Follow-up Question: Hairloss immediately after surgery with androgenic alopecia, will it get better or will it just get worse?

Question

I was diagnosed with androgenic alopecia in April. I got the first three PRP treatments in April may and June and stopped shedding was beginning to see good results in August. Then I had surgery two weeks ago (breast redo surgery with implant exchange and lift, lipo of abdomen back flanks and arms fat grafting to butt--approx.6 hr procedure) immediately after I noticed my hair shedding again, and it had continued to do so. Will this get better or worse as effluviums aren't for 3 mo typically?

Bernardino Arocha, MD, FISHRS · Answer

kyralouise15,Prolonged anesthesia/surgery can be a trigger for telogen effluvium. I would recommend that you visit your local hair loss expert for an evaluation and treatment. Remember that telogen effluvium is precipitated by a stress that shifts the follicles which normally are 90% in anagen, prematurely into telogen. Numbers are dependent on the amount of stress, and individual response. The club(telogen) hairs can take 90 days or sooner to shed.

Anil R. Shah, MD · Answer

Greetings,Women are currently not FDA approved for the use of the ARTAS.  However, our use of the ARTAS does suggest that women who are experiencing androgenic alopecia may be good candidates.  As always, women should have a thorough workup including the following:
Trichoscopy- identify type of hair loss Extensive history and labs- rule out other forms of hair lossWe use ARTAS with regenerative techniques with women such as PRP and growth factors to help improve overall results.
Best,
Anil Shah

Jason Emer, MD · Answer

This is difficult to answer without an in-person evaluation. I suggest seeing a hair loss expert now to evaluate and go over your condition and provide you information about your best treatment options.  I do prp with progesterone injections to get the best results with hair growth and quality. I also have all my patients use viviscal, rogaine, and propecia when getting prp. See an expert. Best, Dr. Emer

Benjamin C. Paul, MD · Answer

You are right that effluvium may present post-surgery. The longer you are under and the bigger the stress to the body, the more likely that you are going to be affected. The effluvium is typically delayed a few weeks after the event (not always 3 months). I would go and see your hair doctor who was giving you PRP for an evaluation. May want to have another PRP session as it sounds like you have telogen on top of AGA. Best of luck.

Follow-up Question: Hairloss immediately after surgery with androgenic alopecia, will it get better or will it just get worse?

Answers (4)

Answer: Effluvium

Answer: Effluvium

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Everything you need to know about PRP for Hair Loss

Our mission is to create a world where every investment in modern beauty is Worth It.

Follow-up Question: Hairloss immediately after surgery with androgenic alopecia, will it get better or will it just get worse?

Answers (4)

Answer: Effluvium

Answer: Effluvium

Browse related questions

Recommended reading

Everything you need to know about PRP for Hair Loss

Our mission is to create a world where every investment in modern beauty is Worth It.