Myth: Hair From Transplants Falls Out After Some Years

A hair transplant is a long-lasting and efficient treatment for baldness in the modern cosmetic world. If you’re considering getting a hair transplant, you should be aware that it’s normal and temporary for transplanted hair to fall out. 

Knowing the difference between regular hair loss and falling of the transplanted hair grafts following a hair transplant is crucial. In this article, we will discuss why transplanted hair falls out and which factors can be responsible for it.

Is It Normal To Lose Hair After A Hair Transplant?

Yes. Following a hair transplant, temporary hair loss is typical. It is a transient side effect of hair restoration therapy that is quite hilarious.

The American Academy of Dermatology states that it is typical for transplanted hair to fall out due to shock two to eight weeks after surgery. By the third month after a transplant, the hair typically seems thinner.

The grafted follicles start to grow hair normally once the shock wears off. Your hair will appear thicker and healthier as the transplanted hair grows.

Causes Of Hair Loss After Hair Transplant

Hair loss after hair transplant surgery can occur due to several factors. Here are three prime causes:

Shock Hair Loss

Shock hair loss refers to the temporary shedding of transplanted hair within two months after the surgery. This phenomenon is a natural part of the hair transplant process and is known as telogen effluvium. 

During this phase, the transplanted hair follicles enter a resting phase before regrowing. It is important to note that this hair loss is temporary, and the hair almost always grows back within four months. 

Graft Rejection

The success of a hair transplant surgery relies on the ability of the grafts or flaps to take root and generate new hair. In some cases, the grafts or flaps may fail to develop or fall out soon after the operation, leading to an uneven or spotty appearance. 

This rejection can occur due to various reasons, including inadequate blood supply, improper placement, or the patient’s immune system response. 

Improper Postoperative Care

Failure to adhere to the recommended care instructions can contribute to hair loss after the procedure. Improper scalp hygiene, such as neglecting cleansing or using harsh products, can lead to infection or the accumulation of debris, hindering hair growth. 

Additionally, engaging in excessive physical activities, such as heavy lifting or intense exercise, can disrupt the healing process and cause the transplanted hair to fall out. 

Pattern Baldness After Hair Transplant Surgery

After a hair transplant surgery, patients can expect to achieve natural-looking results. The advancements in creating the hairline and strategically placing the hair in thinning areas have contributed to more realistic outcomes. 

Typically, individuals begin to notice improvements between six and nine months after the procedure, with about 60% of new hair growth visible during this time. However, it’s important to note that hair loss and thinning may persist even after a hair transplant. 

In such cases, dermatologists may recommend medications that target hair loss. These medications can help prevent or slow down future hair loss and thinning.

Age and genetic factors play a role in the biological thinning of hair. In some instances, patients may require multiple “touch-up” surgeries to achieve the desired natural-looking outcome. 

To ensure successful results, individuals should diligently follow their surgeon’s post-procedure instructions. As for the donor site where the hair was harvested, it typically shrinks to a small, inconspicuous incision line that blends seamlessly with the surrounding hair, becoming barely noticeable. 

With proper care and maintenance, individuals can enjoy natural-looking results for years to come.

How to Avoid Hair Loss After a Hair Transplant

To avoid hair loss after a hair transplant, there are several important factors to consider and steps to follow. Let’s go through each point in detail:


Your surgeon may prescribe ointments or gels to be applied twice daily. These products are typically water-based and promote wound healing, retain moisture, and provide a barrier against infection. 

Commonly used options include mupirocin, Neosporin, and petrolatum. Some physicians prefer surgical gels, although they can be difficult to remove from the hair.

Minoxidil and finasteride (Propecia) are two drugs frequently administered to individuals following hair transplant surgery. To promote hair growth, minoxidil is a topical drug that is given directly to the scalp. 

The oral drug finasteride prevents testosterone from being converted to dihydrotestosterone (DHT), which is the cause of hair loss. It has been demonstrated that finasteride enhances hair regrowth and prevents further hair loss.


Choosing The Right Hair Transplant Surgeon

Selecting a qualified and experienced surgeon is crucial for a successful hair transplant. Look for a surgeon who oversees a skilled team that can efficiently place thousands of grafts in a single day. 

Some physicians delegate certain surgical responsibilities to their staff, so it’s important to understand who will be performing which aspects of the procedure. 

A good surgeon should discuss all the pros and cons of the procedure with you. Ensure that your surgeon has at least six years of surgical training following medical school, including a minimum of three years of plastic surgery residency training.

They should have also passed comprehensive oral and written exams, graduated from an accredited medical school, and regularly participated in continuing medical education.

Aftercare Instructions

Proper aftercare is essential for the success of your hair transplant. Your surgeon will provide you with specific instructions, but here are some general guidelines to follow:

Keep the newly transplanted hair follicles in a moist environment by frequently misting them with a saline solution.

Avoid washing your hair directly under the shower. Instead, hand wash your hair after 1-2 days. Use a gentle shampoo and lukewarm water poured from a cup.

Sleep in a semi-upright position for the first few nights to minimize swelling. Use a recliner or prop yourself up at a 45-degree angle.

Maintain a fixed sleeping position for the first three nights to reduce forehead swelling. Engage in light physical exercise such as walking and stretching, but avoid intense physical exertion that can increase pain and inflammation.

Proper Diet And Hydration

Nutrition plays a vital role in the success of hair transplantation. A well-balanced diet is essential for maintaining healthy hair follicles. Here are some tips:

Ensure you have a nutritious diet without significantly increasing your food intake. Balanced meals containing essential vitamins and minerals will support healing and hair growth.

Vitamin B is particularly important for hair health. It nourishes the hair roots and promotes the hair growth process.

Stay hydrated by drinking an adequate amount of water. Proper hydration is crucial for scalp health and the overall success of the transplant.

ALCS Hair Transplant and Cosmetic Clinic, under the leadership of the internationally recognized Cosmetic Surgeon, Dr. Sunil Arora, specializes in hair restoration and cosmetic procedures. With a focus on quality, ALCS Clinic offers a range of Hair Transplantation and Cosmetic Surgery Services under one roof.

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