Transplanted Hair falling 3 Years post op

[John Doe]

Without pics it’s not worth entertaining your posts

[Charls 37]

Yet you are here buddy

Its fairly well explained as well as mentioning the terms used by the top HT doc

[ITA]

21 hours ago, Alfie123 said:

TRANSPLANTS ARE NOT FOR LIFE

I've always thought that.

[ahmed9500]

@Charls 37 I can 100% empathise with you, my case is exactly the same as yours please see my posts. Transplants are temporary and deteriorate after a few years, hence why the major bloggers here with good results have had multiple surgeries! 3-4 years and you need another session. 

[ITA]

3 minutes ago, ahmed9500 said:

 I can 100% empathise with you, my case is exactly the same as yours please see my posts. Transplants are temporary and deteriorate after a few years, hence why the major bloggers here with good results have had multiple surgeries! 3-4 years and you need another session. 

Not quite so, for some the transplanted hair lasts for years, for others a little less, for still others, even less, but they are not eternal.

[blackislback]

Many clinics sell those stories is for a life   as transplanted from so called "safe zone" - donor area, but reality is that grafts from donor area, not act same way at recipient area, and at every clinics before HT you sign agreement where is written clearly "we can't gurantee that transplanted from donor area will be forever on recipient area and will be no shading"   , and there is part where it's written like "it depend by quality of grafts, and many other reaons how long they will still at donor area" , so there is many factors, as grafts are live "organism" too , have their life cycle, and not forever, it depend by x factors, blood flow to transplanted grafts, quality of grafts, skin, et.c

And it looks normal, as thar recipient area where started hairloss, probably can't act perfect with transplanted, same as it was ago problems with hair which we lost on those parts of our head... But there is no rule, some people even after 10y still ok transplanted hair, some not 3,5 , whatever, so no rules, every organism is unique, and request specific analyze. Think best way is, as i suggested previously to do more checking by other clinic, by dermatologist, hematologist, angiologist, or whatever some good dermtologist will suggest you, as without good analyze, difficult judge anyone, as your organism is unique, and need checking related to your organism, case.

[Charls 37]

3 hours ago, ahmed9500 said:

@Charls 37 I can 100% empathise with you, my case is exactly the same as yours please see my posts. Transplants are temporary and deteriorate after a few years, hence why the major bloggers here with good results have had multiple surgeries! 3-4 years and you need another session. 

I looked at your case, we are different, it looks like in your case the native hair might have fallen perhaps with some transplanted ones, also getting off of fin wasn't a good move

I am far from considering my case as failed, as like I said, the transplanted hair, on the corners of the hairline and some slight on the front have been falling and then REGROWING in a cycling fashion in different areas(transplanted)

There is no thinning at all, and seeing hair regrowing quickly I might add implies the follicular unit is alive and well. It just has been going on for over a year so it doesn't seem stable yet

Doc is pretty casual about it, saying is anagen synchronization and even told me that it took another patient of his about half a year longer, whether he is right or not remains to be seen

Good point blackisblack about checking different opinions as there are no rules and Dr are biased towards covering their ass

 

 

Edited November 15, 2021 by Charls 37

[mcr7777]

If your transplanted hairs thin out it's often a sign of another type of alopecia (can sometimes exist alongisde MBP).

There are scarring alopecis like lichen planopilaris that can kill transplanted hairs- or others like alopecia areata.  And some other alopecias but lichen planopilaris and areata are the most common I beleive.

It is not true that transplanted hairs last forever - that is only the case for androgenetic alopecia - and not other autoimmune alopecias that are sometimes misdiagnosed as MBP!!!! This is a big problem in the HT industry I believe - as I was misdiagnosed and only found out I Had LPP after a HT.

 

I'm convinced many others that experience poor growth or whose transplants thin may have misdiagnosed LPP or other alopecias. Many simply don't want to investigate it/are unaware/don't have financial resources etc.  

 

If you have symptoms of burning/pain/lots of itchiness - you might want to see a dermatologist specialising in alopecia - suggest not to rely on a HT doctor or general derm as they are often clueless about other types of alopecia - and often misdiagnose for MBP.

Edited November 28, 2021 by mcr7777

[blackislback]

On 11/16/2021 at 12:43 AM, Charls 37 said:

Good point blackisblack about checking different opinions as there are no rules and Dr are biased towards covering their ass

Yes, absolutely, as nowdays many of those doctors who perform HT are not even specialist surgeons, not dermatologist, many of them are just regular medical doctors of general practice, who only graduated 1st basic medicine studies, and didn't get any specialization in areas like surgery for cardio, neuro , whatever or dermatology, so difficult expect by such type doctors some realiable opinion of your case, if he isn't dermatologist, based on eye checking will not say anything, think best option is to visit other reputable HT doctor and specialist dermatologist, to analyze your case.

