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Shock Loss After Hair Transplant: What to Know About Hair Transplant Shedding

Knox Beasley, MD

Reviewed by Knox Beasley, MD

Written by Sian Ferguson

Published 06/19/2025

Once you’ve invested in a hair transplant, you’re probably ready to fast-forward to the good part: fuller hair. And you’ll get there, but first, you’ll experience hair shedding, known as shock loss after hair transplant.

Shock loss (sometimes called shock hair loss) can sound scary — and be alarming when it actually happens. But it’s a temporary condition, part of the natural hair growth cycle, and normal to experience after a hair transplant. It’s a sign your scalp is healing.

Let’s break down why shock loss occurs post-op, how long it lasts, and how to support healthy hair regrowth after the shedding phase.

Shock loss is when hair fall happens after a hair transplant procedure, affecting the implanted grafts, your natural hair, or both.

This common side effect is usually triggered by the physical trauma of the surgery itself. Those tiny incisions made during implantation can stress both hair follicles and the surrounding hairs, pushing them into a temporary shedding spree.

This shedding happens because the hair moves into the resting phase (called the telogen phase) — a natural part of the hair growth cycle.

Shock loss after hair transplant surgery is to be expected in most cases. Although you’re losing hair shafts, the hair follicles remain alive and well beneath the scalp, getting ready for a new growth phase.

Three types of shock loss after hair transplant can occur:

  • Transplanted hair shedding. The hairs fall out, but the hair grafts survive.

  • Existing hair shedding. You might lose particularly fragile hairs near the recipient area.

  • Donor area shedding. This is rare but can happen if the donor site is over-harvested.

Even though shock loss feels like a setback, it’s actually common for hair transplant patients and part of the road to healthy hair.

Most people experience shock loss two to eight weeks after hair transplant surgery. It can peak around a month after your operation. In some cases, shock loss can last up to 12 weeks.

You might notice shedding from both the transplanted area (recipient sites) and nearby existing hair. Some mild shedding can even occur in the donor area.

Not sure what to expect from your recovery? Check out our hair transplant recovery timeline.

Here’s a more detailed look at what to expect after a hair transplant.

Days 1–14

Immediately after your procedure, you’ll likely experience redness, swelling, and scabbing at the recipient area and donor site. Your scalp might be sensitive and sore.

Your scarring and scalp healing will depend on whether you opted for a follicular unit extraction (FUE) or follicular unit transplant (FUT) procedure. Generally, FUE hair transplants have a faster recovery period.

Weeks 2–4

About two weeks after surgery, hair transplant shedding will begin. Typically, the implanted grafts and some surrounding hairs will fall out.

Don’t panic if you notice your hair falling out on your pillow or while you shampoo.

Months 3–4

The hair follicles begin shifting into a growth phase.

You’ll start seeing new hair growing on your scalp. These are usually fine and soft at first, and the texture may differ from the rest of your hair. Don’t worry — this hair will get stronger and thicker and start to blend in with time!

Months 6–9

Around this point, you’ll start experiencing significant hair regrowth and thickening. Time to celebrate!

The shedding phase should be over by now. But remember, everybody experiences some level of regular hair shedding — it’s normal to shed about 50 to 100 hairs per day. This is just a part of a normal, healthy hair growth cycle.

Months 9–12

Around nine months to a year after the surgery, you’ll start seeing the full results of your hair transplant procedure. Your new hair should be long enough to style with the rest of your hair.

You can’t completely eliminate the risk of shock loss after a hair transplant. Shock loss is a sign that hair follicles are working as intended.

However, you can promote faster healing and support hair regrowth by:

  • Choosing an experienced hair transplant surgeon

  • Following your post-op care instructions

  • Being gentle with your scalp, especially during the early healing phase

  • Using hair regrowth medications as directed after your surgery

  • Avoiding intense sunlight on your scalp, especially soon after the procedure

Treatments like minoxidil (generic Rogaine®) and finasteride (Propecia®) can help support hair growth during the critical months after a hair transplant.

Here’s what these medications do:

Both medications are commonly used by hair transplant patients after their procedure — but always consult your hair transplant surgeon before starting.

Some clinics also recommend platelet-rich plasma (PRP) treatments to help hair grow post-transplant.

Shock loss after a hair transplant isn’t a failure. It’s a natural, temporary condition and an important part of achieving great hair restoration results.

Here’s what to keep in mind if you’re concerned about shock loss after hair transplant surgery:

  • Shock loss is normal. After a hair transplant procedure, you’ll shed a lot of hair suddenly. Don’t panic — this is a temporary condition and to be expected.

  • Though some hair falls out, newly implanted follicles are intact. Within a few months, new hair will start growing from the transplanted follicles.

