How True is It That the Transplanted Hair is Permanent?

Dear chrismorrisThanks for the question. Hair Transplant is the permanent solution of Baldness. Hence, they will not thin or fall after transplantation. Whether its FUE procedure or FUT hair grafts are generally taken from permanent zone of head. I wish you all the best.

If you are a male with genetic androgenic alopecia, you will never lose hair on the back of your head (the donor area).  This is the principal behind hair transplant surgery and the "donor dominance" theory.  That if you move the hair from one area where hair is likely permanent, it will behave that way when it has been harvested and transplanted. This permanance does not hold true for women.  Women don't necessarily have a permanent donor area.  

The hair that is transplanted up front is as permanent as the donor hair, which is based on the donor dominance concept.  The majority of the hair at the back of your scalp will not shed over time.  When it is transplanted up front, It will maintain this same relative permanence.

The transplanted hair is usually harvested from the privileged area that are not affected by hair loss. So after transplantation as long as the procedure is done properly, they are  permanent and should stay with you for the rest of your life.

Hi. You are right that DHT could be affecting your
hair around your forehead, but it's much less likely to affect hairs from the
back of the head. Hair growing in this area tends to be much stronger and
resistant to factors such as genetics and environmental influence. These are
the hair follicles that are typically used in today's hair transplant
procedures. Since they are actually moved to the areas where your hair is
thinning, you should experience long-term hair replacement. If you have an
advanced transplant procedure such as NeoGraft® performed by an experienced,
qualified surgeon, most of your transplanted follicles should hold tight.

You are absolutely right that DHT is affecting your hair follicles. However, it's important to understand that it is only affecting the ones in the front and top of the scalp that are affected by DHT. 

For most men, the hairs at the back of the scalp are quite resistant to the action of DHT. So when you take those hairs out from the back and move them up to the front or top of the scalp, the hairs still behave as though they were living in the back and don't thin out. 

 

If the transplanted hair comes from the safe zone,shedding is a rare occasion.Just like your donor site the transplanted hair will be having the same life cycle after the transplantation. 

Hair transplantation is a little bit 'magic' in the sense that you can remove hair from the back of the scalp (where it does not get influenced by genetic factors that cause thinning hair) and move it to areas of thinning and it will grow successfully. This is the theory of donor dominance, because the hair follicles retain their genetic characteristics even though they have been moved to another area of the scalp.  However, even hairs in the back of the scalp can undergo a minor amount of miniaturization or shrinking. This usually does not happen at the same degree or scale as it occurs on the top of the scalp or in the vertex (crown). Unless you have very fine, thin donor hair to begin with, you should not have to worry that you will lose your transplanted hairs.

Hairs from the back of your head i.e the ones we transplant, are resistant and stronger hairs overall and tend not to shed.  So those hairs stay with you even if they are moved to another location in a transplant.  It is not the location of the hairs but the type of the hairs.  The ones falling out are slightly of a different type.

If it was taken from the donor area (back and sides of the head) then we say it is permanent and that reflects a 98% certainly. AS a person ages, sometime the donor hair density educes and if this happens, so will the transplanted hair