What causes hair transplant induced hair loss?

Can you please expand on what you mean by saying hair transplants accelerate balding, especially in younger men? Thank you

Younger men often don’t see their final pattern, but it is often there if they look through a hand microscope and see a lot of miniaturization present. A hair transplant causes many of these miniaturized hairs to fall out, and they RARELY come back. Remember, miniaturization doesn’t necessarily mean thread-like hair, as it could be hair that has lost only 30% of its thickness, not easily seen without extensive hand microscopic evaluation. With a 30% loss of hair thickness in most men, they will not see thinning or balding. I have seen many 23-year-old men who get hair transplants and never knew they had significant miniaturization with a miniaturization pattern that suggests a more advanced balding pattern.

Young men (under 26 years of age) who have hair transplants may see a Class 3 pattern, but they might have a Class 6 or 7 pattern, which would be a surprise.  I don’t like surprises, nor should the patients. So many young me are going to Turkey, where technicians are in charge of the business. In most of these clinics, such evaluations seldom occur except for less than a dozen good doctors that I know personally.  Shame on the doctors who do these surgeries without looking for and quantifying the miniaturization before they collect your money and do the surgery. Too many of today’s doctors, even in Western countries, are in it for the money and forget the oath they took when they became doctors, which states: ABOVE ALL, DO NO HARM.

I recently met with a 23-year-old male who came to me after having three hair transplants in the US at different clinics by less-than-honorable doctors. His entire donor supply was depleted, and so was his bank account. The hair transplant doesn’t even look normal to me. All of these transplants were in the first 3 inches of his hairline.  When I examined the hair behind the transplanted 3 inches of his frontal area, I saw signs of miniaturization that went back to the crown.  The miniaturization was very early, possibly too early to have fallen out with the transplant. He was lucky because he took finasteride, which often stops the loss of miniaturized hairs associated with a hair transplant.  As this was a recent visit, I can’t tell you how it will turn out.  I suspect he will live with the transplants, even with the defects of an imbalanced hairline and a lot of 2-3 hair grafts seen in the frontal edge of the hairline.