hairtargeter

I underwent hair transplantation on April 2019 by FUE technique. I took special vitamins to hair for 6 months but I fontunately I did not start to take periodic PRP sessions and minoxidil soon. The hair growing has been slow and not satisfying for me. On last November, after 8 months of the transplantation, I started to take PRP sessions periodically every 3 weeks. Today, after 10 months of the transplantation, I started to take Minoxidil.

Is it now too late for the transplanted follicles to take PRP and minoxidil?

Or is there a chance for the transplanted follicles to restore and grow hair as a result of PRP and minoxidil?

34 minutes ago, Giastro said:

@hairtargeter Try also to post some photos of the pre-intervention and some of you are now, maybe the veteran members of this community will be able to tell if you can really worry or not.

@Giastro I will send photos but unfortunately the vellus hairs don't appear at all in the photos

3 minutes ago, LaserCap said:

You can do PRP at any time.  It is typically best to do it at the time of the procedure as it will help the transplanted hair to come in sooner.  It can also help reverse miniaturization of the native hair. 

Get photos of results and ask to speak to some of the patients they've done in the past.  This should give you a decent reference if their system works or not.

Keep in mind, once you are on this band wagon, you need to continue doing them to keep the effect.  Like all other modalities, you have to keep up with it otherwise it's a waste of time and money.

 

I am really depressed. I take photos to myself and I ready find no progress since 125 days post operation till now (222 days post operation)

Is it normal that the hairs delay to grow?

15 hours ago, LaserCap said:

Shampoos and vitamins do absolutely nothing to help with retention nor enhancement of the hair.  Vitamins are meant to help the hair look as good as it can.  Shampoo is only good to wash and keep clean.

If they are asking for $150 for PRP, it is likely they don't know what they're doing.  Ask them to show you photos of results.  How often do they suggest you do the shots?  Do they combine this with a matrix to help bind the PRP?

$1400 for hair restoration?  How many grafts?

 

Today it has passed 222 days since my hair transplant procedure.

Do you think it is too late now to take PRP injections?

In my country, PRP is proceeded mainly by seperating plasma from the blood by using the centriputal device. There is no activation substance dedicated to be mixed with the plasma for the hair.

Is it enough?

5 minutes ago, LaserCap said:

All modalities only work if taken.  If you can't or won't do them, why even consider transplants?

With such advancements in the world, including the internet, why not order what you need from an outside source? Another Country, perhaps.

The fact is, if you've lost, you'll continue losing.  So you do a transplant and gain density, but then you lose....now you have to do more transplants just to replace what you lost. Eventually we run out of donor and now we're stuck and not able to do anymore.

Get on something!

But I have taken vitamins which I have bought from the hospital and I use a medical shampoo which I bought from them too.

Really I don't know know which is most important meditation to take. I don't know if I it was better to buy PRP injections other than vitamins from the hospital.

Do you think that I must buy PRP injections from the hospital online? Every PRP injection costs $150 in addition to the express costs and the costs of the clinic in my country which will inject my head with them. It means that it I buy 6 PRP injections, it will totally costs me 6*(150$ +100$ )+100$=1600$. The operation itself costed me 1400$!

4 minutes ago, LaserCap said:

Where was the vellus hair, on the to, I presume? It was likely miniaturized hair about to dissipate and go away.  The procedure may have prompted the departure.

Transplanted hairs, (which is the grown stubble that came along with the graft), can sometimes remain and start growing from the start, or it can fall off along with the crusts when you start scrubbing at about 7 days post op.  The new hair will start growing at about 3-4 months. The hair starts, vellus-like and, 9-12 months later the shaft will thicken up until you see the matured result, (12-18 months post procedure). 

Are you doing any type of medical therapy? Having lost the hair so recently, it is likely you may enhance some of it. Talk to the doctor about doing Propecia, Rogaine, Laser and PRP.

Unfortunately, the up-to-date PRP technique is not available in my country, just the old technique. I prefer not to take Propecia because its side effects and Regaine because its effect is temporary. Laser cap is not also available in my country

I underwent hair transplantation about 7 months ago with fue method. Before the surgery, I had vellus hairs which disappeared after the hair transplantation. My transplanted hairs also fell after one month of the transplantation. About 3 months ago, new vellus hairs have appeared.

I am very mystefied of this new vellus hairs:

Is the old vellus hairs returned which means that my transplantation is failed (and transplanted hairs did not grow)?

Or do the transplanted hairs start to grow as vellus hairs at the beginning and it will transform to normal hairs later?

Please give me your opinion

10 hours ago, LaserCap said:

Yes sir, that's exactly what I'm telling you..........

But why vellus hairs which grow - after transplantation - takes a long time to be thickened and transform to normal hairs?

