The medical term for the very onerous-sounding shock loss is “effluvium,” which literally means “shedding.” Patients who experience shock loss usually notice it in the first one to four months after hair transplant surgery. Most of the hairs lost from post-surgical shock loss may never grow back, particularly in young balding men.
Hair loss after one to three months may be from a number of causes, including acceleration of the genetic process. Post-surgical hair loss in men is usually seen in the miniaturized hair, and it’s possible that some healthy non-miniaturized hair will be shed, but this should regrow. Rarely do patients shed hair from a prior transplant; however, when this occurs, previously transplanted hair that’s lost almost always grows back completely.
Rest assured there are things you and your doctor can do to minimize the effects of post-op shedding. Talk with your doctor about your risk for post-op shedding and ways you can reduce your chances of experiencing it, including the following:
Use medication: The drug finasteride 1 mg (which goes by the name Propecia) appears to reverse, slow down, or halt the miniaturization process (when hair is at the end of its lifespan due to genetic balding) and is very effective at decreasing the risk of shedding following a transplant in most men.
Time the transplant properly: If you’re experiencing early hair loss but with a significant amount of miniaturization, a minimal hair transplant won’t compensate either for potential shedding or for progression of the hair loss.
The surgery will have a negative impact in that you may develop hair that appears thinner, or you may have more bald spots than before the procedure, which reflects the miniaturized hairs that have been lost.
Use a sufficient number of grafts to offset any reasonable expected hair loss: Your doctor can perform a transplant of sufficient size to more than compensate for some shedding. It’s a fallacy that some doctors’ techniques are so impeccable that they can avoid effluvium altogether.
Of course, bad techniques and rough handling maximize the risk of shedding, hair naturally sheds when the scalp is stressed, and it’s stressed during a transplant from the anesthetic mixture and the recipient site creation. Post-op shedding can’t be totally prevented.
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06202010
1. The Secret of Good Hair Care
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