An FUE transplant redistributes your healthy, growing follicles from one region of the scalp to another. It’s technically a surgical procedure, but since each tiny piece of tissue and the follicles are so small, it’s one of the most minimally invasive surgeries you can have. Rather than one transplant, FUE carries out thousands of micro-transplantations. The cost per graft is $4 to $6 in most cases, so it would hardly be worth it to undergo surgery if the results didn’t last. People are understandably concerned that their hereditary pattern baldness will make new hairs fall out just like the others. We can put your mind at ease if you share this worry. The reason why FUE hair transplant follicles stay is that they’re programmed to.
A hormone called DHT (dihydrotestosterone) is primarily responsible for the genetic androgenic alopecia that so many men and women suffer from. For men, the pattern it follows is a recognizable hair loss progression beginning with the hairline and bald spot, and then expanding. It leaves growth at the back and sides only. That remaining hair is still dense and full while the crown goes bald. Often referred to as a horseshoe, the band of hair at the back and sides is genetically resistant to DHT.
The beautiful thing about hair transplantation is that the follicles carry that donor dominance with them. When implanted in their new home, they remain resistant to DHT and are expected to stay for the lifetime of the follicle. In this sense, transplanted hairs are “permanent”. However, significant distinctions must be made. Even hairs not affected by pattern baldness don’t always last forever. Follicles can eventually shrink or stop producing hair.
The other distinction to explain is that if you have progressive hair loss, you can reasonably expect the native hairs at your recipient site to keep shedding over time. The hairs that you’ve transferred through FUE hair transplant will stay, but the hairs surrounding those might fall out. That means that you may need more than one FUE hair transplant.