The hairline stays at Stage 2, but there is significant hair loss on the top of the scalp (the vertex or crown area). This pattern shows thinning or balding at the crown while the hairline remains relatively intact. It is a distinct pattern from regular Stage 3 and responds particularly well to medication.
Blocks DHT to stop further crown thinning. Critical to stabilize before any surgical option.
Crown area responds best to minoxidil. Clinical studies show 50-60% improvement in crown density.
Particularly effective when targeting the crown. Use 3-4 times per week for best results.
500-1,500 grafts. Wait until medication stabilizes hair loss (6-12 months) before surgery.
Stage 3 Vertex is a variation where the front hairline stays at Stage 2 (minor recession) but significant thinning or balding occurs at the crown (vertex) of the scalp. This pattern is common and may indicate DHT sensitivity is concentrated at the crown area.
Regular Stage 3 features deep temple recession with an M-shaped hairline. Stage 3 Vertex keeps the front hairline relatively intact but shows significant thinning at the crown. The treatment approach differs — 3V typically responds very well to minoxidil applied to the crown.
Minoxidil (5%) is especially effective for crown thinning, with higher success rates than for temple recession. Finasteride (1mg daily) is equally important to prevent further loss. A crown hair transplant (500-1,500 grafts) is an option but requires stabilization with medication first.
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