Hair Transplant Blogger » Shock Loss http://hairtransplantblogger.com Hair transplant and hair loss answers from Hasson & Wong Fri, 25 Nov 2011 19:23:34 +0000 en hourly 1 http://wordpress.org/?v=3.3 Shock Loss to Recipient Area After Hair Transplant http://hairtransplantblogger.com/shock-loss/shock-loss-to-recipient-area-after-hair-transplant/ http://hairtransplantblogger.com/shock-loss/shock-loss-to-recipient-area-after-hair-transplant/#comments Wed, 18 May 2011 17:01:45 +0000 doctorhasson http://hairtransplantblogger.com/?p=557

First, I cannot tell you how thankful I am to find your practice. Two years ago, uneducated, I had a transplant procedure with a local surgeon here in Alabama. At the time I was looking for help and did not do the proper research. (Granted there are “resources” online, but how many times since the dotcom era have we been told not to believe everything we read on the Internet?) The procedure allowed 850ish grafts to be transplanted, which I thought would do more than it did. The doctor seemed very genuine, the Owner/Office manager…not so much, which also aided in my search for someone/something better. Since the procedure I have found a lot of help and encouragement online, which led to your incredible practice. I had the discussion with my wife Sunday and we have started our plan to save the needed resources. I have not contacted your office at this time since saving will require at least a year and with your time being limited, there are others needing their response sooner. My question is, since the recipient area will be shaved, will the previous transplant hair feel the effect of shock loss or will it begin to grow back like the donor area? I’ve always used a concealer since my hair began to thin and also a week and a half after my first surgery I started back with the concealer. No one has seen the truth of my hair loss due to these products. It’s understood that some shock loss can be expected and I assume it is relative to the person, but any insight is appreciated. My thought is, if the previously transplant hair begins to grow back just like it would from a normal hair cut, I could begin with the concealer to mask the transplanted artwork as it begins to take shape. Thanks again for your time and expertise. — R.P.

Thank you for the kind words regarding Hasson & Wong Hair Transplant Clinic. Temporary shock loss can effect existing hair in the recipient area. The degree of temporary loss varies from patient to patient. Generally your previous transplanted hair would be stronger than other surrounding hair and would be less likely to shed after surgery. Chances are it would continue to grow at the same rate as the donor area from day 1 post-op. You should be able to get away with the use of the concealers to help the transition. Concealers such as Toppik are fine but others that go directly on the scalp can potentially cause some damage to the transplanted follicle.

While our time is limited to some degree as you mentioned, we are always happy and willing to evaluate patients who may not be planning to have surgery any time soon. If you wish to get an estimate to plan for your surgery, feel free to submit a free hair transplant consultation or contact us. We look forward to evaluating your case when you are ready.

— Victor Hasson, MD

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Is shock loss bad? I keep reading about it as if it is some dreaded event. What exactly is it, why does it occur, and how is it prevented?
— N.A.

Shock loss can occur in the native hair and the recipient area. Hairs falls out as a result of trauma associated with hair transplant surgery. However, there are in actuality, two types of shock loss. The first type of shock loss is temporary and usually occurs (if it will occur) several weeks after the procedure. In temporary shock loss, any hair that sheds as a result of the procedure begins to grow back at roughly the same time that the newly transplanted hair begins to grow. This is the only type of shock loss that our patients will occasionally experience and usually it is minor. The second type of shock loss is permanent. This is usually caused by damage to the native hair as a direct result of an ill-prepared recipient site. More specifically, permanent shock loss occurs when the physician cannot match the angle and direction of the native hair accurately. In many clinics, there is little preparatory work performed at the recipient site. At Hasson & Wong, we have for many years prepared the recipient site to ensure accurate insertion of grafts to help prevent shock loss and so that graft growth mimics nature. This requires shaving of the target recipient area to better visualize the true angle and direction of the native hair. This allows us to make our incisions parallel to existing hair. If the incisions are not parallel then they will transect (cut across) the neighbouring hair, thus causing permanent damage and eventual death of existing hairs in the recipient area. This is, in our opinion, the number one cause of permanent shock loss which we’ve seen in some patients of other clinics. Because we endeavour to protect the native hair, our patients do not experience permanent shock loss.

Temporary shock loss is not a great concern and certainly not a dreaded event. To safeguard yourself against permanent shock loss, do research before choosing a clinic. Choose a clinic that pays close attention to recipient site preparation — one which shaves the recipient area as part of that preparation and has a track record of low incidents of permanent shock loss (check the hair transplant forums).

— Victor Hasson, MD

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