I'm just wondering if propecia is working or making it worse as I just had a hair transplant? (photos)

Hello I recently had a hair transplant on my crown, this was my 2nd procedure as the first one wasn't successful for some reason? The transplant was carried out on the 20th of April 2015 And i started Propecia end of November 2014 I'm shedding a lot now and my hair has gone really thin is this due to propecia working or shock loss due to the transplant? Shall I carry on with it as I'm still pulling out hair even if I just run my fingers through I pull hair out Please help me Thank you

Doctor Answers 6

I'm just wondering if propecia is working or making it worse as I just had a hair transplant?

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Turkey Plastic Surgeon
4.8 out of 5 stars 102 reviews

Follow up with your doctor

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Follow up with your doctor and follow your doctor's recommendations.  It generally takes 6 to 12 months to see results.

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

Propecia after a hair transplant

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Shedding after a hair transplant while on the drug propecia is unusual. I doubt it is coming from the drug, but rather an acceleration of your normal hair loss process. If the shedding is in the transplanted area, the new grafts, when they grow, will off set it. If the shedding is from all over the front and top of the head it sounds like shock loss which usually accelerates the hair loss that you might have seen two years after a hair transplant had you not been on the drug. If you are developing a more advanced balding pattern with acceleration of your hair loss, which a Bulk Measurements with the HAIRCHECK instrument can provide, it will show over a one year time frame, what exactly is your hair loss (in numbers) and then you and your doctor need to develop a MASTER PLAN for what may happen to you.

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

Hair loss month 1-3 post transplant

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Hair loss can occur in the first months after a transplant for number of reasons. A few surrounding hairs (around the transplant area) might be damaged early on. This type of hair loss leads to the appearance of a bit thinner hair even the following few weeks. True shock loss occurs 1-3 month post transplant and is less a phenomenon of true direct damage to the surrounding hairs but a sense of physiological injury. 

All in all, early hair loss post transplant is normal and you'll see regrowth of newly transplanted hairs and the previously existing hairs in a matter of months.

Be sure to speak to your surgeon if you have any concerns. It is unlikely you are shedding from the Propecia at this point in time. That type of shedding occurs in the first 1-2 months only. 

Jeff Donovan, MD, PhD
Vancouver Dermatologist

Hair loss after Hair Transplant

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Hair loss is common & normal after hair transplant during first 2-3 months after surgery. It is called Telogen Effluvium.

Please continue your medicines as advised by your doctor for proper assessment & better management.

M. Khawar Nazir, MBBS, MS(Derm)
Pakistan Dermatologist

Hair loss after transplant

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your hair transplant was in April and I am  assuming that you did not have shedding before the transplant.  If your shedding started after the transplant then it is most likely from shock loss. I would continue with the propecia, add minoxidil and vitamins and  contact your doctor if you have further concerns. 

Michael Meshkin, MD
Newport Beach Hair Restoration Surgeon
4.9 out of 5 stars 29 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.