7.5 months shock loss - it's getting worse. (photos)

Question

Got 1200 transplant 7.5 months ago , suffered terrible shock loss. Was told that within 3-5 months native hair which was shocked would return. It's been 7.5 months and situations is just getting worse and worser. Will my native hair grow back? Is there any hope for situation to improve ? Please find attached before and after fue hair transplant.

Anil R. Shah, MD · Answer

Shock loss is due to the loss of normal hair whether it is from donor site or recipient area.  It can occur with both FUE and strip procedures.  Usually if it occurs it will take place in the recipient area. Individual results may vary.  
Shock loss from hair transplant can occur due to the following:
Anesthesia-  excessively long procedures taking longer than 12 hours can induce shock loss more likely.  the repeated use of lidocaine, marcaine, and perhaps most importantly epinephrine can affect nourishment of the hairTraumatic harvest-  In strip surgery, traumatic harvest can induce shock loss.  Recipient area trauma- during the incision making process the hairs are either crushed or cut and damaged during the process. 
Ways to minimize shock loss are as follows:
Improve recipient bed and donor area environment.  Make your recipient environment improved by addition of growth factors and/or PRP to help reduce incidence of shock loss to native hairs.Use of Rogaine and Propecia- can help miniaturized hair become more stable and less likely to fall out during procedure9xRobotArtas-  The latest version of the robot can make recipient sites and can determine angle of existing hair and help ensure that the angle will not damage existing hair.  Especially helpful in patients where you are transplanting hair to create densityMinimize anesthesia time and procedure time- We limit number of grafts to a safe number per session.  Extended anesthesia periods and harvest times can cause patients to have a higher chance of shock loss.  The 9x Robot harvests between 1000-1500 grafts per hour making it superior to previous additions and traditional FUE approaches.Best, 
Anil Shah

Jae Pak, MD · Answer

It can take 6 to 12 months after surgery to see results.  If you are concerned it is best to contact your doctor

Bernardino Arocha, MD, FISHRS · Answer

y14, That is a huge area to cover with such a tiny number of grafts. There is extensive  miniaturization in the frontal, mid-scalp and crown areas. A post-surgical graft placement pic would be useful. What medical regimen are you taking? The natural progression of your condition is that all the hair on top of your head in your before photos are destined to be lost eventually without medical intervention.

Sean Behnam, MD · Answer

One possibility that may explain why you haven't recovered from shock loss is that the hair you lost was destined to be lost anyways- hairs you lost that were on their last cycle were never going to regrow back and were on their last cycle of growth, so the shock loss simply caused them to all fall out at once. But without knowing the details of the rest of your transplant, it's incredibly hard to give you an accurate answer. Check with your doctor about this if you haven't already.

William Rassman, MD (retired) · Answer

Shedding after a hair transplant while on the drug propecia is unusual so this drug is critical to preventing shock loss. I doubt it is coming from the drug, but rather an acceleration of your normal hair loss process. If the shedding is in the transplanted area, the new grafts, when they grow, will off set it. If the shedding is from all over the front and top of the head it sounds like shock loss which usually accelerates the hair loss that you might have seen two years after a hair transplant had you not been on the drug. If you are developing a more advanced balding pattern with acceleration of your hair loss, which a Bulk Measurements with the HAIRCHECK instrument can provide, it will show over a one year time frame, what exactly is your hair loss (in numbers) and then you and your doctor need to develop a MASTER PLAN for what may happen to you.

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