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First, You must evaluate the final results of hair transplant surgery 12 months later. Transplantation hair will grow at different rates and you can experience uneven hair regrowth. Most people only start experiencing hair growth of the transplanted hair between 3 - 5 months and it takes up to 1 year to mature.
There are 2 main performance show that your hair transplant surgery has failed:
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Transplanted grafts not grow 12 months later
New hair growth only typically starts between 3 and 5 months and
will start growing as thin, fine, colorless hairs and with time
will thicken, darken, and mature.
Normal, 80% of the
transplanted grafts should have reached styling length by 8
months. If you do not have enough transplanted grafts regrowth
and unable to achieve the effect after 12 months, Then you
should be a failed hair transplant surgery.
The number 1 cause of a failed hair transplant is the proper care and handling of the follicular unit grafts during surgery, either during the graft dissecting process, placement process, or holding / storing process.
The number 2 cause of a failed hair transplant is a large number of grafts are transplanted in one session. The blood supply of the scalp can not supply many of the grafts.
If the hair grafts are damaged in any way, after they are inserted, they will not grow.
Patient physiological factors can cause poor hair regrowth including scalp problems such as an infection or scarring, etc.
Most of the problems of failure to grow is the result of diseases like diffuse alopecia areata. Skin biopsies might help make that diagnosis.

Post-surgical existing hair shedding
Strictly speaking, post-surgical existing hair
shedding is the side effects of hair transplant surgery. It does
not really show that surgery is a failure.
But, The serious side effects will lead to end up
with less original hair than before you go for the hair
transplant surgery. Some surgeons say that the shedding is
related to a surgical shock and the hair will grow back. The
fact is that nobody knows why post-surgical shedding occur.
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