Hair Fall After Six Months of Hair Transplant? (photo)

Shock loss or normal post-transplant shedding would both be very unusual six months after surgery.  It is possible to have continued loss of the normal surrounding hairs due to male pattern baldness, and this may be the reason that finasteride, minoxidil, and biotin were recommended.  The photos provided do not show a clear timeline of events, so it is difficult to say, but they do seem to show significant thinning that would warrant further evaluation with your hair restoration specialist.
All the best,

If you are concerned please follow up with your doctor for an exam.
You will have hair loss after surgery for several weeks to months. You may have graft loss after surgery. Not all the grafts will take. You won't really know until you see results in 6 to 12 months.

The procedure of hair transplantation where hair is placed in between existing hair can cause a situation called shock loss. The combination of swelling and trauma can put hairs in an advanced stage called the telogen phase where the follicles are not actively growing. Eventually, they fall out and after several months, they start to re-grow. In addition, genetically susceptible hairs or hairs that are easily affected by dihydrotestosterone (DHT) may also continue to fall out even after a transplant.
In my practice, I use a material called extracellular matrix (ECM) made by ACell, and combine it with platelet-rich plasma (PRP) to treat both male and female pattern hair loss. This material has helped a lot of our patients around the world, particularly young people, not only treat the progression of hair loss, but reverse hair thinning. After the treatment, their hairs that appeared gone because of the effects of DHT thinning them were back thicker and fuller.
A year after the treatment, if our patients want more hair, we offer an option of hair transplantation. During the surgery, we use extracellular matrix for advanced healing in the donor area. I also use this material during the harvesting of the strip and the closure so that the incisions heal beautifully and the hair follicles that are transplanted flourish.
My suggestion for you is to be patient and wait until your hair grows. See how your hair is doing approximately after a year and make your decision at that time. I hope that was helpful and thank you for your question.