Shock Loss Concerns

Shockloss is a concern many hair transplant patients have prior to their surgery, will it be a problem they suffer from, how bad will the shock loss be and will they be able to hide the shockloss

Shock loss is a term used in surgical hair restoration to describe the trauma that can occur to the native hair in either the donor or recipient areas of the scalp after a hair transplant has been performed. This phenomenon can occur almost immediately after the procedure in the first days or can seemingly hibernate for a few months before taking place and the native hair can shed, or fall out, normally in isolated areas

The trauma to the hair can occur when using either hair transplant technique, FUE or FUT; and can be caused by the method of application, tools and or the medications used during the procedure, sometimes how aggressive the procedure is performed or too high a density of hair placed

In the donor the closure, sometimes more common after previous poor surgeries when the hair follicles may have already been traumatised and are more vulnerable to shockloss, and sometimes an individual is simply more prone to this

The risk of shock loss can be reduced with technical ability and ensuring the correct angles and depth are maintained when making the recipient site slits for the follicular units, not to transect adjacent follicle units and to place a high enough density to achieve a natural result without placing too high a density

The depth and size of the recipient site can be better managed using custom-made blades; this allows for more precise slit size, better depth control. Due to this a higher density can be placed safely with fewer traumas.

Shock loss generally will grow back over time; the use of medications such as minoxidil and finasteride can possibly reduce the risk and or help with the regrowth post-operation. The hairs that are at greater risk are those that already show signs of miniaturisation

Miniaturised hair follicles are naturally weaker and more prone to trauma by the procedure; if the case it would be prudent to place directly over any miniaturised hair and ensure a natural density will grow out and not leave lower density areas

It is common that during the re-growth period the hairs will initially grow thin and colourless and over the course of a year will thicken, darken and mature

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