Is it safe to transplant near existing hair?

[SoSoz]

As in title, is it safe to transplant grafts near existing hairs that has not fallen out? For example if someone wants to thicken up his mid scalp, but there's still a lot of hair there. Does it risk damaging it? Also is it true that DHI method would be good for this?

[Big Rome]

good question, I have also been wondering this, I want to know if a second hair transplant can increase the density of my first by implanting grafts next to the already transplanted hairs… 

[NARMAK]

It's a pretty difficult thing to guarantee your existing hair may not be affected but there can be shock loss. Whether it's permanent or temporary is the question of luck but also in many ways down to the surgical skill of the doctor when making incisions. 

When you are extracting or making recipient sites, there's no real way for the doctor to know exactly the direction a graft is which is why there's the possibility of transection and so on as well as damaging existing hairs in the recipient area. 

Personally i would say to know the risk beforehand but try minimise it by choosing a really good doctor and clinic. 

[WhereIsMyMind]

If you dont touch the follicle cells/bulb there's literally no scientific reason it should affect it.

What it affects is if you have a high fibrosis scalp with low circulation, increasing the number of follicles will make them fight and share for the same circulation, which is already low, which could maybe result in thinner hairs. It's hard to say but I tbh think an implanted hair always improves the net outcome no matter what.

Edited August 31, 2022 by WhereIsMyMind

[StillAlive]

It really is impossible to control, even the finest and most highly paid surgeons in the field will tell you this. 

I mean there is the obvious first level where a skilled surgeon carefully makes incisions using magnification and does not open new channels on top of your existing follicles (that is clearly asking for it) but after that it's down to a bit of luck. That's why it's never advisable to go and transplant among thick/strong hair. If you have some hair that's on its way out or is really thin, it's easier to see where new follicles can go but there will always be a degree of risk associated with this.

All part of the anticipation, excitement and overall 'rolling dice with the Gods' package of an HT  

[Rahal Hair Transplant]

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

[Chickennuggets95]

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 

[SeanT1]

On 9/1/2022 at 4:54 PM, Chickennuggets95 said:

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 

Was wondering this also.  I assumed poor shock loss recovery only occurs on miniaturizing follicles and not pre-transplanted DHT resistant follicles. 

[Testaccount9900]

3 hours ago, SeanToman said:

Was wondering this also.  I assumed poor shock loss recovery only occurs on miniaturizing follicles and not pre-transplanted DHT resistant follicles. 

I would assume so

[Hairy Henderson]

What about next to previously transplanted hairs as opposed to native?

[Sammy_Brown]

If you suspect a wide hairline or think you have a big forehead, a hair transplant is a logical option. Transplanting near existing hair is not considered risky if you are in the hands of a reliable doctor. But for this, choosing the right doctor is very important. For this procedure, a quality clinic and a specialist doctor that you have researched well can give you the result you want. For worries for a wide forehead, I recommend this article which I found useful ☺️