The crown of the head, a prominent area located at the top-back part of the scalp, often becomes a cause of concern due to hair loss. Various factors, such as genetics, aging, and hormonal changes, can contribute to thinning or balding in this region. This post aims to provide valuable insights into the crown area and offer practical solutions to address hair loss in this specific spot.
The Location of the Crown on Head
The exact location of the crown remains a subject of debate. The area at the back of the head is not clearly defined, with different individuals using various terms such as “crown” or “vertex” to describe it. Some consider the vertex as the highest point on the head, while others define the crown as the region behind this highest point.
Let’s refer to the crown as the area behind the highest point, where the top of the head transitions from a horizontal plane to a sloping and more vertical plane. In many cases, this region appears flat and spans roughly the size of a palm. However, as evident in advanced stages of balding such as Class VI and VII, the crown can expand significantly. Hence, while boundaries may be unclear when ample hair is present, the crown often becomes the largest bald area on the head when extensive hair loss occurs.
Do you know the different parts of your scalp?
Here is a description of the 4 parts of your scalp:
- Frontal Region: The frontal region is located at the front of your scalp, extending from the hairline to the area where the scalp begins to curve upwards. It is the part of the scalp that is most visible and often framed by the forehead.
- Mid-Scalp Region: The mid-scalp region is the central area of the scalp, located between the frontal region and the vertex transition point or crown. It encompasses the top-middle portion of the head and is where many individuals have their natural parting.
- Vertex Transition Point: The vertex transition point refers to the area on the scalp where the horizontal plane of the mid-scalp region transitions to a sloping, more vertical plane towards the back of the head. It is typically located at the highest point on the head, slightly towards the back.
- Crown: The region situated at the back of the head, starting from the vertex transition point and extending towards the posterior region of the scalp, where a swirling pattern of hair growth regularly occurs.
Crown of Head and The Associated Health Conditions
The crown of the head is an important area associated with various health conditions. Hair loss can lead to thinning or balding in this region due to genetics, hormones, or certain medical conditions. Scalp psoriasis is a chronic skin condition characterized by red, itchy, and scaly patches on the scalp, affecting the crown area. Proper diagnosis and treatment are necessary for managing these conditions.
Additionally, the crown is prone to sunburn, so sunscreen or a hat should be used for protection. Tension headaches can originate from the muscles in this area due to stress, muscle tension, or poor posture. Adequate rest, stress management, and good posture can help relieve tension headaches.
Hair loss patterns in the crown
Clinically, the crown is implicated in various patterns of hair loss, not limited to the typical Norwood or “male” patterns. It is also involved in the Ludwig or “female” forms of pattern baldness, which can present in different degrees. It’s worth noting that women can occasionally experience Norwood-type balding, while men may exhibit Ludwig-type balding. Now, let’s examine the crown’s involvement specifically in Norwood types of balding.
Norwood Class IV through VII all involve crown loss, with increasing severity as the classification advances. However, Classes II and III do not affect the crown. In addition, there are additional subgroups: II Vertex and III Vertex, which share similarities with Classes II and III but exhibit a bald spot specifically in the crown area. The more advanced patterns of IV, V, VI, and VII typically indicate some degree of crown loss.
However, there are also variants denoted by “A” (II-A through V-A), which only impact the front and top of the head, excluding the crown. Lastly, some patients may solely present with crown loss, without any frontal hair loss (referred to as an isolated bald spot).
The Early Signs of Hair Loss on Crown
Hair loss on the crown, also known as vertex hair loss or crown balding, is a common sign of male and female pattern baldness. Here are some early signs and symptoms of hair loss on the crown:
Hair loss at the crown
The crown is the top or back portion of the head. Hair loss in this area often starts with a small bald spot or thinning patch. Over time, the spot may become larger and more noticeable, leading to significant hair loss in the crown area.
Along with hair loss at the crown, many people also experience a receding hairline. This is characterized by the hairline gradually moving backward, exposing more of the forehead. The hairline may create an “M” shape or recede in a straight line.
Another early sign of hair loss on the crown is thinning hair. The hair in the affected area becomes progressively thinner and weaker. It may appear less dense, making the scalp more visible. You may notice that your hair looks flat and lacks volume.
As hair loss progresses on the crown, the part line may become wider than usual. When you part your hair, the scalp becomes increasingly visible due to the thinning or absence of hair in the crown area. This can be especially noticeable in individuals with darker hair.
Common Causes of Balding on Crown
Balding Crown is commonly associated with the hormone dihydrotestosterone (DHT). DHT is responsible for the development of male characteristics, such as a deepening voice and body hair.
