Slow growth after 14 months or poor hair transplant FUE? Can I expect more grafts to grow? Finasteride & minoxidil daily (Photo)

Question

I had a FUE 14 months ago (approx. 2200 grafts in the front). Still now I see some new fine hair start growing, but I'm quite worried about the possibility of a poor procedure... I have seen & read about "slow growers" (Dr. Feller & Bloxham), and I ask about this or better must I think in low survival ratio? What about the density, it was deficient or sufficient? Would be recommendable a second procedure to densify? Under this suppose, can I change something (PRP?) to accelerate growth? Thanks.

Jae Pak, MD · Answer

You may have had graft loss after surgery. In addition, not all the grafts may have taken (failed grafts).

Robert Reese, DO · Answer

Thank you for your question, and for submitting good photography.  Unfortunately, this is likely your final result.  Assuming that the technical aspects of your procedure were performed properly, (donor harvesting, and placing of follicles in the recipient scalp), you could have experienced what Richard Shiell, MD, (a great hair transplant surgeon, and an even better human being), described as the "X-Factor".  X-Factor is when, despite performing a technically sound hair transplant procedure, the patients result was very disappointing.  All of us, and I mean all of us, have experienced disappointing patient results.  Fortunately, they are rare.  If a hair restoration specialist informs you that this type of result has never happened to one of their patients, they either have little experience, or they simply aren't being truthful.  Buyer beware.  Your hair transplant surgeon should be more than willing to assist you in performing another procedure at little to no cost.  Best regards,  Robert J. Reese, DO, FISHRS.  Past-President: ABHRS.

Karl Hekimian, MD · Answer

By now you should have reached your full growth.  Go see your surgeon to review photos and discuss results & future options.  If his/her answers aren't satisfactory, seek another opinion

William Rassman, MD (retired) · Answer

This is a failure of the transplant unless your surgeon placed far less than the 2200 grafts you reported. I would go back to have a frank discussion with your surgeon as you paid good money to have this done. The most frequent reasons for hair transplant failure, is some technical glitch or lack of experience by the surgeon and/or his team

Slow growth after 14 months or poor hair transplant FUE? Can I expect more grafts to grow? Finasteride & minoxidil daily (Photo)

Answers (4)

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