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

I did my hair transplant six month ago from India. The hair growth till now was good and I see still some new hairs are growing. But along with new hairs growing I am having a very high rate of hair fall from the transplanted area. This is the first time I am having such a hair fall post surgery. I consulted my surgeon and he had suggested me to have Biotin capsules along with finasteride tablets and 5% Minoxidile. I would like to know if this is normal or serious issue.

Doctor Answers 10

Significant density loss 6 months post transplant

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You may have several issues that are occurring simultaneously, including continued male pattern hair loss at the transplant site, miniaturization of the transplanted hairs, and/or shock loss (less likely). If you cannot reasonably visit your hair transplant surgeon, I recommend consultation with a local hair transplant specialist who can examine your scalp to evaluate the most likely major contributing issue. Until then, stay on the recommended medical management plan of your hair transplant surgeon.

Hair loss six months after transplant

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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,

Matthew Richardson, MD
Frisco Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

Hair Loss After Transplant

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Its important for you to follow up with your hair restoration doctor again in the future. 

You may be having an extreme form of disruption to your natural hair growth cycle. It could also be miniaturization, shock loss, or your donor hair may not have had very strong density. 

Keep and eye on your situation and possibly seek a second opinion. 

Robert Jones, MD, FISHRS
Mississauga Hair Restoration Surgeon
5.0 out of 5 stars 19 reviews

The hair transplants from 3 years ago are falling out

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You need to have your donor area examined for a condition called miniaturization which sometimes happens and if it does, will impact a hair transplant recipient area

William Rassman, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 29 reviews

You may look worse before it gets better.

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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.

Jae Pak, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 106 reviews

Why your hair fell after the transplant and why it is important to stop hair loss progression and thicken thinned hair

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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.

Amiya Prasad, MD
New York Oculoplastic Surgeon
4.4 out of 5 stars 80 reviews

Hair loss 6 months after transplatation is not normal

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You have not identified the timing of your photos, but I am assuming that the photo to the far right showing extreme thinning is the photo demonstrating the hair loss 6 months post-op.If this is true then you are most likely having an extreme form of telogen effluvium ( disruption of the hair growth cycle). This is not caused by the hair transplant surgery if it has started 5-6 months post -op.Even if it started 2-3 months post-op and has progressed this far, that would be abnormal and requires some medical investigation. If there are no medical problems detected, then use of minoxidil,Retin-A and either UVB laser or LED light therapy to help stimulate hair regrowth would be worthwhile.

Richard Fitzpatrick, MD (in memoriam)
San Diego Dermatologic Surgeon

Shedding Hair After Transplant

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It is normal for the newly implanted hairs to shed around four weeks after the surgery. However, at six months post transplant, all graft-related loss should have taken place already. This is the time when your new hair should be growing in. Experiencing a continual loss of 50 to 100 hairs per day is normal—it’s a part of the healthy growth cycle of hair. But much more than that is unusual and should be looked into further.

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
4.6 out of 5 stars 33 reviews

Hair Loss After Transplant

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You may lose some transplanted hair during the recovery phase.  Propecia and /or Minoxidil can be used depending on your surgeon's preference.  It appears that your density may be lacking a little but this is because your donor hair may not have the greatest density.  Overall your result is very good.

Dr. ES

Hair Fall After Six Months of Hair Transplant?

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Thank you for your question. The “Organic Hair Transplantation” method is a novel development in modern hair transplantation surgery practice which was developed with the efforts of our research and development department. Now; our successful hair transplantation results has evolved to a new era thanks to the “Organic Hair Transplantation” method. We can consider this new method as a revolutionary development.

“Organic Hair Transplantation” is based on injection of a mixture containing adipose derived stem cells obtained from own fat tissue of the patient to the scalp of the patient. The recipient area gets rejuvenated and the viability of transplanted grafts is increased with the effects of adipose derived stem cell injection. The injection of adipose derived stem cells also provides a better work area for the surgeon.

Loss of hair is a natural process when it is between the limits that the body can restore them

Bulent Cihantimur, MD
Turkey Plastic Surgeon
4.8 out of 5 stars 102 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.