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Xardas

Shock loss after a touch up? (photos)

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Hi everyone,

 

Three weeks ago I underwent scar revision surgery and my doctor used some of the grafts to improve density in the areas with little growth (my hair transplant was in August last year). 307 grafts were transplanted this time. So far my scar looks really good, but what worries me is the hairloss on the left side just behind the transplanted hairs. It happened only on one side (the right side looks normal). Three weeks ago I didn't have a bald patch there.

 

Is it possible to lose native hairs so suddenly and only in one place? Or it is simply shock loss? (I take finasteride which seems to halt my hairloss) If so, is shock loss possible after such a small surgery (307 grafts)? I experienced shock loss after my first hair transplant but then my donor area was affected.

 

I am enclosing some photos for reference.

 

I would be extremely grateful for clarification.

5b32de3bcc7ad_preop.jpg.3fe184978225d717f72ab1f55439c542.jpg

5b32de3bdf756_preop2.jpg.1b870069ddbb097351044073cd7e8e5d.jpg

5b32de3c092bf_preop3.jpg.5734417881122607aab5e5fedff01305.jpg

5b32de3c91f63_3weekspostop.jpg.a8d6a4e39453bc510e033955ceb7bcf9.jpg

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The affected area is behind where the grafts were placed? If so, looks like shock loss. Who is your surgeon?


3,425 FUT grafts with Dr Raymond Konior - Nov 2013

1,600 FUE grafts with Dr Raymond Konior - Dec 2018

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Xar,

 

It definitely looks like shock loss. It is good that you are taking Propecia, as this has shown to stabilize surrounding follicles and prevent shock loss when taken peri-operatively. The question, at this point, is whether or not the shock loss is permanent or temporary.

 

It appears like a good portion of the thinning area is in the DHT-resistant temporal/parietal region, so it may be temporary. However, this is not a guarantee. What's more, your only option is, unfortunately, waiting patiently and seeing if the hair regrows. It can take up to 5 months for shock loss follicles to regrow (though some say it takes up to 6 and the most common time frame is 3-4 months), so try and relax until that point.

 

Good luck!


"Doc" Blake Bloxham - formerly "Future_HT_Doc"

 

Forum Co-Moderator and Editorial Assistant for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum

 

All opinions are my own and my advice does not constitute as medical advice. All medical questions and concerns should be addressed by a personal physician.

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The affected area is behind where the grafts were placed? If so, looks like shock loss. Who is your surgeon?

 

Thanks for the answer. My surgeon is Dr. Suradej Pong from Thailand.

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Xar,

The question, at this point, is whether or not the shock loss is permanent or temporary. (..) However, this is not a guarantee. What's more, your only option is, unfortunately, waiting patiently and seeing if the hair regrows.

 

Thank you for your prompt reply. That's quite worrying what you are saying, but as you mentioned I can not do anything about it :(

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Hi guys,

 

It is me again. 3 months have passed since my previous post and 4 months since my procedure. Some of hairs affected by the shockloss have regrown, however, there is still a substantial amount that has not. I can quite easily cover the bald spot with the exisiting hairs (see 'combover' photo) , but that was not the point of the transplant :(

 

I have three questions:

 

#1 Do you think it is still possible that all the hairs will regrow, or what I can see now (4 months post-op) is pretty much the final result?

#2 Should I try to use Minoxidil? Or it is unlikely to help in this case? (I am still on finasteride)

#3 It is a good idea to undergo another surgery or it is still too early?

 

I am posting some photos for reference.

 

Thank you very much in advance.

combover.jpg.1f7fd12ee970d5b6edf23f455e0f069c.jpg

dry_hair1.jpg.045c46f4b35e993ca9bf193077040e3f.jpg

dry_hair2.jpg.c293ce96b12f26267ffefc7b1588975b.jpg

wet_hair1.jpg.2c3b6ee300e4958ba94d7a16f3e31e01.jpg

wet_hair2.jpg.cf4108d4f4bf68cf92841ad2000ddada.jpg

Edited by Xardas

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Your new photos look much thicker, even though, to be honest the quality of photos aren't great for documentation. Do you agree that density seems to be better? usually we know our own body/hair better than anyone, better than someone's opinion looking at your pics on a computer. If you do feel like it is getting thicker, than I would relax and track it the next few months. Actually, this seems to be progressing closely to the time frame Blake mentioned.

 

The "bald" area now looks to be made by the part you made in your hair. It isn't back to baseline density, but in my opinion, it looks to be progressing.

Edited by LosAngeleshair

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Check my photo blog for shock loss link below. Don't worry it usually grows back takes about 6 months but is harder in area like yours because the shock loss area will be shorter than surrounding area so gives illusion it's not growing back.


Bonkerstonker! :D

 

http://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=1977

 

Update I'm now on 12200 Grafts, hair loss has been a thing of my past for years. Also I don't use minoxidil anymore I lost no hair coming off it. Reduced propecia to 1mg every other day.

 

My surgeons were

Dr Hasson x 4,

Dr Wong x 2

Norton x1

I started losing my hair at 19 in 1999

I started using propecia and minoxidil in 2000

Had 7 hair transplants over 12200 grafts by way of strip but

700 were Fue From Norton in uk

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Your new photos look much thicker, even though, to be honest the quality of photos aren't great for documentation. Do you agree that density seems to be better? usually we know our own body/hair better than anyone, better than someone's opinion looking at your pics on a computer. If you do feel like it is getting thicker, than I would relax and track it the next few months. Actually, this seems to be progressing closely to the time frame Blake mentioned.

 

The "bald" area now looks to be made by the part you made in your hair. It isn't back to baseline density, but in my opinion, it looks to be progressing.

 

Thank you very much for your reply.

 

Definitely density has improved but two things worry me:

 

First of all I'm afraid that only some of the hairs will return and a lot of them will be gone forever. Secondly, many people mention 3-4 months as the time frame when the hair comes back, I'm already past this stage so my concern is that what I got back at this point is close to the final result.

 

PS

 

Sorry for the quality of the pictures.

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Check my photo blog for shock loss link below. Don't worry it usually grows back takes about 6 months but is harder in area like yours because the shock loss area will be shorter than surrounding area so gives illusion it's not growing back.

 

Thank you for sharing your thoughts and sorry for the late reply. Do you think I should try to use minoxidil? Or waiting is all I can do?

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Hi everyone,

 

It is me again. The area on the left side, which was affected by shock loss, did not improve at all over the last month. This bald strip was very wide at the beginning of April, later some hairs returned and the bald area became smaller, however over the last month no new hairs have regrown. It has been 5 months and this area looks exactly the same as one month ago. At this point it is almost certain that no new hairs will grow on my left side. I guess the hairs which fell out would be gone anyway and the procedure only accelerated this process. I am pretty devastated at the moment.

Do you think I should wait one more month (or longer)? Or should I go for FUE?

 

Sorry for the low quality of the photos.

5b32e0d10d9b6_f(1).jpg.5408c9c58caa08fa5a5d9aae9b17ab43.jpg

5b32e0d19179a_f(2).jpg.c2a5e72f7e72f42ed1e8acd6863ed843.jpg

5b32e0d1b1af4_f(3).jpg.5c622fb259b79e51eb0af88d9a370301.jpg

5b32e0d1c3412_f(4).jpg.bb69dbc2d08bd3d86d8dfd88dafaab2f.jpg

5b32e0d1d2d29_f(5).jpg.975cb9b560606a67fcdbff474a9304e2.jpg

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i would wait till at least 12 months from your last surgery to assess the amount of shock loss you actually had . It could still come back .

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