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Bald Spot on Crown: How to Spot it and How to Stop it

Whether you’re getting ready for the day or checking yourself out in a mirror while you’re out and about, discovering a bald spot could be anyone’s worst nightmare.

Hair loss is a very common condition that can affect men and women in their millions every year, and not everyone is likely to experience it in the same way.

For some people, hair loss may start with a receding hairline, and for others, it could be bald spots around the crown or other specific parts of the scalp.

Hair loss shouldn’t be a cause of embarrassment or insecurity as, no matter how severe your baldness is, there are plenty of different treatment options that are available to you.

Below, we’ll take you through everything you need to know about bald spots on the crown. We’ll cover what they look like, how they’re caused, and what you can do to stop them from spreading to other parts of your scalp.

What does a bald spot on the crown look like?

As we mentioned, bald spots can look very different for everyone but, there are four different signs that could indicate a balding crown: hair loss at the crown, hair thinning, widening part and a receding hairline.

Hair loss at the crown

Hair loss around the crown is often the first, and most noticeable, signs of male pattern baldness. 

Over time you may start to see your crown starting to look wider, or more noticeable, as hair loss starts to accelerate.

Hair thinning

Baldness often results in the hair on your head becoming much thinner over time, this can begin at the crown or other parts of your scalp.

Thinning hair will be especially noticeable when you’re trying to style your hair, or when you’re running your fingers through it.

Widening part 

A widening part is when the parting that runs down the centre of your head starts to become wider. It’s caused by the hair thinning out around your part, which exaggerates the appearance of your parting.

If you start to notice this, it could also be an early warning sign that you may see a bald spot on your crown in the near future.

Receding hairline

A receding hairline is when you start to notice the hair at the front of your head starting to creep further and further back. 

A receding hairline, along with balding around the crown, are two of the most common early signs of hair loss. So, if you’re noticing a receding hairline, you may also notice balding around the crown too.

What are the causes of bald spots on the crown?

Bald spots can develop for several different reasons but, if your bald spots are occurring particularly around your hairline or crown, it’s probably a sign of male pattern baldness.

Male pattern baldness is a very common condition that is thought to affect around 85% of men at some point in their lives [1]. The bald spots that occur from this develop when the hair in certain parts of your scalp begin to shed – either suddenly or over a longer period of time.

Hair loss is predominantly caused by hormonal factors, especially in relation to a specific male hormone known as dihydrotestosterone (DHT) [2]. This is normally down to androgenetic alopecia, which is an extremely common condition.

Although hormones and baldness is a primary cause of hair loss in men, it’s not always the only cause. Things like stress, medical conditions, skin health, and certain hair practices that you follow can all cause your hair to start falling out.

If I have bald spots, will I go completely bald?

If you start to notice bald spots on your scalp, it’s not always a sign that you’ll go completely bald.

For some people, their hair line may recede over time, or they will notice a bald spot around the crown start to get a bit more noticeable than it was before, but it may never continue to the extent where you go completely bald.

However, if a bald spot on your crown is one of the early signs of baldness, it may be impossible to completely stop the bald spot from spreading to other areas of your scalp – especially if you are suffering from male pattern baldness. In these cases, you may ultimately seek a hair transplant if you go completely bald.

Despite bald spots on the crown being something that can be slightly hard to completely eradicate, there are a few things you can do to stop a bald spot spreading and encourage hair growth in the area.

How can you prevent bald spots?

In most cases, a crown bald spot is completely treatable and there is a whole range of different options that you can follow, from over the counter medication to more permanent treatments, like a crown hair transplant

The most important thing is to get to the root of the cause of your balding crown as different causes will require different solutions. To find out the specific cause, we’d recommend speaking to your GP or other healthcare professional about your symptoms.

Depending on the nature and severity of your hair loss, you may be able to use one of the following treatments to treat your bald spots.

1. Use Minoxidil

Minoxidil is a topical medication that you apply to your scalp, or crown bald spot, twice daily. You can most often find it under the brand name Rogaine® but, there are also different off-brand versions that you can also find.

In trials of this treatment, a large majority of test subjects have found Minoxidil to be effective at encouraging hair growth [3]. However, in order for this treatment to work, you will have to be very consistent with your application and be patient as most users only start to notice an improvement in hair growth a few months after using the treatment.

2. Use Finasteride

Another medication that can be taken to treat a crown bald spot is Finasteride. This is an oral medication that must be taken once a day.

Finasteride works by decreasing the amount of dihydrotestosterone (DHT) in the body which could usually shrink the size of hair follicles and be a leading cause of bald spots.

Clinical trials of Finasteride are very positive, with some studies finding that 80% of subjects experienced an improvement with their hair loss when they used the medication [4]. However, because it’s a hormonal treatment, it’s not suitable for women to use.

3. Use Dutasteride

Similar to Finasteride is a drug called Dutasteride, which also blocks the enzyme in a man’s body that turns testosterone into DHT. When taken daily, Dutasteride can help limit the amount of DHT that’s being produced which can stop, or reverse, any hair loss that the hormone might have caused.

Dutasteride and Finasteride are two similar medications that both block the amount of DHT, but some studies have suggested that Dutasteride is more effective because it has a half-life of five weeks which makes it stick around in the body for longer.

Studies found that Dutasteride was able to increase hair count, hair width and hair growth more effectively than Finasteride [5].

4. Be wary of the grooming products/techniques you use

Not only is it important to find good medication and treatments to cure your bald spots, but there are other daily habits that you can form that can help prevent your hair loss getting any worse.

Some styling methods and products can be damaging to the hair, for example using too much heat, or products that dry out the hair. When you use these things too much, it could thin out your hair and make your bald spots appear even more visible.

If you’re worried about your bald spot, you could even talk to your barber or stylist about different haircuts that can hide the appearance of hair loss.

5. Hair transplant

Finally, if your crown bald spot is getting really noticeable, a hair transplant is a permanent solution that you might want to consider.

Hair transplants involve removing hair from areas of your scalp where hair is growing naturally and implanting them into areas where you’re experiencing hair loss. 

This process can completely cover your bald spots with healthy hair follicles, making them look the same as other areas of your scalp where hair is growing normally.

At Wimpole Clinic, we specialise in two of the main types of hair transplant: FUE (Follicular Unit Extraction) transplants and FUT (Follicular Unit Transplantations). Read more about the cost of a crown hair transplant.

Book a hair transplant consultation with the Wimpole Clinic

If you’re thinking about getting a hair transplant to get rid of your crown bald spot, we’d love to take you through the process.

Book a free consultation call with one of our experts today and we can take you through the whole journey and how the procedure might be able to work for you.

Bald Spot on Crown: How to Spot it and How to Stop it, Wimpole Clinic

References:

[1] https://www.americanhairloss.org/men_hair_loss/introduction.html 

[2] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4171668/ 

[3] https://www.jaad.org/article/S0190-9622(03)03693-4/fulltext  

[4] https://www.sciencedirect.com/science/article/pii/S0022202X15529357 

[5] https://pubmed.ncbi.nlm.nih.gov/24411083/ 

The Wimpole Clinic offers FUE Hair, Beard & Eyebrow Transplants & Trichology.
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