One of the most common questions after a hair transplant is also one of the most confusing: if the hair falls out afterward, is it lost forever, or will it grow back? Dr. John Watts answers a detailed viewer question on exactly how transplanted hair behaves, from the day of the procedure through to permanent regrowth.
The First Few Weeks: A Resting Phase
After a hair transplant, the transplanted hair enters a resting phase, and the empty hair shafts gradually fall off over roughly one to two weeks. This is a normal, expected part of the process -- it does not mean the transplant has failed.
"Within the next 4-5 days following the procedure, the transplanted stem cells begin to assimilate themselves into the scalp, seeking to establish connections with the blood supply," Dr. Watts explained.
When Does Transplanted Hair Actually Grow?
For the transplanted hair to enter its active growth phase, known as the anagen phase, it typically takes around two to three months. Patience during this window is essential, since visible results don't appear immediately.
This is also why patients are often told not to judge their results too early. The gap between the procedure and the anagen phase can feel discouraging, but it's a normal part of how transplanted follicles re-establish themselves before producing visible new hair.
Can You Pluck Transplanted Hair?
Answering the core of the viewer's question, Dr. Watts clarified that attempting to pluck out transplanted hair within the first one to seven days may hinder its regrowth. Leaving the hair undisturbed, and allowing the empty shafts to shed naturally on their own, is what allows new hair to grow in permanently.
The Long-Term Growth Cycle
Transplanted hair follows an early growth cycle initially, meaning it's expected to fall off again around six to seven months after the transplant. This differs from normal, non-transplanted hair, which follows a growth cycle of two to three years.
After that initial fall-off period, new permanent hair begins growing again from the reserved stem cells. "This subsequent hair growth is likely to have a regular growth cycle of 2-3 years, enabling individuals to freely cut, trim, and style their hair as desired," Dr. Watts said.
This article is for educational purposes only and is not a substitute for professional medical advice. Consult a qualified dermatologist for diagnosis and treatment.
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Frequently asked questions
Is it normal for transplanted hair to fall out after the procedure?
Yes. Transplanted hair enters a resting phase and the empty shafts shed naturally within one to two weeks -- this doesn't mean the transplant failed.
How long does it take for transplanted hair to start growing?
The active growth (anagen) phase typically begins around two to three months after the transplant.
Can you pluck out transplanted hair?
Plucking it within the first one to seven days may hinder regrowth. It's best to let the empty shafts shed naturally on their own.
Does transplanted hair fall out again later?
Yes, transplanted hair follows an early growth cycle and may fall off again around six to seven months, before new permanent hair grows in with a regular two-to-three-year cycle.
