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Shedding Hair After a Hair Transplant

As you’ve probably learned by now, the newly implanted grafts a hair transplant patient receives will typically shed between two weeks and two months after the procedure. The follicles on the scalp will be in what is called a ‘resting phase’, appearing dormant and minuscule, so patience is required. Aesthetic splendor is only a few months ahead. Also known as “shock loss”, it is perfectly normal to shed your transplanted hair following an FUE hair transplant. New hairs will quickly grow in their place over the coming months. Why does hair shed after surgery? Hairs have a growth cycle, split into 3 stages – growth, transition and resting phases. The resting phase is the time when the roots shed their hairs. Hairs can move into the resting phase following the trauma of surgery. The main traumatic events the hairs goes through during the course of hair transplant surgery are: the hair follicle being cut away and disconnected from blood supply, the hair follicle being re-implanted back into the scalp, and lastly, the surrounding hairs being affected by incisions and anesthetic.

After a hair transplant, the implanted follicles and the attached hairs will stay in their new place for 1- 2 weeks. The follicles in this period will start to switch into a resting phase and will then begin to shed their hair. This shock loss can start as early as 10 days following transplantation. It can last up to 12 weeks. This process of hair shedding is expected and does not represent the scalp “rejecting” the implanted hairs.

Some patients may notice that hairs that haven’t been transplanted can shed after a hair transplant. The risk of shedding non-transplanted hairs is increased if someone has a large number of thin or miniaturized hairs that sit in-between newly implanted hairs. Like transplanted hairs, these native non-transplanted hairs shed because their follicles also move into a resting phase following the trauma of surgery. Shock loss of non-transplanted hair can occur from 2 weeks following surgery but can also occur months later. This process, although rare, self-resolves. And all hair that has shed should regrow.

Unfortunately, there is no proven way to reduce the risk of shock loss following surgery. However, patients can safeguard against future loss via topical or medical management. The two most popular and proven non-surgical hair restoration modalities are Propecia (Finasteride) and Minoxidil. Propecia significantly reduces DHT, a key cause of hair loss, by inhibiting the formation of DHT in your scalp. This prevents hair loss and thickens hair in many men. Minoxidil is a solution or a foam you can apply to thicken areas of thin hair. It also helps to prevent hair loss and can be used to help quicken the growth of hairs that have shed during shock loss. You can read more about these two modalities in our medical hair loss treatments section.

Dr. Amir Yazdan, MD, is an internationally renowned hair transplant surgeon, expert guest on Dr. Phil and The Doctors, creator of the GroMD hair restoration product line, ISHRS member, accredited member of the IAHRS and a visceral advocate for patient care. Learn more about Dr. Yazdan or read rave reviews from his patients.

Is Hair Loss Reversible?

is hair loss reversable
It depends. Certain causes of hair loss such as stress (telogen effluvium) and hormonal changes during pregnancy are reversible and easily treatable.
However, certain genetic conditions like male and female pattern baldness (androgenic alopecia) are not reversible without surgical intervention. However, if detected early enough, certain medications, such as minoxidil and finasteride, or potent DHT-blocking shampoos like groMD, can help halt the progression of thinning hair.
Non-Reversible Types of Hair Loss: Pattern Baldness
Male and female pattern baldness is an inherited, genetic condition thought to be caused by changes in the levels of hormones, notably androgens, that affect hair growth. While men develop thinning hair around the crown and a receding hairline, women most often notice thinning around the part or near the very top of the scalp.
Though there are ways to treat its effects, hair loss from androgenic alopecia is permanent. For people who want to tackle pattern baldness with a permanent solution, hair transplant surgery is the only real option. During hair transplantation, hair follicles will be grafted or transplanted to thinning areas of the scalp to encourage healthy hair growth.
Reversible Types of Hair Loss
There are several other types of hair loss. Many types of hair loss are reversible in certain situations. In the sections below, we will explore these types of hair loss and how patients can reverse the effects.
Telogen Effluvium (Stress-Related Hair Loss)
This common type of hair loss occurs when the body has a shock response. For example, this condition can be the result of a crash diet, pregnancy, or another physically taxing event. It can also occur during a particularly emotional or stressful time.
Telogen effluvium causes the hair to temporarily stop growing and enter a resting state. When these hairs shed in a few months’ time, the results are typically quite noticeable. Fortunately, this condition can be reversed by eliminating its culprit.
Many women experience mild hair loss following pregnancy. Most people who suffer from this type of hair loss only experience temporary hair loss and their hair will usually resume its normal growth cycle once they alleviate the cause of their stress. Once you have gotten rid of your stress, you should notice significant improvements in your overall health, in addition to your hair growth.
Traction Alopecia (Styling and Tension-Related Hair Loss)
Traction alopecia is a loss of hair caused by repeated tension or stress on the hair and its follicles. This type of hair loss is most often the result of styling one’s hair using tight weaves, cornrows, ponytails and braids.
It’s estimated that that traction alopecia affects roughly one-third of women of African descent.
It is, however, important to note that traction alopecia can happen to anyone regardless of their ethnicity or age. For example, it’s quite common among Caucasian gymnasts and ballet dancers as well as other sports professionals who have to wear tight ponytails or buns for lengthy durations.
Giving your hair a break from any style that might cause tension is the primary treatment for traction alopecia. Individuals should also avoid exposing the affected parts of your scalp and hair to excessive heat and chemicals.
Alopecia Areata (Patchy Hair Loss)
Individuals with alopecia areata develop hair loss as a symptom of autoimmune disease. In fact, this condition occurs because the immune system attacks the hair follicles. Though treatment can be dependent on the overall health of the individual, many patients see considerable regrowth after PRP therapy or strategic medical management.
Contact Modena Hair Institute Today
No matter what type of hair loss you have, our clinic can help address the problem. We offer a wide range of hair restoration treatments, from medications to surgery. During a consultation at our practice, we can help determine a personalized treatment plan that is right for you. To learn more or to schedule an appointment contact us online or give us a call at (949) 374-2563.

