is treatment still needed after a hair transplant
for many years during consultations for hair loss treatment
i found that a lot of my patients with male pattern hair loss
were under the impression that the most definitive solution for their hair loss
was a surgical hair transplant hair transplantation regardless of the
method used is the transplantation of genetically
resistant hairs from the back of the scalp
to the front of the scalp while hair transplant surgery does put hair in
areas with little or no hair it does not
change the continuous progression of hair loss
afterwards i'll discuss why having a hair loss treatment strategy
is very important especially after a hair transplant i'm Dr Amiya
Prasad I'm a Board-certified cosmetic surgeon and Fellowship-trained
oculofacial plastic and reconstructive surgeon
I've been in practice in New York City and Long Island for
over 25 years throughout much of my career hair transplant
surgery was a significant part of my practice
in an effort to improve the outcomes about 10 years ago i started using a
wound healing material called Acellular matrix to improve the
healing process in the donor area and to improve the
survival rate of the hair grafts we observed that a
year later thinning hair that wasn't transplanted
became thicker this discovery inspired me to
come up with a system to treat hair loss the challenge was to come up with a
predictable treatment protocol for customization in order to meet the
unique needs for each type of patient i developed a system where i factored in
key variables such as age gender age of onset of hair
loss and severity of hair loss to customized
treatments that will work best for your profile
this treatment can be used for men and women who've
previously had a hair transplant our treatment for hair loss which i
trademarked TrichoStem Hair Regeneration has also
been very successful as an alternative to
hair transplant surgery as a pioneer of this new treatment for
over the past 10 years i've helped a wide range of
people who came from around the world with scalp coverage improving in over 99
of patients it's clear why TrichoStem Hair
Regeneration stands as the benchmark to compare any other
ACell plus PRP treatment for hair loss that interestingly appeared so many
years after we started hair transplants are
marketed and perceived by consumers as a solution for genetic pattern hair loss
the reality is that hair transplant alone
does not treat progression of genetic pattern hair loss at all
the characteristic progressive hair thinning
will continue after surgery for example when you see a person who
had an obvious hair transplant where you see the so-called plugs of hair that
are growing in isolation they're often labeled as
having had a bad transplant in reality they didn't start
out that way they actually probably looked pretty
good for a few years after their transplant surgery
however with time only the grafted hairs that are genetically resistant to hair
thinning remained while hair thinning
continued and the native thinning hairs eventually disappeared
this is one of the main reasons why i discourage men in their 20s
to undergo hair transplant even with multiple transplant surgeries
rapid hair thinning will leave the coverage
sparse and looking unnatural not only will they not look like the
same as contemporaries who don't have hair loss but as they get
older and reach their mid 30s the residual grafted hair
will have poor density look artificial in my experience a lot of people who
choose to undergo a hair transplant as a solution for their
cosmetic concerns are frustrated by the limited results of
their surgery invariably they end up having a second
transplant where they are further frustrated so
they find another surgeon to do their third transplant in the end regardless
of the number of surgeries they had they find themselves in a situation
where they've spent a lot of money undergone a lot of pain and recovery
and no longer have any more hair left to harvest
for further transplantation this is not a good position to be in
unlike other cosmetic surgical procedures like eyelid surgery
facelift surgery or breast implant surgery
there is much greater variance in the outcomes
of hair transplant surgery in the marketplace
the advertising does not reflect the actual reality of hair transplant
outcomes in my opinion the problems arise due to
patient selection the setting of unrealistic expectations
and basic issues regarding blood supply bleeding and scar tissue
oftentimes the patient who has undergone two transplants
had the second transplant done by the same surgeon
who did their first transplant however there was no difference in how the
surgeon approached the second procedure consequently
the yield from the second transplant is not only
less than anticipated but there is often further hair loss due to the trauma to
native existing hairs and poor graft survival
when it comes to patients who have had hair transplant surgery before coming to
see us they essentially fall into three basic
situations one an individual who had hair
transplant several years prior and is looking to
avoid having to do a second hair transplant
while they're experiencing hair loss progression
two an individual who has in the past three months
had a hair transplant and wants to optimize their healing and growth
of their existing native hair three an individual who has had two or more
hair transplants over several years and is noticing the
quality of their transplanted hair is diminishing
in addition to worsening of their scalp coverage due to natural progression
in order to understand how we manage these patients we should first briefly
cover how TrichoStem Hair Regeneration treatment
is used for people who have never had a hair transplant and are experiencing
androgenetic alopecia or genetic pattern hair loss
the TrichoStem Hair Regeneration treatment has
over a 99 success rate for men and women experiencing genetic pattern hair loss
the success is defined as visual improvement in hair
thickness and scalp coverage with TrichoStem Hair Regeneration we are
essentially reactivating hair that is not growing
because of a prolonged resting phase where thickening hair that was thinning
and increasing the longevity of the hair growth cycle one of the
advantages of TrichoStem Hair Regeneration over
hair transplant surgery is that native hair grows much closer
together than what can be achieved even with
multiple hair transplant surgeries further by thickening thinning native
hair and stimulating hair growth trichostem
hair regeneration treatment can achieve better scalp
coverage than not just one but two hair
transplant surgeries for many of our patients typically we
treat each patient with a two-year plan where we do
two separate treatments approximately 18 to 24 months apart
and we expect sustainable benefits in the range of three to five years
or even more additional medical management including dht blockers
nutritional and medical therapy may be indicated depending on the category
you're in we see our patients every three to six
months and review results with them to show
how they are progressing over time for patients who have had hair
transplant surgery it appears that our TrichoStem Hair
Regeneration system provides an optimal environment
to help both their hair grafts and their native hairs
i have the unique perspective of performing hair transplant surgery for
many years and developing a significant
non-surgical treatment for genetic pattern hair loss with all of
this clinical experience in my opinion you can optimize your appearance with
non-surgical options and delay if not avoid
further hair transplantation in the near future
regardless of the type of hair transplant you've had or plan to have
your genetic pattern hair loss will continue to progress
although hair transplant surgery has a potential role
for improving appearance particularly for men with
frontal hair loss it's important to recognize that a strategy for the long
term is critical to avoid regret and frustration
i hope you found this information helpful thank you for your question
you