Hair loss after hair transplant 6 months ago, continue to lose 80-100 hairs a day, advice? (Photos)

Question

Hello, I had a hair transplant six months ago to restore some of my receded hairline. The recession happened five years ago a bit and it stopped. I had no hair loss prior to the hair transplant. However, one month into the hair transplant I started losing crazy amounts of native hair in untouched areas. I still continue to lose 80-100 hairs a day. I've been on Finasteride for over 1 year now. I have attached trichoscopy photos of my scalp from untouched areas.

Anna Chacon, MD, FAAD · Answer

It's understandable to be concerned about continued hair shedding, especially in areas that were not transplanted.

Here are some considerations and potential steps you can take:

Post-Surgical Shedding: It is common to experience increased shedding of native hair after a hair transplant due to shock loss. This can occur as a temporary reaction to the surgery and usually stabilizes over time.

Telogen Effluvium: This condition can be triggered by stress, surgery, or changes in medications and typically results in temporary hair loss. It usually resolves within a few months as hair cycles normalize.

Continue Finasteride: Since you have been on Finasteride for over a year, it is important to continue the medication as it can help stabilize hair loss and promote regrowth over time.

Minoxidil: Consider discussing with your dermatologist the addition of topical Minoxidil, which can help stimulate hair growth and reduce shedding.

Nutritional Assessment: Ensure that you are maintaining a balanced diet rich in vitamins and minerals that support hair health, such as iron, zinc, vitamin D, and biotin.

Follow-Up with Your Surgeon: It is important to have a follow-up consultation with your hair transplant surgeon or a dermatologist specializing in hair disorders to evaluate your scalp, review the trichoscopy photos, and make tailored recommendations.

Blood Tests: Consider having blood work done to rule out underlying conditions such as thyroid dysfunction or nutritional deficiencies that could contribute to hair loss.

Addressing hair loss can be a gradual process, and it’s crucial to remain patient and consistent with treatment. I hope these suggestions are helpful, and I wish you the best in finding a solution that works for you.

Marco Barusco, MD · Answer

Hello,

It’s not uncommon to experience temporary shedding of native hair after a hair transplant, known as shock loss. This can occur due to the trauma of the procedure or changes in the scalp's environment. While shock loss often resolves within a few months, persistent shedding beyond six months may indicate another underlying issue, such as telogen effluvium triggered by stress or surgical recovery.

Since you’re already on finasteride, which helps stabilize genetic hair loss, I recommend consulting your surgeon to evaluate your scalp health and rule out other contributing factors. Adjustments to your treatment plan may be necessary to address ongoing shedding.

Best regards,
Dr. Marco Barusco

Hair loss after hair transplant 6 months ago, continue to lose 80-100 hairs a day, advice? (Photos)

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