Name: Collin Question: At the beginning of May this year I underwent an FUE procedure involving roughly 1600 implanted grafts. I was told by my doctor that full results don’t appear until well into the 12-month mark, but I’m barely able to see any growth now, at the 5-month mark. Should I not at least see half the growth since I’m at the halfway mark? Compared to other hair transplant testimonials, mine looks very unpromising at this point. Did my scalp just not accept the implanted grafts? Any help is appreciated, thank you. Answer: There is no need to panic, although most patients will see about 50% growth after 6-7 months, we’ve treated patients who take up to 8-9 months or more to show real signs of hair growth. Each hair has its own unique cycle of growth, and depending on the timing and state of the cycle, it will take more or less time to grow in.
It is usually the case that around month three, patients will see the first signs of hair growth, although much of the area may still appear thin. Around month six is when a fuller follicular picture can be seen, and the transplanted grafts will begin to mature. Some patients do experience delayed growth, and this is need not be due to any shock loss or surgical mishandling.
Every patient has different experiences and reactions to surgical procedures, as all hair and skin types vary, but there is typically more than 10% growth at the 5 months mark. We highly recommend that you be patient and wait another three or four months to watch the growth patterns. If no more growth is forthcoming in those months then we recommend that you consult with a board-certified hair restoration surgeon (preferably the one who performed your procedure) and have them monitor your follicular progress.
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.
*This blog is a transcription of a video covering a Modena Hair Institute patient who saw Dr. Yazdan for a FUE hair transplant procedure, also known as follicular unit extraction. We’ve included the video itself here as well*
Mark, an international business entrepreneur from Scottsdale, Arizona, has arrived in Modena Hair Transplant Center in Las Vegas for his first hair transplant surgery. As he tells it, over a year beforehand, his brother came to this same office to have his own FUE transplant surgery done, and he wants to find out what Dr. Yazdan can do with his own receding hairline, which has been steadily getting worse over the past 5-10 years.
In his office, Dr. Yazdan examines Mark’s hair to determine factors such as the condition of his follicles, the density of his hair, and viability; it’s necessary to plan the transplant in extensive detail to ensure the best possible results.
As Dr. Yazdan explains, “In aging patients with typical male pattern baldness & a receding hairline, it’s necessary to restore the hairline in the angles. I think it’ll be sufficient to fill the temporal area & lower the hairline.” Speaking to Mark, he says, “Your hair looks healthy, and your donor zone is perfect. It will take approximately 1,500 grafts to lower your hairline and fill in the sides & temporal area. We’ll use the FUE method, we’ll begin at 8:00 AM, and by 5:00 PM we’ll be finished.” From there, Dr. Yazdan carefully measures & reconstructs the patient’s ideal hairline; it is of the utmost importance to make this hairline natural & optimally dense.
It is not necessary to cut the patient’s hair before hair transplant surgery using the strip (FUT, or follicular unit transplantation) method, but with Mark it was decided there would be follicular unit extraction, which requires the donor area to be shaved before the procedure begins.
After the patient has undergone anesthesia, the doctor extracts the grafts from the patient’s existing hair. Dr. Yazdan has also developed a unique process for anesthesia. The patient feels no pain during the course of the surgery or after, and the area is also not subject to the post-procedure swelling typical at outside clinics.
Now we see how the extraction of hair takes place. Separate grafts are extracted from the donor zone, one at a time, and accuracy is essential, as is the experience of the surgeon & the tools available. It is crucial to ensure that the grafts are not damaged in the process of extraction. The surgeon’s technique & use of a tiny plug (measuring 0.7mm in diameter), ensure virtually no visible scarring. There are no stitches, and the wound heals within 3-4 days after the procedure.
It’s not only the quality of graft extraction that is essential for a successful hair transplant, but also the quality of their processing. The longer a hair remains out of the human body, it experiences increasingly greater stress, and the likelihood of successful settling goes down. At Modena, to ensure the grafts are processed quickly & professionally, between 3-5 assistants work on graft processing for each surgery. This is a substantially large number of support staff compared to the majority of other clinics, and it enables large procedures to be carried out in a very short period of time, guaranteeing an almost 100% graft survival rate in turn. Grafts are processed by highly skilled personnel with the use of state-of-the-art microscopes. While the surgeon extracts the follicles, the rest of the team works to process the grafts. It’s an extremely laborious task, requiring attention to detail and modern magnifying equipment.
As that happens, Mark takes a break & prepares for the next stage: implantation of the hair. Once the extraction process is completed, the area already looks presentable. The donor zone shows little to no sign of bleeding & is covered by the surrounding hair. In the meantime, the surgeon starts to prepare apertures for the grafts in the recipient zone. At this stage, it’s also important for the surgeon to take the direction of hair growth into account. At Modena, we use the latest precision tools which enable the transplant of grafts in the minimal possible time & the preservation of the direction of hair growth set by the surgeon during aperture creation. Furthermore, their small diameter ensure the natural density of hair in the transplant zone. The hairline, the direction of growth, and the hair density are all carefully calibrated to ensure an authentic, natural look.
Each aperture is counted by a special device, which displays the figures on a monitor & enables the surgeon to check on the accuracy of the apertures in real time. As the procedure is actively carried out, Mark is able to speak clearly to the camera & discuss what’s happening, showing no signs of discomfort or pain. It’s well worth noting that in the course of the procedure, lasting many hours, there is virtually no blood. 4-5 people work to transplant the grafts, as it is of significant importance to keep operating time to a minimum.
On the day after the surgery, during a follow-up appointment, it’s impossible to tell that he had undergone hair transplant surgery the day before. Modena’s techniques also virtually eliminate the risk for an allergic reaction. On the second day, mark comes to the clinic again. Our personnel wash his head, the doctor offers post-care recommendations, and Mark says goodbye to the team.
Mark’s story is just one of many in the history of Modena, and you can be the next to reclaim your hairline. We have locations in Las Vegas, Beverly Hills & Newport, and we’re willing to help you make the journey to gain back your confidence. Visit our website to schedule a free consultation, learn about the different services we offer, & feel free to call us at any time during our business hours.