No one can predict shock hair loss from surgery precisely. As a general rule the younger you are (early 20’s) with active (noticeable) hair loss in the preceding months would be very concerning for shock hair loss. If one is in their 30’s and 40’s with no significant change in their hair status in the […]
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It does sound like it might be shock loss, perhaps somewhat delayed for the first round of it. The progressive hair loss that occurs in all of balding men can get accelerated by a hair transplant surgery. I usually prescribe finasteride (Propecia) for my patients to minimize this impact. Were you on this medication? If […]
Previously transplanted hair from the donor area that is lost following a hair transplant is very rare and when it does occur, it usually comes back with the new hair that was transplanted.
When I saw the great majority of shock loss cases, it was before the availability of Propecia (early 90s). Since that time, most of my patients take Propecia to protect themselves from shock loss, and there was far less of the fall out after the surgery… but it did still occur for some. I don’t […]
Dr. Robert Bernstein and I do not disagree on much. Hair loss secondary to a transplant is what is commonly called shock loss (it is a matter of degree of loss) and I think that is where your problem is. Traditional shock loss has been satisfactorily treated with finasteride in young men, but hair transplants […]
Shock loss following a hair transplant usually occurs within 1-4 months of the surgery. The process might be temporary, but the results are likely permanent (the hair won’t regrow). I just wrote a blog post about shock loss last week that explains more about ways to avoid it and why it occurs.
I speak from my experience over 23 years. In the days before Propecia, when we did a hair transplant, almost every patient developed some degree of shock loss. It was so common that I always told the patient to expect it, and that if it happened (which it usually did) we might have to do […]
Shock loss is a rapid loss that can be associated with a hair transplant within 1-4 months of the surgery. When this happens, there is substantial loss… not the slower loss you’d see with progressive genetic hair loss. One can protect oneself by using finasteride in advance of the hair transplant. Finasteride should be maintained […]
Simple answer — yes. Longer answer — Shock loss usually impacts miniaturized hairs, and can even occur when only an anesthetic is used on the scalp with no surgery (this is very rare). We know that advanced miniaturization and active ongoing hair loss have vulnerable hairs which can be impacted by any vascular change in […]
Click the photos to enlarge: It is difficult to make many comments about your exact situation, because the before picture and the change in your hair length are confusing your situation. I will assume that you are young (under 30 years old). Were you afraid of possible side effects from finasteride, or did you […]
We have not seen a single case of shock loss from Scalp Micropigmentation (SMP); however, because we do use anesthesia for the procedure, some loss is theoretically possible in a young man not on Propecia (finasteride 1mg).
When transplanting hair into a young man (under 30 years old), shock hair loss should be at the top of the discussion points, particularly if the young man does not take finasteride. Of course, the same is true for patients older than 30. Where the cut off is for risk of shock hair loss without […]
Avodart (dutasteride) is not approved for the treatment of androgenic alopecia, but I realize some doctors and patients out there use it for that purpose anyway. The results and its effectiveness over Propecia (finasteride) are unclear, but at best, in my opinion, you get about the same result with a higher side effect potential. Did […]
We do not recommend surgery if we believe there is a greater risk of shock loss over the benefits of a hair transplant procedure. In other words, we do not blindly advise surgery to everyone. If surgery is recommended, we use the smallest instruments and take great care to avoid trauma to adjacent existing hairs. […]
If you are considering Scalp Micropigmentation (SMP), you would need to arrange a consultation with us. Shock loss after SMP is rare, but is a risk you should consider.
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