Crown Hair Transplant (Vertex Area)

crown hair transplant

Hair loss problems, especially in men, begin to appear from a certain age or due to genetic predisposition, stress, psychological or hormonal effects from a young age. Everyone, as a matter of nature, feels discomfort when the integrity of their hair appearance is disrupted, and seeks cosmetic, surgical or various treatment methods to regain the appearance of their lost hair. With the success gained in research and progress studies of modern times, hair transplant techniques have been continuously renewed and updated with new methods since 1991 and have come to the aid of many people facing regional hair loss problems, and are successfully applied by specialists in the field.

When it comes to hair transplantation, the “will I experience another unsuccessful experience?” concern arises in people who have tried this procedure in the past and have not been able to achieve many positive results, which is a very expected situation. However, as a result of the new techniques, which are now applied in a form that has minimized side effects, we have reached a point where the highest yield is obtained from hair transplant procedures. Therefore, it is necessary to give some information about the techniques and terms applied for people who want to regain hair integrity with hair transplantation, and it is possible to list the subject headings and contents as follows.

What Is The Vertex Area?

crown hair transplant

The question of what the vertex area is can be answered briefly as the area that covers the top point of the head. It is known as the area where hair loss is most common in both women and men and is usually where the first signs of hair loss occur. Due to factors such as genetic predisposition, high stress levels, and hormonal imbalances, the hair roots in the vertex area, which have less blood flow than other areas, may weaken and begin to fall out over time. The hair roots in this area that do not grow back again lead people to hair transplant treatments.

Crown Area Hair Transplant

Crown Hair Transplant (Vertex Area) , translated from Latin to Turkish, means “the top point of anything.” In medical literature, the term vertex refers to the top of our body, the top of the skull. It is one of the most emphasized areas in hair transplant protocols; the reasons for this include that each hair present in the vertex area forms a unique and harmonious turning shape in a different way and can be shaped differently in everyone.

The direction of rotation of hair in this area can be to the right for some people, and to the left for others. In order to create a natural appearance by following this harmony, it is important for the hair transplantation to be performed parallel to the direction of the hair strands in order to achieve a natural outcome and to avoid artificiality in the vertex area and to achieve a look as if no hair transplantation was done at all. In this regard, it is important for the person performing the hair transplantation to pay attention to preserving the rotation line of hair in the vertex area, and to adapt the hair to the skin in a suitable and modern technique that can provide the most natural result.

Crown Area Hair Loss

Hair transplantation in the vertex (crown) area is at the top of the list of problems related to hair loss, especially in men. Although it is not as common in women as it is in men with aging, hair loss complaints can also be observed in the crown area in women. One of the causes of hair loss in the vertex area is due to the release of the male hormone androgen. According to the body’s natural cycle, while only a small amount of the female hormone estrogen is released in men, and a small amount of androgen is released in women, problems with androgen release in women can also lead to hair loss in the vertex area. Because it is more commonly seen in men, this hair loss is commonly referred to as “male pattern baldness”. Medically, this hair loss in the vertex area is called “Androgenetic Alopecia” and can progress in a way that is proportional to genetic predisposition, starting from puberty and increasing towards the 30s and 50s. Despite the problem in the area of hair loss being slowed down to some extent with the developments in the cosmetic and pharmaceutical sectors, it is unfortunately not possible to completely eliminate it. Hair transplantation methods can help to solve the existing problem and remove the problem in the parts where hair loss occurs by creating a natural appearance.

The Measurement Of Vertex (Crown) Hair Loss Using Hamilton Scale

Norwood Hamilton Scale

The classification and measurement of hair loss in the vertex (crown) area was first initiated and introduced by Dr. James Hamilton in 1950, and in 1970 Dr. O’Tar Norwood completed the development of this scale with advanced studies. With this scale, baldness resulting from hair loss can be classified into seven separate stages.

  • In the first stage, a slight backward pull is observed in the hairline around the forehead, there may or may not be hair loss yet.
  • In the second stage, there is a pull back from both sides of the hairline on the forehead.
  • In the third stage, the problem becomes more obvious than the first and second stage and the clear parts begin to become more visible. Hair loss in the vertex (crown) area has turned into a clearness, hair loss in the back of the head begins to occur.
  • In the fourth stage, there is a visible thinning in the vertex area but hair loss has not yet occurred in the side parts.
  • In the fifth stage, there is a significant increase in existing hair loss and the clearness in the vertex area spreads to a wider area.
  • In the sixth stage, the opening from the hairline is almost merging with the vertex, but there are still hair in the middle and upper parts of the forehead. In the seventh stage, all the remaining hair on the forehead is lost and only minimal hair roots are seen in the back of the ears. This is the final stage of hair loss.

