I am approaching the 3 months mark post Artas robotic (FUE) hair transplant. Should I see more growth?

Had 2,400 grafts in Oct to crown, temples and forelock. Healing exceptionally well: most grafts did not shed, recipient area redness is gone, donor area was undetectable within 10 days. At 1 month follow-up, surgeon stated I was healing better than anyone he had seen. Had 3 month today and he said the same. Have had acne in the recipient areas. Haven't noticed much in the way of growth yet. The grafts that did not shed grew slightly in the first month, but not since. Should I be concerned?

Doctor Answers 15

You should expect to see continued growth for 12 months after an ARTAS (or any) hair restoration

A hair transplant procedure, whether performed with a linear strip method, or with an FUE procedure, as the ARTAS System performs, places a physiologic shock on the hairs being transplanted.  Think about what the follicles go through: they are removed from the scalp, and their blood supply, then placed into a tissue bath that is cool, around 4 degrees C.  Then the follicles are replaced back into the scalp.  There are several different types of micro-injuries that the follicles endure, one is due to the cooling of the grafts to slow their metabolism while they are outside of the body, and another one occurs when the follicles are replaced back into the scalp, and it's called a "perfusion-reperfusion injury."  This causes many of the transplanted follicles to come out of their growth phase (anagen) and enter the shedding phase (telogen).  The resting phase of hair follicles on the scalp is roughly 3-8 months long.  The hairs that shed out after being transplanted will return slowly, and asynchronously from month 3 to about month 8.  Some even experience growth for fully 12 months.

I tell my patients to pretend that every day from the day of surgery to one year from that day is like a long movie, with each day being a single frame in this movie.   We won't know exactly how the movie ends until the movie ends.  Further, it's different each and every single day as the follicles slowly re-enter the growth phase from month 3 to about month 8.  So, in the next 3-5 months you should expect significant growth.

Atlanta Hair Restoration Surgeon
5.0 out of 5 stars 119 reviews

3 month mark

It generally takes about 12 months for full results.  3 months is just the start of results.  Be patient and you should see your grafts start to grow in the upcoming months.

Amir Yazdan, MD
Irvine Hair Restoration Surgeon
5.0 out of 5 stars 20 reviews

Pimples after a hair transplant

Pimples (you call it Acne) is the result of retained hair shafts in the recipient sites after a hair transplant. These fragments of the hair shafts are usually expelled and shed, so that they do not produce any problems; however, when you notice pustules, this means that your body's immune system are attacking the hair shafts left over from the recipient grafts and mobilize white well which form these pustules. These usually can be treated with warm wet soaks which make them soft and then drain. You can even poke them with a clean sewing needs of the pustules have come to a head. The concerns should be that too many of them appear and keep appearing, or that you develop red areas (lime measles) that spread over the scalp. Either more and more pustules that do not respond to warm wet soaks, or particular these red areas around the graft recipient site, might require antibiotics if it turns out to become a real infection. If the warm wet soaks solve the problem, don't worry, otherwise, visit your surgeon.

William Rassman, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 25 reviews

Growth After Hair Transplant

We usually see about 10% growth at 3 months, 60% at 6 months and 90-100% at 10-12 months. So the 6 month mark should be the first check point. Sometimes we see 0-10% at 6 months and 60-70% at 8-9 months, so not seeing much growth at 6 months doesn't necessarily mean a bad result. However not seeing much growth at 8-9 months is most probably a failure, although we should wait 12 months to make sure.

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

3 months post Artas

You seem to be doing well ander on schedule.  I would get on the breakout on the recipient area,  nectar it can cause scarring and damage to the grafts. 

Omeed Memar, MD, PhD
Chicago Dermatologic Surgeon
4.9 out of 5 stars 31 reviews

Sounds like a good progress

Sounds like you are doing pretty well. However, it is pretty difficult to comment without seeing your before after pics. Please post them if you can . It would be helpful . In my experience in hundreds of ARTAS patients it takes at least 6 months to see real results

It can take a year

It can take 6 to 12 months after surgery to see results.
Most patients think that when the transplanted hairs don't fall out it is going to keep growing as they actually see about 1/8 to 1/4 inch growth in the first week or two.  This is sometimes not growth but just terminal (dead) hairs being pushed out.  The follicle that was transplanted need to generate new hairs behind it.  This takes several months (more than 3).  

Jae Pak, MD
Los Angeles Hair Restoration Surgeon
4.9 out of 5 stars 83 reviews

At 3 months you should start to see a little bit of growth.

The normal progression of transplanted hair follicles is to go into a "dormant" phase, which may include hair shaft shedding or not. Usually, a percentage of the transplanted hairs will first shed, while others will not. This is completely normal but it can generate anxiety, mainly because you may see "gaps" where you know hairs were transplanted. 

You were lucky that you did not experienced shedding of the hairs after the procedure. But it is still normal for them to stop growing for a while, in order to restart after some time. This is due to the need for each hair follicle to establish effective connections to blood and nerve supply in their new location, and this takes time.

You should see a nice progression of growth, density and fullness during the next 4-6 weeks.

Good luck!!

Marco Barusco, MD
Daytona Beach Hair Restoration Surgeon
5.0 out of 5 stars 8 reviews

3 Months After Hair Transplant

3 Months post op is the time that most patients see the beginning of their hair growth.  Many people do not see any growth until month 5-6 so you should not be concerned.  We usually see our patients for early gorwth follow up at month 6 after hair transplant and it does not really change with the method of transplant we have used.

Parsa Mohebi, MD
Beverly Hills Hair Restoration Surgeon
5.0 out of 5 stars 28 reviews

Post op growth expectations

Each hair that is transplanted will go through its own intrinsic cycle of growth.  Usually after three months mark you will see a slight growth and it will continue for up to 18 months after the procedure.  At this point, most of our clients have about 10 percent of growth. We usually have a follow up check in 6 months and then one year mark to evaluate the progress. 

Michael Meshkin, MD
Newport Beach Hair Restoration Surgeon
4.8 out of 5 stars 26 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.