As Seen on newhair.com

 

For the answers, go here: https://www.reddit.com/r/tressless/comments/8csu0n/successful_regrowth_timeline/

Successful Regrowth Timeline from tressless

 

Screen Shot 2018-04-17 at 8.01.04 AM

 

It seems that you are concerned about the growth. At seven months, you still might expect to see more growth.  I always tell my patients that at eight months you should see 80 percent of the growth to styling length. I doubt that this is going to happen, but you should wait another month or two.  PRP will not make hair transplants grow. Only excellent surgery gets the results, and depending on how many grafts you received, you might question this. If you don’t see an improvement in another two or three months, go back and have a conversation with your surgeon.

before and after 7 months

 

The FUE removes hair from the back of the head, so it can’t regrow back. The amount of hair that can be removed is limited. If too much hair is removed as in this person, the back of the head becomes thin and see-through as a result of the depleted donor area. The number of FUEs that can be removed depends upon many factors, most importantly the original donor density which must be measured by the surgeon before recommending FUE graft numbers. If too many grafts are removed from the donor area, balding in the back of the head (as shown here in this photo) occurs. The initial problem before the hair transplant process begins is that most patients want more hair moved, and surgeons are motivated by the money they get for taking out more FUE grafts. So, without good planning, the donor area is often over-harvested, producing balding in the donor area as shown in this photo. I can state with almost 100% certainty that 5500 grafts would produce donor over-harvesting in 98% of the population as the original donor density in 98% of the population will not support this number of grafts (see here: https://newhair.com/donor-area/).

donor site depletion 44

 

The crown often takes more hair than other areas of a similar size because the swirl is present in the crown, and the hair changes direction. The swirl draws the eye to the scalp. A 4-inch area will take anywhere between 2000-3000 grafts depending upon the thickness of your hair shafts. More coarse hair requires less grafts when compared to fine hair.

crown needs

 

Redness in the recipient area occurs in some people with fair skin: red hair, blondes, and other people with sensitive skin. It will eventually get better. Just be patient. If you are concerned, the doctor can check you out and maybe prescribe a special type of topical steroid which might accelerate the disappearance of the pink color. In 27 years of doing hair transplants, it does not look as bad as I have seen in many patients with the skin and hair types I described above.

redness after 30 days

 

Thanks for your insights. This has been heavily studied, and the genetic component of hair loss is well documented. We get these genes from our ancestors and sometimes it skips generations, sometimes not.  But curiosity is important, and I do believe that one should never accept what you are told without questioning it.

The real cause of hair loss! from tressless

 

FUE failures are not uncommon when the surgeon and/or the surgical team is not skilled in the nuances of the FUE.  The problem you must face is to find a surgeon who can make an assessment of your donor area to find out what residual donor hair remains.

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I’ve gotten two hair transplant quotes from two doctors and they are so different that it becomes confusing. They both drew the same hairline that they saw is appropriate for a 35 year-old man. One doctor said I needed 2,000 grafts and the other doctor said I would need 4,000 grafts. I’m not sure who to go with (or keep looking). Your thoughts please.

First of all, I don’t agree with the hairline design as I believe it is too high.  Nevertheless, the quote of 4000 grafts are too large for that size area. This probably reflects a doctor who is pushing grafts to make money. The correct number will reflect the thickness of your hair shafts. Fine hair takes more grafts and a coarser hair takes fewer grafts.  To find out where your hairline belongs (which is the first step), take a look at yourself in the mirror with your hair pulled back and your eyebrows lifted high so that your forehead creases. That shows the anatomic point that allows me to determine the proper place of the hairline. A mature hairline belongs one finger breadth above the highest crease of the furrowed brow in the mid-line.

The two photos on the right show a before and after in a Class 6 patient with a single hair transplant of 3,300 grafts 15 years ago. When you compare these two groups of photos, you will realize the lack of realism of the quotes.

quotesClass 6-33300 graft

 

You have significant donor site depletion. This problem is caused by over-harvesting the grafts from your FUE three months earlier. The only thing you can do is to get Scalp MicroPigmentation which will hide the balding spots but it will not add hair.

See here: https://scalpmicropigmentation.com/scar-covering/

donor site depletion 22

 

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