Hair transplant is the movement of an entire hair follicle into a small slit. The skin and tissue heals well enough the majority of the time, the dermal papilla or the part of the hair necessary for growth can be intact even if the grafts fall out. The general term used for grafts falling out during the early post-operative period is called shock loss. Shock loss happens to both the grafts as well as the adjacent hairs that are subjected to the swelling and trauma of the actual procedure. As a specialist in hair loss treatment, we have been in a remarkable leadership position with a technology we developed called Hair Regeneration. We have been doing our transplants with a material called extracellular matrix and platelet-rich plasma and we’ve seen a significant improvement in the rate of shock loss so this difficult transition period is a little bit easier. Even with advanced healing technology, the patient can still have a certain period where the existing hairs can look a little thinner, the grafts are not growing and the grafts aren’t seen anymore. You are somewhere in the early 4-6 month period if you lost all the grafts. Fortunately, the hair is remarkably resilient. This is clearly demonstrated from the field of laser hair removal where people come for multiple laser hair treatments to suppress hair growth for a long period of time. Also, several studies have demonstrated that the hairs that are transplanted, even if the dermal papilla or the base is not intact, the middle part of the hairs or the hair shaft can still grow. I noticed in your photos the level of your receding frontal hairline. You may want to discuss with your doctor the use of some type of oral medications such as finasteride. In our practice, many people come to us for Hair Regeneration treatment which is a non-surgical injection that helps reverse the thinning process of hair. This is through a method that restores critical stem cells as part of a wound healing mechanism that stops the thinning process. Many people who had a transplant and want to avoid a second transplant actually benefit from this because we are keeping the hairs. In traditional hair transplants they restore to try to keep the appearance of hairs in areas which are actively thinning. So a person who wants to get one transplant will need a second transplant, a third or even a fourth depending on how much donor area they have. Unfortunately, there’s a limit of how much donor area a person has. Fortunately, our Hair Regeneration has been able to balance out hair transplant very well so that we are able not only improve our transplant procedure but also prevent the progression of hair loss, thicken hair and reverse thinning hair. At this point, you just have to wait this out. You have to follow-up with your doctor and the final result is somewhere in a year to 15 months. There is a lot of variability between the hair growth cycle of individuals. Some people’s hair grows faster while some people’s hair grows slower. Ultimately, at the one year point, you are close to a 90% zone of recovery. We have also seen people in 15 months, a combination of shock loss where there are grafts or the native hairs eventually synchronizes to the point where the growth and density match to give you a better sense of the final result. I hope that was helpful, I wish you the best of luck, and thank you for your question.