Whether or not hair loss drugs such as Propecia (finasteride) and Rogaine (minoxidil) are required before, during and after hair transplant surgery is a popular topic of discussion amongst hair transplant patients and physicians alike. While some hair surgeons are true proponents of using Propecia in particular to help maintain existing natural hair and to prevent future thinning hair and hair loss, other physicians aren't so dogmatic about it. Some hair restoration physicians feel that it ultimately depends on the patient.

Ultimately, the purpose of non-surgical hair loss treatment solutions is to possibly stop the progression of male pattern baldness. Finasteride and minoxidil may even potentally stimulate some hair regrowth of miniaturizing hair. Transplanted hair is permanent whether you take hair loss medication or not.

Without medication however, hair loss may continue and as a result, subsequent hair transplant procedures may become necessary. Those who use hair loss products like Propecia and Rogaine may be able to slow down or stop their hair loss and as a result, require future surgeries.

So to answer the question how long a hair transplant patient needs to take non-surgical solutions after hair transplant surgery...the answer is, as long as you want to continue benefiting from them. Stopping the use of non-surgical solutions may result in more natural hair loss and as a result, necessitate additional hair restoration procedures.

Today's hair transplants are so much better and more natural looking than they used to be. Even since the invention of follicular unit transplantation (FUT) - transplanting hairs as they appear naturally in the scalp, hair restoration surgery has gotten more refined and natural looking? Why? Because today's expert physicians are using more refined tools and techniques than ever before.

The surrounding tissue on each follicular unit should be trimmed as much as possible while preserving the integrity of the follicular unit. Some of the surrounding tissue needs to be preserved however, elite hair transplant surgeons who regularly use ultra refined follicular unit "skinny" grafts have proven to get high hair growth yield and a greater ability to dense pack.

The number of hairs per follicular unit also plays a significant role in the size of the blade needed for hair restoration surgery. Surgeons who regularly make .7mm incisions do so for single hairs. In many cases, even surgeons using ultra refined follicular unit grafting will use up to 1.1mm or 1.2mm for the larger 3 and 4 haired follicular units.

It's highly important for grafts to fit perfectly into recipient incisions. The fit should be "snug", but not forced. A forced fit often results in "popping", and as a result, cobblestoning. That's why not only the size, but the depth of the incision is vital.

Larger incisions create a greater risk for scalp trauma and eliminates close graft proximity (dense packing).

Hair charateristics will also play a role in the size of the graft, and thus, the size of the incision.

Custom cut blades or tiny needles are often ideal because you can cut the blade to meet the needs of the patient.


Smoking shrinks small blood vessels and decreases oxygen to tissues. Studies shows that I had to learn back in the 90s suggested that for facial plastic surgery, it's best to quit at least 10 days preop. Less important postop actually, but I'm virtually certain that after hair transplant surgery, hair gets revascularized by plasmatic imbibition, like skin grafts, and thus the hairs are trying to die for about 10 days. 

And if that isn't enough, in 23 years of surgery, we've had 1 facelift infection in nonsmokers and 1 hair infection in nonsmokers, and about 10 in each group of smokers. 

Also we sugget you to stop smoking after the operation for minumum 10 days.

So don't smoke. 

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