**11. Postoperative effluvium/shock loss**

Postoperative effluvium of preexisting recipient area hair occurs after near transplant, but significant effluvium is far less common. Postoperative effluvium causes recipient site creation, vascular disruption, or edema. It usually presents 2–4 weeks after surgery. However, the majority of the affected hairs begin to regrow after 2–3 months. To reduce postoperative effluvium, protection of existing hair during the recipient site creation should be noted, limiting recipient site size and density to prevent excessive vascular disruption and reducing postoperative edema. Postoperative minoxidil may reduce the incidence of this problem [8].
