What are thoughts on Kenalog injections plus PRP following my FUE transplant?

It is best not to introduce steriods when performing PRP injections. PRP purpose is to stimulate the immune system whereas steriods suppress the immune system.

you may need more transplant but yes you should have been and be doing PRP/acell and/or exosomes right now and during transplantation. also at home treatments (see link) such vitamins and topical stem cells.

You need a formal evaluation to see what type of hair loss you may have. when you have hairless its best to do a full hormonal workup for internal optimization plus scalp biopsies or scrapings to rule out any stress related, inflammatory, autoimmune or infectious causes of hair loss. In general most people with early hair loss have telogen (stress related) and/or androgenetic (normal aging) and both can be treated with in office treatments like steroid injections, PRP/acell, Exosomes and at home treatments like oral medications, oral vitamins like Viviscal, topical exfoliating sprays like Restorsea, and weekly growth factors like anteagemd. See an expert for an evaluation. If hair loss is significant it may requires hair transplant (follicular unit translation).

There are about 15 reasons for inflammation post hair transplantation but only a few of them really impact hair growth. In my opinion the area needs to be carefully examined and consideration given to a scalp biopsy. If there are no major concerns after the biopsy certainly steroid injections, topical steroids, topical or oral anti inflammatory antibiotics and PrP are on the table.

Excellent question. In my personal opinion: decreased or poor growth is the most frequent complication following hair transplant surgery. No growth or decreased growth may be related to multifactorial causes. When I have or see a similar patient like you, my fist task is to performed a detailed evaluation of the scalp including a trichoscopy and some times a scalp biopsy ( remove a small area of skin to be sent to the pathologist), also a detailed medical evaluation about any disease, medications, etc. We see more and more patients with similar clinical cases that are related to scarring alopecias. The most important is to find the cause in your case. I will suggest to contact your hair surgeon again or book a consult for a 2nd opinion with a local an experienced hair loss specialist. Good luck.

Steroids injected with PRP is not recommended. The effect of the steroid to reduce the inflammation would negate the effect of the PRP to create an immune response.