Hair Transplants: Do They Last Forever? - The Truth

[@lakshaychopra8241]

You are the most genuine person giving information on hair loss. I am shocked to see how much information the doctors hide from their patients. Thank you for doing this and helping out people.

[@vinitp3367]

I had a transplant about 1200 follicles near my frontal hairline in 2008...now I have very visible scalp with thinning hair but it is in the area behind the original area that received a transplant...the original transplanted area still holds a reasonably thick hair ...so I think transplanted hair will last up to 90%😊

[@countyjay7651]

Are you on finasteride or minoxidil?

[@whome5810]

Are you taking any preventative medication like finasteride or minoxidil?

[@philgiordano1]

@@countyjay7651 Ive been on Finasteride or 15 years post transplant. I've had two. original still going strong. probably 90% still there.

[@oreo598]

you on finasteride or minoxidil?

[@philgiordano1]

@@countyjay7651 I've taken Fin for 15 years no issues. I had major issues with MInoxidil though. Chest pain through the roof.

[@LAinLA86]

This is why I like Rob. He is so genuine in his analysis

[@PerfectHairHealth]

Thanks for watching! I know this was a long one...

[@matiasherrera8730]

​@@PerfectHairHealthThe study subjects were also not taking dht blockers, were they?

[@kakarot4243]

@@PerfectHairHealthcan your hair still thin after the transplant

[@melissabittinger4149]

Husband got his first HT in 1997, fast forward to second HT last week at 54, all of his original HT was still intact, without using fin or mon. He did thin farther back, requiring a second HT and he now uses topical fin/mon.

[@Russellviews]

Wow thats a looong time testimonial. Thanks for sharing Mrs !!

[@tqb43]

Is the fin/mon necessary at this point for him?

[@nathan87]

Nice to know, but worth remembering that is only one anecdote. 10% of the subjects in the study rob references here did not show loss to their transplanted hair, so we know that it happens in a reasonable number of people.

[@vilheard3030]

​@@tqb43 only of he has 30-40% of his native hair .

[@ahmedfaraz5353]

I watched this video coz I recently got a hair transplant. I get your point that there are no long term studies done which suggests that transplanted hairs last forever. But one of my uncle in his mid 40s, when his head was completely bald, had a hair transplant done using the FUT procedure 13 years ago. And 13 years later, his transplanted hair still lives. So that for me is an evidence that it lasts forever. However, the doctors told me after the ago of 40, the hair-fall naturally stops, so that might be a reason why his transplanted hairs survived for 13 years.

[@alexanderlouis.w]

Just curious, did you and your uncle go on Finasteride or any other medication prior or after the hair transplant?

[@ahmedfaraz5353]

@@alexanderlouis.w not sure about my uncle. But i have used minoxidil for 14 months and it did showed good results. But when I stopped using it, my hairs started falling again. Therefore, I decided to get a hair transplant. It’s been 5 days since i had my hair transplant. I’m planning to start using minoxidil again, use it for a year and will stop it. I’ll also start taking finasteride and if it goes well for me, I’ll keep using it for at least a couple of years. I’m hoping that one year use of minoxidil will help me get a good density of hairs after which finasteride will help me maintain that density.

[@Testruecast]

@@ahmedfaraz5353 Good afternoon. Thanks. But the question is if your uncle go on Finasteride After. Many people concern is that after the transplant they have to take finasteride for years. But other people say they didnt. How was the experience of your uncle?

[@rdean150]

@@ahmedfaraz5353 I also opted to try minoxidil first due to worry about the potential side effects of finasteride. In hindsight, I really wish I'd never used minoxidil at all and just got on finasteride immediately. That cost me a year's worth of hair loss that I'll never be able to undo. So when I finally did start on finasteride, my scalp had already progressed to a point that I'm unhappy with and finasteride will never be able to fix on its own. It's crucial to start on finasteride at a point where you're still comfortable with your overall hairline, as finasteride mainly just sorta locks that in. Minoxidil foam made me shed more than it regrew, so the net effect was overall worse than if I'd never used it. It turned a small area of exposed scalp into a wide area of visible thinning, with a few thick hairs scattered around. Those few seemingly stronger hairs that benefited were not worth the loss of the many small supporting hairs that filled in the overall area to cover the scalp.

