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Hair implant, does hair fall out after surgery?

1 July 2021


What happens after a hair implant?

All patients arrive on the day of their hair implant with great anticipation and anxiety. They have scheduled their hair operation for a long time and once they have taken the step, they can't wait to know their final result.

However, as we always clarify, the process of hair recovery through hair transplant is a gradual process, which may be somewhat slow for some people. After hair surgery, native and transplanted hair go through several stages in which different changes occur until the final result is achieved.

At Clínica de Freitas we want our patients to face this process safe and informed. Therefore, in this article we are going to tell you what happens after a hair transplant.

Shedding or shockloss effect, what is it?

The dreaded shockloss is a process of massive hair loss that occurs after hair implant surgery. Shockloss, also called shedding, can affect both the implanted hair and the native hair in the treated area.

This phase of evolution occurs because the hair suddenly changes to telogen phase due to the trauma suffered during the hair operation. It is very important to note that this hair loss is absolutely normal and temporary.

Once this stage of hair loss has been overcome, which can appear between the second and sixth week after the hair transplant, the hair will grow back normally. This is because during shockloss the hairs fall out but the root remains in place, and will give rise to new hair strands.

On the other hand, we would like to point out that shockloss is a completely normal occurrence and an expected stage in the postoperative evolution. In some patients the hair takes less time to grow back, and it may seem that there was no hair loss. However, this process occurs in all patients, with greater or lesser notoriety.

When does new hair start to grow?

The shockloss process extends between the second and sixth week after hair transplantation. Obviously, this time frame may vary from patient to patient, starting earlier or later or extending longer or shorter.

Taking into account the differences that may exist in this regard, it is expected that from the sixth week the transplanted and native hair will start to grow again. It is normal that this hair growth occurs randomly and not evenly. 

As the months go by, the hair will gain thickness and the length of the mane will even out, until the final result is visible 12 months after the hair implant.

The importance of the postoperative period after hair implant surgery

After the hair implant and before leaving the clinic, the doctor will give the patient precise instructions on how to take care of the grafts once he/she arrives home. It is essential to follow these recommendations in detail in order to achieve the desired results.

Some of the postoperative guidelines are:

  • Do not touch the hair grafts.
  • Do not dye hair until three months after hair surgery.
  • Avoid the use of hair fibers for one month after the hair implant operation.
  • The patient should not cut the hair with clippers until after 5 months.
  • After the hair implant, the patient should avoid alcohol intake for 5 days.
  • Do not practice sports for 15 days after the hair transplant.
  • Avoid direct sunlight on hair implants for 3 months.

These are just some of the recommendations that you should keep in mind during the evolution of your postoperative period. Before leaving the clinic, remember to ask the medical team any questions you may have and write down a contact telephone number or e-mail for any queries that may arise during the evolution.

On the other hand, it is well known that androgenetic alopecia is a continuous, gradual and chronic process, which cannot be cured definitively but can be treated and stabilized. This implies that, in order to preserve the results obtained, it is important to keep the progression of the alopecia stabilized

The miniaturization and hair loss caused by androgenic alopecia is due to the action of dihydrotestosterone (DHT), which acts on the hair follicle preventing it from growing back. 

To reduce the presence of DHT in the body, there are pharmacological hair treatments - such as finasteride, dutasteride or minoxidil. All these options must be administered under medical indication and follow-up without exception.

In this way, the results can be excellent, but if the androgenic alopecia is not stabilized, the patient's native hair will continue to fall and in the short term the density of the hair transplant will be affected. That is why, in case of detecting a strong action of alopecia, the trichologist doctor will recommend the patient to start the medical hair treatment even before the hair transplant.

As we have said, this treatment should be reviewed periodically by the hair doctor to evaluate the results and make changes if necessary. Likewise, any modification that the patient wishes to make in the administration of the treatment for alopecia should be consulted with the hair doctor.

Tips after a hair implant

First of all, we always recommend to all people interested in recovering their hair, to take the time to choose the right Hair Clinic to perform their hair implant surgery. It is important to go to a Hair Clinic with experience, attended by experienced and specialized professionals.

On the other hand, it is essential to take some time to review real results and cases of the hair clinic that the patient has in mind. This review will allow you to know if the style of work and the results obtained by the hair surgeon match your expectations.

Finally, arriving at the postoperative stage, we suggest the patient to follow the guidelines indicated by the doctor and to avoid anxiety and stress. Each patient evolves at his own pace, and there are great differences between one person and another. Therefore, comparing one's own case with others will only generate insecurities that do not favor the normal development of the postoperative period.

Finally, you should know that in case of any change that catches your attention, consult your hair doctor without fail. In this way, you will have a safe and calm postoperative period, on the way to the long-awaited final result.