust free.

Inflammation or infection of the hair grafts

As with any surgery there is always a risk of infection. Your hair transplant should be carried out in a sterile (clean) surgical room so this risk should be minimal. Infection can start as soon as a day after your surgery. Infection normally causes your scalp to feel hot, painful and itchy. You might even notice small painful yellow bumps in the area you have your new grafts.

What is happening? As the grafts have been implanted into small cuts there is a risk of bacteria settling into these cuts too and causing an infection around the hair (folliculitis).

How can you treat infection? Normally this can be treated easily with an antibiotic tablet. The tablet should start working within 1-2 days and clear your infection in 7 days. There should not be any risk to your grafts if this is done quickly so make sure you visit your surgeon promptly if you notice signs of an infection. Sometimes your surgeon may also recommend a cream to apply on your head. This can also help fight the infection.

Still worried about hair transplantation side effects?

Send us an email or Whatsapp us by clicking the icon to ask for our advice. Our Hair Loss Doctors and Surgeons are happy to help!

Read more:

References:

  1. Nusbaum BP, Techniques to reduce pain associated with hair transplantation: optimizing anaesthesia and analgesia. 2004, Am J Clin Dermatol, 5(1):9-15
  2. Avram M, Rogers N and Watkins S, Side-effects from follicular unit extraction in hair transplantation. 2014, J Cutan Aesthet Surg, 7(3): 177-179
  3. Gholamali A, Sepideh P and Susan E, Hair Transplantation: Preventing Post-operative Oedema. 2010, J Cutan Aesthet Surg, 3(2): 87-89
  4. Loganathan et al, Complications of Hair Restoration Surgery: A Retrospective Analysis, 2014. Int J Trichology, 6(4): 168- 172