After hair transplant, is it true the transplanted hairs are not prone to dht?

Question

I am getting trt testosterone replacement therapy so just want to know if the new hairs are prone to dht if this will slow down or stunt growth

Tim Neavin, MD · Answer

The follicles that are transplanted will retain the properties of the donor site.  Thus, they will not die from DHT. However, understand testosterone therapy can kill more follicles that are DHT prone. Other common questions are answered in the attached video.

Jae Pak, MD · Answer

Transplanted hairs from a good donor area are not prone to DHT effects of androgenic alopecia.  This is why hair transplant surgery for men works and is considered to last as long as the hairs from their donor area.

E. Ronald Finger, MD · Answer

DHT is dihydrotestosterone. This and genetics are generally the causes of onset of male pattern baldness. Hair follicles that are not affected by DHT in many males are those in the back and sides of the scalp. If these are the hair follicles used for a hair transplant, they will behave the same regardless of where they are transplanted to. So the short answer is: yes, they are not prone to the effects of DHT and baldness.With that in mind, experience and skill is truly necessary to predict which hair follicles are best for the hair transplant procedure. One must take into account the age of the patient, the extent of his or her baldness, and family history. With that in mind, skill and experience are necessary to assure a natural appearance.If a patient has a very successful hair transplant, he or she may continue losing existing hair in the present area of baldness. I always suggest that a patient use minoxidil 5% foam twice a day and try Propecia as well. The patient should review the various risks of Propecia on the Internet. The most common technique for hair transplantation in my office is  the NeoGraft FUE technique. This has been enormously successful in most cases. The recovery time is minimal and there is no linear scar at the donor site and the back of the scalp.Thank you for your interesting question and best of luck to you.

Rashid M. Rashid, PhD, MD · Answer

In general, occipital and body hairs are more resistant to fallout from the effect of DHT but this varies from patient to patient. .

Ryan Welter, MD · Answer

In male pattern baldness, even those who lose most of their hair, still have a ring of hair in the back of head.  These hairs have been resistant to the process of male pattern balding, and have shown some resistance to DHT.  Bear in mind that male pattern baldness is multifactorial and not just dependent on DHT sensitivity.  Also not all hair loss is male pattern loss.  But in those patients with pattern hair loss, the transplanted hairs which were resistant to the process at the onset, will remain resistant when transplanted.  One thing to consider is that testosterone hormonal therapy can worsen the sensitivity hairs have to DHT leading to more hair loss that would be expected than when no testosterone is taken.  Adding finasteride can help slow the process and you should speak to your doctor about adding this.

Jeff Donovan, MD, PhD · Answer

It's a good question and not as straight forward as it may look initiallyCertainly, the existing hair is prone to the effects of DHTIf you have FUE and hairs are removed from a part of the donor area that is not in the permanent donor zone (ie too high up), then yes it may be prone to effects of DHTSome males have diffuse patterned alopecia (DUPA). They are not good transplant candidates and will have their donor hair further weakened by DHT.All in all, donor hair is usually fairly resistant to DHT's action. But one can not say 100 % resistant.

William Rassman, MD (retired) · Answer

These new hairs come from the back of the scalp and are not prone to genetic balding so that they will not be impacted by your DGT hormones

Michael Meshkin, MD - Account Suspended · Answer

if hair is harvested from the donor zone in the back of the head, to replace the lost hair caused by genetic male patten hair loss,  then it is resistant to DHT hormone. However if it is taken from outside of the donor zone and from body or beard, it could be lost from hormone therapy.

Sara Wasserbauer, MD - Account Suspended · Answer

It is much MUCH less likely the hair will be prone to DHT-caused miniaturization, but not impossible because several of the docs who have been around for 30+ years show these rare cases at our medical meetings.  But this WOULD be really rare.That being said, it is extremely COMMON to see testosterone supplementation accelerate hair loss.  If you are not using finasteride, you should seriously consider it since that might be one thing that might help.  Taking exogenous testosterone even causes male pattern hair loss in females, so the effect is clear.  Use caution.Good luck!

After hair transplant, is it true the transplanted hairs are not prone to dht?

Answers (9)

More Hair Transplant Questions

WE SEND PRETTY
EMAILS

Answers (9)

More Hair Transplant Questions

Transplanted hair not falling off after 5 months! Is this something to be worried about?

Amending the hairline after hair transplant?

How long does my hair need to be to be transplanted?

Hair transplant - medically necessary procedure?

I'm 27 yrs old and still no facial hair. Any suggestions? (photos)

Hair Transplant, 4 months out. Do new hairs poke through the skin after 4 months?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS