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An Analysis of Risk Factors of Recipient Site Temporary Effluvium After Follicular Unit Excision: A Single-Center Retrospective Study

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  • Facial Surgery
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Abstract

Background

Temporary hair loss at the recipient site after hair restoration surgery is called shock loss (SL). This study analyzed the risk factors for SL among patients who received follicular unit excision.

Materials and Methods

This study included 621 patients (554 males and 67 females). Twenty-three patients had SL (9 males and 14 females with a mean age of 40.8 years). The prevalence of SL was analyzed in relation to sex, age, graft follicular units, cause of alopecia, diabetes mellitus, smoking, drinking alcohol, and local anesthesia agent.

Results

Sex was identified as a risk factor for SL (odds ratio [OR]: 30.18; 95% confidence interval [CI] 9.43–96.55; p<0.001). Among female patients, age was identified as a risk factor for SL (OR:1.07; 95% CI 1.00–1.15; p=0.039). Over 40 years, the female pattern hair loss group had a significantly higher risk for SL than a female cosmetic group younger than 39 years.

Conclusion

Sex was the only risk factor found for SL in this study. In addition, age was identified as a risk factor for SL among female patients. We believe our results provide information and risk factors for SL, not only for hair transplant surgeons, but also patients who will receive follicular unit excision.

Level of Evidence IV

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Yamanashi University, 1110 Shimokato, Chuo City, Yamanashi, Japan

    Hiromi Okochi & Akira Momosawa

  2. Shinwa Clinic, 2-12-4 Shinjuku, Tokyo, Japan

    Masamitsu Onda

  3. Department of Plastic and Reconstructive Surgery, Teikyo University, 2-11-1 Kaga, Itabashi, Tokyo, Japan

    Masayuki Okochi

Authors
  1. Hiromi Okochi
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  2. Masamitsu Onda
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  3. Akira Momosawa
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  4. Masayuki Okochi
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Corresponding author

Correspondence to Masayuki Okochi.

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Conflict of interest

The authors declare that they have no conflicts of interest to disclose.

Ethical Approval

The study was approved by the Institutional Review Board of Shinwa Clinic (IRB No. SC-2022-02) and performed in accordance with the principles of the Declaration of Helsinki.

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The patients provided written informed consent for the publication and the use of their images.

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Okochi, H., Onda, M., Momosawa, A. et al. An Analysis of Risk Factors of Recipient Site Temporary Effluvium After Follicular Unit Excision: A Single-Center Retrospective Study. Aesth Plast Surg 48, 1258–1263 (2024). https://doi.org/10.1007/s00266-023-03699-z

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  • DOI: https://doi.org/10.1007/s00266-023-03699-z

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