Five checks
Whorl
Can you see a clear spiral with hair radiating outward?
Width
Does visibility extend beyond the compact center?
Lighting
Does the area remain visible without direct flash?
Hair condition
Are you comparing dry hair with dry hair?
Progression
Has the visible zone widened under the same setup?
What this cannot establish
The checklist cannot identify the cause of crown change. A clinician can examine the scalp, symptoms and history when a cause needs to be determined.
Sources
- A practical guide to the standardization of hair loss photography for clinicians. Clinical and Experimental Dermatology, 2024.
- Hair loss: Who gets and causes. American Academy of Dermatology, 2024.