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Graft shedding


HarryHonolulu

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Any medication ,be it minoxidil or something else ,will ofcourse effect all the hairs...transplanted hairs are nothing special/different but they are your own hairs which are moved from one place to another.

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context: had a FUE transplant 5 years ago which mainly focused the front hairline and a bit of the mid-scalp. thrilled with it. very little change to transplanted area until a year or so ago when I started noticing a bit of thinning in the region. nothing crazy. 

because of this slight thinning I got onto 1.25 oral minoxidil. didn't notice anything: no shedding, no improvement. 

bumped up the dosage in September to 2.5 and in the past 3-4 weeks I am noticing little hairs when I towel dry. the hair looks thinner that it has ever looked post-transplant.

what concerns me is that the thinning is happening in the area where the grafts are- hence my question about whether oral minoxidil affects the hair grafts themselves.

I thought it would only affect follicles susceptible to DHT?

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8 minutes ago, jjalay said:

Minoxidil affects both native and transplanted hair in your case. Finasteride works through dht, not minoxidil. You should continue medication and wait for this shedding to reverse after 6 months.

does this mean that the transplanted hairs will become "dependent" on oral minoxidil, should I stop treatment?

I found a comment by two doctors, Rassman and Pak, who say that Minoxidil "should not cause shedding" and "minoxidil will not cause shedding of the transplanted hairs"

https://www.realself.com/question/brooklyn-ny-minoxidil-new-transplanted-hairs-existing

kinda freaked me out

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38 minutes ago, HarryHonolulu said:

does this mean that the transplanted hairs will become "dependent" on oral minoxidil, should I stop treatment?

I found a comment by two doctors, Rassman and Pak, who say that Minoxidil "should not cause shedding" and "minoxidil will not cause shedding of the transplanted hairs"

https://www.realself.com/question/brooklyn-ny-minoxidil-new-transplanted-hairs-existing

kinda freaked me out

That means that when you stop minoxidil you will return to the stage you were before you started taking minoxidil. And if you are destined to lose more hair by stoping minoxidil your hairloss will progress further. There is no such thing as dependancy of the transplanted hair from minoxidil.

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On 12/28/2023 at 2:33 AM, HarryHonolulu said:

context: had a FUE transplant 5 years ago which mainly focused the front hairline and a bit of the mid-scalp. thrilled with it. very little change to transplanted area until a year or so ago when I started noticing a bit of thinning in the region. nothing crazy. 

because of this slight thinning I got onto 1.25 oral minoxidil. didn't notice anything: no shedding, no improvement. 

bumped up the dosage in September to 2.5 and in the past 3-4 weeks I am noticing little hairs when I towel dry. the hair looks thinner that it has ever looked post-transplant.

what concerns me is that the thinning is happening in the area where the grafts are- hence my question about whether oral minoxidil affects the hair grafts themselves.

I thought it would only affect follicles susceptible to DHT?

 

I think I remember reading somewhere that using too much minoxidil can have the opposite effect that you want, meaning it could cause you to lose hair rather than gain hair. If the problem started happening after you increased the dose then maybe change back to a lower dose for a few months and see what happens.

 

Al

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(formerly BeHappy)

I am a forum moderator for hairrestorationnetwork.com. I am not a Dr. and I do not work for any particular Dr. My opinions are my own and may not reflect the opinions of other moderators or the owner of this site. I am also a hair transplant patient and repair patient. You can view some of my repair journey here.

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Minoxidil can cause hair to shed, its a sign that it’s working well. It will grow back stronger. Stick with it 🙏


I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice.

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