For a hairline lowering procedure via transplant on a female with NO hair loss, is shock loss just as likely? Does Rogaine help?

Is shock loss of native hair just as likely to occur on a female hairline lowering transplantation procedure as with any other? Does Rogaine prevent shock loss? If so, is starting it at 17 days post-op too late? If shock loss is to occur, when does it generally happen? Thank you!

Doctor Answers 7

Hairline lowering

I would not typically expect any shock loss in the situation you describeTypically miniturized hair associated with hair loss is more vulnerable to shock loss.  Rogaine however would be helpful to hedge your bet and can cause no harm. The foam works well. Start a few weeks prior to the HT and use it for the next 3 months. 

An alternative to HT is a formal forehead reduction.


Baltimore Plastic Surgeon
4.4 out of 5 stars 26 reviews

Hairline lowering with scalp advancement vs transplants.

There should be no shock from either procedure. Transplants will cost more and take multiple procedures and not look as natural as Irregular Trichophytjc Hairline advancement. Transplants give a texture change whereas advancement does not --ask your hair dresser. Make sure you go to a very experienced surgeon with this technique and look at his after results and you should NOT see a noticeable scar.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 32 reviews

Shock loss

Shock loss can occur with any surgery or injury to the scalp. It is more likely to occur in those cases where hair was actively thinning such as pattern baldness of any type, traction hair loss, prior scalp surgery, scalp injuries or excessively dense packing of grafts. Shock loss is temporary, rarely severe, and the non balding hair follicles should start to regrow  in  3 months similar to transplanted hair follicles. Minoxidil use before land after surgery may be helpful and unlikely to be harmful. 

Sheldon S. Kabaker, MD FACS
San Francisco Facial Plastic Surgeon
4.7 out of 5 stars 29 reviews

Female hairline lowering procedure

Shock loss in women with normal hair and a hairline lowering hair transplant procedure would be highly unusual

William Rassman, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 27 reviews

Shock loss is always a risk for any hair line surgery. It can start in the first weeks after surgery. Rogaine does NOT prevent

Shock loss is always a risk for any hair line surgery.  It can start in the first weeks after surgery. Rogaine does NOT prevent shock hair loss.

Jae Pak, MD
Los Angeles Hair Restoration Surgeon
4.9 out of 5 stars 85 reviews

Shock Secondary to Tansplants for Hairline lowering

It is normal to have temporary hair loss within the transplanted hair. However, shock withing the surrounding hair is very rare. You should also consider hairline lowering using the Irregular Trichophytic Hairline Incision so forehead reduction can be done in a single procedure with normal uniform density hair. The incision is hidden with hair growing through the new hairline.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Hair Line Lowering and Shock Loss

Shock loss after hair transplant to lower hair line with no hair loss is not really a worry if done properly. Make sure you see a well qualified doctor to assess you and plan an artistically beautiful hair line. 

Brian Goertz, MD
Seattle Hair Restoration Surgeon
5.0 out of 5 stars 23 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.