What are the common causes or reason for hair thinning well over a year after transplant? (photos)

Genetic hair loss does not stop.  Hair loss will continue despite hair transplant surgery.  It is best to follow up with your doctor for an examination.

Thank you for posting this question. A hair transplant surgery does literally nothing to stop the inevitable progression of hair loss. Hair loss is a lot like dental decay....in 3 important areas:1) both are incurable2) both are progressive in nature3) both are with you for lifeSo, the most likely reason for your thinning hair is the same reason that you sought out a hair transplant in the first place: male pattern hair loss. You should be treating the hair loss aggressively with things like finasteride, LLLT, PRP procedures, etc. If you don't then you'll end up having far more hair transplant procedures in your life than you had planned. Not treating hair loss but getting hair transplant surgery is a bit like refusing to brush your teeth and just going to the dentist to get new porcelain ones surgically implanted as your own teeth rot out. So, my advice is to step up your game in your hair loss prevention efforts. Rogaine and biotin and not significant therapies to stop serious hair loss. I hope this information is helpful to you.Kind Regards,Ken Anderson, MD, FISHRS, ABHRSBoard Certified Hair Restoration Surgeon

After a hair transplant we advise to carefully protect the transplanted hairs for the first 5 days, after which showering and increasing your activities is possible. The transplanted hair shafts will typically fall out in about 3 weeks and the new hairs will start to grow in at 3-4 months. Full growth is judged at 10-12 months. Sometimes the native hairs in the recipient area will continue to thin over time which can give the illusion of a failed transplant, when in reality most of the density is actually from the transplanted hair.
Gary Linkov, MD
Hair Specialist
Manhattan