Chickennuggets95

It’s not that common actually for a transplant to “fail” in our current era. Way more likely back in the day. Assuming you don’t go to a butcher the main cause of unsuccessful results after a HT are usually mostly linked to people not being proper candidates in the first place.

I would say donor management is harder then good density or correct packing, even subpar surgeons can get you good density, but at what cost, did they maul your donor supply or were they smart and conservative.

@Rahal Hair Transplant

realised you requested pictures, here’s both sides at day 70, roughly 2000 grafts. One sided abit further ahead but I have be informed it’s normal and they will catch up

5 hours ago, Rahal Hair Transplant said:

@Chickennuggets95,

I just realize that the topic title expresses how far along you are so I apologize for missing that. That said, the fact that you’re seeing any growth at 70 days postop is impressive. Many of the dormant hairs may actually begin to grow between 3 to 5 months. If most of them have shed and there’s only a few that remain stagnant, everything should be fine.  Some of them may grow when the time comes and it’s possible that some might not grow because while even the best surgeons have high growth rates, it’s not usually 100%. It might be in the 95 to 99% range.

I hope this helps.

Rahal Hair Transplant 

Ah so it’s normal to have some hairs stick around but not instantly grow right? It doesn’t necessarily mean they won’t grow? I mean I know the yield for HTs isn’t 100% but is it safe to assume it’s normal to have some small lengthened hairs not fall out during the shed?

1 minute ago, Rahal Hair Transplant said:

@Testaccount9900aka @Chickennuggets95,

I can only assume by your questions that you had a hair transplant?  When was the date of your procedure?   Without knowing this it’s difficult to give you any specific information about what you might be experiencing. Based on what you’re saying however, I’m guessing you’re about 3 months out from surgery.

Generally speaking, most if not all transplanted hair will shed and fall out between 4 to 6 weeks after surgery.  Meanwhile the hair follicles are perfectly safe under earth the surface of the scalp.   Some hairs will keep growing and never shed and others may sit and stay dormant until they start growing between 3 to 5 months post-op.   In some cases, transplanted hair that doesn’t grow and doesn’t shed could be a sign that they were damaged and/or won’t grow.  But that’s rare especially if you’ve selected a reputable surgeon.

But assuming you’re only a couple months out from surgery I wouldn’t worry or over scrutinize at this point.  It’s far too early to evaluate anything although I certainly understand the concerns since just about everybody experiences this. 

I suggest posting some photos of your scalp and hair before surgery, immediately after surgery and how it looks now if you want specific feedback in your case.  I also suggest providing us with the date if your procedure and any surgical details such as any grafts you received, etc.

Best wishes,

Rahal Hair Transplant 

I’m at roughly 70 days from the operation, a majority of the hairs had shed but I was just mainly wondering if it’s normal for some to not shed, but also they don’t grow instantly, do they just maintain their length till they “activate”?

Also I had 2300 grafts, the whole experience has been mildly stressful from shedding to the ugly duckling phase as I have a little bit of shock loss I look worse now then I did prior to the surgery but I have been told that it’s normal and to just forget I had a hair transplant till the next 5 months as it takes a lot of time for the shocked hair to recover and for the transplanted hair to recovery. I use oral minoxidil but as told to also add topical to aid blow flow to the areas I have shock loss 

Bump - sorry different account on mobile

On 8/31/2022 at 4:26 PM, Rahal Hair Transplant said:

SoSoz,

it is very common to transplant hair in between and around existing natural hair. As long as those hairs are terminal, a.k.a. not impacted by androgenetic alopecia, the results will be a net gain of hair. It’s possible that terminal natural hair will temporary early fall out which is typically referred to as shock loss or telogen effluvium due to trauma from the surgery.  However, these hairs will return around the same time to transplant a hair starts to grow in and The end result will be the return of any shots natural hair and the growth of all the transplanted hair.  

on the other hand, if any of those natural hairs are miniaturizing due to the effects of genetic baldness, it is possible that those hairs will not return if shocked.  Whether or not those hairs will return really depends on how far along they are in the process of androgenetic alopecia and how densely packed the transplanted hairs are placed around the natural hair.   But, if they are miniaturizing then regardless of surgery, they will eventually disappear and not grow back anyway.

