This Patient Is 32. Here’s Why I’d Say No to Crown Grafts
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Dr. Ken Anderson explains a limit he sets in his own practice: he does not transplant into the crown before age 35. The reason is lifetime graft supply. Every patient has a finite number of follicles that can be moved, and spending them early in an area that is still thinning rather than bald is rarely the right call. For this 32 year old patient, the better path is non-surgical: topical medication, a laser cap, and regenerative medicine treatment to encourage the crown to thicken and regrow on its own. The practice has reversed this level of loss many times. Also worth noting for anyone submitting consultation photos, these images are a great example of what to send. Well lit, clean background, no bright window behind the head, so the scalp is clearly visible.
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So now, in the back here, he’s got a an area. I think there may be room for grafts, although he is only 32 years old. My personal ethical limit for transplanting into this area, which is known as the crown, is 35 years of age. And that’s because primarily the limited number of follicles that can be transplanted over a lifetime, what I would encourage Nick to do is use the non-surgical methods, topical medication, laser cap, regenerative medicine treatment to encourage the crown to regrow its own hair and thicken up on its own. And we’ve had a lot of success here at the practice in reversing this level of hair loss, because it’s not bald, right? These are great examples, by the way. If you want to send in pictures, you can see they’re well-lit, there’s not a lot going on in the background. There’s not a big bright window behind this gentleman’s forehead, and we can see what’s going on very clearly.
