These bumps you are referring to reflect that the grafts were elevated at the time the beard was transplanted and the skin of the graft healed above the level of the surrounding skin . There is nothing much you can do about this.

I am 25 years-old and had a hair transplant three months ago and all of my hair fell out that I had there before the transplant.

You developed shock loss after the surgery, a common event for young men. The prevention for this is the drug Finasteride which seems to work to prevent shock loss which can last almost a year after the surgery. Shock loss is an acceleration of the normal hair loss process and it is particularly dangerous for men in their 20s who have hair transplants.


The blood supply to the transplanted area makes the skin darker than normal and I believe that is what you are seeing. It is not a problem and it will eventually become normal in color.

darker skin

This is not an uncommon finding in females. Minoxidil may work but when my wife went on it, she developed facial hair and then immediately stopped it and went the surgery route,  Many women will lose these corners and develop a more male like hairline once the hair in these areas disappears.  You have also lost your temple peaks which makes the female hairline a female hairline (concave in shape). We transplant these all of the time and the results have been very satisfactory. My daughter-in-law and my wife had it done and are very happy with the results.

female corner loss

The number of grafts would depend upon the thickness of your hair (fine, medium or coarse). Assuming that your hair is fine, it would take about 1800 grafts to complete this job. If your hair was coarser, then less grafts would be required.?


how many grafts_2

Knowing that you are 30 years old and assuming that your hair is of a medium thickness (not fine or coarse), it would take about 1800 grafts to fill in this area. More if it were fine, less if it was coarse. The crown is where the hair changes direction, so a good swirl needs to be created which takes more grafts. Thank you for putting your fingers in the photo so it give me a good way to estimate the size of the balding area

how many grafts crown

Should preferred hair length greatly matter when deciding on number of grafts to be transplanted?

Yes, the shorter you like to wear your hair, the more grafts are required because it takes more hair to cover the scalp when the hair is cut very short. Longer styling length helps cover the scalp

The arrows show what are most likely end-stage miniaturized hairs. Vellus hairs are short hairs with small width but these hairs are long. You can ‘see through the forest‘ indicating that this is balding with miniaturization present. A hair transplant can restore the density and the forest will not be so ‘see-through’.

miniaturied hairs

Here is an interesting article that discusses the use of hair as a suture that is easily available on the person’s own head.  You can use the hair if you find yourself in the woods needing suturing but don’t forget cleanliness and sterile conditions


Can you take 2.5mg of Finasteride (half of a 5mg pill) 3x per week as my doctor suggested, or should I attempt to split the pills further?  I spent years worrying about asking for Finasteride, I finally asked using my clinic’s online messaging system, and the doctor was more than happy to give me more information and prescribe it.

This dosage is fine. Finasteride ‘fixes’ to the receptors in the hair follicles for about 7 days so the blood levels are less important as is the way you take the drug. About 1mg/day is ideal, but more will not hurt you.

Rapid shedding, is this the way hair loss happens?

Did you experience hair shed before going bald? from tressless

This is a typical scenario. A situation called Apoptosis occurs when the number of hair cycles reaches a programmed number in your genetic code and hair just dies. When this happens, a rapid shed occurs. Many young men will experience this phenomenon.

This man is an actor who went for an audition the day after FUE. He combed his hair forward to cover the frontal FUE grafts. The back of his head was already healing and his hair style was created to bland it with the short hair in the back of his head. He landed the job from the audition. The photos are 7 days after the surgery and you can see the hair he will get from it standing up and looking like it is growing (it is probably not growing).  What is important for you to take note here is that there is no crusting (scabs) and other than hair, there is nothing to see that reflects a surgery.  We are obsessive about washing off the crusting on the day of surgery and our patients come back the following day to be sure that no crusting has formed,

7 days after surgery7 days after surgery_2

This patient is one week after surgery and did not aggressively wash his hair so that crusts form around each graft. Crusting comes about because of leakage of serum from the recipient site. This can be washed off as it occurs with a good washing technique that we deploy for all of our patients?. It will take a few weeks for these crusts to shed with good shampooing.  The grafts are secure provided that the crusts are not plucked of the grafts could come out.  The grafts are placed like soldiers, all aligned in an orderly pattern. This is not how hair grows as growth is randomly distributed

soldier hair

Thinning hair in young women can be caused by many condition, far to numerous to list here. You need to see a doctor who specializes in hair loss in women to find out why you have this problem.  Is this in your family, are you are birth control pills, do you have other medical condition that I need to know about?  These are critical questions that a doctor must know to determine the diagnosis. A physical examination will be critical in assessing your situation as a capable doctor will use a hand microscope to look at each area of your scalp and hair.  This as well as many blood tests are requires to arrive at the correct diagnosis from which treatment can be started and many of them are listed here: The pictures look like a genetic condition called Triangular Alopecia because it is on both sides in roughly the same place. A Hair transplant usually solves this problem.



18 year old female

On average how long do you think hair must’ve gone if Fin even has a chance of regrowing? Like would it only have the possibility of regrowing hair lost in the few months before starting Fin or could it also grow areas that have had minituarized/bald areas for 2 years?

Finasteride in some people reverses miniaturization. It can take up to a year to see the value