Understand long term maintenance, scalp care, and strategies to preserve hair transplant results.

Discover essential tips for hair transplant maintenance and care. Learn about aftercare, long-term strategies, and FAQs to ensure lasting results.

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Hair Transplant Maintenance

A hair transplant is a significant financial and emotional investment. It is the only permanent solution to restore a lost hairline. However, there is a crucial medical reality that many clinics fail to explain: Hair transplantation replaces lost hair, but it does not cure hair loss.

At Liv Hospital, we believe in total transparency. While your transplanted hair is genetically resistant to balding and will likely stay with you forever, your native hair (the hair you still had before surgery) is not. Without a proper hair transplant maintenance strategy, the genetic hormone (DHT) that caused your baldness will continue to attack your remaining hair. This can lead to a “halo effect”—where the transplanted front stays thick, but the hair behind it thins out, creating an unnatural gap.

Our post-operative care program is designed to prevent this. We combine clinical therapies like PRP and Stem Cells with FDA-approved medical protocols to ensure your result looks as good in 10 years as it does in 1 year.

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Why Maintenance Matters

Hair transplant

To understand maintenance, you must distinguish between the two types of hair on your head:

  1. The Transplants (The “Safe” Hair): These follicles were moved from the back of your head (the donor zone). They are genetically immune to DHT. They do not need medication to survive (though medication helps them grow faster and thicker).
  2. The Native Hair (The “At-Risk” Hair): This is the hair currently sitting behind your new hairline or in the crown. These follicles are still sensitive to DHT. If you do nothing, they will miniaturize and fall out over time.

The Goal of Maintenance: To thicken the transplants (for better density) and freeze the loss of native hair.

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Medical Therapy

Hair transplant

There are only two medications clinically proven and FDA-approved to stop genetic hair loss. At Liv Hospital, we recommend a tailored combination based on your age and aggressiveness of hair loss.

The "Blocker"

This is the most effective tool we have.

  • How it works: It blocks the enzyme (5-alpha reductase) that converts Testosterone into DHT (Dihydrotestosterone). By lowering scalp DHT levels by ~60–70%, it stops the “poison” that kills hair follicles.
  • The Protocol: Usually a 1mg daily pill. We recommend starting it 1 month before surgery or immediately after.

The Result: It stops native hair loss in 90% of men and regrows hair in 65%. It is crucial for young patients (under 35) to prevent future surgeries.

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The "Stimulator"

This is a growth stimulant, not a hormonal blocker.

  • How it works: It widens blood vessels (vasodilation) and forces hair follicles to stay in the “Anagen” (growth) phase longer.
  • The Protocol: Available as a topical foam/liquid (applied twice daily) or a low-dose oral pill.
  • The Result: It thickens miniaturized hairs, making your overall density look much better. It works synergistically with Finasteride.

Feature

Finasteride

Minoxidil

Primary Goal

Stop hair loss (Protection)

Thicken existing hair (Growth)

Mechanism

Blocks DHT Hormone

Increases Blood Flow

Form

Oral Pill (1mg)

Topical Foam or Oral Pill

Effectiveness

High (for stopping loss)

Moderate (for regrowth)

Start Time

Immediately post-op

3 weeks post-op (once wounds heal)

30 Years of
Excellence

Trusted Worldwide

With patients from across the globe, we bring over three decades of medical

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Prof. MD. İbrahim Yetim Prof. MD. İbrahim Yetim Hair transplant
Group 346 LIV Hospital

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Clinical Treatments

Beyond daily medication, Liv Hospital offers advanced clinical therapies performed in-hospital to supercharge your results.

1. Platelet-Rich Plasma (PRP) Therapy

  • What it is: We draw a small tube of your own blood and spin it in a centrifuge to isolate the Platelets. These platelets are packed with “Growth Factors” (PDGF, VEGF, TGF) that heal wounds and stimulate cells.
  • The Procedure: The concentrated plasma is injected into the scalp using a tiny needle. It is virtually painless with our cooling devices.
  • The Protocol: We recommend a course of 3–4 sessions (one per month) starting 1 month after surgery, followed by a maintenance session every 6 months.
  • The Benefit: It accelerates the healing of the donor area, reduces the “Shock Loss” phase, and thickens the caliber of the transplanted hair shaft.