[@ahmedfaraz5353]

@@rdean150 Perhaps minoxidil doesn't work for everyone.

[@michaelrosenberg2420]

An excellent analysis of all data. I particularly enjoyed his unbiased analysis of the 1970,72 and 2022 papers. This man's only purpose it to accurately and dispassionately dispense accurate conclusions from multiple data sources. His is not shilling anything other than scientific truth. A breath of fresh air in this morass of ads and papers. An impressive post. Thank you.

[@tomcotter4299]

I love the energy you’re bringing to the cause of male pattern hair loss. I’d really love to see all of the big channels get together and form a foundation to fundraise for research. All men should probably just chip in $5 a month for research on male pattern balding. It’s coming for all of us but we could find a permanent solution a lot quicker through collective action.

[@jsy8]

I second this. Let’s start?

[@Rob-bq6ek]

Be prepared by being proactive as soon as you see hair loss, if, you want to keep your natural hair as long as possible. There's a lot of ways nowadays to keep your hair, including HT's. This channel is definitely worth following.

[@ananthacharya9316]

This channel is going to be big one day. A truly scientific approach with a strong conclusion to support the facts. Continue the great work 👍

[@Kenny-bj2zq]

One thing that makes a huge different in finding is who is on medication vs not on medication and what is the difference

[@michaelmccabe2404]

This channel deserves to be sooo much bigger. Hope it gets there soon.

[@helifynoe9930]

Okay, here is something that is not mentioned that often. If you are not that old at the time of the transplant, you may end up with more hairs than expected. Take my case. 3,000 hairs transplanted, led to about 5,000 new hairs. It looked great. However, those extra 2,000 hairs were old hairs that had come back to life due to an increase in blood supply in the general area, and other reasons related to the hair transplants shifting things into a repair mode. Sadly, they don't last forever. And so eventually those extra 2,000 or so hairs, went right back to being in dormant state.

[@itafita]

How long after your ht were they gone?

[@caleb-kun]

You counted? Lol

[@Imaprodigyy]

@@caleb-kunfr like we’re is the source on this or analysis from someone who is credible and has a PHD?

[@Golfing422]

I wondered about that, if the injury would actually cause more hair growth.

[@fatterperdurabo42069]

You might have been able to retain them with routine microneedling

[@dsstealth2000]

I had a hair transplant done 28 years ago. I actually had much more original hair then than I do now. The only remaining hair on the front half of my head is the transplanted hair. I had FUT procedure. I did not take any additional meds. All natural. I’m going to turkey to do it again. I’m 60 years old. If there is any loss it should not be noticeable in my coffin. Haha.

[@всехблаг-к5н]

😂😂😂

[@soundreign2319]

I can’t 😅😂

[@gbluesrocker]

I lost about 30% of my transplants in the front area over the past few years, I’m in my mid fifties, I had the work done in my twenties and it looked good for a few decades, now I’m considering a natural looking hair system

[@danielvanniekerk8488]

Hi @gbluesrocker. Curious to know if you stayed on any hair loss meds over that period? Thanks

[@moodwithfood5]

So u got hair transplant about 25 to 30 years ago?

[@vilheard3030]

​@@danielvanniekerk8488I will assume he wasn't taking meds consistently.

[@robbertag808]

Should have taken Finasteride.

[@albertpuppymaster671]

Wow. 300+ fake comments doing nothing but praising this guy and none of the comment talk about the topic. Wow.

[@helifynoe9930]

Another interesting event was me using hair dye. I tested the stuff on my arm to verify that I had no allergic reaction. There was no reaction at all. However, my scalp had a different opinion. A rash appeared in some areas, and it took close to a year for the skin to return back to normal skin color. The areas affected, were bald areas. Six months later, hair began to grow in those specific areas, and lasted about 3 years. So it appears that due to the damage done, the areas had shifted into repair mode, and the hair follicles located in those areas also got caught up in the process.

[@matalinaw8334]

Wow! Interesting

[@luisbustamante5479]

very true, I dyed my hair 2 years ago and then a year later I started noticing it thinner at the front even my barber notice it. That's when I realized I had alopecia but it had not been for the dying chemical it would've taken more years to show.

[@donnie876]

do you think a beard transplant on someone with no hair loss issues would cause thinning as well?

[@Russellviews]

4 years later my hair transplant is maybe 10-15% thinner. Meaning each hair follicle seems a fraction thinner. No loss though. I'm really happy with mine.

[@mnnraaz]

Just want to confirm if there is any bad effect of HT on your existing non transplanted hairs.

[@Russellviews]

@@mnnraaz No. My non-transplanted hairs are unaffected. Whats HT?

[@mnnraaz]

@@Russellviews HT (hair transplant) I have heard from many people that after hair transplant, the existing hair also starts becoming thin. Due to which we gradually start looking bald from the non hair transplant area after a few years.

[@hereiamdgame]

@@Russellviews Are you taking any medications like Finasteride? Any side effects? May I know where did you get the transplant done and how many grafts and cost?

[@Russellviews]

@@hereiamdgame yes I take finasteride. Its very effective. yes some people have side effects. The vast majority do not. I had my transplant done in Mexico City at the Capil clinic. 3500 grafts for $3700. Hotel included. Had to pay for my own flight.

[@johnnyjohnny7204]

xlnt report. here's some personal exp: since the mid 90s (age 40) i've had 3 procedures for light to moderate loss in front and crown. all by top surgeons: 2 by bosley and one by another xlnt provider. since then and up to this date everything you state has been pretty right on. donor sight was deep FUT (safe donor zone) at border of skull and neck). hair loss in back crown was about 25%, and maybe 20% in front/middle front. i would say that today i have almost as much hair in the transplanted areas as i did after all 3 procedures, which were from about '96 to 2005 or so. so both my transplant sites had only 25-20% loss, so they weren't bald. further, i am not typical insofar as being a health nut, little drinking, organic, a runner, hanging a few times a week a la 'American Gigolo', and nuuuumerous supplements, esp for hair such as DHT inhibitors like saw palmetto, pumpkin seeds, and growth factors such as keratin, biotin, msm, silica, gingko, etc. NO pharmaceuticals, only over the counter 'health' supplements, meaning most of my supplements are not ONLY for hair, but other health outcomes such as stronger joints, etc. i've personally seen the effect the following have had on my hair: 1. lowering drinking to 2 hard drinks/week at most, 2. each of my hair oriented supplements, 3, exercise, aerobics/calisthenics/inversion (for blood flow). conclusion: without the lifestyle considerations of supplements/exercise/nutrition (organic/lowered drinking/no smoking/good nutrition) i no doubt would have seen the over time hair loss of the implants at about 20% of what they were after implant. each of my lifestyle changes brought results that i could literally see within a month or so to ongoing. it was a synergistic process where each lifestyle change added up to reversing any hair loss of the original procedures, as well as any which might have continued despite the procedures. the result was that my hair is virtually as thick and covers the same area as it did after all 3 procedures. i'm sure if i let my lifestyle changes slip, there would be increased hair loss...however since they affect my entire health, they are not changes i will forego. i have noticed at times in the past where stopping some of the supplements targeting hair growth, e.g. keratin, silica, etc, did have an effect. i absolutely do not want nor have i ever been on lifetime hair drugs such as finesteride/minoxidil etc...though i do saw palmetto and pumpkin seeds, again for overall health since they affect prostate, keeping DHT down. hope this helps. my background was as a reporter/editor, and clearly a health nut.

[@всехблаг-к5н]

Какой кератин вы принимаете?

[@Russellviews]

One could hypothesize that 5-alpha reductase enzyme activity, the enzyme that causes the vast majority of hair loss/thinning , is still acting on the transplanted hair but starting with a thicker follicle begins its whittling down of the follicle thickness. . Of course, one could be taking Finasteride to minimize this affect so yea...Its complicated.

[@SSModi852]

Best video on hair loss and transplant with all the studies. Very helpful. Thank you.

[@jamesh7618]

This was very interesting and informative, thanks for sharing your knowledge

[@jackspence625]

Fascinating! I didn't know that hair transplants could be temporary. Also, that injuries can spur hair growth. And thanks for the details, and all the work on the video.

[@fantoma3561]

its forever!

[@JND-vp6ov]

@@fantoma3561 If you comprehend the video, the answer is compex, ie. there seems to be some recipient site influence, the studies that you read that say they are forever have a bias, but the fragile human psyche will refuse to believe that which is painful. Many men are absolutely destroyed by the loss of hair and society places great emphasis on hair, how we look, tik tok, instagram, etc, while many other men re-focus life to more substantive endeavors, are completely confident and could care less about going bald.

[@francdubois7832]

These follicles are taken from the donor region. If they are left in the donor region, they continue to produce hair for life. So, why should it be any different if they’re transplanted into the galea? Unless the galea environment gradually causes an epigenetic mutation (upregulation in androgen / cytokine receptors), just like the indigenous galea follicles that do miniaturise.

[@barathon1161]

in the 4 year study about transplanted hair follicule thinning/disapearing. Did the testing subjects where on any medical therapy throughout the entire study ? especialy Finasteride ?

[@mikecronin6265]

The reality is, one needs to take a dht blocker. This, even if the majority of the top of the head contains transplanted hair. I truly believe that it is not the hair that's dht resistant, but it is the areas on the scalp that is resistant.

[@bobbylee2853]

The underlying condition of scalp tension must be the “root” cause of MPB.

[@hmdwn]

@@bobbylee2853 ... scalp tension TFF DHT in the scalp is the hair killer, not scalp tension.

[@FRUXT]

The picture showed at 18min50 proved nothing. Which hairs droped ? the transplanted ones or the natural ones ? The study should study complete bald men before surgery, otherwise it is useless...

[@nicolasstavroguine4017]

About distant hair follicle communication signals : I think that’s why regrowing hairs always appear at the border area with existing hairs. And never where the surrounding area is slick bald.

[@PerfectHairHealth]

It is interesting to think about. Regrowth almost always seems to be “last out, first in.” There are case reports of people who lose their hair to alopecia areata, undergo a therapy 20 years later, regrow it all back and discover they now have advanced male pattern baldness. This seems to suggest that the effects of AGA continue even when the hair follicles are struck in the kenogen stage and/or perhaps not even cycling. It’s an area of research that I think is underrepresented!

[@ronlevine8873]

Masterful analysis of a frustrating problem! Your hypothesis of using injury to cause or preserve hairgrowth is already well known: Dr. George Cotsarelis at the U. of Pennsylvania has been studying this phenomenon for many years. He has used this idea as the basis for his start-up company, Follica, but I don't know how successful this venture has been. In any event, I much appreciate the depth of your analysis and, more importantly, the skepticism you show for all of the so-called "baldness cures", even those that are well-researched.

[@ThatsMrFrank]

I absolutely love your unbiased, critical information.

[@alanrastelli]

Best AGA channel by far imo

[@tarekalkhattab]

Does hair follicle die and disappear ? Or just get "desactivated" ? Can the body create new hair follicle and only reactivate them ?

[@AndyFriday]

Fascinating. Thank you so much for this well researched piece that has answered a bunch of questions no one else answered to this extent. Great job and much appreciated. Left a like, comment and shared the video!

[@jwolfe890]

Great video. I wish there was more critical research like this available.

[@khaderali8338]

Broo… u won my heart with your way of approach… Here it is❤️…

[@cimbom007]

Hey Rob, but the Hairs generally thin out if we don't support them with nutritions and vitamins (+Finasteride). So in conclusion; transplanted hairs would not thin out if we support them with Vitamins etc. 🤔

[@luisbustamante5479]

Very well-documented video, the best I've seen.

[@lilytea3]

0:33: 📺 Hair transplants do not last forever, contrary to popular belief. 4:39: 🔬 Research on donor dominance and individual hair follicles has led to advancements in hair loss treatments. 9:54: 📚 Hair transplant studies have shown that donor hairs may have lower survival rates and slower growth rates when transplanted to different areas of the body. 14:21: 🤔 Transplanted hairs can thin over time due to various factors such as a bad hair transplant, advanced stages of hair loss, or the surrounding hair thinning. 18:51: ❗ A four-year study on human hair transplants found that over 90% of patients experienced thinning of transplanted hairs. 22:59: 📝 The video discusses the discrepancy between the initial belief in 100 donor dominance in hair transplants and the current understanding that recipient sites play a larger role in hair transplant survivability. 27:59: 🔬 Hair follicles can communicate with each other across distances of 2.4mm to 6mm, potentially explaining hair regrowth in bald men. Recap by Tammy AI

[@tikumpondo]

Satya skin and this guy are the only ones not afraid to tell the truth not caring about their pockets(humanity)

[@saintgfilmz]

bro I never comment on yt videos like never.. but amazing video I really learned alot watching this keep up the great work!