Dr. Amir Yazdan, MD, is an internationally renowned hair transplant surgeon, expert guest on Dr. Phil and The Doctors, creator of the GroMD hair restoration product line, ISHRS member, accredited member of the IAHRS and a visceral advocate for patient care. Learn more about Dr. Yazdan or read rave reviews from his patients.

Finasteride Side Effects

Many have fell for the scare mongering online or in newspapers about the side effects of Propecia ® (Finasteride). Most recently, numerous headlines concerning Donald Trump taking the drug for hair loss management and experiencing libido deficiency, have taken the hair restoration industry by storm.
For those who don’t know, Finasteride is a DHT-blocking medicine that decreases the influence of DHT (dihydrotestosterone) on male pattern baldness. Research has indicated that approximately 65% of men who take Finasteride medication consistently experience a reduction in hair loss and even re-growth of miniaturized hair.
For those reading that Finasteride or Propecia causes sexual dysfunction and reduces libido consistently, know that this is simply untrue. It is widely recorded that a very exiguous fraction of Finasteride users, around only 1% in fact, relate experiencing such side effects. The most common side effects are sexual, specifically decreased libido or difficulty with getting or maintaining erections. However, these side effects, thoroughly researched and tested clinically, are not ‘consistent’ or ‘persistent’ as most tabloids will describe.
It’s commonly known in the field of hair restoration that normal sexual function ought to return to normal 2-7 weeks after stopping use of the drug. Moreover, if a patient decides to persevere with Finasteride, the body has a 60% chance of getting rid of any side effects without stopping use of the drug.
At Modena Hair Institute we’ve prescribed Finasteride for over 10 years – it’s one of the most common drugs that we recommend to suitable patients – and we have yet to receive a strong complaint regarding its side effects. Finasteride and minoxidil form an effective course for preventing further hair loss and promoting regrowth; supplementary hair growth products like groMD can also be used to manage hair loss.
We’re very much aware of the potential side effects and always advise patients accordingly before prescribing the medication. As we mentioned above, the reported negative side effects of Finasteride are limited to no more than 1% of patients, which include a drop in libido and occasional erectile dysfunction. If a patient experiences these side effects, we usually suggest taking half the dose, although this is rare.

Dr. Amir Yazdan, MD, is an internationally renowned hair transplant surgeon, expert guest on Dr. Phil and The Doctors, creator of the GroMD hair restoration product line, ISHRS member, accredited member of the IAHRS and a visceral advocate for patient care. Learn more about Dr. Yazdan or read rave reviews from his patients.

Treatment for Early Signs of Balding

early signs of balding
The progressive nature of hair loss causes its sufferers to experience a mounting sense of dread and anxiety over their aesthetic deterioration. Responding to early signs of balding is often performed in panic and haste, but we’re here to advise the contrary. Know that tens of millions of men and women worldwide are experiencing hair thinning and loss right now. And that advances in the hair restoration industry in response to this universal phenomenon have been extremely fruitful.

For example, just in the last few years, platelet-rich plasma treatments for women have shown remarkable clinical results in decelerating hair loss.

Medical therapies like PRP and stem cell therapy – solutions which would have seemed unthinkable a few years ago – are now proving to fight hair loss better than ever possible. There are also strong proactive topical treatments like groMD follicle activator spray and groMD shampoo/conditioner, if mixed with finasteride or minoxidil, that can halt hair loss to a large degree.

Signs of Balding
A conspicuous absence of density near the widows peak and front temple are often the first signs of hair loss among men.

Excessive shedding in the shower or after sleep are also beginning warning signs for both men and women.

Loss of density on the crown and on the top of the head among males can often occur before anywhere else.

Among women, perceived visibility on the scalp where hair is often parted is usually a first sign of pattern baldness.