  • You can’t prevent shock loss. But you can support the healing process by following your post-op instructions correctly. This includes using products like minoxidil and finasteride if your surgeon recommends them.

  • Be patient. Stay consistent with your care, and trust your hair follicles to bounce back. Stick with it, and soon you’ll be rocking thicker, healthier hair.

Want to learn more about hair restoration? Check out our guides to FUT versus FUE hair transplants and new hair transplant technology.

And if you’re curious about non-surgical options, take a look at our men’s hair loss treatments platform.

5 Sources

  1. American Academy of Dermatology Association (AAD). (n.d.). A hair transplant can give you permanent, natural-looking results. https://www.aad.org/public/diseases/hair-loss/treatment/transplant
  2. Garg AK, et al. (2021). Complications of hair transplant procedures—causes and management. https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0041-1739255
  3. Johns Hopkins Medicine. (n.d.). Hair replacement surgery. https://www.hopkinsmedicine.org/health/wellness-and-prevention/hair-replacement-surgery
  4. Razmi TM, et al. (2022). Hair transplantation: a brief review. https://journals.lww.com/cddr/fulltext/2022/06020/hair_transplantation__a_brief_review.5.aspx
  5. Zito PM, et al. (2024). Hair transplantation. https://www.ncbi.nlm.nih.gov/books/NBK547740/
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Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references. See a mistake? Let us know at [email protected]!

This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. Learn more about our editorial standards here.

Knox Beasley, MD

Education

Training

Certifications

Medical Licenses

  • Dr. Beasley is licensed in all 50 states

Affiliations & Memberships

Specialties & Areas of Focus

  • Hair Loss, Dermatology

Years of Experience

  • 10 years of clinical practice as a Dermatologist

Previous Work Experience

  • Medical Director - YouHealth Medical Groups, 2025–

  • Private practice, 2024–

  • Chief of Dermatology - , 2023–2024

  • Chief of Dermatology - , 2019–2023

Chief of Dermatology - , 2015–2019

Publications

  • Wilson, L. M., Beasley, K. J., Sorrells, T. C., & Johnson, V. V. (2017). Congenital neurocristic cutaneous hamartoma with poliosis: A case report. Journal of cutaneous pathology, 44(11), 974–977.  

  • Banta, J., Beasley, K., Kobayashi, T., & Rohena, L. (2016). Encephalocraniocutaneous lipomatosis (Haberland syndrome): A mild case with bilateral cutaneous and ocular involvement. JAAD case reports, 2(2), 150–152.  

  • Patterson, A. T., Beasley, K. J., & Kobayashi, T. T. (2016). Fibroelastolytic papulosis: histopathologic confirmation of disease spectrum variants in a single case. Journal of cutaneous pathology, 43(2), 142–147.  

  • Beasley, K., Panach, K., & Dominguez, A. R. (2016). Disseminated Candida tropicalis presenting with Ecthyma-Gangrenosum-like Lesions. Dermatology online journal, 22(1), 13030/qt7vg4n68j.

  • Kimes, K., Beasley, K., & Dalton, S. R. (2015). Eruptive milia and comedones during treatment with dovitinib. Dermatology online journal, 21(9), 13030/qt8kw141mb.

  • Miladi, A., Thomas, B. C., Beasley, K., & Meyerle, J. (2015). Angioimmunoblastic t-cell lymphoma presenting as purpura fulminans. Cutis, 95(2), 113–115.

  • Beasley K, Dai JM, Brown P, Lenz B, Hivnor CM. (2013). Ablative Fractional Versus Nonablative Fractional Lasers – Where Are We and How Do We Compare Differing Products?. Curr Dermatol Rep, 2, 135–143.

  • Siami P, Beasley K, Woolen S, Zahn J. (2012). A retrospective study evaluating the efficacy and tolerability of intra-abdominal once-yearly histrelin acetate subcutaneous implant in patients with advanced prostate cancer. UroToday Int J, June 5(3), art 26.

  • Siami P, Beasley K. (2012). Dutasteride with As-Needed Tamsulosin in Men at Risk of Benign Prostate Hypertrophy Progression. UroToday Int J, Feb 5(1), art 93. ​​https://www.urotoday.com/volume-5-2012/vol-5-issue-1/48691-dutasteride-with-as-needed-tamsulosin-in-men-at-risk-of-benign-prostatic-hypertrophy-progression.html

Why I Practice Medicine

  • Dr. Beasley began doing telemedicine while serving in the U.S. Army, providing dermatologic care for soldiers stationed around the world. This experience sparked his passion for telemedicine and inspired his commitment to expanding access to healthcare for patients across the United States. 

Hobbies & Interests

  • In his free time, Dr. Beasley enjoys cooking, reading, and trips to the beach with his wife and two kids (with sunscreen of course).

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