[@mrcanard6542]

What a satisfying video, you take us threw your whole thinking process, this is really instructive !

[@raysurx2010]

Great video and insight, and only 53k view? This video should have way more views. Thanks for your diligent work.

[@nexxxuno]

19:59 the fact that you highlight that phrase while the next sentence (and other sentences alike) says "there is no arguing that transplanted hairs last forever" makes me think you could be a bit biased too...

[@2380Shaw]

I guess the "5 years later" picture may still be better then without the hair transplants because if you're already losing hair before the transplants then likely without transplants that guy would have been completely bald.

[@purps7017]

I have a ridge on my hairline after getting my transplant about 7 years ago. So I can't shave my head completely now because the ridge makes my hairline look bad when i have no hair. This is tough because my hair is now quite thin and not looking good any more. It's very annoying. I wish I hadn't got the transplant in a way. Although sometimes it looks ok in certain light it still looks like a transplant now. My advice would be to stay bald and shave it if it looks good.

[@vilheard3030]

This isn't helpful lol. If someone can get their youth and good looks back, for 3-4 years,due to a hair transplant i would say it's worth it. Technology and AI assistant will be more advanced in the next few years. Everyone doesn't have bad experiences like you did.

[@changename8820]

Yes is for everything!! Nothing last forever 😂😅🥹😕😫🫠🫠

[@dressarosa6636]

Hi I'm french and I enjoyed your video, but i had a question, you say that recipient sites do inluence the fate of the hair, the only factors that could lead to that are DHT level and some other things like low oxygen levels etc.. but mostly the DHT Level right ? So my question would about how DHT works exactly, when it is created, does it remain in our sclap or is it just something that will last some some but will likely disappear within a few days but since it's created every days so every days there is like a DHT supply from our system leading to baldness? cause my final question would be does medicines/drugs like oral finasteride or dutasteride only impact the produced dht or also the ones remaining in our scalp, cuz instead of talking about hair transplant, an healthy solution would just be to make the scalp just as low antigen levels as the mice's back so the actual front hair would just stop miniaturizing?

[@ahealthierkirk2558]

Were those patients in the 2020 study on Finasteride and minox treatments?

[@gabrielalvarez1474]

Absolutely amazing video! Congrats

[@catalinn6924]

I like your hair, Rob ! Do you use any products? It looks so healthy and thick

[@PerfectHairHealth]

Thanks! No products - just hopped out of the shower and pushed it to the side for the video. I do have diffuse thinning though. I've been lucky enough to retain the hairline, and I've been a great responder to stimulation-based interventions like microneedling / massaging. I've mentioned this in almost dozen other comments in other videos, but I'll likely start using some sort of DHT reducer in 2022. Just waiting on timing to decide if we're going to have another kid.

[@catalinn6924]

@@PerfectHairHealth Always family first ! Bless to you and to your family and a happy new year full of whatever you want !

[@ataraxia7439]

How long should someone go off dht lowering stuff if they want to have kids? Should you not do anything that lowers dht ever on your life before having kids?

[@ConnorLyon]

@@PerfectHairHealthI haven’t seen anything about finasteride and pregnancy issues. Are you saying that There’s a connection between the two? What connection would that be?

[@luisbustamante5479]

Scary, hopefully those meds help me keep alopecia at bay long enough.

[@2380Shaw]

I'm thinking if my hair transplants last at least 3 to 5 years then hopefully it would just be a slow progression back to thinning hair. So maybe it would at least slow and delay going completely bald

[@patite3103]

Amazing video! Keep up with your work! Could you do a video about different hair transplant techniques and which is the best? thank your

[@rallyworld3417]

Best video so far .. also clinical studies are always highly inconsistent and inaccurate .. nothing surprising here

[@jenxsj3902]

Rob, hair transplants are worth it, let’s just be clear. They work. Of course combination treatments will produce better results.

[@PerfectHairHealth]

Yes!

[@jenxsj3902]

@RedPillRahim have you had a transplant?

[@Russellviews]

@rahimsvoice Dude....I had one 7 years ago...They work. My hair still looks great at only $3700.00

[@MRrZero]

Thank you for making such high quality content. Always love to binge watch your videos.

