Can Dandruff after Hair Transplant Surgery Affect Hair Growth?

Some people who get a hair transplant develop dandruff and wonder whether this would affect the growth of their transplanted hair. While mild dandruff a month after surgery does not affect the growth of hair, scratching your head with your nails to remove it can cause hair fall. Repeated abrasion can lead to traction alopecia- a condition that results from subjecting the hair to excessive pulling force.

If you are experiencing dandruff after a hair transplant, your primary goal should be to treat it medically. It is safe to use medicated shampoos 6 weeks after surgery.  Your doctor would guide you which medication to use. Some doctors suggest Nizoral- which is an over the counter drug. Your hair restoration physician should be immediately consulted to rule out any potentially more severe skin conditions.

Severe scalp irritation such as scalp dermatitis can be the cause of some types of hair loss due to factors other than hereditary. The hairs that appear on your fingers after you scratch are most likely to be your native hair however; a certain portion of the hair could be transplanted hair. The hair shedding could be one of the following:

• Normal hair shedding– the hairs could have entered the telogen phase of the hair growth cycle and are shedding normally.
• Male Pattern Baldness– The hair shedding could be miniaturized hairs due to male pattern baldness. How do the follicles look in your hand? If they are small thing and fine and lighter in color than this could be the case.
• Shock Loss– Shock loss is a case where the hair gets permanently “shocked” and starts to shed. Most people experience shock loss around 2 months post operation. Hairs that are temporarily shocked grow back while the permanent ones will not.

Whatever the case may be, two months from a hair transplant is not the time to panic. This is probably the time when people look the worst. You should visit your doctor to get a better understanding and be patient as this time would pass and you would see good results in a few months. In the meantime, an anti-dandruff shampoo would do good to treat your condition.

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