43, caucasian male, 10 months post FUE - slow growth & folliculitis, appreciate any advice (Photos)

Question

Hello, I’m a 43 year old Caucasian male and I wanted to get an opinion on if the growth is where it should be, and why I have had folliculitis on and off almost a year later. I also had the prp w/exosome injections but that hasn’t seemed to do much to help with growth, or help reverse gray hair like advertised. I would appreciate any help or advice. I have been looking at a lot of “10 month post fue” pics and my growth looks like it’s definitely lagging.

Marco Barusco, MD · Answer

Thank you for your question. At 10 months post-FUE, most patients see significant growth, but individual progress can vary due to factors like healing, graft survival, and overall scalp health. Persistent folliculitis may be affecting your results, as inflammation can disrupt follicular recovery and growth. Managing this is essential—topical or oral treatments may help, and addressing any underlying scalp conditions is critical.

As for PRP with exosomes, while they can support hair restoration, results vary and may take time. Reversing gray hair is not a guaranteed outcome, as it largely depends on the underlying cause of graying. I recommend a detailed follow-up with your surgeon to assess graft health, address folliculitis, and develop a tailored plan to optimize your results.

John Diep, MD · Answer

For full hair growth, it may take from 12-18 months. If there is no more density after 18 months, you may consider a second hair transplant procedure. In the meantime, the best option is taking Finasteride and applying Rogaine.

Matt Tahsini, MD · Answer

Hello and thank you for your question. I know you want to see immediate results but that can take up to 18 months. I'm sure that isn't what you want to hear but this process requires patience. If you are still concerned I suggest seeing the surgeon who did the transplant and see what he/she suggests. Best of luck to you.

Dr. T

Dr. T

Kulakarn Amonpattana, MD · Answer

Hello I'm Dr. Wipawan Vathananai, a co-worker of Dr. Kulakarn Amonpattana, from BHI Clinic, Bangkok, Thailand. 
Regarding your concern;1. Poor growth? - It could be either poor growth or the transplanted density was not so high. I would recommend you to ask your surgeon who did the hair transplant for you regarding this issue in case he/she could help you out.
2. The on-and-off folliculitis could be caused by ingrown hair or bacterial/yeast infection. I would recommend you to try ketoconazole shampoo and topical antibiotics when you have an outbreak. In case you don't get better, please seek for a further medical care with a dermatologist.

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43, caucasian male, 10 months post FUE - slow growth & folliculitis, appreciate any advice (Photos)

Answers (4)

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