Hair Transplants: Do They Last Forever? - The Truth 

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.

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%😊

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.

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 👍

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.

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

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

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

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

I absolutely love your unbiased, critical information.

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

Absolutely amazing video! Congrats

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

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.

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.

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.

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!

Thoroughly researched and summarised. Brilliant.

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

Good information Rob, thanks 🙏🏻

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

Best AGA channel by far imo

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

Excellent discussion !

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

Excllent talk and analysis man

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

Very great job bro.... Useful info....

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

Very informative video. Wow ! You nailed it.

Impressive content. Good work

Excellent video.

Excellent content!

Great video. Love your content

Great video!

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

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.

This is gold, keep it up.

Legendary content!! Thank you

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?

Hi Rob, I have just recently subscribed to your email course. How long after a hair transplant will it be good to start doing head & scalp massages?

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.

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.

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.

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?

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

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.

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

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 ?

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

Fascinating ❤thanks dude

Hey rob, nice video very informative and well construct Do you plan to make a video about the long-term efficacy of massage ? and maybe do you think it could make the transplanted hairs stay longer or even permanently ?

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.

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

quality vids as usual

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

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.

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

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.

What about the inversion method? Can that promote hair growth

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

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

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

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

Hi Rob , When minoxidil is discontinued does one lose all the hair or the only ones that would have been lost if not started applying in the first place? Thank you.

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

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.

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

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

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. 🤔

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.

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.

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

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?

Hey Rob, good video. Are you aware of any study that deals with microneedling/dermarolling-induced fibrosis on the scalp and how it could make the whole process counter-productive to hair restoration?

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.

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

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.

good one

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.

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.

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

Thanks❤️

Rob I'm planning on going to Istanbul for treatment. I currently do microneedling and massages. I have a loose scalp which thanks to your technique is pliable. Would transplant hairs survive longer because of this without the need for finesteride?

Do you talk about SCUBE3 in any of your videos?

So, can I be an applicant for this study it sounds like you are about to undertake - for free?

Is Hair transplant possible with pubic hair as donor ?

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

Would getting a transplant and then taking medication to prevent further thinning (like finasteride) greatly increase the chances that the transplanted hair stays?

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.

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.

Mine is in excellent condition after 6 years!

I’m mind blown by this video. There’s a lot I haven’t heard of. You go into more detail instead of saying the cause of hair loss is genetic etc unlike other youtube videos. Please consider making a video deep into finasteride. Some people manage to keep most hair even after the drug was supposed to lose it’s effectiveness. I feel like you’re getting close to the reason hair falls out. A topic left untouched is just on the tip of your tongue.

You have to use finasteride, minoxidil, red light therapy, PRP, exosomes, etc to maintain results.

Regarding the 2020 study, do you know if patients who were using finasteride saw better outcomes in terms of the amount of transplanted hair they retained?

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.

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?

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.

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.

Says recent study, the study is from 2010..