Can FUE Grafts Fall Out After My Transplant?

February 5, 2023

Can FUE Grafts Fall Out & Should They, For That Matter?

Many people want to know can FUE grafts fall out after their hair transplant. In fact, they can, and in most cases, they actually should fall out! It’s part of the natural process of your hair transplant. FUE grafts (Follicular Unit Extraction) fall out refers to the shedding or loss of transplanted hair follicles after a hair transplant procedure. This is a normal process after any type of hair transplant surgery, including FUE. However, there are things patients can do which can harm their hair transplant. Read on for more info.

Typically, the transplanted hair follicles begin to shed after around two to three weeks. This is a normal component of the hair’s development cycle and is no reason for alarm. Hair follicles which out will be replaced by new hair growth within a few weeks-months.

FUE grafts can fall out after hair transplant surgery. While FUE is considered a minimally invasive and less traumatic technique compared to traditional strip excision (FUT), there is still a chance of the transplanted hair follicles not taking and falling out.

To guarantee adequate healing and reduce the danger of graft fallout, it is crucial to adhere to the aftercare instructions given by the hair transplant surgeon. If you have concerns about the fall out of your transplanted hair follicles, it is best to consult your hair transplant surgeon for further evaluation and advice.

Understanding Why Can FUE Grafts Fall Out After a Hair Transplant Procedure

What is Follicular Unit Excision(FUE)?

As part of the Follicular Unit Excision (FUE) hair transplantation process, individual hair follicles are taken out of the donor area and placed in the recipient area. Unlike the traditional strip method, which involves removing a strip of skin from the donor area, FUE removes hair follicles one by one using a specialized instrument, such as a punch or a motorized tool.

The benefits of  FUE over the traditional strip method include less scarring, faster healing time, and the ability to harvest hair follicles from areas other than the scalp, such as the beard or chest. Additionally, since transplanted hair can be arranged in a more random, natural pattern with FUE, the hairline will look more natural.

Depending on the number of grafts implanted, the FUE hair transplant operation is carried out under local anesthetic and usually takes several hours to complete. After the process, the patient must follow a strict post-operative care regimen to ensure optimal results.

Is FUE Safe?

Overall, FUE is considered a safe and effective hair transplantation technique for those with hair loss. However, To reduce the risk of complications and guarantee the best results, selecting a trained and experienced hair transplant surgeon is crucial.

Related Questions You May Have About FUE Transplants

Can You Perform FUE Without Shaving?

Without totally shaving the head, follicular unit extraction (FUE) hair transplant surgery can be conducted. With this technique, the doctor will just shave the donor area, which is where the hair follicles will be pulled out. The surrounding hair will be left intact and can cover the donor area as it heals.

This can be a good option for those who prefer to keep their hair short but don’t want a complete shave. However, it is essential to note that unshaved FUE requires more skill and experience from the surgeon, as they must extract the hair follicles without disturbing the surrounding hair. 

Additionally, the availability and feasibility of unshaved FUE will vary depending on several factors, such as the amount of donor hair available, the thickness of the hair, and the desired results.

Ultimately, the decision of whether to shave the head entirely or not during FUE should be made in consultation with your surgeon, taking into consideration your personal preferences and the specifics of your case.

Can FUE Damage Existing Hair?

Follicular unit extraction (FUE), a process for hair transplantation, is usually considered safe. As such, it does not commonly result in existing hair damage. Frequently, the donor location is the back or sides of the head. While FUE is considered a safe and effective hair transplant method, there is potential damage to existing hair.

During the FUE procedure, the surgeon uses a unique instrument to make small incisions in the skin to extract the hair follicles. Improper incisions or extraction not performed correctly will damage surrounding hair follicles. This can lead to temporary or permanent hair loss in the donor area.

Additionally, post-operative care is also essential. If the patient does not follow the instructions provided by the surgeon, there is a risk of further damage to the existing hair. This can include improper wound healing, infection, and excessive pressure on the transplanted hair follicles.

Choosing a qualified and experienced hair transplant surgeon is essential to minimize the risk of damage to existing hair. A good surgeon will carefully assess the patient’s case and determine the best course of action to ensure optimal results with minimal risk of complications.

Can You Do FUE Twice?

Multiple Follicular Unit Extraction (FUE) hair transplant treatments are available to you. Depending on the extent of their hair loss or the size of the area they need to cover, some patients may need repeated hair transplant sessions to get the results they want.

However, it is essential to note that the availability of the donor’s hair will be a significant factor in determining if multiple FUE procedures are possible. In general, the amount of donor hair available is finite, and a hair transplant surgeon must carefully assess the patient’s case to determine the feasibility of multiple procedures.

In addition, the expertise and experience of the surgeon also impact the quality of the hair transplant results. You must select a skilled and knowledgeable hair transplant surgeon. Skilled hair doctors offer a specific treatment plan and give you realistic expectations regarding the procedure’s results.

Overall, multiple FUE procedures are possible. In fact, some patients require them. However, they should only be considered on a case-by-case basis. Always consult with a qualified hair transplant surgeon for the answer that’s best for you.

Can I Do FUE After SMP?