The above is exactly why many surgeons and patients like discussed the importance of using non-surgical treatments such as finasteride. Hair transplant surgery is the only proven solution to grow hair in completely bald areas however, it does nothing to stop the progression of male pattern baldness. Finasteride and even Knoxville to degree are quite proven to slow down, stop or even reverse some of the effects of genetic hair loss which is why a long-term Harris ration plan typically includes both nonsurgical and surgical solutions.

so if you are in the midst of researching your options and which surgeon to choose for your surgery, I strongly suggest discussing the pros and cons of using non-surgical solutions along with surgical hair restoration.

I hope this helps.

Rahal Hair Transplant

What’s Knoxville 😂? I assume it was a minoxidil typo. So in the case of transplanting hair near previously transplanted hair the chance of shock loss recovery is high because the hairs aren’t weak? I would assume it’s hard to “transect” hairs if the surgeon is looking carefully 

Hmm, I still wonder how common native shock loss really is 

I agree that dipping pass into mid-crown is a bad idea, but doing work on your temple region seems totally normal standard for the HT industry? I don’t see why he wouldn’t be open to reconstructing your temples, perhaps get a 2nd opinion from another expert

9 minutes ago, mmokin said:

i have what i suspect to also be shockloss, usually maybe will take 6 months to recover fully as it is a sort of telogen effluvium

Is it in ur native hair? As in did you get a density increase and not just on a slick bald area 

How common is it if you have have pre-existing hair in the region, I.e. a 2nd transplant to add density? Also how long does it take to return? I feel like I look way worse rn then I did pre op, still 60 days out from surgery 

On 8/14/2022 at 8:11 PM, Yan bio said:

I remember melvin saying 2 weeks ago this is normal 

So you remember where he had posted that? Lookin for a similar situation to follow 

On 8/14/2022 at 8:29 PM, Rahal Hair Transplant said:

Chickennuggets95,

what you’re experiencing is completely normal. Transplant hair typically sheds between 4 to 6 weeks after surgery and yes, it’s normal not to see any holes or areas of the scale where the hair has shed from. Frankly, if you did see holes, then this would be known as pitting which means the follicles were packed too deeply during surgery.  So rest assured this is completely normal.

I hope this helps.

Rahal Hair Transplant 

Normal to have dry skin? And pimples? This waiting phase is a nightmare, and how quickly does native shock loss return? As you can see near my edges I have abit of native shock loss 

Sorry no idea why the upload flipped the picture upside down 

also incase anyones wondering about the hair lengths it’s a mixture of transplanted and native at the temples 

Day 38 rn, already shedded most of the transplanted hairs, was just curious if this is normal to not see where the grafts originally fell from?

Someone said you should still see the follicle under the flash but this seems ridiculous given how deep it’s inserted, a shed hair shouldn’t still be visible after a HT especially during early times, no?

59 minutes ago, New_Barnet_Please said:

You are giving advice out, but then state that you're taking double what doctors prescribe of the drug for hair loss (5mg)? This could be a factor why you have had so much body hair growth. 

I am giving out advice I am not telling people to copy my dose. Also there’s been studies done on 10mg aswell and there’s a similar side profile as 5mg

53 minutes ago, New_Barnet_Please said:

It’s not a smart idea to look at it like this imo - things work in balance. Just take the recommended 2.5 or 5mg recommended for hair loss. That gives plenty of benefit with little risk of side effects.

My main point was specifically in regards to does oral help work through shock loss just as topical would 

6 hours ago, Z-- said:

There isn't blood, so I wouldn't worry. It's usually very obvious when a graft is dislodged.

Assuming this is after 10 days, it's normal. The grafts are pretty secure from what I understand, especially after two weeks.

Day 28, just shedding, was just curious if it’s normal to shed some in different shapes 

Some of the hairs look wonkey at the bottom, like L, or Js, saw ppl online say it’s 100% normal but would like a lil more reassurance