Study Yourself in the Mirror
Before rushing to search for remedies online or getting in touch with an expert in the hair restoration marketplace, look in the mirror and pull your hair back from your temple areas. Is there clear evidence of follicle miniaturization on the front ‘V’ pattern of your scalp and widows peak? If so, you are very likely experiencing early signs of balding that may lead to major hairline recession if not treated

Still more detailed, place a mirror above your head and towards the back near the crown, can you perceive areas of the scalp covered with little to no hair? If so, you have likely progressed beyond the early stages of hair loss and are advancing on the Norwood scale.

Treatment Options for Early Signs of Balding
Now that you’ve established that a more-than-normal amount of hair loss is occurring, and that a change in lifestyle or diet will likely fail to halt the progression of your hair loss, it’s time to consider the strongest treatment options to fight early signs of hair loss.

Perhaps the most well-known medical treatment to mitigate hair loss is finasteride. Finasteride blocks dihydrotestosterone (DHT), the hormone responsible for male pattern baldness. Taking a daily dose of finasteride, in pill form, sold under the brand names Propecia® and Proscar®, has been clinically proven to re-grow hair in 65% of men and slow hair loss in virtually all patients.

A popular and proven topical treatment to fight hair loss is Minoxidil, sold under the brand name Rogaine®. Minoxidil stimulates inactive follicles and decelerates hair loss and follicle miniaturization. Minoxidil is usually applied via liquid or foam.

While finasteride and minoxidil are powerful treatments in helping to slow hair loss, they are costly, require lifelong commitment, and may have negative side effects. GroMD shampoo and conditioner and groMD follicle activator spray is simple and easy-to-use, free of sulfates, parabens, and other harmful chemicals, so everyone can adopt a light daily regimen that prevents hair loss. GroMD’s fortified and expertly refined DHT-blocking formula is enriched with growth-factor peptides and proteins, as well as anti-inflammatory mediators and anagen growth stimulators. Treatment with the groMD system has led to a significant increase in thickness and hair density in some patients.

Dr. Amir Yazdan, MD, is an internationally renowned hair transplant surgeon, expert guest on Dr. Phil and The Doctors, creator of the GroMD hair restoration product line, ISHRS member, accredited member of the IAHRS and a visceral advocate for patient care. Learn more about Dr. Yazdan or read rave reviews from his patients.

Do I have to take a medication like finasteride if I want to get a hair transplant?

A common question we receive is regarding the use of finasteride before, during, or after a hair transplant procedure. Finasteride is a common drug that is used to treat or prevent hair loss. While it is a prescription-only medication that must be ordered by a doctor and is only given on a case-by-case basis, it often recommended to individuals who are experiencing progressing hair loss and are interested in getting a hair transplant procedure.
The reason finasteride is often recommended to hair transplant patients is because it can help prevent continued/future hair loss. This helps maintain the health of the current hairs on your head and prolongs the time you’ll have those hairs. Why worry about the health of your native hairs when you’re looking into transplanting new hairs anyways? If you don’t care for the surrounding native hairs, you will likely need another transplant to cover those areas much sooner than you thought – costing you more money over time.
While side effects of the drug are relatively rare, they are a concern for many individuals who are considering taking the medication, rightfully so. As with any medication that has side effects, both the doctor and the patient must decide together if the possible benefits of taking the drug outweigh the risk of the side effects.
If you decide that you don’t want to take finasteride, this doesn’t mean that you’re no longer a candidate for hair transplantation. What it does mean, is that your hair loss may continue to progress as you age, and you may need another hair transplant in the future to cover the new areas of hair loss.
Whatever you decide, make sure to thoroughly do your research and ask your physician any questions you might have.

Finasteride (Propecia) for hair loss – what is it and who can use it?

Finasteride (or Propecia) is most commonly used to treat urinary problems that are the result of an enlarged prostate gland. Finasteride is considered a steroid reductase inhibitor and works by reducing the amount of dihydrotestosterone (DHT) in the body. Less DHT means a smaller prostate gland, which in turn resolves the urinary problems.
For individuals that have hair loss caused by an excess of DHT in the body, finasteride can prove useful. In these cases, the reduced DHT allows hair growth to increase and hair loss to slow.
Finasteride should be used by adult men only. While the drug hasn’t shown that it causes harm to women, it also hasn’t shown enough evidence that it helps them either. The most recent research still deems the efficacy of Finasteride in female pattern baldness controversial.
As with any medication, there are some important side effects that should be noted. The most prominent is a decreased sexual drive. Additionally, the drug may also affect fertility.
When deciding whether to start a medication, one should always weigh the pros and cons with an experienced and certified doctor. Together, you can come to a conclusion as to whether the benefit is greater than the risk of side effects.
Here at Modena, we specialize in the medical management of hair loss. Upon evaluation of your scalp and hair loss history by Dr. Yazdan, a determination can be made as to if you would be a good candidate for finasteride treatment.
If you’re experiencing hair loss and would like to explore your options, give us a call for a medical management consultation today.