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Dietary, Medical, and Hair-Care Adherence in Relation to Graft Survival After Follicular Unit Extraction: A Prospective Cohort Study at Vera Clinic


Authors : Samuel Filma; Victor Benoit

Volume/Issue : Volume 11 - 2026, Issue 8 - August


Google Scholar : https://tinyurl.com/ymemjns3

DOI : https://doi.org/10.38124/ijisrt/26aug1593

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Background Post-operative adherence following follicular unit extraction (FUE) hair transplantation is frequently assumed to influence graft survival, yet the relative contribution of individual aftercare components, dietary adherence, supplement use, adjuvant medical therapy, hair-care practices, and timing of return to physical activity, has not been quantified within a single cohort.  Methods In this prospective cohort study, 612 patients undergoing FUE hair transplantation were followed for 12 months. Postoperative diet adherence, supplement use, use of topical minoxidil and/or oral finasteride, hair-care adherence, and day of return to strenuous activity were recorded using structured questionnaires administered at 1, 3, 6, and 12 months. Graft survival was assessed using standardized photographic density analysis. Multivariable linear regression was used to identify independent predictors of 12-month graft survival, adjusting for age, baseline Norwood stage, and graft number.

Keywords : Hair Transplantation; Follicular Unit Extraction; Graft Survival; Post-Operative Care; Adherence; Minoxidil; Finasteride.

References :

  1. Parsley WM, Perez-Meza D. Review of factors affecting the growth and survival of follicular grafts. J Cutan Aesthet Surg. 2010;3(2):69–75.
  2. Avram MR, Cole JP, Gandelman M, Haber R, Knudsen R, Leavitt ML, et al. The potential role of minoxidil in the hair transplantation setting. Dermatol Surg. 2002;28(10):894–900.
  3. Leavitt M, Perez-Meza D, Rao NA, Barusco M, Kaufman KD, Ziering C. Effects of finasteride (1 mg) on hair transplant. Dermatol Surg. 2005;31(10):1268–1276.
  4. Thompson KG, Kim N. Dietary supplements in dermatology: a review of the evidence for zinc, biotin, vitamin D, nicotinamide, and Polypodium. J Am Acad Dermatol. 2021;84(4):1042–1050.
  5. Chren MM, Lasek RJ, Sahay AP, Sands LP. Measurement properties of Skindex-16: a brief quality-of-life measure for patients with skin diseases. J Cutan Med Surg. 2001;5(2):105–110.
  6. Garg AK, Garg S. Graft anchoring in hair transplantation. Dermatol Surg. 2006;32(2):S119–S123.

Background Post-operative adherence following follicular unit extraction (FUE) hair transplantation is frequently assumed to influence graft survival, yet the relative contribution of individual aftercare components, dietary adherence, supplement use, adjuvant medical therapy, hair-care practices, and timing of return to physical activity, has not been quantified within a single cohort.  Methods In this prospective cohort study, 612 patients undergoing FUE hair transplantation were followed for 12 months. Postoperative diet adherence, supplement use, use of topical minoxidil and/or oral finasteride, hair-care adherence, and day of return to strenuous activity were recorded using structured questionnaires administered at 1, 3, 6, and 12 months. Graft survival was assessed using standardized photographic density analysis. Multivariable linear regression was used to identify independent predictors of 12-month graft survival, adjusting for age, baseline Norwood stage, and graft number.

Keywords : Hair Transplantation; Follicular Unit Extraction; Graft Survival; Post-Operative Care; Adherence; Minoxidil; Finasteride.

Paper Submission Last Date
31 - October - 2026

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