Cutis verticis gyrata (CVG) REPAIR

Cutis verticis gyrata (CVG) is a rare skin condition where excessive folding and thickening of the scalp results in a ridged or furrowed appearance. This condition is sometimes described as having the appearance of the surface of the brain. While CVG is primarily a cosmetic concern, it can sometimes be associated with underlying medical conditions.

CVG can be classified into primary and secondary forms. This classification can be confusing to patients but the important thing to keep in mind is whether your CVG is associated with any other medical problems. If there is any doubt, one should always consult with one’s doctor to see if there are any underlying conditions which could be related to your CVG. Patients who come to us typically have “Primary Essential” CVG, which means their CVG has no known cause and is not associated with any underlying conditions. It typically begins in adolescence or early adulthood and is more common in men than in women. Usually, CVG progresses over the course of a few years and then stabilizes. It usually does not improve on its own.

While CVG itself has no effect on your health, it can have a significant impact on self-esteem and quality of life due to its cosmetic appearance. A variety of treatments have been tried for CVG over the years. We have found that Scalp Reduction is by far the best treatment for CVG. We have seen many patients who have wasted thousands of dollars on unsuccessful treatments including localized surgical treatment (subcision) or hyaluronidase injections. Scalp expansion, carried out over the course of 12 weeks or longer may have some merit, but most patients simply cannot undergo this demanding procedure. Therefore, we believe that Scalp Reduction is the most beneficial treatment for most patients with CVG. After Scalp Reduction, our patients see significant improvement in their CVG.

When you come to our clinic for Scalp Reduction to treat your CVG, here is what you can expect. Dr. Cooley will take pictures and assess your level of CVG. You will be given sedatives to relax you. He will then propose a plan uniquely tailored to your situation. The pattern of the incision will be described and explained. Once in the OR, you will be comfortably positioned on the table and given another sedative. Most patients sleep through most of the procedure. We use local anesthetic to numb up the scalp. Incisions will be made on the scalp, and excess skin removed. You will mostly be sleeping but you may be aware of some pulling and tugging. Once the surgery is complete, you will be kept in the clinic for some time to make sure everything is fine. You will return to the hotel to rest up. We will have you return to the clinic the next day for a shampoo and a check. We will make sure everything looks good before your trip home.

After the surgery is completed, you will see about 60-70% of the improvement immediately. The remaining 30-40% improvement will come over the next several weeks and months as the skin continues to relax and smooth out. By 6 months, the results are complete, and a decision can be made about the need for an additional Scalp Reduction or other procedures.

It is important to keep in mind that you are trading CVG for surgical scars. Most patients are happy with the results and don’t mind the scars. If the scars are bothersome, hair can be transplanted into the scar or scalp micropigmentation (SMP) can be done.

PRP therapy can successfully minimize hair loss when used as part of a comprehensive hair restoration treatment plan. The nutrient-rich plasma rejuvenates aging follicles and can reinvigorate thinning areas of the scalp to produce thicker hair. While PRP therapy cannot completely revive bald spots or rebuild hairlines, it can make a marked improvement in hair density and overall coverage, especially for patients with diffused hair loss.

Results following PRP treatments are highly variable and may not be the same among all patients. Some patients can experience results lasting for two years or longer, while others may need to schedule a second procedure to increase results. Unlike other hair restoration clinics, Cooley Hair Center does not require appointments scheduled every three to four months. Dr. Cooley’s approach usually requires only one visit per year, sometimes every two years.

While PRP’s benefits are evident by its efficacy for hair loss patients, it works best as one part of a wide-reaching approach to hair restoration. When used in conjunction with PRP therapy, medicated products like Rogaine and Propecia can effectively manage ongoing hair loss, while hair transplants can restore hair to balding areas of the scalp.

A picture is worth a thousand words, so make sure to visit our Before & After gallery to view real results on real patients. 



Christopher Lee
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Dr Cooley and his staff are absolute professionals. From the very beginning they made every step of the process easy. Having doctor Cooley involved In every step of the Process including the grafting process truly speak to the quality of this business. Thanks so much for the hard work!
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Incredible hospitality by the entire staff. Dr. Cooley and his team really are true masters of their craft. I would highly recommend Cooley Hair Center if your seeking hair restoration as a option. Not to mention all the non surgical options that they provide. Just to throw this out there.. I originally opted for a 1200 graft procedure and come to find out Dr. Cooley ended up implanting an additional 250 grafts at no charge. Thanks again guys!
Les Reece
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My experience with Dr. Cooley and his staff was excellent. I had my first procedure almost two years ago and will be getting a second one very soon. He takes the time to listen to his patients and then makes recommendations based on what he thinks will look best. Everyone on his staff that I have dealt with was very friendly and helpful. If you are considering hair restoration there is no one better to do it.
Joe Tillman
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I've got nearly 15 years of experience in the hair transplant industry and currently I seek out and review hair transplant clinics as an independent patient educator. You can Google my name to see that I'm not a random reviewer. I have a lot lot of experience in this industry and I know what I'm talking about.
Mike Clague
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Cooley by name, cool by nature. Very professional practice. All staff are excellent and focussed 100% on you. All after care is explained deeply. Dr Cooley and Brandi stayed back late to ensure I got an excellent result. I can not fault the experience so far. I highly recommend Dr Cooley to any one considering a HT. Do your research, he is definitely top 5 in the world. Remember this is is your face, you wear it every day. Thank you to all.
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I have seen Dr Cooley for several hair transplant sessions and I can say with my experience from a few other hair transplant Dr's I have done sugery with that they don't even come close to Dr Cooley's work. This Dr is very professional and he takes pride in his work. I would love to do another surgery with him I just don't know if I have enough donor area left. Go see him you will not be disappointed I can say this with certainty!
Dave itisme
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Had a transplant with Dr Cooley in 2016. Best money I ever spent. He changed my life. I cannot recommend him enough.
Sameer Arora
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The most down to earth guy with amazing bedside manners and in depth knowledge of the subject. He is not somebody who will show off his expertise and as they say action speaks louder than words. If you want a genuinely skilled physician whose only goal to take care of patients in the honest possible way, he is the man. Great experience. Thank you Dr Cooley.
jay cee
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My experience with Dr. Cooley and his staff has been simply amazing....bottom-line excellent. I had my procedure done about 4 weeks ago, and he has been responsive every single time I asked questions throughout my initial healing period. During the procedure, Dr Cooley and his staff were unbelievable patient, professional and went above & beyond.

Get your self-confidence back

When you have surgical hair restoration at Cooley Hair Center, you will see not only new hair but renewed self-confidence and higher self-esteem. It is an investment in yourself!

It is an investment in yourself!
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Cooley Hair Center

If you are interested in the latest in hair restoration procedures, then consider PRP treatments from Cooley Hair Center. Dr. Cooley has directly contributed towards the research on this emerging treatment method and is proud to offer it to his hair loss patients. To learn more about PRP therapy or to book an appointment, call us today at 704-542-1601.