Why Do I Have Hair Loss on the Crown of My Head?

July 29th, 2022

Losing the hair on the top of your head is a common pattern of male balding. If you have noticed a thin spot, maybe you have already started looking for solutions like scalp micropigmentation. There are so many options for men with hair loss, between medication, foams, scalp tattoos, and hair transplants, you could have a hard time knowing what is right for you. At Scalp Micro USA, we will walk you through your options and help you understand how micropigmentation could help you address hair loss on your crown. 

What Is Male Pattern Balding?

Another name for Male Pattern Balding (MPB) is androgenic alopecia. Androgenic means it has to do with male hormones, and alopecia is the scientific term for all kinds of hair loss. People with MPB have a genetic difference that makes them more sensitive to dihydrotestosterone, or DHT. This by-product of testosterone causes your hair follicles to make smaller and thinner hair. It also shortens the growth cycle of your hair, which can cause individual hairs to fall out prematurely. Eventually, the hair follicle will stop producing hair altogether. 

The hair on your temples and in the middle of your scalp is more sensitive to DHT. Most men notice that this is the first place that their hair begins to thin. You will first notice your hair begin to thin, and the texture may change. If left untreated, these thin patches will progress into baldness. Most men have a thin band of hair remaining towards the end stages of male pattern balding, but some men lose all of their hair. 

What Is DHT?

Dihydrotestosterone is a by-product of testosterone that is made in the oil glands of your hair follicles. If doctors can suppress DHT, they can prevent further hair loss. There are currently no proven treatments that reverse hair loss, so targeting DHT suppression has been the goal of research in this area. 

So Why Is My Crown Balding?

If you have male pattern balding, you can thank your parents. Thirty percent of people carry genetics for hair loss. In 2005, researchers discovered a gene that controls hair loss on the X chromosome. That means the genes from your mother’s side may carry a good deal of influence on your hair characteristics. Then three years later in 2008, another hair loss gene was discovered, but you can inherit this one from either parent. Hair loss happens sooner in men, so look to the men in your family tree for signs of male pattern balding. 

How Can I Address My Hair Loss?

Scalp Micropigmentation

Scalp micropigmentation is a newer option for men who like the look of a close shaved head, or want to add some depth to their thinning hair. You might have heard scalp micropigmentation referred to as a scalp tattoo or hair tattoo. This is because the practitioner uses a specialized tool to deposit small amounts of ink into your scalp. It is a common treatment used to replicate the look of natural hair. At Scalp Micro USA, we can walk you through exactly what happens during a treatment and explain possible outcomes. 

Scalp micropigmentation is non-invasive, affordable, and effective. You will meet with one of our trained practitioners to make a treatment plan. Your consultation is free, and once you have made a plan you can schedule your treatment sessions. After your first session, you will notice an immediate improvement in the appearance of your hairline and hair’s fullness. After your second + third session, you will be amazed at the natural look of a close shave where once you only had bare skin. Once you finish your treatment sessions, most people do not need a touch-up for at least four to six years. Scalp micropigmentation is a great option for those that like the look of a close shave.


Right now, there are only three proven and effective medications that can treat hair loss. Two are medications, and the third is hair transplant surgery. Minoxidil, with the brand name Rogaine, is available as an oral or topical treatment. Finasteride, known commonly as Propecia, is another medication. Finasteride has been approved by the FDA since 1997 to treat hair loss. Finasteride works by lowering levels of DHT in your body to prevent further hair loss. 

These are the only FDA-approved medications for hair loss, but they can have some serious side effects. Finasteride specifically can have significant effects on your sexual health. It is also been documented that these side effects can continue after you have stopped taking the medication. 

Hair Transplants

Hair transplants are another solution for hair loss, but also have notable drawbacks. This surgery can be very expensive and is never covered by insurance as it is considered a cosmetic procedure. You will experience scarring after hair transplant surgery. While your scalp will be treated during the procedure, healing from hair transplants may not be comfortable. For people with scars as a result of hair transplant surgery, scalp micropigmentation is the better option to improve the look of your hairline.

Is a Hair Scalp Tattoo Right for Me?

If you are ready to take the next step, reach out to us at Scalp Micro USA. Scalp Micro USA provides top-quality scalp micropigmentation throughout the US. Our artists can help you redefine your hairline with different styles of scalp pigmentation. Visit one of our clinics in New York, Los Angeles, Houston, Austin, Chicago, and South Florida to get started. Our qualified practitioners will help you achieve that close-shaved look with natural and realistic results.

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