[@kailars]

In ten years from now transplants will be less needed due to the great developments in stem cell therapy, even my doctors in Turkey agreed. I waited till 47 to get my HT, had used finastiride and minoxidil 2.5% from age 30 to 40, then gave up as saw many falls. Now that hairloss has massively slowed down a few years ago this was a good time for HT. Of course have restarted finastirid, shall after 5 months go down to 0.5mg daily as seems to be enough, while i continue minoxidil. P.S. my strong beard and chest hair also used as donor hair between the others, let's see...

[@hereiamdgame]

what kind of side effects did you experience and why did you start the Finasteride again when you already had side effects?

[@dante911ify]

Well done, a very informative video covering various aspects of hair transplant and answering many commonly asked questions.

[@MKBinDC]

Excellent discussion !

[@albertwong4516]

Thoroughly researched and summarised. Brilliant.

[@Doing_Time]

so I used rogaine and propecia when they first came out in my late teens while I rapidly lost what little was left of my hair...what does that say about my chances of long-term success with a transplant in my 50s?

[@Jbrimbelibap]

What I've Learned always gets very close to truth and geniune analysis, or experts that do just that

[@GAPIntoTheGame]

Regarding the study at 16:40, where they using finasteride or dutasteride? If not I would like to see a comparison between the hair transplant while on fin/dut and one without it. I would assume that people on who get the transplant on fin/dut get better results

[@Lionel212001]

This is really insightful, and I am glad that I watched all of it. I have been aware of the recipent site influence phenomenon for a while now but the original Dr Orentreich study is utterly fascinating. The devil is certainly in the details.

[@tatsumakisempyukaku]

I have diffuse thinning on my crown area. I did the prp and extra cellular matrix in Manhattan. The first round seemed to work. I was given finasteride to take but didn’t take it bc I was concerned about side effects. Now my hair is worse about 3-4 years later. After seeing 4 videos on this channel, I can see if I can’t get Botox and finasteride or saw palmetto. My friend has told me about a scalp massaging which I have to find. I also started micro needling but don’t know all the ins and outs of it. I have a derminator 2 from Europe I order. I have 9 and 12 needle cartridges.

[@USViper]

Hair generation after dermal injuries is real. I carry a concealed 357 magnum. The hammer has cross cuts like sand paper to the skin. The area on my lower right abdomen was constantly being cut and abraised. I noticed long dark hairs growing from that wound, where no hair has ever grown. Strange stuff.

[@TIPTOESMOOTH]

20 years ago, I was shot in the chest/stomach area with a shotgun. Every hole the bird shot left grew an incredibly thick, long hair. It's really weird.

[@USViper]

​@@TIPTOESMOOTHDid you have a brain injury, or is it genetic? It's gotta be genetic. Mom and dad dummies to huh.

[@reedhendricks7687]

I don't normally comment but this video got me excited for the future of hair loss treatment. I wonder, is it possible to do a more refined version of that first procedure? The one where the transplanted hairs survive better?

[@PerfectHairHealth]

Those original plug grafts are a bit unsightly, but if what is presented in this video bores out to be true and is confirmed by more research groups, I think that you're right. I personally feel that most transplants are maintained long enough to warrant the procedure itself. But it would be nice to find techniques to better ensure survivability in the long-term.

[@ritankardas6801]

One of the biggest evidences that hair transplant last for atkeast 15-20 years if you take proper post-op care is the youtube channel named "Hair Growth with Alex";where a guy named Alex has undergone a transplant 15 years ago and hair is still intact

[@ebrowntaylor1]

I've had 5 hair transplants, and I've been following Rob for quite a long time. 4 of my 5 transplants were done by world class surgeons (3 by Jerry Cooley in Charlotte, NC). I also follow Rob's protocols for maintenance of existing hair. It's been 7 years since my first procedure, and I honestly don't think about my hair anymore. I contribute this to: 1) my procedures 2) following Rob's advice and protocols.

[@Russellviews]

That seems like a lot of procedures in 7 years. Were there extenuating circumstance for you to have so many?

[@kamalaparadise2269]

Did you take meds the entire time?

[@No0bT4rD]

I was skeptical at first but this turned out very interesting and informative

[@sajsultan1839]

What about if Your on finastride or Minoxidile ? And would your transplanted hair last if you didnt take these tablets?.