Many of them only care about money and "fast" cases, not diffciult cases, and for them is best guy with 1-3k max grafts, no any skin issue, or other problems, do HT, get money, and go next, and so on... When one like you appears, for them is counting how much time will loose dealing with you, instead work with other patient, it's reality, this is esthetic surgery, not essential surgery like cardio, neuro, even these some doctors much not care, but medicine look as business, difficult see moral-ethic doctos today...

However, wish you find root of your problem and asap fix it .

[Charls 37]

On 11/27/2021 at 4:16 PM, mcr7777 said:

If your transplanted hairs thin out it's often a sign of another type of alopecia (can sometimes exist alongisde MBP).

There are scarring alopecis like lichen planopilaris that can kill transplanted hairs- or others like alopecia areata.  And some other alopecias but lichen planopilaris and areata are the most common I beleive.

It is not true that transplanted hairs last forever - that is only the case for androgenetic alopecia - and not other autoimmune alopecias that are sometimes misdiagnosed as MBP!!!! This is a big problem in the HT industry I believe - as I was misdiagnosed and only found out I Had LPP after a HT.

 

I'm convinced many others that experience poor growth or whose transplants thin may have misdiagnosed LPP or other alopecias. Many simply don't want to investigate it/are unaware/don't have financial resources etc.  

 

If you have symptoms of burning/pain/lots of itchiness - you might want to see a dermatologist specialising in alopecia - suggest not to rely on a HT doctor or general derm as they are often clueless about other types of alopecia - and often misdiagnose for MBP.

I checked the lichen planopliaris you mention, looks like that's not what i've got, the hair grew perfectly for years and since the fall started by areas  it regrows with the same density as before

That sucks though, how soon after a HT you were diagnosed you had LPP, did you ever get full growth?

[deeznuts]

On 11/5/2021 at 10:52 PM, aaron1234 said:

A handful of top tier docs have stated in recent interviews with Melvin that HT's can thin over time.  It may or may not be your situation, but it is impossible to say without pics.  The best advice I can give you is to get another transplant to improve the situation.  

I always thought that it was pretty much just age related thinning (i.e. not MPB) and some miniaturization (though in theory, if your donor was unstable, an ethical doctor wouldn't give you a transplant). 

Like the timeline for that would be in the 10+ year period right?

[deeznuts]

On 11/15/2021 at 6:43 PM, Charls 37 said:

I looked at your case, we are different, it looks like in your case the native hair might have fallen perhaps with some transplanted ones, also getting off of fin wasn't a good move

I am far from considering my case as failed, as like I said, the transplanted hair, on the corners of the hairline and some slight on the front have been falling and then REGROWING in a cycling fashion in different areas(transplanted)

There is no thinning at all, and seeing hair regrowing quickly I might add implies the follicular unit is alive and well. It just has been going on for over a year so it doesn't seem stable yet

Doc is pretty casual about it, saying is anagen synchronization and even told me that it took another patient of his about half a year longer, whether he is right or not remains to be seen

Good point blackisblack about checking different opinions as there are no rules and Dr are biased towards covering their ass

 

 

I mean, if it's regrowing, it has to be anagen synchronization right? 

[ITA]

20 hours ago, Charls 37 said:

I checked the lichen planopliaris you mention, looks like that's not what i've got, the hair grew perfectly for years and since the fall started by areas  it regrows with the same density as before

What kind of visit did you make to say it is not a LPP?

[aaron1234]

8 hours ago, deeznuts said:

I always thought that it was pretty much just age related thinning (i.e. not MPB) and some miniaturization (though in theory, if your donor was unstable, an ethical doctor wouldn't give you a transplant). 

Like the timeline for that would be in the 10+ year period right?

Dr. Wong speculated whether there's something in the recipient region that led transplanted hairs to thin out over time.  Age related thinning and donor miniaturization explain some, but not every instance of transplanted hair thinning.  

[mcr7777]

On 11/29/2021 at 11:15 PM, Charls 37 said:

I checked the lichen planopliaris you mention, looks like that's not what i've got, the hair grew perfectly for years and since the fall started by areas  it regrows with the same density as before

That sucks though, how soon after a HT you were diagnosed you had LPP, did you ever get full growth?

Mine was 13 months after the HT. I had it before the HT I'm sure as I had burning/lots of itching when I started finasteride especially a few months before the HT - it caused a flare. I think about 75% grew in my case -but hard to say.    LPP can sometimes cause hairs to fall sometimes a few years after the HT.  In some cases, transplanted hair stays longer but it is considered high risk of failure vs MBP.   Most HT doctors won't perform on someone with active LPP - but often it is not spotted (like in my case). I'm pretty convinced that many of the HT issues on these boards are LPP-related - but go undiagnosed.  General dermatologists often misdiagnose LPP (the Facebook support group for LPP is littered with people who have multiple misdiagnosis before it's finally confirmed).  

