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Hair Growth After Hair Transplant

I had a hair transplant of about 2,600 follicular unit extraction (FUE) grafts Nov 08. New hair is now visible in the frontal area, but it is sparse and I'm unhappy with the looks. Though most of the grafts were put in the frontal area of head, I had quite a few in the vertex area too, where so far I haven't seen any growth or changes. I'm now near the 6th month after surgery. What can I expect from this point on? What are my chances of having further improvement? Thanks!

Asked 33 months ago by GoodStudent in Bay Area California
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+2

Hair growth after hair transplant

Here is  a brief EXPECTED TIME COURSE for hair growth after hair transplant immmediately after surgery- short transplanted hair you can feel, this hair doesn't grow at all one month after surgery- the transplanted hair falls out and you can't tell anything was done 3-4 months after surgery- transplanted hair starts to grow as a fine soft hair. 4-12 months after surgery- the transplanted hair gets thicker, courser and fuller.  Early on the FUE... more
John Bitner, MD
Salt Lake City Facial Plastic Surgeon
+1

Hair growth after Hair Transplantation

If you don't see hair growing by 4-5 months after transplant it is unusual to see any more growth.
Jack Fisher, MD
Nashville Plastic Surgeon
+1

Cautious expectations with FUE

What patients don't realize about FUE (follicular unit extraction) is that although there is the promise of 'no scar' in the donor harvest area, they may suffer higher transection rates among the hairs which are harvested. Strip harvesting is still the standard of care for most hair transplant surgeons. It allows the team to surgically dissect the harvested strip of hairs from each other, delicately and using magnification. Few hairs are separated from their follicular bulb,... more
Nicole E. Rogers, MD
New Orleans Dermatologist
+1

Hair Growth after Hair Restoration Surgery

It may take up to a full year to attain the final appearance following hair restoration surgery. Immediately after surgery some or many of the grafts may go into a sleep state, what is called a telogen phase. These hairs are shed and then it may take up to 3-4 months for the new hairs to start growing (so long as there are no complications). By the time these hairs have grown out to a cosmetically important length it may be 12 months after the surgery. If you don't get the density you... more
Andrew Kaufman, MD
Los Angeles Dermatologic Surgeon
+1

Time

Give it to 12 months and then seek someone who can apply appropriate math to achieve the correct density.
Peter Malouf, DO
Dallas Dermatologist
+1

Hair Growth After Hair Transplant

I am very sorry you are unhappy with your result. Without seeing you in person it is very hard for me to have an opinion on whether your results were normal or abnormal. As far as additional growth goes, our patients can expect growth all the way to 12 months in some cases. However, by month 9 all the hairs are typically showing, but have to play catch up with the hair that broke through from month 3 and 4.
Jon E. Mendelsohn, MD
Cincinnati Facial Plastic Surgeon
+1

Hair growth after transplant usually takes 6 months but can take longer

You should see a good bit of growth at 6 months, but may see some more up to 9 months after transplant.  If at that time you think you don't have the proper growth discuss this with your surgeon.  FUE should mimic strip harvesting results as long as your surgeon is adept at this technique. 
Ramtin Kassir, MD
New York Facial Plastic Surgeon
+1

Hair growth

Unfortunately it sounds like you may have a problem. While all patients are different I would expect more growth at this stage than you are describing. With traditional strip graft follicular unit harvesting you should see hair growth easily in 3 to 6 months with a noticable and satisfying response in 9 to 12 months. With FUE grafts there is some expected loss of grafts but the number should still be small and the transplant should have noticable hair growth at 6 months, you may need to... more
Richard Galitz, MD
Miami Facial Plastic Surgeon
+1

Most Hair Growth After a Transplant Occurs Between 6 to 12 Months

Some hairs can grow between 3 to 4 months but 75% of my patients have almost nothing then.  Most hair starts to grow at 6 months with ongoing improvement between 6 to 12 months.  A few of my patients do not see appreciable growth until 9 months.  This is less likely but possible.  Although you must ask your physician, check out my video to understand how hair grows after a hair transplant procedure with me. see video
Samuel Lam, MD
Dallas Facial Plastic Surgeon
+1

Discuss this with your surgeon

Hi there- It is possible, but very unlikely, that you will get further growth at 6 months... I would visit your doctor and discuss your situation. 
Armando Soto, MD
Orlando Plastic Surgeon
+1

Hair Growth Depends on Many Factors

It is possible to see hair growth 6 months or more after a hair transplant. Hair enters a hair cycle and sometimes can skip a cycle. Most patients have a general idea of how things will look at about 6 months so if you are unhappy with your result, I would suggest visiting your surgeon to discuss your concerns.
D.J. Verret, MD
Dallas Facial Plastic Surgeon
+1

Hair growth is still possible

Hair growth is still possible after six months. Hair has a cycle which leads to growth at about 3 months. Hair can skip a cycle, however, and growth is possible after that time. The Fleming-Mayer flap has been around for quite some time and is now obsolete as stated in my upcoming text book chapter on hair transplant in Cummings text book of Otolaryngology (coauthored by Sheldon Kabaker, MD). Hair transplant has now replaced most flap procedures, and you may choose to undergo an additional... more
Kevin Ende, MD
Manhattan Facial Plastic Surgeon
+1

Additional hair growth after transplant possible

It is possible to have additional hair growth, especially if you have had transplants before. Each transplant causes microscopic scarring that can interfere with blood supply and possibly delay growth. Six months is a little long, but you might get more.
Phillip Langsdon, MD
Germantown Facial Plastic Surgeon
+1

Probably very little.

It is possible to have some growth beyond 6 months but very unlikely. Most hair will start to grow after transplantation in 3-4 months. Since you are unhappy with the results of hair transplantation, you might look into the Fleming-Mayer flap which gives much more density at a fraction of the cost of grafts.
Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
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