Physician Answered Q & As

Do FUE Hair Transplants Have The Same Rate of Shock Loss As Regular Hair Transplants?

I have been considering having an FUE hair transplant for almost five years and think that I am about ready to go through with it. I still have a relatively full hair and have only lost about two inches in my hairline which I would like to have restored. I have been on generic finasteride for 4 years with a very good response since I think my hair loss has come to a stop. I’m very concerned about the shock loss that I hear about and do not want to replace some hair only to lose even more in the process. Do FUE hair transplants have the same rate of shock loss as regular hair transplants, and since I am only concerned about my hairline is it possible to lose hair to shock loss behind the transplanted area? I look forward to your reply. Thanks!

Shock loss (or anagen effluvium), by definition , is shedding of hairs due to physical trauma of the hairs by surgical tools. There is no difference in its rate regardless the technique you are using .It concerns the recipient area.

Factors that promote it:
-No respect of hair angle while making incisions sites. ( you must stay parallel to the existing hairs to avoid any damage )
-Dense packing
-Fragile hairs ( hairs in end phase of anagen cycle )

-Strengthen your hairs with medications such as propecia or minoxidil prior the surgery
-Respect hair angle
-Decent grafting density

The hairs behind the recipient area won’t be concerned by this phenomenon. Nevertheless, in some other cases (very rarely) a patient may experience (not shock loss) telogen effluvium due to the emotional stress caused by the surgery. Some patients are so anxious and stressed, they could undergo the same phenomenon we observed when patients go through the emotional stress from parent’s death, divorce, etc…

Both of them are a temporary event and everything comes back to normal within three to six months when the cause is removed.

Rate of shock loss in our practice : 1 to 2 % .


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The International Alliance of Hair Restoration Surgeons is a consumer organization that selectively screens skilled and ethical hair transplant surgeons. The IAHRS does not offer an open membership policy to doctors practicing hair transplatation, and is the only group that recognizes that all surgeons are not equal in their skill and technique. Its elite membership seeks to represent the best in the discipline, the true leaders in the field of surgical hair restoration.