Here is my case: I am 30 years old, I have been on Propecia for almost 10 years and have a moderate hair loss. I would like to get more density on the crown though. I have tried Rogaine which coupled with Propecia really worked but Rogaine was giving me headaches, so I was forced to stop.

My question: if I get a hair transplantation to get more crown density, the newly implanted hairs will remain on my head while the non-transplanted hairs will keep on vanishing: the result might look poor in 5 years post surgery. What do you think? — S.W.

Thanks for question, S.W. Likely the Propecia has been effective in reducing or stopping your hair loss. If your donor hair is sufficient and it would not put you at risk down the road, a transplant to the crown would be an option. The grafts would be blended into the existing hair to provide a bit of a buffer zone should you continue to lose existing hair around the transplanted hair. If your loss continues, there would be the possibility that another procedure would be required to add hair to the areas exposed around the transplanted area.

For the most part, patients on Propecia usually don’t lose enough hair around the transplants to warrant another surgery in that area. An important factor in the equation is your donor supply and final hair loss pattern. These two variables will ultimately play an important role in determining what is safe to do in your case. If the overall donor supply will meet any potential future demands, grafting in any areas is safe. If the supply may not ultimately meet potential future demand, then we must be careful how we distribute the grafts.

In some cases, a transplant to the frontal zone and mid scalp will provide an excellent cosmetic result, but work for the crown must be avoided when limited donor supply exists. In the end, a careful evaluation of your donor supply and final hairless pattern will determine whether crown work would be a good idea in your case.

You can submit photos for a free hair loss consultation.

— Victor Hasson, MD

Incoming search terms:

• hair transplant after 5 years
• hair transplant 5 years
• hair transplant 5 years later
• hair transplants in 5 years
• hair transplant in 5 years
• hair transplant 5 years on
• hair transplant 5 years after
• 1 year post crown hair transplant
• hair transplant 10 months later hasson
• crownhairtransplant

• Shock Loss Questions Is shock loss bad? I keep reading about it as if it is some dreaded event. What exactly is it, why does it occur, and how is it prevented?— N.A....
• Hair Loss Prevention & Hair Transplants for Younger Patients There is much debate about hair transplants in men under 25 but I think it is an important topic. I have hair loss and I am 24; are there programs...
• When Is the Right Time for Hair Transplant Surgery? I'm a 26 year old male who just recently realized I was thinning on the top of my head. It's only slightly noticeable in the front at the moment, but...
• Pitting, Cowlicks After Hair Transplant I was wondering, what is "pitting" and how does it happen? Second, I had several "cowlicks" on my head before losing my hair. If I were to get a hair...
• Hair Transplants in the Crown / Age I had a question regarding one of the patients in your photo gallery. In number 37, the patient had 1,200 grafts to the crown only. How old was that patient?...

• Best Hair Growth Tips That Work for Women There are several women who think that if one wants long hair, it grows overnight. However this is not the case simply because there is no miracle whatsoever that is...
• Save Time, Money and Space in Over 80 Ways If you're looking for handy gadgets, tools and various items that can save you time, money or space (or all three!) this list of more than 80 top products is...
• What Causes Hair loss after Pregnancy and How Do You avoid it? Hair loss after pregnancy can be a huge problem and unfortunately it is one that is quite common. One in two women are faced with it during or after pregnancy....
• Brooke Astor Case Shows Importance Your Will Preparation The famous wealthy Brooke Astor's death has demonstrated how important your will preparation is.  The last Mrs. Astor was diagnosed with Alzheimer's nine years ago and that was about the...
• The Best Hair Loss Shampoo Products In the current world trend, it is with no doubt saying that hair loss is not only limited to men. This is due to the fact that a majority of...

I had a question regarding one of the patients in your photo gallery. In number 37, the patient had 1,200 grafts to the crown only. How old was that patient? I am experiencing hair loss similar to him (i.e., my hair loss is limited to the crown so far). I am 27 years old and have been on Propecia for 1 year. I also use Rogaine. I think I have maintained over the past year, but would like more density.

I understand everyone is different (with respect to density, laxity, etc.), but generally speaking, would it be reasonable for someone my age to have a hair transplant in the crown? I have read, in the past, that most doctors will not transplant the crown first in men under 30.

By way of background, my father (54) has significant hair loss in the crown, but maintained his hairline. Also, I have an older brother (29) that is experiencing hair loss in the crown only. However, I do have uncles (on both sides) with varying degrees of hair loss in different patterns.

If you think it would be reasonable for someone my age with my family history to have a transplant in the crown, I will likely submit the necessary information for an online consultation. — B.A.

Thanks for your question. Patient number 37 was in his early 30′s at the time of surgery. Whether it is advisable to have surgery in the crown in your cases depends on a few factors, some of which you have touched on:

1. You have sufficient donor reserves should you eventually need transplants to the frontal zone. This on its own would be enough to justify crown work.
2. You are taking Propecia. This would be advisable but it alone would not justify working in the crown.
3. You likely are following in the hair loss pattern of your father and older brother. This would be a plus and if the situation was borderline, it may be enough to make a case for reconstructing the crown.

It is a reasonable assumption in your case that a transplant in the crown would be safe based on your information. In the end, it comes down to the donor area. The better the quality and supply, the more options. If you would like to send photos, submit a hair loss consultation form. Please follow our photo guidelines before submitting the form. The photos and detailed history should provide us enough information to determine if you are a good candidate for crown reconstruction.

— Victor Hasson, MD

Incoming search terms:

• hair transplant crown
• crown hair transplant
• hair transplant on crown
• hair transplant crown photos
• hair transplant crown only
• 1200 grafts to crown
• hair replacement crown
• hair transplants crown
• best doctor to transplant crown
• hairtransplant crown

• Tightness and Numbness After Hair Transplant I had a 500 graft hair transplant about 19 months back in the frontal sides (M area) of my head (in India). My donor area is about 10 cms, right...
• Hair Transplants Effective for My Hair Type? I am located in ---, USA. I was born in India. Is a hair transplant suitable for my hair type? I have been experiencing gradual hair loss since my college...
• Hair Transplant Possible in Patient with Diffuse Alopecia? Good afternoon Dr. Hasson and Dr. Wong, I have a doubts about a hair transplant. I have diffuse alopecia in the upper part of the head. With long hair, I...
• My Hair Is Thinning. What Can I Do? Hi doctor I'm suffering from hair loss for last 1 and a half years...now i am 21 years old my hairline is thinning day by day. My scalp is easily...
• Crown Hair Transplant 5 Years Down the Road. Here is my case: I am 30 years old, I have been on Propecia for almost 10 years and have a moderate hair loss. I would like to get more...

• Effective Remedies for Women’s Hair Loss Hair loss of women is becoming a common and major problem nowadays, and it’s a difficult thing to solve. If you have healthy hair, that is a sign of good...
• Remembering Lt. Joseph Gullickson – Project 2,966Remembering Lt. Joseph Gullickson - Project 2,966 I was lucky enough to be chosen to participate in Project 2,996, and to make it even more special this is my 200th post.  Project 2,996 is a project by...
• Androgenetic Alopecia treatments, when the hormonal imbalances attacks Androgenetic Alopecia is the common hair loss problem that can affect both male and female of all walks of life. It is basically more prevalent in men than with women....
• Menopause causes hair loss?, Yes Hair is indeed very crucial part of our beauty. There is therefore every need for us to worry when we see any signs of hair loss. There are preventable and...
• Diabetes and Hair Loss If you are losing hair in larger than normal quantities and if the loss does not appear to be common pattern hair loss you should be evaluated by a doctor,...