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:

References

 

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.

Why Do People Have Hair Transplants?

why do people have hair transplants

Why do people have hair transplants? It is a common question especially asked by those who have just found out about the treatment. This blog helps bridge the gap in understanding.

Firstly- What Are Hair Transplants?

Hair transplant surgery involves taking hair from one part of the body and moving it (transplanting it) to another part.

Commonly the procedure is used to restore hair to bald areas of the head. In people who have undergone a particular type of hair loss, hair transplantation may be the only treatment that can give them hair again.

As you might see in elderly gentleman, hair is often lost on the top and crown but is thick on the back and sides. The hair on the back and sides can be taken out and re-implanted into bald areas of the scalp. These hairs will eventually grow and provide a set of hair you can style again.

The procedure can even be used to transplant hairs to the eyebrows, beard and other areas of the body. The hairs on the back and sides of the scalp are usually permanent hairs so once they are transplanted- the effect should be permanent.

Why Can’t I Take A Tablet Or Spray?

The tablet and spray you may be referring to are called Finasteride (Propecia®) and Minoxidil (Regaine®). Both treatments work really well in people who have thinning hair or are actively losing hair. However, in people who have lost hair and have completely bald areas of the scalp- these hairs will simply NOT grow back. A hair transplant is the only treatment that can restore hair to these areas.

So, Why Do People Have Hair Transplants?

Ultimately, it boils down to the following points:

  1. Are you bothered by your hair loss?
  2. Do you want to stop any further hair loss?
  3. Do you want to restore hair to areas you have lost it?

If you answer to 1 is yes then go onto question 2. If question 2 is yes then great- there are many options for treatment (click HERE). Should you want to restore your hair style then by answering yes to question 3 you may benefit from a hair transplant.

But why do people say yes to wanting hair in areas that are now bald? It is not uncommon for patients visiting The Treatment Rooms London to come in and say, “I would like a hair transplant”. It seems they have already answered yes to all the 3 questions above and already made the mental leap.

“I Would Like A Hair Transplant”

Wanting to have a hair transplant because you desire to have hair where it once was is often sparked from an underlying core reason.  At The Treatment Rooms London we often find our patients share common reasons such as:

  1. Wanting to feel young again- missing out on having hair previously whilst friends or family may still have theirs
  2. Having hair again will help boost perceived masculinity and professionalism

Sometimes, patients even cite that a footballer’s hairstyle has inspired them to address their own hair loss.

Wanting to feel young again

If you have lost your hair you can feel particularly annoyed when everyone else around you still has theirs. We understand the feeling of you don’t understand the “importance of something until you’ve lost it”. Hair loss fits perfectly in this concept.

We already know that balding is association with the perception of being older. Undergoing a hair transplant and restoring hair to the head can therefore reverse this discrimination.

Boosting masculinity and professionalism

Healthy strong hair can really boost your confidence. In a survey conducted by Dove, 8/10 men admitted to a person’s hair being tied to how professional they looked. Together with a suit, briefcase and clean shoes a professional, healthy looking set of hair is now a modern addition.

Gone are the days where baldness was a lifelong sentence. With the advancement of follicular unit excision, men can sport thicker hair-dos that can be styled.

At The Treatment Rooms London we are seeing more and more businessmen and those alike turning to our Surgeons for help in restoring their hair. Not only are we a UK hair transplant clinic we are regulated and licensed to operate. That means, businessmen can trust our clinic with their hair and the eventual cosmetic outcome. Having been established as South London’s first hair transplant clinic we have developed a premier service that complements the modern day working professional. No corners are cut in working to achieve a hair you and we are proud of.

So if you are interested in finding out more and have looked in detail about what a hair transplant is- contact us today. We can guide the next steps on your hair regrowth journey. Simply book your free consultation today.

References

  1. https://ifpnews.com/coverage/a-hair-transplant-could-mean-great-things-for-your-career/
  2. https://www.prnewswire.com/news-releases/men-from-all-50-states-agree—hair-is-an-integral-part-of-guys-identities-300504997.html

Read more

 

Telogen Effluvium- What You Need To Know

female hair

Telogen effluvium is a form of hair loss. It is commonly associated with hair loss in a female but actually the diagnosis can affect males too. In most cases the condition self-resolves. However, it can be concerning to lose so much hair quickly. This blog helps to explain what Telogen Effluvium is and what treatments are available to you.

