Q: Can the crown be transplanted first instead of frontal area? Why is the crown the last choice? Any reasons behind it?

A: The crown can be transplanted first in patients who have very good donor reserves (i.e., high density and good scalp laxity). Otherwise, after a hair restoration procedure to the crown you may not be left with enough hair to complete the front and top if those areas were to bald.

Cosmetically, the front and top are much more important to restore than the back. A careful examination by a trained hair restoration surgeon can tell how much donor hair there is available for a hair transplant.

Q: I have been to a number of consults and each time I felt the doctor was rushed and had already in his head what he though I wanted even before I had a chance to speak. At another consult, the person was really attentive, but it turned out he wasn’t even the doctor. If [...]

Q: I am 19 years old and seem to be thinning all over, including the sides. My father has all of his hair but my grandfather is totally bald. Should I have a hair transplant now or wait until I am older? A: Most likely you have a type of androgenetic alopecia called Diffuse Unpatterned [...]

Q: What are your thoughts on performing a hair transplant to the crown first? A: It depends upon the person’s age, how bald he is likely to become, and the donor supply. As a general rule, the crown should not be transplanted in a younger person (under 30) as the extent of his balding is [...]

Q: Should you perform a hair transplant on a crown that is just starting to thin? A: A “thin” crown should first be treated with Propecia, as it may thicken the hair to a cosmetically acceptable degree without the need for surgery. If Propecia is ineffective in restoring enough hair, then surgical hair restoration can [...]