75 days after hair transplant but hairs are fallen out. What happens now? (Photo)
Doctor Answers 4
75 days after a hair transplant - hairs have shed...what's next?
Dear susa12345,It appears as though you had a hair transplant and nearly 100% of the hairs shed out. The follicles should start to produce new hairs if the procedure went well. This process typically starts at about 90 days. It's very slow, however, so please remember that. Not until 12 to 15 months will you see the final results of your hair restoration.
Shock loss in hair transplants can affect both transplanted and native hair, but transplant results can be improved
Thank you for your question. You submitted a single photo showing a part of your scalp, stating you had a hair transplant about 75 days prior, but hair has fallen out. You’ve spoken to your doctor who said this is normal. You are looking for confirmation about this, and also ask if it is okay to place oils on your scalp.
I can help you understand what you are going through. A little background: I’m a Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon. I’ve been in practice in Manhattan and Long Island for over 20 years. Hair transplant has been a significant part of my practice, but more importantly I’m the founder of TrichoStem™ Hair Regeneration Centers that offers a non-surgical solution we developed using regenerative technology for male and female pattern hair loss . In fact, this solution evolved from an application for hair transplants, so I have a lot of experience in this area.
It is very important you listen to your doctor and follow your doctor’s guidance. An experienced transplant surgeon should be able to coach you through these processes, but it is very important to understand a little about the concepts that are important to hair transplant surgery, and what can be a strategy for you moving forward. It is clear you needed hair transplant surgery because you probably lost so much hair there was no other option but to do a transplant.
During hair transplant surgery sites are made with small incisions in the scalp, so if you had 1500 grafts, you have 1500 incisions. When hairs are transplanted, 2 issues occur, one is the transplanted hair goes into what is called the shock phase where it will shed out, which is probably a significant part of what you are experiencing. Existing hairs that were thinning and not transplanted can also go into a shock phase and shed out. That process is basically a hair follicle going into the telogen phase, or resting phase of a hair growth cycle. When hair is thinning, the active growing phase called the anagen phase gets shorter, and the resting phase called telogen gets longer, so time is what matters here.
In our practice, we have a lot of patients with similar situations like yours where they had a hair transplant done elsewhere, then they learn about Hair Regeneration. Hair Regeneration was first developed when we were doing a good number of hair transplants per week, and wanted to improve and maximize the yield of the grafts because a certain percentage of grafts don’t make it, no matter who does the transplants or how it is done. We also used the treatment to improve the healing of the donor scar. We improved hair transplant results using this material called Acellular matrix. What was observed periodically is thinning hair became thicker. What we learned from this is we are able to improve the rate of growth or re-growth of the hairs that were transplanted, and also mitigate some of the shock loss. The challenge was how much yield were we actually getting when you balance out the number of grafts placed, and not just the hairs that were shocked out but also some of the hairs that were native to the area traumatized by the surgery. As time went on, we developed a method so with an injection alone, we are able to stimulate hair growth in a remarkable way. We are able to stop progression, reactivate hairs that are not growing, and induce the shed of thinning hairs with the subsequent regrowth of thicker hairs.
For people who have had hair transplant, they become very aware about the potential and benefit of Hair Regeneration, so a lot of people after hair transplant find us. Ideally, Hair Regeneration should be done within the first 3 months of having the transplant to get the benefit of expedited regrowth of their grafts which has been observed consistently, and improvement of the existing thinning hairs. Now those thinning hairs will grow in thicker, and the grafts will grow in, so the aggregate benefit becomes significant.
Also thinking ahead, where is the future beyond this transplant? There is an opportunity to maximize the value and benefit of your transplant by doing something proactive in addition to the transplant itself. People who had a transplant and were satisfied with their initial results, but are starting to notice a little thinning, instead of getting a second transplant, they chose to have Hair Regeneration.
In the past, we wanted people to stabilize their loss with finasteride, but finasteride for men is limited to about 60% effective rate, while for 40% it doesn’t work. Of that 60%, a lot of people stop taking finasteride for a variety of reasons. Currently, a lot of people are not taking it because of fear of long-term sexual side effects. Asking this question opens the door to further education beyond just how to deal with the process of shock you are going through right now with your hair.
As far as hair oil, we have a lot of patients who come from India, or who are of Indian background, so I am aware of the beliefs about oils. Medically speaking, there doesn’t appear to be any kind of therapeutic benefit to the topical application of oils for hair growth. There can be some benefit for drier hair which I won’t debate. People really have a strong believe culturally about hair oils, depending on your family and where you are from. As far as the safety of hair oil, it is not likely to be problematic, except it could block some pores and cause some inflammation and pimples, so think that through before you start applying oils as well. I hope that was helpful, I wish you the best of luck and thank you for your question.
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Lost native hair
If what you are talking about is the loss of your native hair then this is shock loss. See video below. Otherwise if it is just the grafts that fell out, wait until the hair grows at 5-6 months