Are there different growth patterns after FUE transplant?

Question

After 5 months fue surgery, i had a pretty good growth and i was really satisfied. But after sometime, instead of getting more density, i found that i was losing some and going backwards. now at the eight months mark, i feel i have lesser density than i had at 5 months. Is it because of minoxidil and finasteride and other products to lower dht that i use resulting in erratic growth phase of my fue transplanted hair? or is it something serious i should be concerned about? thanks

Emrah Cinik, MD · Answer

You might be experiencing late shedding. İf i were you i would't concern yet. Wait for 1 year to see your total result and if you are not satisfied get in touch with your hair specialist.

Fas Arshad, MBChB, MRCS, FRCS · Answer

My advice would be not to jump to any conclusions until you are around 18 months post hair transplant. Until this point the hair growth can be dynamic following a hair transplant (although after 12 months in my experience things tend to be stable). Various factors may be playing a part for example your use of finasteride and the topical minoxidil. Also, there may be other environmental factors that cause an issue, such as stress. The early growth you noticed at 5 months may have coincided with the commencement of finasteride at the time of your hair transplant (as many clients tend to start this medication at the same time as the procedure). I would not be too concerned at this point but would certainly recommend following up with you hair restoration surgeon. All the best.

Jae Pak, MD · Answer

Personalized medical treatment advice on the Internet without a good history and examination is inaccurate and may lead to confusion and misinformation. It is best to follow up with your doctor for an exam.

Ali Gurlek, MD · Answer

Thank you for your question and photos
the number of grafts a patient will need depends on the thickness of their hair and the extent of their hair loss, which can be determined by the Norwood Scale below.
During a hair transplant, grafts are usually removed from the ‘donor area’ located on the back of the scalp and relocated to a balding area. The back of the scalp makes a good extraction area due to the high volume of hair follicles that congregate within that region that are not affected by the balding process. Specialist surgeons will remove a small amount of tissue that can grow hair and relocate it to the desired area of the head without damaging them.

Justin Rome, MD · Answer

Sometimes patients loses surrounding hair that is called shock loss.  For this it usually takes time to grow back.  I recommend that you schedule a post op with you surgeon to go over these concerns.  If you are using Riga one or finasteride, I would continue until you talk to your surgeon.

Sagar Patel, MD · Answer

What I suspect is happening is that you are undergoing some shock loss of your native hair that was there before the transplant. The quality of the hair isn't changing. Try some PRP therapy which could help even things out.

Matt Tahsini, MD · Answer

Hello, good question. I understand your frustration, you are seeing results you are not happy with. The rate of growth varies but you should see about 80-90% growth around the 8 month point. If you aren’t seeing this I suggest you make an appointment with the performing surgeon and get it checked out. Good luck to you.

Benjamin C. Paul, MD · Answer

Thanks for your question. I would let your hair restoration physician guide you.  In general, there are a minority of patients who have a late telogen after FUE. They grow hair for many months, then shed, then the hair returns. In these patients, we continue medical treatment (rogaine, propecia) and give it time.  It can take up to 18 months to truly understand the result for a hair transplant. The classic description is that 80% of patients see 80% of growth at 8 months.  You may be in the 20%.  Hang in there and best of luck from NYC.

Fotis Gkaragkounis, · Answer

With your hair transplant were the new hair grafts placed between your existing hair? If the case this could be a reason for initially seeing a greater hair density and now lowering. The transplanted hairs are still maturing and it is likely you have not achieved the full result from this yet. If you had existing hair this may have been effected by transplanting close or adjacent to the hairs. If this hair was already thin or miniaturised it could have fallen due to shock or trauma from the procedure.

William Rassman, MD (retired) · Answer

Growth is usually consistent and will get better until the 8th month when it stabilizes,  IF you have less hair now, shock loss could be the result causing loss of your native hair. See your surgeon

Are there different growth patterns after FUE transplant?

Answers (10)

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