4 minutes ago, LaserCap said:

Typically at 1 year post op.  In some instances it can keep improving up to 18 months..

Do you mean that the growing transplanted hairs after the transplantation - which are vellus hairs in the begining - take one year to transform to normal hairs?

I underwent hair transplantation 6 months ago with FUE procedure. The transplanted hairs fell after one month of the surgery. About 2 months ago, vellus hairs started to appear. It is considered that vellus hairs will be thicken and transform to normal hairs. However, the vellus hairs haven't transformed to normal hairs yet and still very short and thin.

My question is: When the vellus hairs appear after 3-4 months of the transplantation, how long does it take to become thick and transform to normal hairs?

26 minutes ago, LaserCap said:

What is the DHI technique? Perhaps they've patented something we are unaware about.....

For years I heard, "it takes 4 months before the hair starts growing." This of course has changed over the years but, if no PRP was used, typically 3-4.  Then the hair starts coming in vellus-like, and at about 12 months is when we expect a matured result.  The shaft will thicken, there'll be length, etc.....

By this time, however, you should be able to see.....the problem it seems, the grafts were placed diffusely throughout.  Additionally you have a good size pattern.

And not to add salt to the wound, the hairline design looks like an inverted U.  Typically class 6+ do not lose hair that way.  Typically  patients will have a prominent forelock with very receded corners.

OK....Nothing we can do but....A couple of suggestions,

Get on medical therapy.  Propecia, Rogaine, and laser.  Do them for 1 year while you're allowing the grafts to mature.  I am hoping there is enhancement of whatever miniaturized "native" hair you have.  This would contribute to the overall density and the overall result.

Keep in constant contact with the clinic.  Go to the 3-4 month post op visit as well as all the others they recommend.  Have them take photos, (and get a set for yourself). I am certain the discussion of "more grafts" is coming.

The only other thing to do is wait.....

DHI technique is "Direct Hair Implantation" which is a type od FUE.

The seen hairs in the photos is the past vellus hairs (before the transplantation) which have transformed to normal hairs. The growing transplanted hairs is not shown in the photos because it is vellus-alike hairs.

About my hairline shape, the informed me in the clinic that the focused the grafts in the front. My hairline shape haven't changed since the surgery but it has just gotten a little more intense.

I  underwent a hair transplantation 5 months ago. DHI (Direct Hair Implantation) technique - a type of FUE method - was used in the transplantation. About 2400 grafts were transplanted on the front and top of my head and other 1700 grafts (from my chest and chin) were transplanted on my crown.

I took a photo after 4 months of the transplantation and another photo after 5 months of the transplantation. They are both attached here. However, there is really no difference between them.

Is normal for the transplanted hairs to delay before starting to grow?

In addition, I see now very thin hairs on my head (not visible in the 2nd photo). Do transplanted hairs start to grow as very thin hairs?

On 8/15/2019 at 8:39 PM, Dr. Glenn Charles said:

I really doubt that you could have caused any harm to the grafted follicles 3.5 months after the procedure. It is the exposure to the sum immediately following the procedure that is a concern. More because it could cause a more permanent redness discoloration to the scalp. 

The warnings about sun exposure after HT are associated with FUT and FUE procedures where incessions are done for the insertion of hair follicles. What about DHI procedure? Is sun exposure less dangerous after DHI transplant?

The time period referred to avoid sun exposure after FUT/FUE is about 4 months. What about DHI?

On 8/16/2019 at 1:10 AM, LaserCap said:

What's done is done.  Many believe, if you are out on the sun for an extended period, you can freckle permanently.  This is if you do it right after the procedure.  The suggestion is to put sunscreen and a cap, which you should be doing anyway.

No, I don't think this will harm anything.  The issue is the fact that it typically takes 3-4 months for the follicle to reincorporate into the blood stream.  The first growth is weak and it improves with time. That is, the shaft of the hair will thicken up.  Thus, after 3 -4 months, you shouldn't notice anything.  

If you're noticing less hair, it may be because you are in the process of shedding - which is normal.  I would suggest you take a set of photos now and another set in 6 months.  

What medical therapy are you currently doing?

Thank you. In fact, the core of my question is about DHI technique itself. The warnings about sun exposure after the Hair Transplantation are usually associated with FUE procedure with doing incessions for follicles insertion. But what about DHI? Is sun exposure really less dangerous after hair transplant with DHI?

I was underwent hair transplant procedure by DHI technique about 4 months ago. After about 3.5 months of the procedure (exactly 112 days), I walked under the hot sun for 2.5 hours (from 15:30 to 19:00pm) to induce vitamin D to my transplanted hair. Afterthat, I noticed that my long hair looks a little less dense even though I still see new hairs which are about to grow up but not so much. In fact, my hair starts to look more dense after 3 months of the procedure and the vellus hairs have disappeared but I am not sure if it fell or transformed to normal hair.

