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Hair Transplant Questions & Answers
 
Subject: Lack of density after transplants
 
Question: Unfortunately I began my transplants about 7 years ago before follicular units were introduced, I had four sessions of slit grafting done by one doctor then had another four sessions in the same area of mini and micros into holes done by another doctor. For all the sessions I had done my hair doesn't seem as dense as I thought it would be, is it possible that there is alot of scar tissue in this region which is making it difficult for the grafts to grow, because when I rub my finger on my head I feel lots of stubble, I wonder if it is stuck in telogen. Also I have a small spot behind my front hairline where a few years ago I scratched off a buildup of sebum because at the time I wasn't washing my hair everyday and it was very oily at the time. I did this over a few areas of my scalp and hairs came out attached to the the sebum buildups. My question is the hairs that came out in that particular spot gone for good or should I use some rogaine on this area to stimulate growth or might I need transplants to fill this area in again.
 
Answer: Hairs don't get "stuck" in telogen, but you are correct in stating that hair growth in scar tissue is generally, but not always, less than normal scalp. If you have a bald spot greater than two years duration, it is very unlikely that you will get regrowth. Rogaine will be of no benefit. If your donor reserves permit, a hair transplant might be appropriate.
 
Answered by: Dr. Robert Bernstein
 
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