Size of Incisions Contribute to Hair Transplant Failure?

Dr. Rassman,

For people with very fine native hair, is it important that the incisions for the recipient site be made very small to minimize shock fallout. I had a procedure about 1 year ago and lost much native hair due to shock fallout even though I was on Propecia for several years beforehand. Obviously I am very disappointed with my results (less hair now than prior to surgery) and am wondering if the size of the incisions caused this unfortunate outcome. Thanks for any insight you can provide.

I cannot tell you why your hair transplant failed, but the size of the incisions should not have a significant impact on hair growth. The size of the incision is related to the size of the grafts (not the size of the hair). Just because your hair is fine does not necessarily mean that the size the graft will be small (needing a smaller incision). Get a second opinion. Hair transplantation works.