Can I use minoxidil after hair transplant procedure?

Minoxidil is typically used to combat hair loss in both men and women and to regrow lost hairs. As such, it is only logical that we look into the currently published studies and empirical evidence if minoxidil can be used to positive effect after a hair transplant.

Let me answer questions such as, “Can I use minoxidil after hair transplant procedure?” And if yes, how soon after hair transplant can I use minoxidil?

Let’s find out the most optimal ways to use minoxidil after receiving hair implants.


Can I use minoxidil after hair transplant procedure or not?

Image of a variety of different minoxidil brands

Yes, you can safely use minoxidil after a hair transplant procedure.

Patients who were previously using minoxidil to reduce hair loss and to regrow hair can proceed to use minoxidil even after receiving hair implants. This is most effective if the origin of the hair loss is genetic or male/female pattern baldness.

Should I use minoxidil after hair transplant procedure?

Yes, you should use minoxidil after a hair transplant procedure, since it is one of the most effective, well studied, and documented hair loss medication.

That’s why minoxidil can and should be used as a precaution and preventive way to combat hair loss once the surgical area of the transplanted hair heals.[1]

Minoxidil has been proven by numerous studies to be an effective hair loss drug. It slows down, or halts progressive hair loss in individuals suffering from androgenic alopecia. It can even regrow lost hairs in some instances.

But how much hair it can effectively regrow depends on numerous factors, such as:

  • The reason of the hair loss.
  • How soon one starts using minoxidil when first noticing hair loss.
  • How one responds to the medication, which depends on your genetic make up.

How long after hair transplant can I use minoxidil?

We know now that you can use minoxidil after a hair transplant. But then the question obviously becomes, how soon can I use minoxidil after a hair transplant procedure?

Surgeons are not in agreement when exactly you should start applying minoxidil to the surgical area. Most surgeons however agree on a rough estimate ranging from immediately, to a week, to even a month after a surgery to give the hair grafts some time to settle in before applying external factors.[2]

Is minoxidil necessary after hair transplant?

Minoxidil is not required after a hair transplant, since the hair grafts will grow perfectly fine on their own.

Still, says that minoxidil can speed up the growth of the hair grafts. [3]

How to prevent shock loss after hair transplant procedure

Furthermore, studies have confirmed that using minoxidil can decrease the chance for shock loss.

Shock loss is the shedding of non-transplanted hairs that occurs after a hair transplant. Shock loss is usually temporary, but can even be permanent in some rare cases. Minoxidil can help to prevent shock loss, sometimes kipping it altogether.[4]

Minoxidil could even help for shock loss for as long as 5 months after your hair transplant. The reason being is that around 5 months after the hair transplant, the transplanted hair and shocked hair are starting to re-grow. It takes about one full year to see the final results of your hair implants.[5]

When does shock loss occur after hair transplant?

Shock hair loss typically occurs between 2–8 weeks after a hair transplant procedure. This happens due to your new hairs entering a resting phase, which causes the hairs to shed.

Shock hair loss shedding is a natural and normal phenomenon. As such, you shouldn’t worry about it. Since new, healthy hairs will soon start growing in place of these older, less healthy and nutrient filled hairs.

If you decide to use minoxidil after your hair transplant, then make sure to go with topical minoxidil. It is safer for your body than oral minox, and you can apply it locally by applying it to the targeted area for maximum effectiveness.

Can you use Rogaine after hair transplant procedure?

Since Rogaine is a brand of minoxidil, the same rules apply as they would to any generic brand of minoxidil. This means that you can use Rogaine after a hair transplant.

Should I use Rogaine after hair transplant procedure?

Yes, you should use Rogaine after a hair transplant procedure. But if not, any generic brand of minoxidil will suffice.

Still, it is not required. Your new transplanted hair grafts will survive perfectly on their own. But Rogaine can help speed up the growth process, eliminate or lessen shock loss, and slow down or completely halt progressive hair loss in those suffering from androgenic alopecia.

Nevertheless, I would always advise consulting with the surgeon in order to create the appropriate plan of action that’s best suited to your personal goals and genetic make up.


Can I use minoxidil after hair transplant procedure: Studies

Image of a man who received a hair transplant procedure.

This study recorded the usage of topical minoxidil before and after hair transplantation by applying a 2% solution of topical minoxidil on the recipient bald scalp of 16 patients aged 25 to 52 years. The patients all had Hamilton classifications of androgenetic alopecia from III to VI.

Therapy started 4 weeks before surgery, was interrupted for 3 weeks, and was started again and continued for 3 months. Four-millimeter donor grafts were inserted into 3.5-mm recipient sites. Follow-up utilizing macrophotography was done for 3 months on 4 grafts near a tattooed area.

This is what they found out:

In 71% of the 64 grafts, partial or total hair is still growing without the shedding that usually occurs 2-4 weeks after transplantation.

Topical minoxidil seems to be an adjunct for a better evolution of grafts after hair transplantation surgery.[6]

Another study looked at the effect of minoxidil on hair transplantation in people suffering from alopecia androgenetica.

Forty patients suffering from androgenetic alopecia were given 3 to 4 sittings of hair transplantation at an interval of 4 to 6 weeks each. Only patients of type III, type III(vertex) and type IV baldness were operated.

Twenty patients, six of type III, six of type III(vertex) and eight of type IV baldness were advised to use minoxidil 2% locally at the recipient area in the dose of 1 ml applied twice daily.

Twenty patients of similar types of baldness were advised to just shampoo their hair daily without using topical minoxidil. Percentage of response was compared between the two groups.

They reached the following conclusion:

Minoxidil did not play any role in the percentage of hair survival before and after transplantation in androgenetic alopecia.

However, there was no initial postoperative hair shedding in the grafts in 60 percent of patients who had used previously used topical minoxidil.[7]

The following study looked at the potential role of minoxidil in the hair transplantation setting.

A team of experts on hair loss and hair transplantation convened to review the physiology and effects of pharmacologic treatments of hair loss and to discuss the value of administering topical minoxidil therapy as an adjunct to hair transplantation. 

They discovered the following:

Based on the surgeons’ clinical experience, the use of approved hair regrowth agents in hair transplant patients with viable but suboptimally functioning follicles in the region to be transplanted can increase hair density, speed regrowth in transplanted follicles, and complement the surgical result by slowing down or stopping further hair loss.[8]

A pilot study looked at the use of topical minoxidil as a possible adjunct to hair transplant surgery.

Twelve patients between the age of 21 to 60 years, with varying Hamilton classifications of male pattern baldness, were treated with a 3% solution of topical minoxidil. Therapy began quickly, between 48 and 72 hours after their hair transplant surgery.

They concluded the following:

Two patients demonstrated hair growth in the grafts without the shedding that usually occurs 2 to 4 weeks after surgery. In untreated patients after hair transplant surgery, regrowth begins 3 to 5 months after surgery, after the shedding period.

Topical minoxidil may be an important adjunctive therapy during the recuperative period in patients who have undergone hair transplant surgery.[9]


Final note

It seems like a good idea to use minoxidil after a hair transplant procedure. How soon you can use minoxidil after receiving hair implants varies depending on the source. Most sources range from immediately to a couple of weeks to a month after surgery.

Keep in mind that using minoxidil is not required after a hair transplant. But it can help stave off hair loss from androgenic alopecia, prevent shock loss after a hair transplant procedure, and even to regrow lost hairs.

Consult with your surgeon in order to find out if minoxidil might be something that’s beneficial for you.