Microneedling After Your Hair Transplant – When Can You Start?

Quick Summary: Microneedling After Your Hair Transplant – When Can You Start?

Hair transplants are life-changing procedures that can restore hair and confidence for individuals with hair loss. Although the surgery itself is a vital first step, post-operative care significantly influence the long-term success of the procedure.

One interesting post-transplant therapy is microneedling. Microneedling has gained recognition for its potential to promote hair regrowth, improve scalp health, and complement hair transplant results, [1] and we recommend patients who want to microneedle, wait until 3 months have passed following their surgery.

In this article, we will delve into the details of microneedling after hair transplants, including when it is safe to start, how it works, and the precautions you should take to protect your investment.

What Is Microneedling?

Microneedling (i.e., dermarolling) is a procedure that creates controlled micro-injuries in the skin with fine needles. These tiny punctures trigger the body’s natural healing process, which stimulates the production of collagen, keratin, and other growth factors.

In the context of hair health, microneedling improves blood circulation, promotes the absorption of topical treatments, and activates dormant hair follicles. This makes it a popular choice for individuals with mild- moderate cases of hair loss [2]. In those with severe, extensive hair loss such a Norwood 7 men, microneedling will have limited benefit as there is likely no dormant hair follicles.

Benefits of Microneedling For Hair And Scalp

Collagen Production – Strengthens the skin and scalp, which creates an optimal environment for hair growth. [3]

Improves Absorption – Enhances the effectiveness of topical treatments such as minoxidil since it allows them to penetrate deeper into the scalp. [3]

Follicular Activation – Upregulates dormant hair follicles to enter the growth phase. [3]

Increases Blood Flow – Supplies hair follicles with essential nutrients and oxygen. [3]

Microneedling Benefits	Description
Boosts collagen production	Strengthens the scalp and supports hair regrowth.
Enhances topical treatment	Improves absorption of products like minoxidil for better results.
Stimulates follicular activity	Encourages hair follicles to transition into active growth.
Increases blood circulation	Delivers nutrients and oxygen essential for hair health.

Microneedling and Hair Loss

Scientists have long established the benefits of microneedling when it comes to some hair loss conditions. You should think of this procedure as a complementary therapy for hair transplant and other treatments.

Androgenetic Alopecia (AGA)

Researchers found that the combination of microneedling with minoxidil significantly increases hair density compared to minoxidil alone in those suffering from androgenic alopecia (male pattern baldness or female pattern baldness). [4]

Alopecia Areata

Studies suggest that microneedling can modulate the immune response in the scalp, which makes it a viable option to treat autoimmune-related hair loss such as alopecia areata. [5]

Post-Transplant Regrowth

Microneedling supports the regrowth of transplanted hair as it improves follicle activity and scalp health.

Clinical Evidence For Microneedling

A study that involved 86 individuals found that those who combined microneedling with minoxidil experienced 50% more hair density than those who used minoxidil alone. [6]

In another study, researchers investigated patients with androgenic alopecia who failed to respond to conventional treatments. It found that participants reported a 50-75% improvement in hair thickness within six months of starting microneedling. [7]

Learn more about microneedling for hair loss by clicking here.

Where Can You Microneedle on the Scalp?

Microneedling can be performed on almost any part of the scalp to promote hair regrowth. However, you should follow some considerations after a hair transplant:

Transplanted Areas – Avoid microneedling on these areas until the scalp has fully healed (at least three months post-surgery).

Non-Transplanted Areas – Safe to start earlier, especially to prevent further hair loss or enhance the growth of native hair.

Safety Tips

• Always consult your surgeon before starting microneedling, especially on transplanted areas.
• Use sterilised devices to minimise the risk of infection.

How Deep Should You Microneedle?

The depth of microneedling is important to achieve results without unnecessary damage. For hair-related treatments, the recommended depth typically ranges from 0.5 mm to 1.5 mm.

Needle Depth (mm)	Purpose	Recommended For
0.5	Improves absorption of topical treatments	Early-stage hair loss
1.0	Stimulates collagen and blood flow	Moderate hair thinning
1.5	Reaches deeper follicles	Severe thinning or post-transplant

Does Microneedling Work?

Microneedling is not just a cosmetic trend. There is plenty of evidence to support its effectiveness. Studies have shown that microneedling enhances the absorption of hair growth treatments, stimulates follicle activity, and promotes new hair growth. [8]

Increases Hair Density – Patients who use microneedling in conjunction with minoxidil experienced significantly higher hair density within six months.

Improves Thickness – Post-transplant patients reported noticeable improvement in hair thickness after the incorporation of microneedling into their recovery.

