Thinning hair transplant after second or third year

[MeetYourMaker]

The Turkish forum i follow has some interesting cases about people that had a great HT results then started to thinning again after a few years. I specifically checked the donor area where follicules extracted and looks like they are from the safest area, how can we explain this issue? Are Hair Transplants really permanent if you do not use finasteride after the operation? 

[SD1984]

Donor hair can absolutely thin, even if just slightly, without Finasteride. But usually it will not be lost compeltely. You ever see guys in their 70s and 80s with thinned to hel horseshoes? Now imagine if they got a transplant. But these types of guys likely had suspect donor regions as early as their 30's so any ethical surgeon today would advise against a transplant for someone like that, without Finasteride. If you have a super strong looking donor region and are not on Fin, then that's another story, and you should be fine, though very slight thinning is still likely anyway.

[MeetYourMaker]

i really understand how brutal hair loss is when these people start to lose transplanted hairs, looks like donor follicles are somewhat resistant against DHT but not completely 

[asterix0]

The donor is not completely dht resistant, some patients need fin to protect it after transplantation.

[Melvin- Admin]

 

[MeetYourMaker]

Wow, thanks so much Melvin, amazing content indeed. 

The patients i saw started thinning after their first year so i still cannot grasp how can it be. 

Also it shows the people like me (huge sides from fin, cant take it no matter what) still will face problems even we have solid HT results. 

 

 

57 minutes ago, Melvin- Moderator said:

 

 

[Melvin- Admin]

6 minutes ago, MeetYourMaker said:

Wow, thanks so much Melvin, amazing content indeed. 

The patients i saw started thinning after their first year so i still cannot grasp how can it be. 

Also it shows the people like me (huge sides from fin, cant take it no matter what) still will face problems even we have solid HT results. 

 

 

 

Dr. Bisanga said it best “nothing is permanent, not even life” 

[Britanium]

Just now, Melvin- Moderator said:

Dr. Bisanga said it best “nothing is permanent, not even life” 

Indeed ! All we can do is choose a decent/ethical Dr/Clinic and then Hope 😂

[aaron1234]

Also Dr. Bisanga, "If you can keep your hair transplant good for 10 years you should be happy".  And Dr. Wong, "Hair transplants absolutely do thin."  

I think thinning transplanted hair can happen even if the patient's donor region is healthy or if the patient is on fin, though it may be less likely.  Long term planning should account for this possibility. 

[gillenator]

This is why I am emphatic about having one's donor zone microscopically examined because if the donor hair appears to be DHT receptive, that hair can be lost in the future.

[Mark Wolfer]

36 minutes ago, gillenator said:

This is why I am emphatic about having one's donor zone microscopically examined because if the donor hair appears to be DHT receptive, that hair can be lost in the future.

How does the microscope view confirm this?

[aaron1234]

45 minutes ago, Mark Wolfer said:

How does the microscope view confirm this?

You'd be able to see miniaturization in the donor region (a sign that donor hair is DHT receptive) that might not otherwise be apparent to the naked eye.  

[gillenator]

On 7/28/2021 at 7:37 PM, Mark Wolfer said:

How does the microscope view confirm this?

Using a scope will discern if the donor hair has definite signs of miniaturization which confirms that the hair is DHT receptive and not suitable for transplantation.

[gillenator]

Oops, sorry Aaron, I just saw that I basically repeated what you posted.