I’m 39 and I’ve a thinning crown, and there is a diffused patch on the vertex, and very thin, soft hair with not much density at the back of my head. I’m already using propecia+minoxidil But i don’t see any improvements.Given this i would like to explore my options of using armpit hair and pubic hair for hairtransplant on to my crown using FUE. At the same time i ‘m concerned about donor transection rate for armipt hair and pubic hair ( how difficult it is to harvest this hair?) and the shock loss at the receiving crown?? Can you please let me know my options. Most of the hair transplants i have seen only show frontal hair line but not crown.
It is good that you started using Propecia for your thinning crown hair. Although you don’t think you had improvement with medications, I think it is best for you to continue the Propecia, for you never know how your crown would look if you were not taking the medication. Propecia should be the first line of treatment of crown hair loss in most patients. The next option is to fill the crown balding area with transplants using permanent hair from back of the head. Using the hair from this area is well established for transplant to your crown area. Body hair, as we’ve discussed on this site many times before, is not a good substitute for scalp hair, because of its long sleep phase and limited length. The amount of under arm hair in available numbers is low and the hair is kinky, much different than head hair. The same is true for pubic hair.
Pubic and armpit hair in particular have different characteristics than scalp hair. They are limited in numbers and should be reserved for the cases that no other alternatives are available and when the hair can be used for ‘bulk’ rather than a frontal presentation. If the scalp donor hair is severely diminished and you opt to get a body hair transplant with the FUE technique, a FOX test must be done to evaluate your candidacy for the FUE procedure and you can anticipate the damage from such a procedure in advance. If the FOX test is positive, it means your hair transection rate is reasonably low. With that said, unless you have no donor hair available from the scalp, please think traditional transplantation.