The Coronet in Crown Hair Loss

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When performing a hair transplant in the crown area, one of the first things that I look at is the coronet. So what is the coronet? It is a area of thinning hair that descends in the mid line at the very bottom of the crown and looks like a small circle, hence the term cornet. It doesn’t happen in everyone. Some people have a perfectly circular crown, but other people would looks like a perfectly circular crown, they actually have an extension that goes further down in the mid line. That is another zone of thinning and balding called the coronet. The reason why this is such an important area to look for is that this area made them expand the number of grafts that I need to harvest to cover this zone. In addition to that, it may compromise what I can usually harvest with a hair transplant. So in these very advanced cases, the strip procedure is still the better preferred way because there’s not enough grafts to cover FUE with FUE. We’ll talk about that and how to manage advanced baldness. But of course, if you have a small crown without a coronet, FUE can be a usable technique to do it. But oftentimes with these larger crowns, there’s a cornet that dips down, which then compromises what I can harvest from the area safely for transplantation. The reason that is I don’t want to get too close to the cornet with my harvest, because I’m worried that coronet expands into the area that I’ve harvested are used to harvest. And then that causes an issue where some of those grafts won’t survive. So, this is a sophisticated comment you probably don’t even understand entirely what a cornet is. But it is a specific, advanced circular patch of hair loss that extends the mid line, the bottom portion that may require A – lot more grafts to transplant and B – compromised what I can harvest. So, those are things that I look for when I’m looking at a crown for design. Of course, there’s a million other things I’m looking at the crown in terms of waves and miniaturization, age of the patient, degree of size of the crown, which way the world pattern goes. It is morally on the vertical scalp, the horizontal scalp, you know, and of course, donor characteristics. There’s a million things I’m looking at advanced thinning in the front versus the back, but the coronet is the focus of this podcast.


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