Does Male Pattern Baldness affect newly transplanted hair follicles?

Question

My nephew is in his late 20's and has noticeable hair loss related to male pattern baldness (he still has some hair on top). I have encouraged him to see a Dermatologist and/or Trichologist about his hair loss. His concern is the genetic aspect of his hair loss will ultimately make the procedure unsuccessful. I understand the implants are permanent, yet there could be hair fall from the remaining hair and unsuccessful implanted follicles. What do I tell him?

Marco Barusco, MD · Answer

Hello,

Your nephew is fortunate to have someone as supportive as you encouraging him to address his hair loss! It’s understandable for him to have concerns about genetics, but let me reassure you—hair transplants, when done correctly, use DHT-resistant hair from the back and sides of the scalp, making the implants permanent regardless of genetic predisposition.

While it’s true that his remaining native hair could continue to thin over time, treatments like finasteride and minoxidil can help stabilize that hair loss and complement the transplant results. With the right combination of a well-planned procedure and supportive therapies, your nephew can achieve a natural and lasting outcome.

Encourage him to meet with a skilled hair restoration specialist who can assess his unique situation and create a plan that addresses his concerns. It’s a big step, and with your guidance, he’s off to a great start!

Best regards,
Dr. Marco Barusco

Ross Kopelman, DO · Answer

Newly transplanted hair follicles are typically taken from the back or sides of the head, areas resistant to male pattern baldness. Once transplanted, these hairs are generally permanent and won’t be affected by DHT, the hormone responsible for hair loss. However, the native hair surrounding the transplanted areas can still thin over time, which is why ongoing treatments like Finasteride or Minoxidil are recommended to preserve existing hair and maximize the long-term success of the transplant.

Does Male Pattern Baldness affect newly transplanted hair follicles?

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