It's been 1 month and 1 week post op FUE hair transplant surgery, as per doctor it's 4100 grafts. (Photo)

Is this looking normal

Doctor Answers 6

Patient had FUE procedure 5 weeks ago; 4,100 grafts, is this appearance normal?

Dear Sollu,

Thank you for writing in with this question. It appears as though some of the follicles have started to shed their hairs.  This is normal. It is completely normal for up to 80% of the follicles to shed their hairs, and I rarely see less than 50% of the follicles shed their hairs, even when concomitantly performing a PRP with ACell® procedure to aid in the healing in of the new grafts.

Let’s examine why this is happening. Unlike nail beds, which make our fingernails for the duration of our lives, hair follicles make hair in cycles. The timing of the cycles is as follows:

Anagen (growing phase): 2-7 years
Catagen (short phase before resting phase): 2-3 weeks
Telogen (resting phase): 3-8 months

Every single day about 50 to 100 hair follicles on a person's head (with no hair loss) enter a regressive phase called Catagen, and then a resting phase called Telogen, which lasts a total of about 3-8 months. As a result, every day people shed 50-100 hairs, and at the same time 50-100 hairs re-enter the growth, or Anagen phase. If a person has no hair loss, it looks the same all year round. It's like going up to a pine tree, a tree that appears never to lose its needles.....yet there are thousands of pine needles under the pine your scalp hair, the pine tree is constantly making and shedding pine needles.....on your scalp, your follicles are constantly making and shedding hairs.

The stress of a hair restoration procedure typically triggers most of the follicles to come out of the anagen phase of growth and enter catagen, followed by 3-8 months of telogen. The hairs re-enter the anagen, or growing phase, after 3-8 months. This is just how normal hair follicles behave. By 12 months I would consider you at the end of the "new hair" growth. Some people may take up to 15 or even 18 months to see the full effects from a hair restoration procedure.  

I hope this information is helpful to you.

Kind Regards,
Ken Anderson, MD

Atlanta Hair Restoration Surgeon
5.0 out of 5 stars 151 reviews

The photo looks like you had a hair transplant surgery. If you are concerned about the progress it is best to contact your docto

The photo looks like you had a hair transplant surgery. If you are concerned about the progress it is best to contact your doctor.

Jae Pak, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 90 reviews

5 weeks after FUE

Your recipient area is looking normal. You seem to have figured out how to wash the recipient area so it looks clean. Congradts!

William Rassman, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 27 reviews

Post FUE

Great picture.  At one month, This is right where you should be.  Most patients will shed about 50-85% of the transplanted follicles in the first few weeks.  The hair will slowly start to regrow a few months after that.  You will know that your hair is starting to respond as you will be able to feel them growing with your fingertips (will feel almost like razor stubble).  Give it time.  You will get a great outcome.  Best of luck.

Miguel Mascaro, MD
Delray Beach Facial Plastic Surgeon
5.0 out of 5 stars 8 reviews

Hair shedding after the surgery

Shedding of transplanted hairs in the first  month after the operation  is an almost universal characteristic of a hair transplant. This occurs because during hair transplantation a graft is temporarily stripped of its blood supply and the grafts shed their hair.  Shedding of transplanted hairs are  usually  noticed begining 1 to 2 weeks following the procedure and continuing for up to six weeks. A very small percentage of patients do not shed and the transplanted hairs continues to grow. Please note that  It dosen`t mean that something goes wrong . 
New hairs  start to regrow in the 3rd or 4th months after the operation , and final result will be achieved only one year later

All the best  

Ilker Apaydin, MD
Turkey Plastic Surgeon
4.9 out of 5 stars 29 reviews

Expected post-op from FUE

The typical course of recovery after a hair transplant entails the grafts falling out within the first few weeks after a transplant.  At this point you are left appearing as you may have been before the procedure.  The transplanted hairs then start to regrow at different rates around 4 to 6 months after the procedure.  The full results may not be appreciated for one year after the procedure.   

Anthony Bared, MD, FACS
Miami Facial Plastic Surgeon
4.9 out of 5 stars 70 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.