Hair loss after a hair transplant

Published in Capillary graft

Can you lose your hair after a hair micrografting?

What exactly is a capillary implant?

Thinking about whether the grafted hair falls out after a hair transplant is one of the most common concerns among patients undergoing this kind of treatment. However, before analyzing this topic in depth, it is necessary to be aware that the hair implant is not exclusively reduced to the basic process.

That is, it’s not simply the extraction of a series of follicles from the scalp and then insert them into another more depopulated area of ​​the head, but it can also be considered as a methodical and aesthetic distribution of these hair follicles through the implant of follicular units formed by 1, 2, 3 or 4 hairs.

In most situations, the hair that is most suitable for this procedure are those located in the lateral-temporal and posterior-occipital area, since they have the best health status. Therefore, we are facing the so-called most common donor areas, although it’s true that they are not the only ones. 

Hair loss after a hair transplant is not a frequent problem.

Hair loss after a hair transplant is not a frequent problem.

Why the transplanted hair doesn’t end up falling?

When the hair follicles have been properly obtained, the next step will be to prepare them thoroughly, using a powerful microscope. Subsequently, these follicles will be implanted in the recipient areas, that is, in those areas most affected by alopecia.

The greatest virtue and fundamental reason for the selection of these specific follicles is none other than their genetic configuration, as they are immune to the harmful action of the hormone responsible for baldness. In other words, the hair of this area will always respect its growth cycle, thus facilitating the achievement of the desired results.

Despite what may be suspected at first, wherever the implanted area is, the genetic structure of grafted hair will remain unchanged, so that the cycles of development of the same will continue their course unimpeded and in the same way that he did it when he was in the donor area of ​​the scalp.

Is there any reason for the implants to fall?

One of the concerns of patients is the hair loss after a hair transplant. While it’s true that in very rare cases they could fall, most of the time, grafted hair is not lost, because we have already found that the hair follicles are obtained from areas that are not affected by the hormone dihydrotestosterone or DHT , main responsible for baldness.

Because, in this sense, it doesn’t present any restrictions, the donor area has the ideal follicles so that its duration lasts throughout life. That is, it’s a definitive hair that will not be lost when moved to the receiving area.

Grafted hair is not lost, because the hair follicles are obtained from areas that are not affected by the hormone dihydrotestosterone or DHT.

How does aging affect hair loss after a hair transplant?

However, although the hair selected for hair graft surgery is never conditioned by the action of the hormone that causes baldness, it cannot be guaranteed that this hair would not come off at some point.

And it’s not to forget the fact that, although the extracted follicles are permanent, their evolution follows the same pattern as the others. Therefore, the evolution of time will also affect him naturally, translating over the years into the undesired capillary loss.

But only in a small proportion of cases will the implanted hair fall after capillary surgery due to the aging of the patient. In addition, even if this hair loss could occur, under no circumstances will return to the degree of baldness that led to the completion of surgical treatment.

What consequences can the telogen effluvium cause?

In addition to the passage of years, another reason why the individual could get to check how part of the hair that had been transplanted was dropped is explained by capillary effluvium, a situation that normally occurs during the weeks following the completion of the micrografting hair surgery.

The reason that gives rise to this type of capillary loss, finds its origin in the manipulation process to which the hair follicles are exposed during the procedure, which could be classified into three main stages: 

Only in a small proportion of cases will the implanted hair fall after a hair transplant.

Only in a small proportion of cases will the implanted hair fall after a hair transplant.

  • Obtaining.
  • Preparation.
  • Transplant.

Is hair loss caused by effluvium definitive?

After this habitual and predicted hair loss after a hair transplant, the implanted follicles initiate a resting phase that will end at the beginning of the next one, known as the growth or anagen stage. This restoration phase will begin approximately three or four months after the end of the capillary graft procedure.

It’s at that precise moment when the hair follicles will resume the growth of their own development cycle without inconveniences that interfere with it, so that their evolution will continue throughout the life of the person undergoing surgery.

As the genetic information of the hair obtained will not be influenced by the effect of baldness causing the depopulation of the recipient area, we reiterate that only the natural course of the years could cause the detachment of part of the grafted hair.

Survival rate of these implanted units

According to the opinion of various hair specialists, practically all follicular units grafted will last after the conclusion of the hair transplant intervention. Of course, success is guaranteed only if the surgeon selected by the patient has the proper qualifications and experience that this procedure requires.

In other words, with an expert hair surgeon who knows how to surround himself with a team of professionals, it’s not a utopia to say that almost one hundred percent of the implanted units could survive after the hair micrografting.

Beyond the skill and dexterity of the group of professionals in charge of the intervention, the execution of the procedure cannot be considered as malpractice if, immediately afterwards, some hair loss after a hair transplant occurs, because this is natural and would be due to the treatment applied to the patient’s follicles along the hair implant.

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