Category: Post-Operative

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I Am Losing a Lot of Hair After My Transplant – The Doctor Didn’t Tell Me About This – Hair Loss Information – Balding Blog

Hello Dr.

I recently(two weeks ago) had a hair transplant and am experiencing a lot of hairfall right now. My Dr. told me that i would lose the transplanted hair after the procedure, but i am also losing a lot of my own hair. Is it normal after the procedure? Would be greatful to you if you could please answer my question.

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It sounds like you are experience a phenomenon called “shock loss”. It occurs more in younger patients and patients with pre-existing miniaturized hairs. Thus, you often see me reiterate on here about the importance of a miniaturization study. It is a risk associated with a hair transplant procedure and it should have been outlined for you in your informed consent paper work before the surgery. You should have been put on Propecia prior to the surgery to minimize the risks, particularly if you are under the age of 35 or if you have had recent hair loss.

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Search Results for “procede” – WRassman,M.D. BaldingBlog

I am not a chemist, and I really cannot comment on if those ingredients will grow hair. I’m not seeing anything proven to grow hair in there, though. I can tell you there is no cure for hair loss. Even the best medications we have (Propecia and Rogaine) still have limitations. As the ingredients you […]
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Result from Trichophytic Incision (with Photo) – Hair Loss Information – Balding Blog

In the photo below, you will see one of the best wounds I have seen after a strip surgery. In fact, I could not find it when I initially looked for it and only recognized it from some mild pinkish color that still remained in the scar area. Clearly, this is an atypically good healing situation with a good trichophytic closure where both technique and the patient’s healing characteristics work favorably for the patient. Photo taken just over 6 months after surgery.

Click the photo to enlarge.

 

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Dislodging a Graft After Hair Transplant – Hair Loss Information – Balding Blog

Dear Dr. Rassman:

Is this a good rule of thumb for any stage post op? “If there is no bleeding then you did not dislodge a graft”

Thanks

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The highest chance of graft dislodgement is within the first few days after surgery. As you go farther from the time of surgery, the chance of graft dislodgement decreases. When you pass day 5 you generally can not dislodge the graft with simple traction of the hair and even if you can pull the hair out, the graft stays in and is capable of making a new hair (see PDF file: Graft anchoring in hair transplantation. Dermatol Surg 2006; 32: 198-204 © 2006 R M Bernstein, MD, W R Rassman, MD). Dr. Bernstein and I published a paper that allowed us to pull out hair follicles from 1-10 days after surgery and then send off what was pulled out to find out if the growth centers of the grafts came out. What we found out was that after a few days they were generally secure, but that was when there was no crusting on the skin edge of the graft. If there was crusting, it would take up to about 10 days to risk losing a hair growth center when it is pulled out. But really now, who in his right mind other than Dr. Bernstein for experimental reasons, would want to pull hair out? Not any patient I know of.

Presence or absence of bleeding does not have to do with the survivability of a graft.

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How Long Does Shock Loss Last? – Hair Loss Information by Dr. William Rassman

Dr. Rassman,

How long does shock fallout last for? I am more than 15 months out after my initial transplant (49 years old and on Propecia for several years) and had alot of fallout shortly after the surgery. My hair continues to fall out at a pace greater than what I experienced before the procedure. Are the hairs I am still losing possibly the result of the surgery from over a year ago? I am confused and very disappopinted with the results of my transplant as I have decidely less hair now than prior to the surgery – not exactly what I envisioned as the outcome of my procedure.

Please help with your input.

Your case brings up many points. Have you started to lose your native hair in a new cycle? You may have had shock hair loss, but that process should plateau in 3-4 months. One would have to find out if the new grafts grew. What did your surgeon say about your situation? I am coming in late in the game and would need to establish baselines as to what I am looking at before rendering an opinion.

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Hair Loss InformationHead is Still Numb and Donor Area Still Hurts a Year and a Half After Surgery! – Hair Loss Information – Balding Blog

Dr R…You can publish. I paid for 1,600 grafts a year and a half ago [with a local doctor]. Horrible results! This is a photo the night after my surgery. My head is still numb on top & hurts in the back after a year and a half!!

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After a few weeks, any anesthesia (numbness) of the skin should abate unless it is in the back of the head and one of the major nerves was cut. It is not clear from your comment if the pain and numbness is in the top and back. The major nerve will control the back and top of the head. If you say you have had horrible results from the transplant, then confront the surgeon that did it and ask him/her for his/her opinion. Then get a second opinion (you can come see me in Los Angeles) to assess what grew or did not grow. Access to your preoperative and post operative pictures will be critical for me. As a smart consumer, you should know that you can get answers and you should pursue those answers. Hopefully, your doctor will respond to your concerns. Speaking with your doctor directly, is the first step you should always take.

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Bumped My Head 10 Days After Transplant – Hair Loss Information – Balding Blog

Hiya, I had hair transplant surgery on my temples about 10 days ago. Today I bumped my head on my left temple and it became slightly red. I wanna know if this is dangerous and would affect my hair transplants. Also some of my new hair fell out with the scabs about 8-9 days after surgery. Is it too soon for it too fall out?
Please help!!

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It would be unusual for loss of the root of the grafts at 10 days post transplant. We have published on this subject and found that the root of the transplanted graft stays in even if the top of graft came out at 10 days. What did your doctor say about it?

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Hair Loss InformationI Don’t See Results After My 2nd Procedure 8 Months Ago – Hair Loss Information – Balding Blog

i have my 2nd procedure and it hasn’t worked for some reason. its 8 months out now and i didnt see any result. even my original hair i had, i lost because of the procedure. it can take more then 8 months or is something wrong? i try to use the low level laser therapy but it didnt work for me? please advice me what to do. thanks

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I would need more information about you. What hair have you lost? Are you on Propecia? What did your hair transplant surgeon say? Look carefully at the pictures that he took and be sure that the transplants failed. If they failed, did you surgeon agree with you? Consider getting a second opinion if your doctor is not direct with your questions.

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Long-Term Stubble After Hair Transplant – Hair Loss Information by Dr. William Rassman

Hello and thanks again for this most helpful website.

I am a female who is just over one year post-op. For months now (no exaggeration), there has been a 1″ to 2″ band of stubble on the top\front of my scalp that DOES NOT GROW. It remains stubble.

I went to my HT surgeon for a follow-up and he said it’s just “slow growth” and we should wait another 8-9 months for another follow-up. The rest of my HT seems to have grown in fine, albeit I wish I had more grafts. How is it possible that this stubble has just stopped growing?

With many thanks and blessings.

Transplanted hair should usually start growing in 3-5 months. They should be all growing in six months and by month 12 they should be a few inches long, as thick as the original hair and long enough to comb. Some variation is seen in the growth rate among people, but no growth in one year is unusual and its causes should be explored further by your hair transplant doctor.

I have on rare occasions seen the presence of persistent stubble in the transplanted area (rarely longer than 1cm). What the stubble (after 6 months at least) should reflect is the old left-over hairs from the transplant. You can confirm this by pulling out a few of these and you should see no bulb at the ends of the hairs (from deep in the skin). If that is what you are seeing, pay no attention and these should eventually come out in a hair wash. You might get a second opinion.

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