However, when DHT binds to androgen receptors in the hair follicles on the scalp, it can lead to shrinkage of these follicles. This results in the production of new hairs that are finer in texture and more prone to shedding. Additionally, DHT can affect the hair growth cycle by reducing the length of the anagen phase (the active growth phase) and prolonging the telogen phase (the resting phase). Consequently, new hairs take progressively longer to grow back until they eventually stop growing altogether.
Interestingly, hair on the back and sides of the scalp is more resistant to the effects of DHT, which is why these areas tend to remain unaffected by balding. Male pattern baldness, including hair loss on the crown, is often hereditary. If either or both of your parents have experienced thinning hair, there is a possibility that you may also be susceptible to it.
Other potential causes
Male pattern hair loss is not the sole factor that can result in a bald spot on the crown. Several other potential causes of crown hair loss, including:
- Traction alopecia: Prolonged stress on the hair follicles, often due to excessive and tight hairstyles or hair treatments.
- Trichotillomania: A compulsive hair-pulling disorder where individuals have an irresistible urge to pull out their own hair.
- Alopecia areata: An autoimmune condition where the immune system mistakenly attacks the hair follicles, leading to patchy hair loss.
- Telogen effluvium: Excessive physical or emotional stress triggers this type of hair loss.
- Over styling: Frequent use of heat styling tools or harsh chemicals can cause damage to the hair, leading to hair thinning and breakage.
- Medical therapy: Certain medications, such as chemotherapy drugs, may have side effects that include hair loss or thinning.
- Nutritional deficiency: Inadequate intake or absorption of essential nutrients, such as iron, can hinder proper hair growth and regrowth.
- Hormonal imbalance: Imbalances in hormones, can disrupt the natural hair growth cycle and contribute to hair loss.
- Illness: Such as scalp infections, autoimmune diseases, or hormonal disorders, can lead to temporary or permanent hair loss.
- Trauma: Physical trauma, such as burns or injuries to the scalp, can cause damage and hair loss.
Given the many potential causes, it is advisable to consult a medical professional who can accurately diagnose the underlying cause of your crown hair loss. They will be able to provide appropriate guidance and treatment based on your specific situation.
Treatments to Thin Hair on the Crown of the Head
Groom your hair with care
Avoid harsh brushing or styling techniques that can weaken the hair and cause breakage. Use a wide-toothed comb or a brush with soft bristles to gently detangle your hair. Avoid pulling or tugging at the hair, especially when it is wet, as it is more prone to damage.
Use quality hair care products
Choose shampoos and conditioners that are gentle and specifically formulated for thinning hair. Look for products that contain ingredients like biotin, keratin, or minoxidil, which can help to promote hair growth and strengthen the hair follicles. Avoid using products with harsh chemicals or sulfates that can further damage the hair.
Find the perfect haircut
Consider getting a haircut that can help disguise your bald spot. Hairstyles with layers or shorter lengths can give the illusion of fuller hair by adding volume and texture. Avoid hairstyles that pull the hair tightly, as they can further weaken the hair and make the bald spot more noticeable.
Regrow your hair with medication
There are various medications available that can help to regrow hair on the crown. Minoxidil is a common topical treatment that can be applied directly to the scalp to stimulate hair growth. Finasteride is an oral medication that helps to block the hormone responsible for hair loss. Consult with a dermatologist or healthcare professional to determine the appropriate medication for your specific condition.
Get a hair transplant surgery
Hair transplant surgery is a more invasive option for treating thinning hair on the crown. During the procedure, hair follicles from donor areas of the scalp are transplanted to the bald spot. This can result in natural hair growth in the affected area. However, it is important to note that hair transplant surgery can be expensive and may require multiple sessions for optimal results.
Wear a toupee
Another quick solution to hide thinning hair on the crown is wearing a toupee or hairpiece. Toupees are available in various styles and colors to match your natural hair, and they can effectively cover the bald spot. Proper maintenance and secure attachment are essential to ensure a natural appearance.
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Taking care of the crown of the head is crucial when dealing with hair loss. By comprehending the causes and available solutions for crown hair loss, you can make informed decisions to effectively address this issue. Lifestyle adjustments, medical treatments, and hair restoration procedures are among the options available to restore confidence and maintain a healthy and full head of hair. Heck-ups with a dermatologist or trichologist can further assist in determining the best approach to tackle crown hair loss and achieve optimal results.
Where is the crown of your hair?
The crown of your hair is located at the top-back part of your scalp.
Is the top of your head called the crown?
Yes, the top of your head is commonly referred to as the crown.
Is a crown a bald spot?
No, a crown is not necessarily a bald spot. A bald spot refers to a localized area of significant hair loss or thinning.
How do you regrow hair on the crown of your head?
Some common approaches include using over-the-counter or prescription medications like minoxidil, undergoing hair transplant procedures, trying laser therapy, or exploring PRP (platelet-rich plasma) treatments.