My Crown Isn't Improving. How Bad Is It And What Should I Do?

[ToLGuy]

Hi guys. I'm gonna try to be brief with my story.

I've been balding since 4 years now. I've been 3.5years on finasteride and Minoxidil. Although I got almost no regrowth, I think they have helped me to slow down my hairloss. I'm not sure whether I've maintained or not. The thing is, I wanted to improve my crown, but at this moment it's still horrible. 8 months ago I added microneedling with a dermapen (weekly sessions, 2mm) thinking it could give a boost to my crown, but apparently it didn't do anything. I am starting to consider a transplant.

Below you'll find 2 pics of my shitty crown, they are 6 months apart, one before and one after 6 months of microneedling (with continued use of finasteride and minoxidil). Note that for taking those pics, I used harsh natural light and I styled my hair the worst way possible so my crown bald spot is exposed.

Based upon those pics, I want to make you guys three specific questions:

1) How bad is it?
2) Is there any trend noticeable between the pics? Am I slowly getting worse or getting better?
3) Given the above questions, what else should I do to solve my crown bald spot? Is a crown transplant worth it? Should I go that way, or is a crown transplant very risky because of shock loss (unlike hairline ones)?

 

[@GeraltOfRivia]

Hi guys. I'm gonna try to be brief with my story.

I've been balding since 4 years now. I've been 3.5years on finasteride and Minoxidil. Although I got almost no regrowth, I think they have helped me to slow down my hairloss. I'm not sure whether I've maintained or not. The thing is, I wanted to improve my crown, but at this moment it's still horrible. 8 months ago I added microneedling with a dermapen (weekly sessions, 2mm) thinking it could give a boost to my crown, but apparently it didn't do anything. I am starting to consider a transplant.

Below you'll find 2 pics of my shitty crown, they are 6 months apart, one before and one after 6 months of microneedling (with continued use of finasteride and minoxidil). Note that for taking those pics, I used harsh natural light and I styled my hair the worst way possible so my crown bald spot is exposed.

Based upon those pics, I want to make you guys three specific questions:

1) How bad is it?
2) Is there any trend noticeable between the pics? Am I slowly getting worse or getting better?
3) Given the above questions, what else should I do to solve my crown bald spot? Is a crown transplant worth it? Should I go that way, or is a crown transplant very risky because of shock loss (unlike hairline ones)?

U already have tried finasteride and minoxidil.Don't know what Else can help.maybe switching to dustasteride and oral minoxidil?

 

[Hairicane]

I think it looks the same. Short of a transplant the only realistic and proven option is dutasteride.

 

[ToLGuy]

I think it looks the same. Short of a transplant the only realistic and proven option is dutasteride.

Thanks, do you think a transplant is worth at my current state?

Also, I've heard from some people that crown transplants are bad idea because of shock loss. Does anyone have further knowledge on that? Can't believe successful transplant are only doable to hairlines.

 

[Hairicane]

Thanks, do you think a transplant is worth at my current state?

Also, I've heard from some people that crown transplants are bad idea because of shock loss. Does anyone have further knowledge on that? Can't believe successful transplant are only doable to hairlines.

At 30 I think I'd start looking into a transplant if that's something you'd consider, do your homework and get one in a few years.

 

[brahmabull117]

At 30 I think I'd start looking into a transplant if that's something you'd consider, do your homework and get one in a few years.

this is a very bad idea. OP don't do it

crown loss is a sign of generally aggressive hairloss in the future. I had a badly diffusing crown (much worse than yours). The problem with a transplant is it makes it look a little better now but then your crown will inevitably dip in the future and you will keep chasing it with more and more transplants

you look totally fine now - hardly anybody notices or cares. Once you get to 40-50, just shave your head, get in good shape and nobody will notice or care

 

[Hairicane]

this is a very bad idea. OP don't do it

crown loss is a sign of generally aggressive hairloss in the future. I had a badly diffusing crown (much worse than yours). The problem with a transplant is it makes it look a little better now but then your crown will inevitably dip in the future and you will keep chasing it with more and more transplants

you look totally fine now - hardly anybody notices or cares. Once you get to 40-50, just shave your head, get in good shape and nobody will notice or care

It was his idea, not mine. I recommended he do his homework *if* a transplant is something he wanted.

 

[HLV]

this is a very bad idea. OP don't do it

crown loss is a sign of generally aggressive hairloss in the future. I had a badly diffusing crown (much worse than yours). The problem with a transplant is it makes it look a little better now but then your crown will inevitably dip in the future and you will keep chasing it with more and more transplants

you look totally fine now - hardly anybody notices or cares. Once you get to 40-50, just shave your head, get in good shape and nobody will notice or care

First I’ve heard of this.

HLV

 

[9982]

Hi guys. I'm gonna try to be brief with my story.

I've been balding since 4 years now. I've been 3.5years on finasteride and Minoxidil. Although I got almost no regrowth, I think they have helped me to slow down my hairloss. I'm not sure whether I've maintained or not. The thing is, I wanted to improve my crown, but at this moment it's still horrible. 8 months ago I added microneedling with a dermapen (weekly sessions, 2mm) thinking it could give a boost to my crown, but apparently it didn't do anything. I am starting to consider a transplant.

Below you'll find 2 pics of my shitty crown, they are 6 months apart, one before and one after 6 months of microneedling (with continued use of finasteride and minoxidil). Note that for taking those pics, I used harsh natural light and I styled my hair the worst way possible so my crown bald spot is exposed.

Based upon those pics, I want to make you guys three specific questions:

1) How bad is it?
2) Is there any trend noticeable between the pics? Am I slowly getting worse or getting better?
3) Given the above questions, what else should I do to solve my crown bald spot? Is a crown transplant worth it? Should I go that way, or is a crown transplant very risky because of shock loss (unlike hairline ones)?

Use toppik

 

[ToLGuy]

this is a very bad idea. OP don't do it

crown loss is a sign of generally aggressive hairloss in the future. I had a badly diffusing crown (much worse than yours). The problem with a transplant is it makes it look a little better now but then your crown will inevitably dip in the future and you will keep chasing it with more and more transplants

you look totally fine now - hardly anybody notices or cares. Once you get to 40-50, just shave your head, get in good shape and nobody will notice or care

Thanks to the both of you for the advice.
I have curiosity about your claim of crown thinning though. By sheer observation, I thought it wasn't that way, given how I've seen some old dudes with seemingly intact hairlines and are bald at the back. My father also started balding at the crown and the process was relatively slow and he still have hair in the front.
Is there any article you can suggest me to read regarding crown thinning and balding aggressiveness?

Also, do you see any worsening between the 6 month apart pics? Am I really getting worse?