Scabbing and Shedding After Hair Transplant: What Is Shock Loss and When Does It End?
Scabbing and Shedding After Hair Transplant: What Is Shock Loss and When Does It End?
Hair transplantation is a highly effective and permanent solution for individuals experiencing hair loss. However, the process does not end on the day of the surgery. There are several healing stages and natural side effects that must be managed carefully. Among the most important of these are the scabbing and shock shedding (shock loss) phases. So, why do these occur, are they normal, and when do they resolve? Here’s a detailed step-by-step explanation:
1. Scabbing Phase (First 7–10 Days)
During hair transplantation, grafts are placed into micro-channels opened in the scalp. This procedure causes minor trauma to the skin. Within the first few days after the operation, dried blood and serum begin to form scabs on the treated area. This is completely normal and part of the body’s natural healing process.
Key points during scabbing:
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Do not scratch or forcefully remove scabs.
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Avoid washing your hair for the first 3 days; from day 4, use the doctor-recommended shampoo and apply it gently.
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By days 7–10, most of the scabs will naturally fall off.
Once the scabs fall off, the scalp begins to breathe, and the grafts start to settle more securely.
2. Shock Shedding Phase (Weeks 2–8)
After the scabs have fallen off, the newly implanted hair shafts enter a temporary shedding phase called shock loss. Shock shedding occurs when the follicles experience stress while adapting to their new environment, causing the hair strands to fall out. It may also affect some of the existing hairs in the recipient area.
Why does shock loss happen?
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Trauma caused by the operation
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Temporary disruption in blood and oxygen supply
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Follicles adjusting to their new location
This shedding is not permanent. Only the hair strands fall; the follicles remain intact under the skin.
3. When Does It Stop? When Does New Hair Start to Grow?
Shock loss usually begins around the 2nd week and may continue until the 6th or 8th week. In some individuals, it may last longer. New hair growth typically begins by the end of the 3rd month.
Hair regrowth timeline:
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Month 3: Thin, soft baby hairs begin to emerge.
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Month 6: About 50–60% of the final result is visible.
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Month 12: Hair thickens and reaches a more natural look.
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Month 18: Full results appear, especially in individuals with coarse or thick donor hair.
4. When to Be Concerned
While healing time varies from person to person, you should contact your doctor if you experience:
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Scabs that do not heal or show signs of infection
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Excessive shedding beyond the 3rd month
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Severe itching, burning, or pain in the transplant area
Conclusion
Scabbing and shock shedding are completely normal stages of the post-hair transplant process. These phases require patience and proper care. Experiencing shock loss does not indicate a failed procedure—on the contrary, it’s often a sign that new hair growth is on the way. By following your surgeon’s aftercare instructions, you can navigate this period confidently and enjoy permanent, natural-looking hair within a year.
