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Is Hair Loss a Common Side Effect After Neograft?

I recently had the Neograft procedure done, and about a week later began noticing a decent amount of hair loss. I'm of course very concerned because I did this procedure to have more hair, not less! Is this a common side effect? Is there anything I can do to help/stop it?

Doctor Answers 15

Hair loss is not uncommon after any hair transplant, not only using the neograft machine.

The NeoGraft machine performs a type of hair restoration called Follicular Unit Extraction (FUE).  Like any hair restoration procedure, telogen effluvium, or "shock loss" is not uncommon.  It tends to happen more in men in their 20's and in female patients. It can sometimes be related to the surgical technique used to create the sites in the recipient area, and can also be related to the amount of steroids the treating physician used in the fluids injected into the scalp during the procedure.  It is typically limited to 3-5 months, but occasionally lasts longer, and should be something your physician went over with you in detail prior to your procedure.

The Neograft machine is a machine that performs a type of hair restoration called Follicular Unit Extraction, the same way Oral B makes a machine to perform a procedure called Brushing Your Teeth.  An FUE procedure performed with the Neograft device is not a "Neograft" procedure any more than brushing your teeth with a sonic toothbrush is an "Oral B" procedure.

In terms of what you can do to about it at this point, I believe Low Level Laser Therapy (LLLT) would be your best option at this point.  The shock loss is due to the surgical "insult" your skin suffered as a result of the procedure.  The damage is done, as they say, so stimulating your hair to grow fuller and thicker with the LLLT may limit the extent of shock loss, and is likely your best bet at this point to grow your hair back as quickly as possible.

Atlanta Hair Restoration Surgeon
5.0 out of 5 stars 61 reviews

Possible after any hair transplant but very uncommon

"shock hair loss" is reported to occur after any type of hair transplant. It has nothing to do with Neograft FUE procedure which allows for extraction of follicular units without creating an ugly linear scar. I have never seen any hair loss at the donor site after Neograft, and having been doing this type of procedure for almost 2 years now I also never seen any donor scars. As for the shock hair loss at the recepient site it may occur after any type of procedure because it is a side effect of grat PLACEMENT. It must be very rare - I have never seen it....but as mentioned above it is a reported risk. The good news is that it is usually a transient loss

Hair loss after Neograft

Its important to know if the hairloss is in the transplanted zone or in the donor zone (back of scalp).  Hair loss in the transplanted zone is possible after an FUE procedure and this is commonly called shock loss.  There are ways shock loss can be minimized for example making small recipient sites that are not too deep, combination of medications used in the tumescent fluid, etc.  However hair loss in the back of the scalp (donor zone) after an FUE procedure should not happen and this is usually due to inexperience of the team doing the procedure by using large punches, over extracting hair follicles, punching too deep, etc.  This creates too much vascular trauma in the scalp as well as inflammation and can result in loss of hair.  I see this commonly in my practice where patients come to me after having a procedure in other clinics that don't specialize in hair surgery. Most times it is not reversible and the patients donor supply becomes severley limited.

Amir Yazdan, MD
Irvine Hair Restoration Surgeon
5.0 out of 5 stars 17 reviews

Hair Loss after Hair Transplant (NeoGraft), Is it NORMAL?

What you are describing is a potential event that could happen after any type of hair transplantation procedure, and not exclusively related to the technique you had done NeoGraft (FUE). The medical term is called "telogen effluvium". What happens is that the natural hair surrounding the newly grafted follicles is in a "shocked state" after the surgical trauma/stress from procedure and the relative decrease in blood supply now that new follicles are in the vicinity. For this reason, the recipient follicles enter in a dormant stage and the hairs then start to fall off. It may take a few months until the follicle gets activated again and starts growing a new hair again. If this happens early after the transplant, I recommend interventions that will stimulate the follicles minimizing topical applications so that the newly transplanted follicles do not get affected. Low light level therapy and PRP injections are great during this stage. Hope this was helpful. Good luck through out your recovery!

Jose Rodríguez-Feliz, MD
Miami Plastic Surgeon
5.0 out of 5 stars 9 reviews

Hair loss after hair transplantation

It is not uncommon to have hair loss after a transplantation procedure. This can happen both in the transplanted grafts as well as in your surrounding hairs. This is reversible, and will start to grow back after a month or two.


Hair loss after surgery may be due to shock hair loss or the shedding of transplanted hair.  It is not related to the tool or instrument used. "Neograft" tool is just another instrument in carrying out the FUE method of harvesting of hair.

Jae Pak, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 53 reviews

NeoGraft Hair Loss

During the first month after your NeoGraft procedure you can expect hair "shock" loss when the scabs of the grafting fall off.  This is completely normal.  Within three to four months you will notice hair growth and usually by six months most of the hair has grown in.  

Tina Venetos, MD
Lake Forest Dermatologist
4.0 out of 5 stars 4 reviews

Hair loss right after Hair Transplantation

There is a phase after Hair Transplantation (including Neograft) where the transplanted hairs grow for a couple of weeks and then fall out - this is called the catagen phase. After about 3 months, these hairs grow back and you develop your final results. There is also something called "Shock Loss" which can happen when the hair grafts have poor nutrition and they fall out permanently - sometimes up to 15-20% of the hairs. This is more common in smokers. A way to avoid this problem is to super-nutrient treat the hair grafts. We perform PRP (Platelet-Rich Plasma) to the hair transplant patients which is collected with a small blood draw and condensing your own growth factors to use as a sort of miracle grow for your new grafts. This drastically decreases the shock loss. Best Wishes!

Side effects of Neograft

Like with any hair transplant procedure, “shock loss” is the most common side effect, but it is not permanent. This is due to the stress exhibited to the transplanted area in addition to swelling. It is also to be expected for the grafted hairs to fall out anytime between the first few weeks up till 3-4 months post procedure. The seed of the transplanted follicle will stay intact and in a matter of time the follicle to regenerate a new hair. Patience is key.

David L. Robbins, MD, FACS
West Des Moines Plastic Surgeon
4.5 out of 5 stars 20 reviews

Hair shedding after hair transplant

Neo graft is an instrument that is used to do FUE. Follicular Unit Extraction (FUE) is a revival of the old punch technique obtaining donor hair with a small circular cutting instrument. These punches are used to harvest follicular units one at a time from the donor area. as the harvesting is done and also as the recipient sites are made, sometimes the client experiences shock loss.  If the hair transplant doctor is specialized there are some steps that can be taken to minimize the shock loss.  However, if they are not then as they are making the donor incisions and also as they are harvesting, they can damage the surrounding hair and cause hair shedding after transplant.

Michael Meshkin, MD
Newport Beach Hair Restoration Surgeon
5.0 out of 5 stars 12 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.