When I invistigated about this issue, I have found that I shouldn't expose my transplanted hair to the sun for at least 4 months or the transplanted grafts will be harmed.

Have my transplanted grafts been harmed or affected?

I underwent a hair transplant on past April by DHI technique and during my return journey to my country, my forehead collided with a hard metal surface with a strong shock, but the shock did not touch the implanted hair and there was no bleeding on my scalp but the shock only caused a small tumour above my right eye. I underwent the procedure 2 months and one week ago and there exist few dots on my head for hairs about to appear especially on the frontline. I am afraid if the shock might have caused a damage as long as the remarkable growth of hair has not begun yet.

Was this shock harmful?

3 hours ago, Shera said:

Hi, I've actually just recently seen the rest of the pics, the op sent them to me. The focus of the transplant was the hairline and the frontal third and the pics we see above was just a few excess grafts scattered in the crown area which will need to be addressed in a follow up surgery. It actually does look like a few thousand grafts were used, just wanted to clarify that for you guys.

I was really the best solution I could have gotten at this stage. I decided to undergo hair transplantation anyway. Even though a second surgery may be decisive, I am not sure if I will be eligible for it.

2 hours ago, pkipling said:

Thanks for this additional information/clarity. This raises a few more questions for me in terms of getting a clearer picture of what the OP is experiencing.

OP - Do you still have donor hair remaining? If so, what was the reasoning for already moving to chin hair and chest hair? Those are typically used as a last resort. Also, if you want more input, I suggest providing the other pictures as requested - if for nothing else than to paint a clearer picture for others who might have something to learn from your case. If a follow up procedure is part of the game plan, where do you plan on getting those grafts? In the picture provided, the grafts do seem very sparse/spread out - and I trust that you did your research and have a proper plan in place to address this in the future. 

I will send the rest of the pictures in a message to you. I send them in private messages to whom request them or may give advice.

About my follow-up strategy, I have considered that the transplantation will rebuild the blood circulation in the scalp, so that I may be more responsive for further meditation other than transplantation if it will be no longer possible. I am really not sure if primary hair transplantation will make the patient more responsible for meditation later to gain more hairs in addition to transplanted hairs.

In addition, there may be another choice which is the hair cloning even though it is not possible now as it is considered to be available in 2027. When it becomes available, it will be a decisive solution for me. As I was advised that it shouldn't be transplanted more than 4000 grafts in one surgery, I decided to undergo my first transplantation to give the chance for myself to get a higher density in any further transplantation procedure, if done.

4 hours ago, HLPToronto said:

who was your doctor ? do you mind sharing those details 

I have sent to you these details in a private message

I will send the rest of the pictures in a message to you. I send them in private messages to whom request them or may give advice.

About my follow-up strategy, I have considered that the transplantation will rebuild the blood circulation in the scalp, so that I may be more responsive for further meditation other than transplantation if it will be no longer possible. I am really not sure if primary hair transplantation will make the patient more responsible for meditation later to gain more hairs in addition to transplanted hairs.

In addition, there may be another choice which is the hair cloning even though it is not possible now as it is considered to be available in 2027. When it becomes available, it will be a decisive solution for me. As I was advised that it shouldn't be transplanted more than 4000 grafts in one surgery, I decided to undergo my first transplantation to give the chance for myself to get a higher density in any further transplantation procedure, if done.

This picture was taken after 4 days of the surgery and my head was dealt with by lotion and washed by a shampoo 2 times (one time per day) so that many clots might be cleaned away.

I have undergone hair transplantation. A total of 4100 grafts are transplanted for me by DHI technique: 2400 grafts from the donor area of my head, 1000 grafts from my chin, 700 grafts from my chest. 

The attached photo shows my head after 4 days of the transplantation. Is it a normal result? I mean, it is normal that the blood clots to be spaced out after 4 days? Will my hair regrows from wherever or only from the locations of the shown blood clots?

Yes, you are true. But shouldn't I consult only the hospital who has performed the operation for me? If I refer to them here, they will know that I use this forum to get other consultations and it may be considered something like non-confidence on them that I don't rely completely on their instructions.

I underwent transplantation in Turkey.

And the matter is not really that I don't want to give information but I used to ask in this forum about general topics in hair transplantation. If I give details about the hospital where I underwent the transplantation, it will look as I try to give an assessment for it.

This forum is not to give assessments about hospitals and doctors. To give any of these assessments, I should use the Realself forum: www.realself.com

Dear, 

I have undergone a hair transplantation surgery by the technique of DHI (FUE). After 8 days of the surgery, I rubbed my head from the front by my fingers inadvertently. Did it cause any harm to my new transplanted follicles?

Regards