Do Transplanted Hairs Fall Out When Washing?

Hello Dr. Rassman

You are really doing a great job in this informative blog, thanks a million for that. Have had a recent HT procedure for about 1500 grafts by strip excision method that were implanted along my temples in addition to the frontal hairline. So far everything seems to be going fine as i approach my 8th week post-op except for one slight problem. Just like any other HT, the grafted hairs begun to shed within the first 4 weeks & i was left with only about (20-30)% of the total amount, now i started seeing new hair growth of very fine hairs but the problem that these little stubbles-like hairs are easily fallen as i wash/shampoo my scalp, are the implanted follicles intact? will new firm hairs grow later?

With Regards

Thank you for your kind words.

Now that you are in your 8th week post-procedure, I would not worry about losing the transplanted follicles, as they will regrow over the subsequent 2-5 months. In general, a small percentage of all normal hair comes out when you shower, when you walk along a windy path, or when you comb or brush your hair. The same number of hairs start into anogen (growth) so that the total population stays the same (about 100,000 hairs). When your transplants grow, they will behave as your normal hair does and cycle the same way, some falling out while an equal amount will regrow. In the normal, full haired adult, about 100 hairs per day come out that way. If you have hair loss for any reason, be gentle with brushing and washing, as vigorous handling will negatively impact genetically ‘fragile’ hair.