Hair Falling off 4 Years After Hair Transplantation (FUE) Procedure

Hi, I had my FUE procedure done 4 years ago. But now my transplanted hair is falling off again. is it normal? what are my options now? thanks in advacne

Doctor Answers 22

Hair Falling off 4 Years After Hair Transplantation (FUE) Procedure

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I believe all hair deteriorates in quality with time and as you age. In most cases this does not become cosmetically evident until much later in life but on occasion it may happen earlier. So even if everything is done correctly, it is possible that say 10, 20 or 30 years later, the transplant may not quite be the same quality it once was
Your scalp needs to be examined throughout to see if the same is happening to your donor area where the original hair transplant came from.
There is a study I have been part of that shows that apart from male pattern baldness, the hair can also genetically deteriorate due to the ageing process

Manchester Hair Restoration Surgeon
5.0 out of 5 stars 1 review

Lost of hair transplant hair

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This is highly unusual. after over 15,000 surgeries, I have seen this maybe 4 times. In the times I saw this, I examined the donor hair to see if the donor area had miniaturization. as senile alopecia could be a cause, but this was not the case in the 4 patients examined. A doctors in the community. a member of an email group that I belong to, asked that question to over 40 hair transplant surgeons about this phenomenon seen in one of his patients and this is what I said about it:
1- It could be senile alopecia, examine the donor area and see if the donor hairs are all healthy
2- It could be an autoimmune disease, so consider a biopsy of the recipient area
3- Count the donor density and see its comparison to your hair transplant density measurements. 

One experienced hair surgeon from Australia who wrote one of the classic text books on hair transplantation, said that he saw this rarely (just as I said) and further stated that he believed that some of the hairs had a shortened hair cycle after a number of years and that might be the cause of it. But in reality, assuming that #1,2 and 3 are not identified, then no one really knows the answer to this. 

William Rassman, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 28 reviews

Why Your Hair May Start to Fall Out After a Hair Transplant (F.U.E./Follicular Unit Extraction)

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The most likely reason your transplanted hair is falling out is Telogen Effluvium.  This is a temporary condition caused by something stressing the follicles and should abate once you are relieved of the stress.  

The other possible cause of this hair loss would be unlikely, but perhaps the grafts were harvested from donor hair which was located too high in the back of the scalp, in an area which was prone to the effects of DHT or other permanent hair loss factors.  If the only hair you are losing is the transplanted hair, then this is possibly the cause, although it would be difficult to determine.

John E. Frank, MD
New York Hair Restoration Surgeon
4.9 out of 5 stars 57 reviews

Hair Falling off 4 Years After Hair Transplantation (FUE) Procedure

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There are many possibilities that may cause your hair to fall out after a hair transplant. One is the hair was taken from a donor area that was not immune to male pattern baldness. This is unlikely if an experienced surgeon/technician perfomed the procedure. Another consideration is that you are losing the hair around the grafted follicles. I always suggest that a patient use Rogain 5% plus finasteride to diminish this possiblility. You may have some metabolic imbalance, such as hypo or hyperthyroidism. Are you taking steroids? Steroids will increase your DHT which causes hair loss, or you may naturally have an elevated DHT. If so, there are medications that will prevent this transformation from testosterone to DHT.  Possibly you are under undue stress, which can also cause temporary hair loss, called telogen effluvium. Consider consulting a physician who specializes in hair loss who can run the proper blood work and evaluate your problem.

Late hair loss after FUE

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It is unlikely to lose transplanted hair so long as it was harvested from the appropriate "protected" or "safe zone." It is possible that the lost follicles are really your native hair that is thinning. As to options now, that would require consultation with a hair transplant doctor.

Does transplanted hair fall off?

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This question can never have a simple answer.There might be couple of reasons and ways to check which can be true.

1-Yes they may fall off if the Follicular Unit Extraction  has not been carried out from a safe donor zone.

(check your post operative donor site photos and compare it with your recent donor site photos.It would be clear that if the extraction was done from an unsafe area.)

2-You may be experiencing some problems with your health and the hair loss is a symptom.

(visit a physican or check if you exprience the same problem with your donor site as the transplanted hair are from that zone.)

Hair falling out after hair transplant

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Although the donor hair in the back of the head tends to be less susceptible to the effects of androgens, on occasion, this hair may also be effected by these hormones and miniaturize (or shrink). Particularly if the harvested donor area was placed too high (encrouching a thinning crown area), or too low in the scalp (some patients have thinning in the upper neck area). During the initial hair transplant, it is important to really examine the harvested hair and ensure the highest quality/thickest hair is used at the recipient area. Additionally, all hair eventually succumbs to age-related hair thinning as we get older...similar to the bone and muscle mass that is lost as one ages. 

Hair Falling off 4 Years After Hair Transplantation (FUE) Procedure

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Loss of hair is a natural process when it is between the limits that the body can restore them. When the capacity of the body to restore the hair loss is beaten by the excessive hair loss then we can name this situation something that should be treated. Women started to experience balding even more in the last 2 decades. It is getting more and more common also in women population. However it is also good to know that this problem is also treatable when it is present in women.

To obtain alive hair follicles implanted in higher rates, the latest technique being used is not the only manner, it is also affected by compliance of implantation area that we found a better way to improve as a result of our researches, The Organic Hair Transplantation. By this new and unique Organic Hair Transplantation Technique, before the extraction and implantation processes; we regenerate the implantation area with injection of stem cell enriched fat tissue. Regeneration of cells in target area before FUE transplantation with the support of stromal stem cells results in higher rate of alive thicker hair follicles.

Hair Falling off 4 Years After Hair Transplantation (FUE) Procedure

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Hello, thank you for posting your question. Transplanted hair which are taken from the correct region of the donor region, should be resistant to DHT which is the majority cause of hairloss in men. Are there any stressors that may cause increase shedding? Stress can also cause increase shedding. Also, you may also see increase in shedding initially if you started Minoxidil for the first few weeks. Hope this helps. 

Matt Tahsini, MD
Pasadena Hair Restoration Surgeon
5.0 out of 5 stars 16 reviews

Hair Loss After Hair Transplant

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It is highly unlikely that your transplanted hairs are falling out.  It is most likely, that you are currently noticing the loss of the hairs around those that were previously transplanted.  

The most common misconception with a hair transplant procedure is that once you have the procedure that you will not experience any more hair loss over time.  The hair that is harvested for a hair transplant are taken from a donor area of the back of the scalp where the follicles are not susceptible to male pattern baldness.  When these hair follicles are subsequently transplanted, they retain that same staying power as they had in the back of the scalp, so it is for the transplanted hairs that the above statement can be considered more valid.  What you are likely experiencing is hairloss from follicles that are native to that area and that were not transplanted.  

I would recommend that most males who are experiencing hair loss, with or without having undergone a hair transplant procedure, use Rogaine and Propecia (Finasteride) to help reduce future native hair loss.  I would also recommend following up with your doctor or consulting with a hair loss specialist to evaluate your hair loss and perform any blood work necessary.  It is possible that you could be experiencing telogen effluvium, or temporary hair loss from undue or excessive stress, but I would still recommend that you get evaluated by a hair loss specialist.

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.