I’m so saddened and distraught to see that my hair is very much what it looked like before . I think I may have scarring alopecia or something else that causes the follicles not to grow. I see where the hair has been transplanted but it hasn’t grown at all and has just scarred over. What do you think my next steps should?

Certainly the presence of a scarring alopecia which is active would kill off a hair transplant. To find out, your doctor can biopsy the area and that will let you know if scarring alopecia or some other autoimmune alopecia is responsible for the failure. ?

I often tell my young male patients to see who in their family line (mothers fathers or fathers and uncles) and that might help them if they can identify their hair loss history with one of them (uncles, brothers, fathers, grandfathers, etc.. I will almost always do a HAIRCHECK (https://baldingblog.com/haircheck-test-how-it-is-done-video/)  test as well to see if I can predict what is going to happen to the young male patient

New hair replaces the dormant hair in the normal anagen/telogen cycle anywhere from 2-6 months dependent upon the age and sex of the person

https://www.tandfonline.com/doi/abs/10.1080/09546634.2020.1782324?needAccess=true&journalCode=ijdt20

Topical finasteride for the treatment of male androgenetic alopecia and female pattern hair loss: a review of the current literature

Poonkiat Suchonwanit,Wimolsiri Iamsumang &Kanchana Leerunyakul

Received 07 May 2020, Accepted 30 May 2020, Accepted author version posted online: 13 Jun 2020, Published online: 26 Jun 2020

Generally, they live as long as the source hair where they came from. The donor area in the back of your head generally lasts your lifetime so when it is transplanted, it lasts our lifetime 98% of the time.

The head of the ‘Osterby Man’, a Germanic warrior of the Suebi who died around 100 AD. He was struck by a blunt object before being decapitated and his head thrown into a bog. His hair has been perfectly preserved, tied in the distinctive Suebian knot worn by men of his tribe.

Hair loss victim spent six years and thousands of dollars on hair surgeries, and is still not normal nor has enough hair

I constantly warn consumers wishing to get hair transplants to find a doctor who cares about you, not the money you have in the bank. You can tell because a good doctor will develop a Master Plan for you which may or may not include a hair transplant. That doctor will measure your donor supply (an important metric) and give you an estimate on what your hair loss pattern might develop into over time and what you will have to do to keep yourself hairy. Here is a story that I commented from Reddit which is important for everyone considering a hair transplant to read: https://baldingblog.com/22-year-old-received-a-hair-transplant-of-2800-grafts-from-reddit/