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Hair implant can fall out

16 March 2022

Alopecia

Is it possible for the hair implant to fall out?

When a patient undergoes a hair implant, he/she does it with the expectation of showing off his/her new hair immediately. The truth is that, after a hair surgery, the patient will go through an evolution of approximately 12 months, which will lead to the expected final result.

The evolution after a hair implant consists of several stages, which follow one after the other and generate changes in the implanted hair. Thus, the patient will observe different movements at the hair level that will lead to its final appearance.

Possibly, one of the stages that generates the greatest surprise and concern in patients is the one in which the implanted hair suddenly falls out. Therefore, in this article we will tell you why the implanted hair falls out.

Does hair fall out after a hair implant?

As we mentioned before, before seeing the results of a hair transplant the patient will go through a year of postoperative evolution. This is why the results of a hair transplant are not seen instantly, but require a little patience and specific care.

During the first year after hair surgery, the implanted follicles heal, the scalp recovers from the operation, the hair falls out, grows back and then gains density. All these hair phases are necessary to achieve the expected result and reach the appearance that the patient is looking for.

Occasionally, between weeks 2 and 6 of the postoperative period, the shockloss phenomenon occurs, which many patients are unaware of. During this stage, the implanted hair will fall abruptly, leaving the operated area bald again.

Shedding or shockloss effect, what is it?

Shockloss, also known as shedding, is the loss of transplanted hair after hair implant surgery. This hair loss, which occurs suddenly between weeks 2 and 6 of the postoperative period, is completely normal and temporary.

Approximately 98% of hair transplant patients go through this stage, which can also affect the native hair in the recipient area. This manifestation is triggered in response to the trauma the scalp suffers during hair implant surgery. This alters the hair cycle, causing several hairs to go into telogen phase and shed abruptly.

The hair loss caused by shockloss only affects the hair strand, as the hair roots remain in place. Because of this, once this stage is over, the implanted hair will grow back normally.

When does the new hair start to grow?

The shedding effect (or shockloss) can last until approximately week 6 after the hair implant. Subsequently, from the third month of evolution, the implanted hair will grow back progressively.

This new hair growth occurs irregularly but continuously. It is possible that the patient may observe during this phase some areas more populated or dense than others. However, when the evolution reaches 12 months, the hair will grow homogeneously and the final result of the hair implant can be appreciated.

The same happens with the hair thickness. At the beginning of the evolution the transplanted hair may seem weak or thin, but it will gain thickness and density as the months go by.  

The importance of the postoperative period after hair transplant surgery

At the end of the hair transplant surgery the patient will receive postoperative indications, which include all the care that must be put into practice during the evolution of the hair implants. This care includes taking medication, the hygiene of the grafts, how to put on and take off clothes, what precautions to take when practicing sports and how to sleep, among others. 

Each of these hair cares is relevant for the scalp to heal properly, the grafts to be fixed in place and the hair to grow strongly. In addition, thanks to postoperative care the patient will avoid problems such as infections, loss of grafts or poor healing.

Hair implantation is a high-precision surgery, which requires great skill on the part of the doctor and total compliance with his recommendations by the patient. It is important to remember that the evolution after a hair transplant and each of its phases requires specific care.

For this reason, when we are asked what is the best time of the year to have a hair transplant, our recommendation is to perform the procedure when the patient has the availability to adopt all the postoperative recommendations. This will favor hair recovery and the achievement of the goals set with the trichologist.