Male pattern hair loss which is basically 95% of what most men experience in hair loss, has a fast or slow progression. To combat this, patients choose to have hair transplantation, or the strategic placement of genetically resistant hairs to help areas that are affected by male pattern hair loss. Transplantation is done in context of the hair loss progression and the future of where the male pattern hair loss will be after their transplant. This genetically resistant to hair loss area of the head known as the donor area, will not likely fallout. Unfortunately, with the hair transplant, not every graft that’s placed will take. I perform a lot of hair transplants and had a remarkable opportunity to be in a leadership position in the emerging field of Hair Regeneration. In my practice, I use extracellular matrix made by a company called Acell. This material is part of the hair transplantation procedure so that we can maximize the yield and healing of both the donor area and the hair grafts. I also do this in context of the hair loss progression. For patients who have thinning hair who don’t need a hair transplant, we use a combination of extracellular matrix and platelet-rich plasma in a treatment called Hair Regeneration . This treatment restores the critical stem cells through a limited and specific wound healing mechanism that causes thinning hair to become thicker. I’ve applied this to a method and technique in helping men and women with hair thinning. I’ve also have a lot of experience with extracellular matrix in wound healing for cosmetic and reconstructive procedures. One must understand that hair grows in a cycle - there are three specific phases: anagen, catagen and telogen. The anagen phase is the growth phase. After a hair transplant, there is going to be various hairs in the different anagen phases. Initially, there can be shock loss affecting both the existing hair as well as the grafted hair. So in my practice, I usually wait. We see people regularly but we wait for a year or more to make a conclusion to see the benefit the hair transplant surgery that we performed. Generally, it is understood that people may need more than one session to get the results that they desire. There are a lot of factors to determine the effectiveness of a transplant, but the limiting factor is the density and the available hairs in your donor hair. Whether you do strip method or an FUE method, you only have limited hairs to transplant. That’s why in our practice, we are extremely excited to help people especially younger people or people who are starting to thin by regenerating their existing hairs so that even if we need to do a transplant, we can be more strategic about the transplantation. My advice is that you continue to communicate with your doctor. Review with your doctor your pre-operative photos and where you had the grafts placed. Tell him your expectations and move forward. I think that in a year or in a year and half, you are able to make a clear conclusion as to how much of grafts actually took and what you should do to get the look that you want. I hope that was helpful, and thank you for your question.