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When is It Safe to Have a Hair Transplant After Radiation Treatments?

I am a 37 year old female and received 6 weeks of radiation for a brain tumor. The last treatment was over 6 months ago, and I still have a 3 inch X 4 inch bald spot on the crown of my head covered with only light fuzz, while the rest of the hair has filled in nicely.

Doctor Answers (6)

Hair Transplants Post Radiation Treatments

+1

After the radiation inflammation is gone it may result in scarring alopecia. As long as the course of radiation treatment is complete and a period of at least six months has elapsed, I will consider a biopsy to exclude active inflammation before doing a test procedure as a prelude to a full surgery. If the area is small to begin with, then the actual treatment can be done in lieu of a test.


Redondo Beach Dermatologic Surgeon
5.0 out of 5 stars 16 reviews

Hair Transplant after Radiation Treatments

+1

I always wait at least one year after radiation treatments for the scalp to recover.  I have done several hair transplants in your situation.  The problem is the scalp never returns to normal and the growth of transplanted hair in the radiated area is never quite as successful as a normal scalp.

Jack Fisher, MD
Nashville Plastic Surgeon
5.0 out of 5 stars 3 reviews

Hair Transplants after Radiation Therapy

+1

Because you have "fuzz", normal hair growth may return. If there is no improvement over the next  6 months I would use a flap from the surrounding scalp to treat your hair loss because the results are immediate and normal uniform density is achieved. Hair density is less than normal after hair transplants, it will take 9-12 months to see significant improvement after transplantation, and hair growth will always be compromised in radiated skin.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

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Allow time for hair to regrow

+1

Again, I would wait for at least a year for the hair to regrow! If you have small 'fuzz' hairs already that is very promising that the hair will come in. You may also want to apply some topical minoxidil (Rogaine) to encourage those hairs to come in sooner. Good luck!

Nicole E. Rogers, MD
New Orleans Dermatologist

Hair transplant after brain tumor

+1

I would suggest waiting 12 months from the date of your last treatment with radiation since the hair may still grow in. There is a chance that hair transplants will not work because of the fibrosis from radiation. Although you could try hair transplants, several different types of flaps may be better options. You would still be at a higher risk than the average person undergoing a flap procedure due to the radiation changes.

Kevin Ende, MD
Manhattan Facial Plastic Surgeon
5.0 out of 5 stars 1 review

When to have surgery of the scalp after radiation treatments.

+1

I would wait another 3-6 months, since this hair may still grow. Flap reconstRUction is what I usually due for this since grafts don't seem to do as well as flaps post radiation.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.