Rate of hair loss in the vertex (crown) area

The rate of hair loss in the vertex (crown) area is not very intense until the completion of the first and second stages of hair loss. As the hair loss problem in the person reaches the third stage of hair loss, the clearness in the vertex area clearly starts to increase. The main reason for this is that the hair follicles in the vertex area evolve into smaller and weaker follicles. These new follicles that occur contain less color pigment and are shorter, making them weaker and more prone to hair loss. Therefore, after this stage, the rate of hair loss continues to increase and becomes visibly noticeable in the person.

The hair loss problem that people experience due to their genetic structure, hormonal factors, and stress, can start from the forehead area in some people, and can start from the vertex area in others. In some people, hair loss in the vertex area starts quickly and continues to progress. In some people, the rate of hair loss can fluctuate, starting quickly and then slowing down. This can vary from person to person and be affected by many factors.

Hair Transplantation In The Vertex (Crown) Area

If we talk about hair transplantation in the vertex (crown) area; people who have hair loss problems in the top of their hair, may not pay much attention to the hair loss in the vertex area because they do not see the vertex hair loss as much as the hair loss in the front when they look in the mirror. Hair loss in the vertex area can cause more visual problems when it combines with other areas. In contrast, hair transplantation in the vertex area requires more professionalism and delicacy than in other areas. This is because the blood circulation in the vertex area is less than in other areas, making it difficult to naturally capture the unique angle of hair follicles. Additionally, sometimes there are not enough hair tissue to transfer, which can result in less successful results than hair transplantation in other areas. The professionalism of the center and the team performing the hair transplantation also directly affect the success of the results.

What Is The Success Rate Of “Crown Area” In Hair Transplantation?

The success rate of hair transplantation in the crown area can vary depending on the individual’s genetic predisposition, hormonal status, and other personal characteristics. However, with the advancements in technology in aesthetic surgery, the success rate has reached up to 90-95%. Hair transplantation is considered a highly successful measure in reaching these rates. The crown area, in particular, is considered more difficult and requires more attention compared to other areas of the scalp. Therefore, it is important to measure the parameters and determine the appropriate technique before undergoing hair transplantation in order to accurately predict the success rate.

The Problem of Horse Tail in Hair Transplantation in the Vertex Area

Problem of horse tail in hair transplantation in the vertex area In hair transplantation in the vertex area, the problem of horse tail can occur as an undesired situation. The main reason for encountering this problem is the timing error in the transplantation operations performed on the top areas. Properly determining the right time when performing hair transplantation on the vertex area will prevent the formation of a horse tail-like image only in the top area after the hair transplantation. Determining a correct strategy by taking into account the hair loss rate and other factors of the individual before the transplantation operation is of great importance to avoid such problems.

When getting a hair transplant in the vertex area, what should you pay attention to?

When it comes to hair transplantation in the vertex area, it is important to be patient and to understand that the process takes time to yield the best results. It usually takes about a year for the hair to naturally form in the vertex area. The blood circulation in the scalp in this area is less than in other areas, which can lead to thicker and harder skin and less nourishment for the hair roots, resulting in slower and longer process in this area. Regional baldness should be monitored and check if it continues and if the area is ready for the hair transplantation surgery. Medications and creams recommended by the doctor can be used to support the treatment during the waiting period.

How Do The Results Of Vertex Hair Transplant Vary?

When asked how the results of vertex hair transplant vary, it can be said that the general structure of the hair root is the biggest factor. Since everyone’s hair structure is different, growth rate, thickness, gender, and other details are important factors that affect the results. In today’s conditions, with the level of technology and experience gained in hair transplantation, very efficient results can be achieved even in cases of high hair loss. Compared to past years, technology and experience in the field of hair transplantation are advancing and updating day by day.

How is Vertex Area Hair Transplant Done?

When explaining how vertex area hair transplant is done, it is important to try to create a natural turning style as the direction of each hair strand in the top area has its own unique style. After the procedure, the transplant area should be planned and applied taking into account that it is a less productive area compared to other areas. Working in the vertex area requires a more meticulous procedure and time compared to other areas. As a result of a careful and meticulous work, a successful and natural look is achieved when the waiting period is over.

What Causes Vertex Hair Loss?

When thinking about what causes vertex hair loss, we can begin to explain it by listing genetic factors as the most important cause. Psychological reasons such as excessive stress also have a major effect on hair loss. In addition, disorders in hormone mechanisms and side effects from medication can also cause hair loss, especially in the vertex area which is commonly seen in men. The vertex area, which is also known as the crown area, can be defined as the uppermost point of the head. It is one of the most common areas where hair loss occurs and is usually the first area where the signs of hair loss appear. Genetic predisposition, high stress levels, and hormonal imbalances are some of the reasons why hair roots in the vertex area, which have less blood flow than other areas, may weaken and begin to fall out over time. The hair roots in this area that do not grow back again lead people to hair transplant treatments.