Why Didn't Hair Transplant Work?

After receiving 1000 follicular units to my hairline 14 months ago, nothing has grown in. In fact, I continue to recede. During this time, I was put on avodart for a minor prostate problem. Purplexed and broke. Thanks.

Doctor Answers 13

Hair transplant failure

A hair transplant failure occurs for many reasons including poor surgical technique, autoimmune diseases of the scalp, etc,,

Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 27 reviews

If you had a failed hair transplant it may have been a technical error or just bad luck.

If you had a failed hair transplant it may have been a technical error or just bad luck.  There are always risks associated with surgery.  Failure to grow may be one of them.  However, this is very rare.  It is always a good idea to check back with your doctor for a recheck.

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

New Hair Growth Post a Hair Transplant

This is highly atypical. What type of procedure did you have? A patient can expect new hair growth in 14 to 16 weeks, which usually maxes out at a year. New hair will continue to mature and thicken for up to a year-and-a-half after the FUE surgery. You should consult your doctor about the lack of growth.

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
4.6 out of 5 stars 32 reviews

No growth after Hair Transplant?

This is very unusual that none of the 1000 grafts have grown.  There are rare cases where due to no fault of the surgeon for some unknown reason the new hair transplants don't grow...but again this is very rare.  If the donor hair was properly harvested and properly placed typically 95% or more of the grafts should successfully grow. 

Jack Fisher, MD
Nashville Plastic Surgeon
5.0 out of 5 stars 4 reviews

Low Growth with Hair Transplant

I understand your frustration. While most patients experience 90-plus % rate of growth, there is the occasional case where the percentage of growth is quite low. There are several reasons why this may occur- poor handling of the grafts, drying out of the grafts- but sometimes the procedure was performed to the highest standards yet regrowth is low. The Avodart should, if anything, help maintain your existing hair.

Jeffrey Epstein, MD, FACS
Miami Facial Plastic Surgeon
4.7 out of 5 stars 128 reviews

Hair Transplant

I agree with the above opinions. You may have lost more hair than gained over the past 14 months. This will happen if you get a hair transplant when you are in mid 20s.  It is for this reason that we do not perform any transplants below the age 25 in our clinic. Also, sometimes people do forget how they looked prior to the hair transplant. You have to see the before and after pictures to see the difference. We see all of our patients back at 12 months to make sure they are satisfied. You should go back and have them evaluate you. Dr. Behnam.

Ben Behnam, MD
Santa Monica Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

Graft Survival

First and foremost, I would talk with your transplant surgeon about your concerns. It is also important to compare your before and after photographs. Over long periods of time it can be difficult to remember exactly how something looked. In general, take rates after hair restoration are greater than 90-95%. If you have noticed mroe loss, this may be due to a lack of success with the transplant or a rapid acceleration of your natural loss pattern.

D.J. Verret, MD
Dallas Facial Plastic Surgeon
3.9 out of 5 stars 14 reviews

Why hair grafts did not grow: another opinion

Obviously, I would like to offer another opinion other than the obvious which is that the technique was less than optimal.  The question that I have is how old are you?  If you are in your early to mid 20s, perhaps you should not have had a transplant to begin with.  However, more importantly, sometimes when you are young and rapidly losing hair you lose more hair than you gained from the procedure.  It is like taking one step forward and one step back.  That is why in general I am not interested in transplanting a lot of young men but more importantly due to safety.  Watch the attach video to understand that concept better.


dr. sam lam

Sam Lam, MD, FACS
Dallas Facial Plastic Surgeon
4.6 out of 5 stars 57 reviews

Lack of growth after hair transplant

If the grafts were properly prepared, then there should have been growth.  The only explanation would be that somehow the follicles were damaged.  You definitely should talk to your transplant surgeon.

Kenneth L. Stein, MD
Chicago Plastic Surgeon
3.4 out of 5 stars 21 reviews

Go back for a follow up exam

From your photos it appears that your frontal recession is clearly improved, and it would be expected that almost all grafts would survive and grow out after about 4 months. A better evaluation is at 6- 12 months post procedure. Avodart also affects hair loss in a favorable way similar to Propecia (finasteride) and certainly won't impair your results. I would recommend going back for a follow up exam at this time, or get a second opinion.

Harrison C. Putman III, MD
Peoria Facial Plastic Surgeon
4.7 out of 5 stars 13 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.