When Can Microneedling Restart After a Hair Transplant?

Timing is absolutely critical when you incorporate microneedling into your post-transplant care. The procedure involves micro-injuries, which could harm transplanted grafts if performed too soon.

Here’s the recommended timeline:

0–3 Months – Avoid microneedling altogether. The scalp needs time to heal fully. Also, residual redness or irritation should subside.

After 3 Months – If the scalp shows no signs of redness or sensitivity, microneedling can be cautiously reintroduced.

5+ Months – Regular sessions can resume. Focus on transplanted areas to enhance hair density.

On a side note, you should always consult your hair transplant surgeon before you start microneedling post-surgery. Also, start with shallow depths (0.5 mm) and increase gradually based on scalp response.

Risks of Microneedling After a Hair Transplant

Although microneedling is generally safe, certain risks exist, especially if performed too soon after surgery:

Damaged Follicles – Premature microneedling can dislodge or damage newly transplanted follicles.

Prolonged Redness – Aggressive, repetitive treatment can exacerbate scalp redness and irritation.

Skin Irritation – The improper sterilisation of tools can cause infection of the scalp.

Risks	Mitigation Strategies
Damage to new follicles	Wait at least three months before you start microneedling.
Prolonged irritation	Use gentle techniques and consult a professional for initial sessions.
Infection risk	Use sterilised and high-quality devices. Also, follow aftercare instructions.

Best Practices for Microneedling After Hair Transplant

To maximize the benefits of microneedling, stick to these practices:

Consult a Specialist

Always seek guidance from your surgeon or a trained professional.

Use Medical-Grade Devices

High-quality tools ensure precision and reduce the risk of irritation or infection.

Start Slow

Begin with low needle depths and increase gradually based on your scalp’s tolerance.

Combine Therapies

Pair microneedling with treatments such as PRP (Platelet-Rich Plasma) or minoxidil.

Monitor Scalp Condition

If you notice prolonged redness or irritation, pause treatment and consult a professional.

Conclusion

Microneedling is a powerful tool in hair restoration. It provides an array of benefits such as enhanced growth and improved scalp health. However, its success depends on proper timing, technique, and adherence to safety protocols.

Make sure to wait at least three months after a hair transplant and consult with a professional to safely incorporate microneedling into your recovery plan and achieve optimal results.

References

1- Alster, T. S., & Graham, P. M. (2018). Microneedling: A Review and Practical Guide. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.], 44(3), 397–404. https://doi.org/10.1097/DSS.0000000000001248

2- Gupta, A. K., Quinlan, E. M., Venkataraman, M., & Bamimore, M. A. (2022). Microneedling for Hair Loss. Journal of cosmetic dermatology, 21(1), 108–117. https://doi.org/10.1111/jocd.14525

3- Fertig, R. M., Gamret, A. C., Cervantes, J., & Tosti, A. (2018). Microneedling for the treatment of hair loss?. Journal of the European Academy of Dermatology and Venereology : JEADV, 32(4), 564–569. https://doi.org/10.1111/jdv.14722

4- Dhurat, R., Sukesh, M., Avhad, G., Dandale, A., Pal, A., & Pund, P. (2013). A randomized evaluator blinded study of effect of microneedling in androgenetic alopecia: a pilot study. International journal of trichology, 5(1), 6–11. https://doi.org/10.4103/0974-7753.114700

5- Almutlq, M. M., & Bukhari, A. E. (2024). Growth Factors and Microneedling in Alopecia Areata: A Narrative Review. Skin appendage disorders, 10(2), 92–98. https://doi.org/10.1159/000534636

6- Kumar, M. K., Inamadar, A. C., & Palit, A. (2018). A Randomized Controlled, Single-Observer Blinded Study to Determine the Efficacy of Topical Minoxidil plus Microneedling versus Topical Minoxidil Alone in the Treatment of Androgenetic Alopecia. Journal of cutaneous and aesthetic surgery, 11(4), 211–216. https://doi.org/10.4103/JCAS.JCAS_130_17

7- Dhurat, R., & Mathapati, S. (2015). Response to Microneedling Treatment in Men with Androgenetic Alopecia Who Failed to Respond to Conventional Therapy. Indian journal of dermatology, 60(3), 260–263. https://doi.org/10.4103/0019-5154.156361

8- Kim, Y. S., Jeong, K. H., Kim, J. E., Woo, Y. J., Kim, B. J., & Kang, H. (2016). Repeated Microneedle Stimulation Induces Enhanced Hair Growth in a Murine Model. Annals of dermatology, 28(5), 586–592. https://doi.org/10.5021/ad.2016.28.5.586