What does “Telogen Effluvium” mean?

Your hair goes through different stages of growth. Telogen effluvium is caused by a disturbance in the normal hair lifecycle. Hair initially grows from the hair root (anagen phase, lasting 2-6 years), then it stops growing and rests (catagen phase, lasting 2-3 weeks). Eventually this resting hair shortens and falls out (telogen phase, lasting 3 months). In the scalp 85% of your hairs are in the active growth phase (anagen) and about 15% of your hairs are being shed (telogen phase).

Telogen– this is the shedding phase of a hair follicle and it comes after two other phases (Anagen- growth phase, Catagen- end of growth phase)

Effluvium- the active shedding of hair

So in a nutshell, telogen effluvium, means you are suffering from hair loss and you are primarily shedding hair that is at the end of its lifecycle. If more of your hair switches into the telogen phase you will notice more hair being shed than is actually grown (less anagen hairs and more telogen hairs). This imbalance and hair loss is called telogen effluvium.

What does telogen effluvium look like?

Telogen effluvium causes hair loss and thinning all over the scalp and differs from Female Pattern Hair Loss where hair is only lost on the top of the scalp. There are two main types of Telogen Effluvium- Acute Telogen Effluvium and Chronic Telogen Effluvium.

Acute- lasting for a short period of time (up to 6 months)

Chronic– lasting for more than 6 months

Acute Telogen Effluvium

In Acute Telogen Effluvium, you will notice you lose hair all over your head. A particularly sudden stressful event normally triggers acute telogen effluvium and it causes more of your hairs to switch from a growing (anagen) phase to a resting (telogen) phase. These hairs will remain in this phase for 3 months and will eventually shed. The process usually resolves after 6 months and you should recover well.

Many different triggers have been found and you may realise you have experienced the following events that are now triggering your hair loss:

  • Going through a severe illness
  • Giving birth or going through an abortion
  • Psychological stress (e.g. death of a loved one)
  • Drastic changes in diet
  • Large blood loss
  • Surgical operation including hair transplant surgery
  • Traumatic accident (e.g. car crash)
  • Medications like Birth Control Pills

Chronic Telogen Effluvium

Although in most cases acute telogen effluvium self resolves after the initial stress event has passed, in some cases hair loss can persist past 6 months. This is called Chronic Telogen Effluvium- a condition where hair thinning and loss continues after 6 months.

How Do You Know If You Are Suffering From Telogen Effluvium?

If you are worried about a diagnosis of telogen effluvium then you should seek immediate advice from a hair loss specialist. If you wanted to book a consultation with the hair loss doctors at The Treatment Rooms London, then please click (here).

For both diagnoses it is important you are seen in person so you hair loss can be examined in detail. In most cases of acute telogen effluvium you should notice your hair grows back as the hair loss is temporary.

For those who may be suffering from chronic telogen effluvium it is important to exclude any common long term causes of hair thinning and hair loss such as:

  • Iron deficiency
  • Zinc deficiency
  • Thyroid disease
  • Kidney or Liver disease
  • Stomach or pancreatic disease
  • Systemic lupus erythematosus
  • Long term viral infections
  • Medications that can cause hair loss

In some cases of chronic telogen effluvium there are no specific triggers and this is called primary chronic telogen effluvium whereby there is diffuse (all over the scalp) hair loss. Mostly women are affected by telogen effluvium (both acute and chronic) as they go through childbirth and can often have iron deficiency.

Can You Treat Telogen Effluvium?

In most cases of acute telogen effluvium you will notice your hair starts to grow back after 3-6 months. However, you can take the licensed medication, Minoxidil, to help treat your hair loss.

In chronic telogen effluvium, you will first need to exclude other causes of hair loss before undergoing treatment. If you are found to have primary chronic telogen effluvium (no specific trigger) then you may notice you benefit from Minoxidil too.

Unlicensed treatments for Telogen Effluvium include PRP injections to help stimulate hair growth and increase hair thickness.

References