Second Hair transplant- shock loss question

Question

Hello, I am having a second FUE procedure to add density to what I believe was a very successful FUT procedure I had one year ago. I experienced shock loss of native hairs during my first, but thankfully they grew back. This transplant will be placing transplanted hairs between the previously transplanted hairs to add density. Given that these are non-native hairs, will they experience shock loss? I am on Finasteride 1mg daily and Minoxidil.

Emrah Cinik, MD · Answer

Hello,
Yes, with 2nd session you can experience shock loss, however it won't be permanent. When the growth begins, the hair you gained from the first operation will also grow back.

Paul P. Daraei, MD · Answer

Hi There,
FUE can be very helpful to add hair volume, even after a previous FUT procedure. Shock loss is very common. If you experienced shock loss after your first hair transplant, I would anticipate that you would have shock loss after your second hair transplant. Even if some of the hair are "non-native" or previous transplants, I would still estimate that you would experience shock loss. Using minoxidil and finasteride will help reduce the risk of shock loss, but not completely eliminate it.
Hope that helps,
Paul Daraei, MDFacial Plastic SurgeonPremier Image Cosmetic and Laser SurgeryAtlanta, GA

Neil Verma, HBSc, MD, FCFP - Account Suspended · Answer

Shock loss does occur post hair transplant. Taking finasteride and minoxidil along with PRP injections helps to minimize the impact of shock loss.

I. Oyku Celen, MD - Account Suspended · Answer

Basically, yes they can experience shock loss too, even though they are transplanted. Shock loss is caused by physical trauma made in the area of transplantation. It basically indirectly damages the area and might block or decrease the blood circulation. Therefore, your transplanted hair could get shock loss as well. Do not panic, they'll grow back. And please keep in mind that, it "can" happen. Maybe you won't have any shock loss at all, it is up to the reaction of your body.
Thanks!

William Rassman, MD (retired) · Answer

Usually if you had a hair transplant within a year and especially if you are on finasteride, there is little risk of shock loss again. Shock loss hits the miniaturized hairs which have already been shocked out from the first shock loss procedure. Taking finasteride, usually prevents shock loss for even the first procedure with 90% certainty.

Second Hair transplant- shock loss question

Answers (5)

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