Category: Post-Operative

Dear Doctor R.,
I had a FUT procedure of 3,000 grafts 3 months ago, primarily into the vertex area. Three months on, none of the transplanted hair has yet fallen out nor has it noticeably grown past 5mm.

Should I understand this as a random event, or should I infer that this represents some indicator of the expected telegen/anagen phase timeline? Thanks & with regards

I would not expect the hair to grow out until 5-7 months have elapsed. Following a hair transplant, your newly transplanted grafts will go through a dormant phase. All you can do at this point is have patience. Some people could see the start of growth after a few months, some take a little longer. A very lucky few will not go through any dormant phase and the hair just starts growing.

Did you ask your surgeon? You should’ve been informed of the wait time prior to undergoing your surgery.

I just had a transplant procedure done just over a week ago. I’m a pilot who wears a helmet to fly with. How long should I go before wearing my helmet again?

I don’t think you should have any issues with wearing a pilot’s helmet after one week. The grafts shouldn’t be an issue by this point, but the donor scar might be uncomfortable if there is a lot of pressure on your donor area from the helmet.

It really can depend on how large the surgical procedure is, so please talk with your surgeon. I would think your surgeon should be more accessible than me here on the Internet.

A week ago my grafts were exposed to the sun for approximately 10 mins. I didn’t burn but I did go slightly pink most noticeably on my right temple. To be honest I didn’t worry about it at all at first as from what I gathered from researching previous posts here your pretty much safe up to a first degree burn.

Over the last couple of days however I’ve lost a few newly sprouted transplanted hairs where the discolouration is on my scalp. In fact they emerged just before I was exposed to the sun so only 1 week old. I’m slightly concerned as I assume the only reason this would happen is if the follicles were going back into a resting phase or if they have died.

Is it possible sun exposure can cause follicles to shed but then regrow? I’m 9 weeks post op and had just experienced some early growth about week 7/8. Your opinion would be greatly valued.

I wouldn’t think you have anything to worry about regarding your sun exposure. I don’t know why your newly emerged grafts disappeared, but 10 minutes in the sun will not harm the follicles and I doubt it will affect your scar. The ultraviolet light is what you want to avoid, so in the future I’d recommend applying sunscreen to your scalp (SPF 45 or higher).

If you are still worried, follow up with your doctor.

I am starting to panic a bit and wondered if you could give me some confidence for the future months. I had a ht approximately 9 months ago in October of 2010. At the end of the 5 month period I could see definite results and was excited about looking even better in the coming months. Friends and family noticed a definite difference from before I had the transplant.

Now I’m seeing a lot more hair loss of what I assume is the transplanted hair since I didn’t have very much hair before the procedure. Do you think that it’s possible that a lot of the transplanted hair could fall out and then grow back in or do you think I might be stuck with no regrowth? I have tried to do everything the doctor has told me to do but am looking worse almost daily. My doctor says that it could take 12 to 14 months for the ending results in my specific case. I sometimes feel he isn’t telling me everything. I guess I’m a bit afraid that I am going to continue to look worse as time goes on. Do you think there’s any possibility that I’m going through a shedding cycle with my ht?

I would need to see you to draw any conclusions. I generally tell patients to wait a year before questioning the survival and the results of the hair transplant procedure. I wish I could help give you a better feeling, but maybe a visit to me at the 12 month time frame would be a worth while investment.

Hi Dr Rassman, big fan of your blog, lots of info very helpful!

I had an fue transplant with a good clinic about 3.5 weeks ago. On day 14 I bumped my head on my left temple, not very hard. I wouldn’t of even paid attention to it if I hadn’t undergone an HT 14 days prior. Anyway no blood or visible damage to the skin occured although it may of been slightly pink (it was pink anyway because of the op). Could this of caused any damage to the new grafts at all? My patient advisor says its unlikely, but I wanted an opinion from somebody else like yourself.

Although there wasn’t any bleeding or even a scratch, could this damage what the grafts are doing under the skin?

Many thanks

I would doubt that you did any damage. Two weeks after your procedure, I wouldn’t be concerned about a slight bump to the head.

My grandfather’s has what you call a Class 7 pattern and the hair around the back and sides is very thin. I asked him if his hair was always that thin and he replied that when he was my age, his rim hair was much thicker. He became bald in his later 20s. Is the donor hair really permanent?

The donor hair around the sides and the back of the head in some men is not permanent.

I have seen men like your grandfather in my office and their donor density is very low, but as they are usually coming for a hair transplant assessment, I, of course, turn them down. There is some miniaturization in the donor hair in these men and I suspect that the miniaturization process that impacted their original frontal hair extends to the donor region. These men are clearly not surgical candidates.

On very rare occasions (about once every few years) I see someone who lost hair bulk in the transplanted hair. These men have a drop in donor density as well, so I must assume that these men are losing this sacred donor hair. This introduces two more risk for patients who have transplants: (a) the loss of some of the transplants over time as the donor hair dies off, or (b) the hair becomes finer with age (a common finding). The few who I have seen that reported transplanted hair loss to me, fortunately did not lose all of their transplanted hair, but it is a risk. I have only been doing hair transplants for 20 years, a relatively short period of time in the life of my patients.

Amongst those men I have transplanted above the age of 70, they never showed miniaturization in the donor area and they behaved like the young men I transplanted. One of my most unusual patients who came to my office frequently during our Open House events, was a Class 7 patient who received 9900 grafts over 9 years and he maintained his donor density through the entire process without miniaturization. He was 74 years old.