Please explain the hair loss pattern

Does hair loss occur in "clumps" or is the thinning pretty consistant? I currently have very thick hair.. it has been one of the few things I have been proud of over the last years.. and I need to be prepared for what is about to happen. My surgery is in a little over a week. I am panicking. I know the weight loss will be worth it but I am still worrying. Also, I have trichotilomania. which I've been able to conceal because of my thick hair.. I'm just wondering how everything is going to work together...

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