Losing transplanted hair 17 years post op - what could be causing this?

Question

I had a hair transplant surgery in 2006 at the age of 45. Before that, I tried Rogaine for 6 months without any improvement. After the surgery, I immediately started to take Propecia and have been taking in since. I noticed recently that my hair had become noticeably less dense. The hair on the donor site is still in perfect shape. The area to which hairs were transplanted was almost) completely bold so I am losing the transplanted hair. I can't provide more details using 500 characters.

Sibel Ulusan, MD · Answer

Hi, it is unlikely for someone to lose their transplanted hair after 17 years. However, hair loss can occur due to a variety of factors such as aging, genetics, and medical conditions. It's also possible that the transplanted hair may thin out over time, especially if they don't take proper care of their hair. In some cases, Propecia may cause a temporary increase in hair shedding during the first few months of use, but this is typically followed by a period of regrowth and stabilization of hair loss. In rare cases, some individuals may experience a decrease in hair density after prolonged use of Propecia. This is believed to be due to the drug's effects on the hair follicles and the growth cycle of hair. However, this is not a common side effect, and most people who use Propecia do not experience a decrease in hair density. If you are concerned about changes in your hair density while taking Propecia, it's important to speak with a healthcare professional who can assess your individual situation and provide guidance on the best course of action.

Matt Tahsini, MD · Answer

Hello and thank you for your question.  I wish you would have provided a photo so I can better assess your issue.  I think it's best if you see your doctor in order to better understand what's going on.  Some blood tests would be a good place to start.  Best of luck to you.

Dr. T

Jeff Donovan, MD, PhD · Answer

You need an examination by a doctor who understands the complexities of the scalp.  One needs to rule out a variety of issues including scarring alopecia. You also need 1-3 biopsies and blood tests. A photo would bring you another 1000 words. There is really not enough information submitted. Biopsies and blood tests are mandatory here.

Losing transplanted hair 17 years post op - what could be causing this?

Answers (3)

Recommended reading

Everything you need to know about Hair Transplant

Our mission is to create a world where every investment in modern beauty is Worth It.

Losing transplanted hair 17 years post op - what could be causing this?

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Hair Transplant

Our mission is to create a world where every investment in modern beauty is Worth It.