03/19/2026
March has been “Crown Reconstruction Month” here at PNW Hair Restoration, and honestly? It’s been a blast. 👑✨
We often talk about the hairline and yes, it’s critical for framing the face; but the crown? The crown is where the artistry of hair restoration really meets the science of physiology.
Let me explain why this area is so unique.
First, we have to honor the whorl (or as most people call it, the “cowlick”). 🌀
This isn’t just random chaos. Everyone has a distinct swirl pattern, clockwise, counterclockwise, single, or even multiple whorls. Our job is to identify that pattern and meticulously follow it. If we don’t place the grafts in the exact direction of that natural spin, the result looks “off,” even if the density is perfect. It’s like trying to draw a perfect circle but starting with a square.
Second, the challenge: the crown is a graft “black hole.” 🕳️
Because the hair exits the scalp at a sharper angle than the front, we lose the “shingling” effect. At the hairline, grafts layer over each other like roof tiles, providing excellent coverage with fewer grafts. In the crown, the hair stands more upright, so we need a higher density of grafts just to achieve the same visual coverage.
A little peek behind the curtain: 👀
You might notice a slight blue tinge on the scalp in the video. That’s not a bruise or a tattoo; it’s a surgical dye we apply to the recipient sites. It helps our team visualize exactly where each tiny incision has been made, ensuring we fill every single one precisely.
The crown is a puzzle, but when you solve it and the hair spins naturally again? That’s the good stuff.
Drop your questions below; I’d love to discuss the tricky spots!
Dr. Andrew Higgins 🩺
Cowlick MensHealth
