Is it ok not to use finasteride after hair transplant ?

i am 27 days post FUE operation. I am taking Priorin vitamins for 6 months as my doctor prescribed. He also recommends to take Finasteride tablets but i read some bad side effects like sexual hormone levels. i used minoxidil before and it didnt help at all. CAN I ONLY USE THE VITAMIN PILLS WITHOUT ANYTHING ELSE OR IS IT BETTER TO USE THE PILLS ?

Doctor Answers 13

After Hair Transplant Should One Continue Treatment with Propecia?

If you are already on finasteride (Propecia) to prevent hair loss, you should continue using it after your hair transplant. While you do not need finasteride for the hair transplant to work, or for the transplanted hair to continue to grow, finasteride can decrease further hair loss in the areas susceptible to genetic balding.

New York Dermatologic Surgeon
4.2 out of 5 stars 5 reviews

Finasteride is not necessary after a hair transplant

Thank you for your question. Finasteride, also known as Proscar or Propecia, is an oral medication that stops hair loss in men and women. However, once stopped, hair loss will continue. Side effects for Finasteride include a higher chance of aggressive prostate cancer, erectile dysfunction, and loss of libido. It is not necessary after a hair transplant, but it is a good idea to ask your doctor why he prescribed it.

Cory Torgerson, MD, PhD, FRCSC
Toronto Facial Plastic Surgeon
4.8 out of 5 stars 148 reviews

Is Finasteride or Propecia a Requirement after Hair Transplant Surgery

It certainly is NOT mandatory! However, it is most likely a good idea especially if you have the potential to continue to lose more hair with time
Whereas the transplant will hopefully continue to serve you well, you should pay attention to the whole global appearance of your head which means trying to minimise future loss. There is a limit ho much hair transplantation anyone can have
If you think you will lose more hair, and you have the significant family history to suggest this, then I would definitely recommend you do something in addition to surgery. Finasteride or Propecia is by far the most effective treatment followed by Minoxidil or Regaine and Low Level Laser Therapy. Your doctor should explain to you all the benefits as well as the potential side effects

Bessam Farjo, MBChB
Manchester Hair Restoration Surgeon
5.0 out of 5 stars 1 review

Finasteride after a hair transplant

For young men under 30, the risk of shock loss is higher than for men over 40, so I generally recommend finasteride (Propecia) for these men. In the web reference blow is a post on a patient who did not take Propecia after a hair transplant and had massive shock loss of the existing native hair. This is why I recommend taking Propecia. The other vitamins you suggested will not give you that protective effect. Secual side effectis are 2% of people taking this drug and if you are one of the 2%, then you can stop the medicaiton.

William Rassman, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 27 reviews

Finasteride after hair transplant

Finasteride is a good medication with a very low risk of any side effect.  I always recommend patients to try finasteride and stop if they experience side effects.  Very few patients stop the medication.  It is a good idea to also use daily minoxidil.  You may think it is not helping, but with long term use it will definitely help most patients. You should discuss these issues with your physician as well to come up with a plan that you feel comfortable with.

Amir Yazdan, MD
Irvine Hair Restoration Surgeon
5.0 out of 5 stars 22 reviews

Finasteride after a hair transplant surgery

Finasteride was approved by the FDA and is indicated for the treatment of male pattern hair loss (MPB).  Since 5 mg Finasteride is frequently used in the treatment of prostate diseases as well, extensive clinical studies were performed in order to address the efficiency and the side effects of the drug. As with all drugs, potential side effects exist and this is true with Finasteride as well. However, the side effects associated with Finasteride only affect a small percentage (2-3 %) of the users and these side effects are mostly temporary ones. Given the effectiveness of the drug on both the original and the transplanted hair, the minor risk of potential side effects should not serve as an obstacle for the usage of the drug.


Koray Erdogan, MD
Istanbul Hair Restoration Surgeon
5.0 out of 5 stars 26 reviews

Finasteride use after hair transplantation surgery in Seattle #plasticsurgery

Finasteride use is not required after hair transplant surgery, but its use will continue to slow androgenic hair loss is regions of  the scalp where it has already occurred. We recommend finasteride and minoxidil use for all of our patients post op.

Scott C. Sattler, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 65 reviews


If you want to have permanent solution after the hair transplantation you must use Finasteride. The hair transplant replaces the lost hair but it doesn't protect your existing hair. If you use Finastaride you will prevent loosing your not transplanted hair.

Ali Emre Karadeniz, MD
Turkey Plastic Surgeon
4.7 out of 5 stars 17 reviews

Finasteride (Propecia) after Hair Transplant

Thank you for your question.  I do recommend that patients use Propecia or finasteride after surgery because it has a very low risk for any side effects and will help to prevent future hair loss in the areas that are susceptible to genetic balding.  Many patients begin this prescription prior to a hair transplant procedure and continue its use afterwards.  The use of finasteride is not necessary to the success of a hair transplant procedure, however, finasteride use has the potential to reduce future hair loss.  With that said, the choice of use is completely up to the patient.  I would recommend discussing your concerns and questions regarding the potential side effects of finasteride with your operating doctor.

Stephen T. Greenberg, MD
Woodbury Plastic Surgeon
3.9 out of 5 stars 58 reviews

Is it necessary to take hair loss products after hair transplant?

It is not mandatory, but it is a good option. Since hair loss is progressive, you may still continue to lose your native hair and experience thinning again in the near future.  Hair loss products slow down the progression of hair loss. If you don't want to use any products, then you may need additional hair transplant as your hairloss progresses. 

Michael Meshkin, MD
Newport Beach Hair Restoration Surgeon
4.8 out of 5 stars 27 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.