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    Patients often want to know what to expect from their grafts after surgery When they will fall out and when they will start to regrow etc. Below is a general time line of what you can expect with respect to graft growth

    Immediately After Surgery To 3 Months

    • Immediately following surgery, you will have fresh incisions that are clean but look a bit like a rash. Certain hair and skin types with little existing hair may be quite surprised on how well it is hidden (masked).
    • On the second day, small scabs the size of a pin head will develop and be visible and remain on the scalp for two-six days after surgery.
    • By the 8th-10thday post-op, the area should be virtually scab free if you follow the post op cleaning instructions.. The area should be undetectable other than, possibly, your scalp being a little dry which would not draw attention to your scalp.
    • Starting around the 14th day the hairs in the grafts will go into a resting phase during which the shaft will separate from the root and shed leaving the root behind. This is completely normal. Things will then remain dormant for about 2 months.
    • Beginning at 3 months, you will experience hair starting to grow slowly. This is what is called the active growth stage.

    3 Months to 4 Months

    • Generally, new hair should begin to grow after the 3rd month mark, but everyone is different. Some experience new hair growth earlier and others a little later. Some may worry that what they see at 3-4 months is the final result, but that is not the case at all. At best, the hair growth at this time represents approximately 20% of the growth you should anticipate. When the transplanted hair first appears, it is immature, fine, thin, and light in color. As time passes, more transplanted hair will appear and will become thicker, longer, and darker.
    • Itching in the recipient area or discomfort in the donor area may be present at the three-four month mark. However, it should pass in a few months. The incision in the donor area at this time is healed but still remodeling. It will continue to improve over time. Also at this stage, a few patients may develop small pimples (folliculitis) around the transplanted area as hair emerges. If this occurs and persists, we need to be notified. There are ways of treating folliculitis.

    5 Months to 6 months

    • A significant change usually occurs between the 5th and 6th month. By the 6th month, about 80% of the hairs should have penetrated the skin. However, only about 50-60 percent of the final visual aesthetic effect has been achieved. Between the 6th and 7th month is the best time to schedule your follow up appointment to evaluate the progression

    12 Months to 14 months

    • The visual result continues to improve for up to a year, and it is only after one full year that the final aesthetic is typically achieved. The reason for the continued improvement over the last 6 months is due to the following:
    • There still may be about 10 to 15 percent of the hair that has not reached full maturity. Mature terminal hair develops between 8 and 12 months post-operatively as the hair obtains its normal thickness. Hair will become longer, darker in color, and thicker in diameter. A very minimal change in diameter has a significant effect on the appearance of fullness. Remember the aesthetic effect of a hair transplant is more dramatic when a patient has no original hair (bald) in the transplanted area. When a patient has some of his/her own original hair in a transplanted area, the procedure is just as successful, but the results are less dramatic because a new hair line is not being created. In these situations, we are increasing fullness of hair in a thinning area. Patients will notice more refinement (blending) in the transplanted area as well as an improved appearance of fullness under a greater number of circumstances.


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“Thank you very much for your attention. I am very happy with the results of the surgery. After 3 months only I already have full hair coverage in all the affected areas and don’t need to use the hair clips like I used to do for many years. Please give my beast regards to Dr. Shapiro and the team...”Read More

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