2. Mesotherapy (The “Vitamin Cocktail”)

  • What it is: A direct injection of vitamins, minerals (Zinc, Copper, Magnesium), amino acids, and hyaluronic acid into the dermis layer of the scalp.
  • The Difference from PRP: PRP uses your body’s own factors; Mesotherapy uses external nutrients.
  • The Benefit: It nourishes the hair root directly, bypassing the digestive system. It is excellent for improving hair texture and shine.

3. Autologous Micrografting (Stem Cell Therapy)

This is the latest biotechnology in hair restoration, known commercially as Regenera Activa.

  • The Procedure: We take 3–4 tiny skin punches (2.5mm) from behind your ear. These skin samples contain hair follicle progenitor cells (stem cells).
  • The Processing: The tissue is ground up in a specialized device to release the cells into a saline solution.
  • The Injection: This solution is injected into the thinning areas.
  • The Benefit: It sends a powerful “regenerate” signal to dying follicles. Unlike PRP (which needs monthly sessions), Stem Cell therapy is typically a one-time treatment that lasts for 1–2 years.

Nutritional Support: Feeding the Follicles

Your hair is the last organ to receive nutrients from your body; vital organs (heart, brain) get first priority. If your diet is poor, your hair starves first.

Key Supplements for Post-Op Care:

  • Biotin (Vitamin B7): Essential for keratin production (hair protein). We recommend 5,000mcg daily for 6 months.
  • Zinc: Helps repair tissues and keeps the oil glands around follicles working.
  • Saw Palmetto: A natural herbal supplement that acts like a weak Finasteride. It blocks some DHT and is a good option for patients who refuse prescription medication.
  • Iron (Ferritin): Especially for women. Low iron causes shedding.

Grooming and Styling

You want to style your new hair, but you must be gentle.

  • Shampoo: Switch to a pH-balanced, sulfate-free shampoo after Day 14. We provide a medical shampoo (usually containing Ketoconazole or Caffeine) for the first month.
  • Hair Dryer: Avoid high heat for 3 months. Heat can dry out the scalp and damage the healing follicles. Use the “Cool” or “Warm” setting only.
  • Styling Products: You can use gel, wax, or hairspray after 1 month. Ensure you wash it out before bed so the scalp can breathe.
  • Hair Dye: Chemical dyes contain peroxide and ammonia, which can burn the healing skin. You must wait 6–8 weeks before coloring your hair.
  • Hair Fibers (Toppik): These are great for camouflage, but they can clog pores. Wait 1 month before using them, and wash your hair thoroughly every night.

Long-Term Follow-up

At Liv Hospital, we track our patients for a full year. Since hair grows slowly, we need to monitor milestones to ensure you are on track.

The Check-In Schedule:

  1. Month 1: Checking for infection and shock loss.
  2. Month 3: Checking for pimples (ingrown hairs) and early growth.
  3. Month 6: Assessment of density (should be ~50%).
  4. Month 12: Final assessment.

Our Revision Policy:

If, after 12–15 months, the transplanted hair has not grown (and you have followed all post-op instructions), Liv Hospital will perform a Revision Surgery free of charge to replace the failed grafts. This warranty gives you peace of mind that we are partners in your result.

FREQUENTLY ASKED QUESTIONS

Do I need to take medication forever?

It is highly recommended to continue medication like Finasteride to prevent your native, non-transplanted hair from falling out, which would affect the overall look.

Yes, you can dye your hair, but you must wait until the scalp is completely healed, usually about 4 to 6 weeks after the procedure.

PRP (Platelet Rich Plasma) therapy helps stimulate healing and growth; while not mandatory, most surgeons recommend it to enhance the results of the transplant.

If the grafts are harvested correctly by a skilled surgeon, the thinning in the donor area should be visually imperceptible even with short haircuts.

Yes, if you have enough donor hair remaining, you can undergo a second or even third procedure to add density or cover new areas of hair loss.

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