Is this what happens when you dont take fin after your HT? (patient lost all transplanted hairs?)

[MeetYourMaker]

Taken from a Turkish HT forum;

the situation before the HT : 

 

 

HT day : (4500 grafts DHI) 

 

Six Months Result : 

 

BEFORE HT - AFTER HT (8 MONTHS) :

 

ONE YEAR RESULT : 

Patient took finasteride 6 months after the surgery; then dropped. 

4 years after the HT, no finasteride (patient age 44 now) :

 

Isnt this a dramatic lose from the transplanted hairs or native hairs mostly? It looks scary especially it happens to a man in his 40s 

Discuss? 

 

 

 

 

Edited February 24, 2022 by MeetYourMaker

[Melvin- Admin]

My first HT was 8 years ago, and I don’t take finasteride. So my answer is no. 

[Britanium]

Over a decades worth of transplants (x5) hasn’t changed at all for me. And no I don’t take Fin either.

This was a poor procedure and the Fin would not have made any difference. Likely would have failed anyway. The pics show poor planning and poor density. It also is being shown under very different lighting situations. Go to a poor clinic and have a huge amount of grafts from a a mill and it’s never likely going to work out. 

[hairman22]

I have lost none of my transplanted hair in the last last 5 years.

Have lost some native hair

[LaserCaps]

1 hour ago, MeetYourMaker said:

Taken from a Turkish HT forum;

the situation before the HT : 

 

 

HT day : (4500 grafts DHI) 

 

Six Months Result : 

 

BEFORE HT - AFTER HT (8 MONTHS) :

 

ONE YEAR RESULT : 

Patient took finasteride 6 months after the surgery; then dropped. 

4 years after the HT, no finasteride (patient age 44 now) :

 

Isnt this a dramatic lose from the transplanted hairs or native hairs mostly? It looks scary especially it happens to a man in his 40s 

Discuss? 

 

 

 

 

This is interesting to me for a number of reasons.  Let's break it down from the beginning.......Starting with the very first photo.  Showing diffused thinning from front to back.  Day of procedure it also looks as if the doctor worked from front to back, concentrating some in the front and then sprinkling through the rest of the pattern.  My first question, why place grafts towards the crown if the patient was doing nothing to retain the native hair?

Going down the history, I am looking at the 6 month result.  So, the patient let his hair grow.  The fact the hair is wavy does help and gives the illusion of having more density than what he truly has.  I'll bet, if you move the hair out of the way, you would still be able to see the original pattern, perhaps with just a bit more density.  (At 6 months you are really not going to see much of a change, couple this with the fact he is not doing any meds so he could have been experiencing ongoing loss of native hair).

A year later, yes, it does look like more, but is it because he let the hair grow? And let's just say he did bump the density bar.....It is obvious something did happen in the ongoing 4 years.

If we are to decipher, I think most would agree the grafts remained. But they were, (mostly), diffusely transplanted throughout.  There was ongoing loss of native hair, and the only thing you see is the result of the transplants. (I wonder if there was a change in the donor as well, (but no photo has been posted). 

I would encourage this patient to consider all modalities, (Propecia, Rogaine, PRP and Laser) and try them for an entire year. He can decide if the outcome is worth continuing the regimen. SMP, in the meantime, would help him minimize the contrast.

 

[Curious25]

Any hair follicle that is sensitive to DHT will eventually succumb to its effects. 

A transplanted hair, is a hair transplanted hair - nothing special or unique about it, the only difference is that it has been extracted from one part of the scalp and redistributed to another area. 

If that particular hair was due to be affected by DHT at some point, whether in its original or new location, it will miniaturise. 

So basically - its a guessing game, well, probably better put, its an accurately informed predicting game, as to which hair follicles on your scalp will be the most durable over the course of time. These are the follicles that a surgeon *should* extract. 

Hope that adds some clarity 

[MeetYourMaker]

5 hours ago, Melvin- Moderator said:

My first HT was 8 years ago, and I don’t take finasteride. So my answer is no. 

Melvin, do you use anything else as medication? or supplement? 

[Melvin- Admin]

Just now, MeetYourMaker said:

Melvin, do you use anything else as medication? or supplement? 

Minoxidil, nizoral, MSM, Biotin, I will be getting a laser cap soon. That's it no anti-androgen.

[TorontoMan]

This is synchronized telegon effluvium . All the transplanted hairs went through a new cycle at the same time (synchronously) after inducing shock caused by the transplant. We have an ugly ducking phase that last 2-5 months becuase of this induced TE phase.. after the hairs grow they have very similar anagen phase cycles as well. So around the 4 year mark a lot of the hairs are beginning to shed together, giving the appearance of massive loss for someone whos had a massive area covered by transplantation. 

[TorontoMan]

but also as others have mentioned, not all donors are safe from miniaturization.. so it is definitely possible to lose transplanted hairs for those with severe balding patterns if they are not on anti androgens