Yes, you can undergo a Follicular Unit Extraction (FUE) hair transplant procedure after having Scalp Micropigmentation (SMP). SMP is a cosmetic procedure that involves tattooing tiny pigments into the scalp to create the appearance of fuller hair. While SMP can be an effective solution for those with hair loss, it does not restore hair growth.

For individuals who want to restore actual hair growth, FUE can be a good option. The transplanted hair will grow naturally and permanently to solve hair loss.

However, it is essential to remember that the success of an FUE procedure after SMP will depend on several factors, including the patient’s overall health, the skill and experience of the hair transplant surgeon, and the availability of the donor’s hair. Additionally, the SMP pigments may affect the color match of the transplanted hair, so it is essential to choose a qualified hair transplant surgeon with experience performing FUE after SMP.

Overall, while FUE after SMP is possible, it is essential to consider the individual case carefully and to have a thorough consultation with a qualified hair transplant surgeon to determine if the procedure is the right choice for you.

Can FUE Hair Transplant Fail?

Like any medical procedure, Follicular Unit Extraction (FUE) hair transplantation can have potential complications and risks, and there is always a chance of failure. Some common reasons for FUE failure include the following:

  • Implantation Failure: If the transplanted hair follicles do not take root in the recipient area, the transplanted hair will not grow.
  • Infection: Improper wound care after the procedure or failure to follow post-operative instructions can increase the risk of disease, leading to hair loss.
  • Poor Hair Growth: In some cases, the transplanted hair may grow poorly, resulting in patchy or thin growth.
  • Scarring: While minimally invasive, the risk of scarring still exists. Consequently, short haircuts make scars more noticeable.
  • Shock Loss: Some patients may experience temporary hair loss, known as “shock loss,” in the recipient area after the procedure.

A good surgeon will carefully assess the patient’s case and determine the best course of action to ensure optimal results with minimal risk of complications.

When Do FUE Grafts Fall Out to Occur?

FUE Grafts Fall Out can occur at various stages of the hair transplantation procedure. For example, some transplanted hair may fall out during the first week after the procedure due to “shock loss.” This temporary phenomenon occurs when the transplanted hair experiences stress from the transplantation process and goes into a resting phase, causing it to fall out.

In some cases, graft loss may occur several months after the procedure due to improper wound care, infection, or other complications. In rare cases, graft loss can occur years after the process due to underlying medical conditions or hormonal changes.

To minimize the risk of graft loss, choosing a qualified and experienced hair transplant surgeon who can provide a personalized treatment plan and give you realistic expectations about the procedure’s outcome is essential.

Understanding the Follicular Unit Transplant 

The FUE Procedure

During an FUE hair transplant, the surgeon removes healthy hair follicles from the scalp’s donor area. Next, he places them in the parts of the scalp where hair is thinning or lacking. Graft harvesting occurs using a unique punch tool inserted into the skin. Next, the doctor rotates it to remove a small section of tissue containing the hair follicle. This is in contrast to full strip removal of the FUT procedure.

The Graft Placement Process

Once your doctor harvests the grafts, he transplants them into the scalp recipient area. The medical punch tool creates tiny holes in the skin, into which the grafts are inserted. Your surgeon plans out the placement of the grafts beforehand to create a natural-looking result.

The Benefits of FUE Grafts

FUE hair transplantation is a modern and minimally invasive technique with several benefits over traditional hair transplantation methods:

  • Minimal Scarring: FUE hair transplantation produces tiny, undetectable dots where the hair follicles were plucked. In contrast, the conventional strip approach leaves a linear scar on the back of the scalp.
  • Faster Healing Time: The incisions made during FUE hair transplantation are small and superficial. As a result, the healing process is quicker and less painful than traditional methods.
  • Natural-Looking Results: A more natural-looking hairline can be achieved with FUE hair transplantation by implanting hair follicles in a more random, natural pattern. This avoids the “hair plug” looks of the past.
  • Ability to Harvest Hair from Other Areas: With FUE hair transplantation, hair follicles can be harvested from areas other than the scalp. This includes the beard and/or chest, providing more options for hair restoration.
  • Minimal Discomfort: FUE hair transplantation is performed under local anesthesia. This minimizes discomfort during the procedure.
  • Fewer Limitations on Physical Activity: After FUE hair transplantation, there are fewer restrictions on physical activity, as the incisions are small and the healing process is faster.

Now You Know if FUE Grafts Fall Out & When You Should Be Concerned

Overall, FUE hair transplantation is a safe and effective hair restoration method that provides long-lasting results with minimal scarring, faster healing time, and more natural-looking results. 

As with any hair transplant procedure, consult a qualified surgeon beforehand. Your surgeon ensures the correct placement of the FUE grafts. Doing so offers the best chance of proper fallout and staying put when the time comes for that step. The surgeon will be able to provide specific instructions on how to take care of the scalp post-procedure and what activities to avoid that could disrupt the grafts.

Additionally, if you’ve already experienced FUE at another clinic and need a second opinion, our surgeons are here to help. By following these instructions and working closely with the medical team, patients enjoy long-lasting results from their FUE hair transplants.


Best Hair Transplant
1970 S. Prospect Ave., Suite 2
Redondo Beach, CA 90277
(213) 403-0455