Gordon Ramsay shock fall out confused?

[Matthew]

I just recently found out Grodon Ramsay had a hair transplant this year, I was shocked. I'm a big fan and never noticed hair loss with him
So from what I've read, he did that as a preemptive strike against future loss....but I'm confused, if he got a transplant in an area where he still has a lot of hair, wouldn't he experience shock fall out? (this is what I read in Spencer's book along time ago)

[mattj]

I haven't seen much of him lately so I don't know how his result turned out. I remember thinking that there wasn't much sign of him having had work done, other than the post-op facial swelling he displayed in some photos. So perhaps, like you say, he only had grafts planted within his native hair where they would be hard to see.

A surgeon wouldn't normally plant hairs into areas with no significant reduction in density, but they will often add density to areas which have thinned out to an extent that there is plenty of space between hairs to safely place the grafts. That might be what was done in Ramsay's case.

[Matthew]

yes he prob got it transplanted to thinning areas
but
I thought it affected all areas around it causing shock fall out?

[mattj]

I'm not sure if you're thinking more of permanent shockloss or the temporary sort.

Temporary shockloss, like the name suggests, grows back after surgery, often returning roughly at the same time as the transplanted grafts sprout.

Permanent shockloss is generally more likely to effect hairs which have become thinner and weaker due to the effects of hairloss. When planning surgery, the doctor might in some cases work on the assumption that these hairs will soon be lost with or without surgery.

If the grafts are packed very close to hair, even strong, healthy hair, then permanent loss can occur. This is why the doctor will need to make a judgement based on the native density, which if already dense will present a risk that hair might be lost for every follicle transplanted.

It's important to note that I'm just trying to explain things in a general sense and that each head of hair, and therefore each surgery plan, is different. Likewise, different surgeons will have different approaches.

[Dr. Glenn Charles]

Most likely the areas were he had the hair transplants were in fact thinning. He probably used concealers or hair styles that did not allow the average observer to notice it.