» » Will you please stop leaving that small bald spot of less than 30cm2 on
» the
» » crown untouched during the first procedures even when you are covering
» the
» » front top and back. There is no written rule that says you have to do
» » this. There is no real need for it. It’s not funny and it’s not
» » clever.
»
» Dear Marco,
» I think it’s important for men losing their hair that read these hair
» sites to realize the important reasons that hair surgeons almost never do
» include the “crown” (vertex) along with doing the top horizontal area of
» hair loss all in one session. There are three important points I think are
» valuable for you to understand:
» The first one is that, if you are a young male, say, under the age of 30
» or even 35, that small circular area you see presently can over the next
» 10-20 years increase in size logarithamicly to a huge area, leaving
» previous transplant work looking like a splotch of hair with a halo around
» it and no donor hair remaining to fill in the halo. Male pattern baldness
» is progressive throughout our lifetimes.
» Secondly, if a person does in fact require transplanting throughout the
» frontal and midscalp areas, which in itself is a huge area, in order to do
» justice to filling in that area at the first session, to add onto that
» getting enough grafts to also fill in the crown in back is asking for an
» awful lot of donor hair, which means that the donor strip taken will have
» to be very long and very wide, which sets up the very real risk for a
» wide, ugly donor scar that will be hard to hide.
» Third, even if one could get the needed donor hair to do all three zones -
» the frontal, midscalp, and crown regions - I have discovered in my own
» practice that the growth and survival of the FU grafts placed in the crown
» is diminished. I did a study of one particular fellow in whom the growth
» was poor in the vertex after his first two procedures, in which I did in
» fact try to fill in all three areas. I then had him come back for a third
» procedure, in which I only transplanted the crown (vertex) with 1500 FU’s
» and tattooed off a study box to calculate the exact survival, and found
» there was excellent growth. The exact reasons for poor growth some of the
» time when the whole head is tackled is not clear. My own suspicion is that
» it is just asking too much of the blood supply to the scalp, especially in
» the back, where you have the donor scar beneath those grafts and in front
» of it you have the thousands of grafts necessary to do justice to that
» area.
» If a person is old enough to have all three zones filled in and has enough
» donor hair, my preferred method is to do the top (front two zones) at the
» first two sessions and then do the crown separately at a third visit 10
» months or more later.
» Mike Beehner, M.D.
» Saratoga Springs, New York
This may be true with some patients but i have seen plenty of pics from other clinics where they had coverage from front to back and all areas grew. The crown however was less dense than all other areas.