Dear Dr. I had hair transplant back in November 3, 2008. When I gently place my hand on the transplanted area I can feel the “bed of thorns” or “sprouting new hairs”. My concern is are they really new hairs or is it the grafted hair waiting to fall out. I have been taking finasteride religiously for more than two years and still continue to be on it. Does this suggest that grafted hair may not fall out and continue to grow right away, since it is over 45 days from surgery and grafted hairs should have fallen out by now. Is it compulsory for grafted hairs to fall out, if so, generally how many days from surgery they should fall out.

Thanks

In about 5% of people who have hair transplants, they will notice immediate growth without a ’sleep period’ of 2-5 months, which is normally seen. If the hair falls out (95%) of patients, it will occur in the first 3-4 weeks. Propecia should be continued through the entire process without stopping it.

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