
1. Your Transplant Moved Hair. DHT Is Still Working On The Rest
Your grafts came from the back of your head, where hair is built to resist DHT. The hair around them isn't. Surgery doesn't change your hormones, so the native hair between and behind your grafts keeps thinning.
Give it a few years and you get the "island effect": a sharp new hairline with a see-through patch behind it. That's why a 2023 international expert consensus says every transplant patient with pattern hair loss should stay on treatment after surgery, and 72% of surgeons put their patients on finasteride.
ISHRS Practice Census, 2025.