 

Edited December 1, 2021 by mcr7777

[tressful11]

This is scary stuff. How can someone stay on top of this? I already have a botched transplant from an extremely unethical surgeon. Before I head into a repair surgery, I'd like all my based covered. Please advice.

[mcr7777]

On 12/1/2021 at 5:12 PM, tressful11 said:

This is scary stuff. How can someone stay on top of this? I already have a botched transplant from an extremely unethical surgeon. Before I head into a repair surgery, I'd like all my based covered. Please advice.

You should try and be sure the reason why your surgery wasn't sucessful.  There are lots of examples of LPP and other conditions causing surgery failures - that aren't always obvious.

 

The key thing with LPP and other scarring alopecias is to consider if you have typical symptoms e.g. burning/pain/tenderness/sore feeling sometimes feels like a crawling sensation during flares.  These symptoms can come and go - can be quiet for weeks - and flare back up.  Typical triggers for flares are stress, some people say diet. 

However some people have no/minimal LPP symptoms which makes it more tricky.

[Charls 37]

3 hours ago, mcr7777 said:

You should try and be sure the reason why your surgery wasn't sucessful.  There are lots of examples of LPP and other conditions causing surgery failures - that aren't always obvious.

 

The key thing with LPP and other scarring alopecias is to consider if you have typical symptoms e.g. burning/pain/tenderness/sore feeling sometimes feels like a crawling sensation during flares.  These symptoms can come and go - can be quiet for weeks - and flare back up.  Typical triggers for flares are stress, some people say diet. 

However some people have no/minimal LPP symptoms which makes it more tricky.

Is there any photo of LPP hair loss on google that would resemble your own?

While the symptoms you mentioned are either pretty clear and specific or very mild and hard to notice, the loss of hair that I can see from most LPP pictures are quite particular, just like alopecia areata is particular in it's on way

[ITA]

@Charls 37The LPP, sometimes also manifests itself with the thinning of the eyebrows, have you noticed something like this in your case?

Edited December 3, 2021 by Egy

[Charls 37]

11 hours ago, Egy said:

@Charls 37The LPP, sometimes also manifests itself with the thinning of the eyebrows, have you noticed something like this in your case?

Nope, I got zero symptoms of that whatsoever or have notice anything that is different regarding discomfort on the scalp or any of the sort

 

[ITA]

24 minutes ago, Charls 37 said:

Nope, I got zero symptoms of that whatsoever or have notice anything that is different regarding discomfort on the scalp or any of the sort

However, you did not answer when I asked you what kind of visit you made to be so sure that your scalp is not affected by any pathology, especially Lichen.

[mcr7777]

This was me right before the HT.

 

Edited December 3, 2021 by mcr7777

[Charls 37]

6 hours ago, Egy said:

However, you did not answer when I asked you what kind of visit you made to be so sure that your scalp is not affected by any pathology, especially Lichen.

None necessary, looking at my hair, past and research on the subject I am as positive as this is not the case just as sure as I don't have 3 balls

5 hours ago, mcr7777 said:

This was me right before the HT.

 

I see, that's your regular hair loss before the transplant that you'd probably have anyway, what about the Lichen hairloss, I assume you almost reverted back to this point some time after the transplant?

Your hair got thinner, didn't grow back?

Did the condition affect other areas of your scalp or only the area you show

Edited December 4, 2021 by Charls 37

[ITA]

39 minutes ago, Charls 37 said:

None necessary, looking at my hair, past and research on the subject I am as positive as this is not the case just as sure as I don't have 3 balls

Don't be so sure !!!  Bye bye and I hope all your hair will grow back tomorrow!

[mcr7777]

7 hours ago, Charls 37 said:

7 hours ago, Charls 37 said:

I see, that's your regular hair loss before the transplant that you'd probably have anyway, what about the Lichen hairloss, I assume you almost reverted back to this point some time after the transplant?

Your hair got thinner, didn't grow back?

Did the condition affect other areas of your scalp or only the area you show

I don't know that I'd probably have this amount of hair loss.  Derms I've seen post-HT say  I have only minor minaturisation so think the LPP caused some of the loss.

Most of HT that grew  is still intact - it will be two years since HT next month. Although the disease is still active as I can feel it and have symptoms and I know it has attacked a few hairs as I can see on my digital microscope (you can buy one for 25/30 USD or EUR on Amazon if of interest)

My mid scalp is a bit tender at times - but no noticeable hair loss to the naked eye.  I think LPP meds are helping me  maintain the hair I have. The thing with LPP is it can spread if left untreated - so it's important to catch it early before it spreads.

 

Are you positive you don't have the issue you described of shedding and re-growing affecting other areas of your scalp? Is it only at the front hairline? or is that just the only noticeable spot possibly?

Also do you have a photo of your loss beforehand - or a similar photo of what it looked like?

 

 

 

 

Edited December 4, 2021 by mcr7777