Hair loss is a natural occurrence , and we are not all equally affected. Some experience its effects early, while others notice it later. The appearance of a bald spot can be a traumatic experience, as it manifests as a significant aesthetic change to one’s hair. Indeed, baldness primarily affects men , due to hormonal effects on the hair follicles, but it can also affect women and hinder personal and professional fulfillment. Whether it’s a source of stress, fear of aging, or the judgment of others, there are solutions to address this issue. Currently, some options deserve serious consideration, as the aesthetic and intellectual benefits can be truly restorative .
Comprendre la perte de cheveux au niveau de la tonsure
At the crown of your head, precisely where baldness gradually sets in, the hair grows in a clockwise spiral. The tonsure corresponds to this apical area, where hair loss starts from the center and spreads out in concentric circles over time. Three patterns of hair loss at the vertex, that is, at the top of the head, can be described:
- A circular or oval shape
- A regular pattern with a sort of upper groove
- A narrower circle of contiguous loss
Given the spiral arrangement of hair, the crown is the most challenging area to restructure . Before considering a hair transplant at the crown, it’s important to keep in mind that the crown requires a large number of grafts for optimal results. To maintain hair in the donor area, it’s best to avoid a hair transplant before the age of 40, allowing for the treatment of other areas later. With this in mind, you may be prescribed medication to prevent hair loss in the crown area. This is because the crown is in a state of continuous hair loss, meaning that further grafts will be necessary to compensate for the resulting baldness. In conclusion, the crown can receive up to two transplant sessions.
La greffe, une technique maîtrisée
Hair restoration through implant transplantation in the crown area must take into account the nature of your hair, the density of your hair bulbs and follicles. A surgical procedure is currently a viable option for addressing hair loss, and it is performed under local anesthesia, making it painless .
It is possible to recreate this distinctive hair spiral at the crown, particularly through the use of 3- to 4-hair grafts implanted in a very specific way. Implanting a graft at the crown requires considerable skill, especially due to the hair’s rotation around the vertex axis. The key is to faithfully recreate the spiral, which must be meticulously reproduced to ensure a seamless and natural result.
A hair transplant can be performed alone, but it is also possible to combine it with transplants from different areas of the scalp. The challenge lies in positioning the implants as naturally as possible at the crown, in order to create an aesthetically pleasing hair density. This is achieved by using multiple hair grafts, placing them along the crown in a continuous, overlapping pattern and varying the angle of implantation to obtain a variable hair density that respects the natural hair growth pattern.
Notions de base à connaître avant d’envisager une greffe du vertex
La zone du vertex nécessite un nombre important de greffons pour un résultat optimal. Il est déconseillé de réaliser une greffe du vertex avant l’âge de 35 ans afin de préserver les cheveux de la zone donneuse pour traiter d’autres zones nécessitant moins de greffons. Un traitement médical sera donc proposé pour ralentir la chute de cheveux au niveau du vertex.
Le vertex est sujet à un recul capillaire continu, ce qui signifie que des séances de greffe supplémentaires pourront être nécessaires ultérieurement pour couvrir toute nouvelle calvitie. En effet, cette zone peut généralement nécessiter deux séances de greffe, selon l’étendue de la calvitie.
Le modèle spirale du vertex
The hair is arranged in a clockwise spiral. The vertex is the most complex area to reconstruct.
Comment placer les greffons de façon artistique au niveau du vertex afin de donner l’illusion d’une densité maximale sur un plan esthétique
To achieve maximum density, it will be necessary to use grafts of 2, 3 and 4 hairs, placing them close together and in a varied way, so as to obtain a different density depending on the different areas of the vertex.