Shedding 6 Years After Transplant ! Need Your Analysis !

jumpingjackgazz

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Hi all,

I'd like to share my experience and see if some of you guys went through the same process and eventually found some solution or could give advice…

Ok, So I got a hair transplant @ASMED back in Feb 2013, 3000 grafts on the first third of the scalp.
Got very happy with this transplant, got a huge growth rate on the transplanted grafts, and very happy with the cosmetic improvement, until a few month ago...
So it's been 5 to 6 years I had this transplant, and back in October 2018 I start to notice thinning of my hairs. And today I can see that almost the entire transplanted hair are thinning and falling…. :( The bad trip is back….

Have some of you experience the same ?

I got a theory for that, from what I understand, when transplanted, a graft, whatever its current state (Anagen, Catagen or Telogen), it's reseting its state to a dormant Telogen phase then starting a new cycle and regrowing after 3 to 4 months (the Telogen duration). Thus, if I'm not wrong, all the transplanted grafts are kind of all synchronized, all starting in a 3 to 4 months time window a new cycle (starting anagen).

Now after 5 to 6 years (anagen average time is btw 2 to 7 years), they switch to catagen (3 to 4 weeks) then Telogen (so shedding for 3 to 4 month) and hoppefully start a new Anagen cycle.

This is the theory I have to explain that.
But this would imply that all the transplanted heads would behave the same… and I have not read anything like that on the internet…

Any comment would be appreciated !

ciao
 

Rocknroutlaw

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Sorry to hear. My understanding is your grafts soon grow out of sync from each other anyway, so at no point should lots of them be shedding at the same time once matured.
Have you been stabilized with Finasteride/Minoxidil before/after the initial transplant?
The opinion seems to be the hair extracted from parts of scalp that is less susceptible to DHT's impact should remain that way after they're transplanted elsewhere, but if experiences such as yours is being observed, perhaps they are still subject to the impact of DHT ?
 

jumpingjackgazz

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Hi ,

Thx for your answer !
Yes I was stabilised, I was under Finasteride for many years before transplant. I'm 45, so was around 40 at that time.

Hope your understanding
Sorry to hear. My understanding is your grafts soon grow out of sync from each other anyway, so at no point should lots of them be shedding at the same time once matured.
Have you been stabilized with Finasteride/Minoxidil before/after the initial transplant?
The opinion seems to be the hair extracted from parts of scalp that is less susceptible to DHT's impact should remain that way after they're transplanted elsewhere, but if experiences such as yours is being observed, perhaps they are still subject to the impact of DHT ?

is not the case... Any way, I sent this question back to the Doctor, I'll update with the reply...

I added Dutasteride a month ago (0.5 mg twice a week) to help eliminate remaining DHT cause I read that low dose dutasteride on top of fina can have great results.

Any transplanted guy who have experienced the same ?
 

jumpingjackgazz

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Hi all,

I've just bought a usb microscope you can find for 20 euros or so on Aliexpress and I'm using it to monitor my scalp.

Is this regrowth of terminal hairs or just velus hair ?

ciao
 

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