[@alexz9928]

Great video Rob. I've always appreciated your work. When does your new microneedling study come out that you first mentioned a few weeks ago?

[@PerfectHairHealth]

Thank you! The study is officially published: link.springer.com/article/10.1007%2Fs13555-021-00653-2 I’m hoping to put together a video on this in the next two weeks!

[@alexz9928]

@@PerfectHairHealth Thanks Rob! Hopefully your next video covers microneedling after a transplant because now I'm very intrigued

[@carlospalma_]

Damn, what a great video!! In emotes watching every single bit of it. 👏

[@willardchi2571]

Curiously, if transplanted hairs acquire some of the characteristics of recipient site hair, might transplanting balding follicles from the top of the head to the back of the head cause those balding follicles to regrow? If so, this might be practical in the case of those large punch grafts before FUE was developed. Because before the punch grafts are transplanted into the top of the head, holes have to made in the top of the head to receive the punch grafts. Why not take the tissue from the excavated holes and stick them in the holes left by removing the donor punch grafts in the back of the head? Doing so might rejuvenate those balding follicles, perhaps even creating a fresh supply of new donor grafts decades later when the earlier transplanted grafts have thinned. And in any case, at least the donor area might grow thicker over time, allowing the hair on the back and sides to be cut shorter.

[@fmmastanume]

Hi Rob, any news from Russia regarding this burn treatment ?

[@moodwithfood5]

I have done transplant a few days ago....and i always had the same concern till now that how can transplanted hairs can be ever lasting when we dont have any practical examples present around us that had transplant 15 to 30 years ago? Surely we olnly look for the results that are maximum 3 4 or max 6 years old.... i havent seen any guy with the transplant 15 or 20 years ago....and this is my biggest concern till the day and always in my opinion i was clear about the fact that may be transplanted hair can,t be there forever... May be after 7 to 8 years they will lose.... Well studied and researched topic...❤

[@Russellviews]

How is your hair transplant now? YOu are at 4 months. that's when things really start to happen.

[@AA-rk4wu]

So whats ur advice.? Is it Worth it? To take the hair transplant M

[@Bethechange766]

Which one is better? 1970s transplant or 2022s?

[@nj2mddude205]

I believe Rafael Nadal got a hair transplant that has thinned out. Former English soccer player Wayne Rooney may have also gotten a hair transplant that has thinned out over time.

[@David-qz7fx]

What are you doing to maintain your hair after your transplant? Does taking finasteride after hair transplant help to maintain it?

[@Bakanelli]

Taking finasteride is ALWAYS a good idea regarding your hair.

[@damiano.m.1944]

My transplanted hair stayed strong 14 years after the transplant. The rest was nearly bald this year. So for me transplanted hairs are premanent. Now I am on meds and have good regrowth

[@dandelgado11]

Yes. If you take Finisteride. If not they don't. But why would u do that?!

[@unassailable6138]

There were no differences in hair retention and shrinking in the patients of hair transplants taking finasteride and minoxidil and those not taking them.

[@dandelgado11]

@@unassailable6138 just not true at all.

[@unassailable6138]

@@dandelgado11 Seems like you haven't watched the video. I'm quoting the the conclusion reached by the scientific paper which showed no differences between the two groups. If you disagree then produce another study.

[@dandelgado11]

@@unassailable6138 I ned not to. Its already proven all over the world.... Believe what you want... Its not my hair you'll loose again :)

[@unassailable6138]

@@dandelgado11 Man you have no idea what u are talking about. The study is about the survival of post transplanted hair . The transplanted hairs get thinner after 3 years on 50% of people , even those who are taking finasteride and minoxidil. He is mentioning TRANSPLANTED HAIR read this 3 times.

[@jaysjaysjays588]

I have see people 7 years after a transplantation with great result, Seems like he lost nothing. But yes, you have to take care of it, eat good and get right vitamins/minerals and take care of the scalp. And maybe also make prp or take Finasterid?

[@phil.9886]

Would that mean if I get hair transplanted into the beard it wouldn’t thin because the recipient area isn’t meant to thin? I’ve only heard of you get more beard growth the older you get.

[@blachlee1962]

Big help in deciding to NOT get a transplant. I'd wait for cloning, where you at least keep what you had. That also has variants pending; true cloning, plus injections of special cells near existing hair.

