Would a hair transplant after postherpetic neuralgia due to shingles cause pain to return or worsen?

Question

I am interested in a hair transplant, but I had shingles 4.5 years ago with a rash on my neck and scalp, exactly in the donor area. This resulted in postherpetic neuralgia (PHN), causing pain and a burning sensation. Haircuts and wearing a hat were painful due to allodynia. Over the last year and a half, the pain has mostly disappeared, but occasional flashes of pain indicate the area is not fully healed. Can I consider a hair transplant, or is there a risk the pain could return or worsen?

Ross Kopelman, DO · Answer

A hair transplant after postherpetic neuralgia from shingles is generally safe, but there’s a slight possibility that the surgery could irritate the nerves in the affected area. Since the scalp nerves are already sensitive due to the neuralgia, the procedure might trigger temporary discomfort or aggravate symptoms. However, it’s rare for the pain to return or worsen permanently. Techniques like local anesthesia during surgery can help manage any pain, and the discomfort usually subsides as the scalp heals.

Matt Tahsini, MD · Answer

Hello, and thank you for your question. I don't think there is a big chance the pain will return,  but you could try a small portion of the affected area to see.  Look for a reputable doctor to do the procedure.  Best of luck to you.

Dr. T

Jeff Donovan, MD, PhD · Answer

There’s always a risk. it’s not risk free although risk is fortunately quite low. You can always consider a small test procedure and see how that goes. It is important you appreciate the difference between “risk free” and “low risk”.

This is low risk but not risk free.

Would a hair transplant after postherpetic neuralgia due to shingles cause pain to return or worsen?

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Would a hair transplant after postherpetic neuralgia due to shingles cause pain to return or worsen?

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