Will my hair still fall out after my hair transplant?

So the BIG QUESTION no one seems to know the answer to is:

WHY do men only lose hair on the top of their head, and not the sides or back?

There are various theories, one including the theory of 'gravity' which is really interesting and I'll post the link at the bottom. 

The reason so far that has been put forward is that the top of the head contains genetically programmed follicles, sensitive to DHT. The sides and the back of the head do not contain follicles that are susceptible to DHT. 

This is why hair transplantation works! The doctor will take the hair from the non-balding areas (donor area) and transplant them onto the balding areas. These follicles are not genetically sensitive to DHT and so will remain. 

What is it that makes the follicles sensitive to DHT?

Research shows that the follicles in a balding scalp have far more androgen receptors than those in the non-balding part of the scalp. 

Testosterone is the androgen. It converts to much more powerful androgen DHT. But this conversion will only happen when the enzyme 5-alpha-reductase converts it. The higher the levels of 5-AR increases, the more testosterone will convert into DHT. The more DHT is in your system, the more hair loss will occur. 

Once I have a hair transplant, and my new follicles are not sensitive to DHT, is my hair permanent? 

YES and NO.

As long as you were a good candidate for a hair transplant, your transplanted hair should be permanent. Having said that, each individual is different so there is no guarantee that your 'donor' hair won't be affected by DHT once transplanted.

However, the bigger concern would be your existing hair. Unless you have a scalp care routine in place to block DHT and inhibit the enzyme action of 5-AR, your existing hair is still subject to loss due to DHT, which would result in a patchy thinned scalp where your transplanted hair remains. 

Yes, to protect your investment, you will need to care for your scalp. The big culprit as we have seen is the enzyme 5-AR. Inhibiting the action of that enzyme means less testosterone will be converted into DHT. Less DHT = less hair becoming weak, thin and falling away. 

Also, while your donor area transplanted hairs will not be susceptible to DHT, they still need nourishment to grow and maintain their health. Each cell in our body requires nutrients to live. Starve them, and they will die. 

How do I effectively inhibit the enzyme 5-AR?

Topping the list of natural solutions is Pumpkin Seeds. Pumpkin Seed contains the compounds delta-7-sterine and beta-sitosterol that competes with DHT at the receptor sites and lowers the level of DHT in the follicles. Another benefit to Pumpkin Seed is its high quantity of essential amino acids which the body cannot make on its own, one of which is Lysene. 

Bottom line: Unless 5-AR is inhibited, it will continue to convert testosterone into the stronger androgen, DHT. DHT will continue to choke the follicles in your scalp and the existing hair you have will eventually fall away. 

Nourish your scalp with Saw Palmetto extract and Pumpkin Seed Oil...a concentrated powerful synergy well known for blocking the enzyme 5-AR and from preventing DHT from choking your follicles. 

You can do this topically once a day with products from HAIRMETTO. We use only, unrefined, cold-pressed (not heat extracted), organic pumpkin seed oil. Applied daily to your scalp, it will work to prevent the action of 5-AR right at the roots.

Protect your hair...with NO drug-related side effects!

US National Library of Medicine: Effectiveness of Pumpkin Seed as a natural 5-AR inhibitor

US National Library of Medicine: Balding scalp shows higher androgen levels than non-balding

Gravity: The question, or the answer to male pattern balding?