[@KneelBeforeZod310]

This is what I been waiting for

[@youngornitier]

Aint nobody got time for that, by the time it happens and is affordable i’ll be old and ugly anyway 😂

[@vilheard3030]

If you can wait another 25-30 years then go for it.

[@dfveiga9]

Just discovered your channel, great content and fascinating to learn !

[@axeljejeje5294]

So would you say that FUT transplants should last longer than FUE transplants in theory?

[@PerfectHairHealth]

It's a good question. I think it probably depends on how much a surgeon trims the hair follicles extracted from FUT. If they take that strip and turn everything into individual hair follicles, my guess is that both survivability and the preservation of donor dominance decrease. If those are instead hair follicle clusters, outcomes probably improve. And if those are full punch grafts, outcomes probably improve more. I wish we had more data on this; I was really surprised at just how few long-term studies there are on hair transplant outcomes.

[@buddycasino2415]

As your donor will most probably loose its density getting older, it's clear that you will loose those grafts in the front or crown during lifetime

[@curtisclawson9602]

Legendary content!! Thank you

[@collinsx62]

Excellent video.

[@mysjackson88]

wounding should not be discounted. I have been using microneedling with topical finasteride. While the microneedling is a hassle, the slick bald periphery grew normal strong hair. I think maybe there was communication from the normal hairs in the strong borders to the miniaturized hairs in the bald areas.

[@PerfectHairHealth]

Congrats on your success so far! On the topic of wounding, many transplant surgeons have reported transplant survival rates greater than 100% over a one-year period. Some people argue that this is due to hidden telogen hairs transferred during the transplant, but others believe it's the actual wounding from transplantation itself alongside the restoration of adipose tissue that initiates new hair growth surrounding the transplants.

[@bigmemphismook9019]

​@@PerfectHairHealth The wounding theory makes a lot of sense.

[@jimandrews8768]

This is confusing...the video mentions that after only 2 years there's thinning but then concludes that hair transplants will probably last a very, very long time. Which is true?? If someone doesn't take finasteride then will it not be worth it even for transplanted hairs?

[@mysjackson88]

@@jimandrews8768 it all depends on the genetics. While not taking Finasteride, some loose the transplanted hairs, some don't. Nevertheless, if there was a transplant in a thinning area, (which means there were strong hairs and you supplemented the thinning hairs with DHT resistant hairs) and if Fin was NOT taken to keep the original hairs in the recipient area; after a certain amount or time after DHT has ran its course, you will be left with a huge thinned out area. Meaning only the resistant Transplanted hairs will stay. I hope that helps. Cause some clinics don't specify that holding back DHT is important

[@harvindersingh4231]

Good information Rob, thanks 🙏🏻

[@mikepedroza9218]

Mine is in excellent condition after 6 years!

[@emmanuelkotei649]

Yeah it would be nice to have a full head of hair but I don’t want to go through these procedures, seems like a lot of work.

[@karleshenning7519]

But does the signal need to be from the scalp? And does it really need to be a big signal, that we could check from just taking blood once? Because as stated here, hair seems to undergo many cycles and they then get thinner, maybe there is a quick signal or something that blocks a signal for just a short amount of time. Maybe hair has a designated amount of elements which it consists of and while those special elements are being transported to the hair follicle, that signals gets cut. Which in result doesn't provide the hair follicle with a certain amount of things. Also hair seems to fall out just after a long time has passed, is there maybe some kind of "shield" that gets weaker from time to time? Also something else that I wondered about, dogs and some other animals do shed their hair at certain times, there needs to be signal or change that makes that area lose the hair or replace it. Can't we check if there is some kind of signal in the human body? Maybe we focused on the wrong thing for to long and the reason for the hair to fall is not dht, but the reason for dht is the falling hair? Maybe we should check people with no hair loss even closer, to find out what they have that helps them to keep their hair.

[@brotheraskedverygoodquesti845]

Are these results also including medication pst operation?

[@Sensi5455]

Excllent talk and analysis man

[@Professor5180]

So the one thing I gathered from the end of the video is a FUT transplanted hair follicle possibly has better survivability than an FUE transplanted follicle.

[@jasonjames8739]

Excellent content!

[@davidnewbaum6346]

This is gold, keep it up.