Natural Hair Loss 6 Weeks After My Hair Transplant

Question:

6 weeks ago I had a hair transplant of 2200 follicular units performed in the frontal area of my scalp. The recipient area had already a somewhat decent amount of natural hair but I underwent the procedure in order to add density. Immediately after the surgery, I noticed I had much less natural hair than before. And from the surgery to now, I can see that my hair falls quite a lot more than before. I estimate about 150 hairs per day. I started applying minoxidil 8 days after the surgery. Is this normal? Should I be worried? Thank you for your answers.

Answer:

I hope your surgeon went over with you the possibility of telogen effluvium or "shock loss"? Shock loss is a temporary condition due to trauma to the scalp that can occur anytime hair is transplanted in between or around natural hair. Post hair transplant telogen effluvium can occur anytime, typically in the first couple months after the procedure. Any "shocked" terminal hair will enter regrowth approximately 3 to 5 months after the hair transplant, around the same time the transplanted hair starts to grow. Permanent shock loss may occur to miniaturizing or vellus hairs already significantly damaged by the effects of genetic hair loss. 12 months later upon reaching maturation, the end result should be a net gain in hair density and coverage.