Post-Operative Instructions following Hair Transplant
To have the best results, it is important for you to follow these instructions and contact the oﬃce with any questions or concerns.
At the time of discharge from the procedure: You will be receiving a “goody bag” when you leave the oﬃce following the hair transplant. Let’s look at each item individually.
You will be receiving a “goody bag” when you leave the oﬃce following the hair transplant.
- Coban Wrap: FOR A SHAVED FUE ONLY: We provide Coban to rewrap the dressing around the head for the donor site. You may not have to rewrap, since the Coban and donor dressing can be discontinued and taken oﬀ in the morning. If there is any excessive bleeding in the donor area after the dressing is removed please apply gentle pressure and consider reapplying the non-stick gauze over the donor site and wrap the Coban around the head to secure it down. It is important to not touch the grafts if reapplied.
- Gauze: gauze pads are to help with any mild bleeding and Be EXTREMELY careful on the newly implanted grafts.
- Liposomal ATP Spray bottle: It is important for proper graft healing and Please spray every hour over the graft area (not the donor area) until the bottle is gone. Keep the bottle in the refrigerator.
- The blue Chuck pad and pillowcases are used to cover your pillow or chair.
- Neosporin: Spray Neosporin to the donor site only as needed over the next couple of weeks to prevent drying of the donor area and to also promote healing.
Post-Op Day 1 - The day after your procedure:
Typically, post operative Day 1 is a day to relax and not to do a lot of physical activity. Upon awakening, go ahead and remove the Coban dressing (if applicable) around your head and look for significant drainage in the donor area after removing the dressings - you may reapply the Coban if there is any significant drainage. You can reapply Neosporin ointment over the donor area, but once the dressing comes oﬀ, it is advised to leave the donor area open to air without a dressing.
It is best to alternate between a flat and a reclined position for much of the day to allow proper drainage of the scalp and to prevent drainage into the face. Place a package of frozen peas/ice pack on the forehead for 1 to 2 minutes every 15 - 30 minutes during Day 1 and Day 2 to prevent facial swelling. When placing frozen peas on your forehead, make sure that the pea package is at least 1 inch away from any transplanted grafts.
Post-Op Day 2:
Continue the same care as on Day 1. This day is typically a better day with respect to pain and swelling, but some have an increase in pain and swelling. If that occurs, then restrict your activity more and continue using the frozen peas. Please call the oﬃce with any questions or concerns and report any severe pain complaints, bleeding or swelling. Continue with the Prednisone and post-op pain medications as prescribed.
Post-Op Day 3 to 10:
You may begin washing your hair 48 hours after the procedure. It is important to wash your hair at this time to clean oﬀ postoperative blood and drainage and also decrease the bacterial count in the area. Care must be taken around the graft area. It is best to fill a container with a little bit of mild shampoo and water, cover your new grafts with your closed fingers and pour over the graft area allowing the water to run through your fingers over the entire head and graft areas. You can shampoo the donor area, but do not vigorously scrub or rub oﬀ scabs.
Rinse the head in the same manner. During this time, it is important to NOT use a hair dryer or towel. Allow the hair to air dry. You should wash your hair in a similar manner all the way until Day 10.
DO NOT ALLOW DIRECT PRESSURE FROM THE SHOWER HEAD!
General Post-Op Information:
- Refrain from alcoholic beverages and nicotine for at least 7 days after the procedure. Refrain from Ibuprofen (Advil, Motrin) Naprosyn (Aleve) and Aspirin for 72 hours after the procedure. You may use Tylenol.
- In occasional instances, minor bleeding may occur from the transplant site and/or donor area. This can be controlled by applying gentle pressure over the area for up to 5 - 10 minutes with a gauze pad which we will provide for you. Press ONLY, do not rub.
- IF SHAVED, Remember to take oﬀ the post procedure bandaging the morning following the procedure and you may reapply as needed for the next 48 hours. If there is minimal to no bleeding from the extraction site at the back of the head, re-bandaging is not required.
- For the first 2 weeks after the hair transplant procedure, be careful with too many strenuous activities and bending over - this can cause increases swelling and negatively aﬀect the long-term results.
- Weightlifting and intense workouts should not be completed for at least 14 days. Most activities in the workplace and around the house can be resumed a day or two after the procedure if there is no significant pain or swelling.
- Be sure to take all medications provided to you, including the postoperative Prednisone which will assist in decreasing swelling and improve Take only as directed.
- You may wear a loose-fitted hat following the procedure to conceal the surgery. Make sure that the hat does not come in contact with the graft area.
- Keep your scalp out of direct sunlight for at least 4 weeks. A baseball hat with a UV protection is recommended.
If excessive bleeding occurs anywhere in the scalp and cannot be stopped by firm pressure and application of bandages after 20 minutes, then call our oﬃce immediately. If for whatever reason, you cannot reach our oﬃce, then proceed to the nearest Urgent Care Center or Emergency Room.
Important Information Following Your Hair Transplant:
- For the first 4 weeks, some patients can experience intermittent swelling, intermittent bouts of pain and cramping as well as skin irritation and small pimples. It is important not to rub the donor site which can be quite painful if overly massaged.
- Remember that swelling is typically minimal in the face, but can travel down from the forehead and around the eyes. When the swelling occurs, it can be present for 5 - 7 days prior to resolving completely.
- It is not unusual for newly transplanted hair to fall out after the first week and it often times connected to the scab once it falls oﬀ. This is a typical part of the healing process.
- The initiation of actual visible growth of newly transplanted hair generally takes at least 4 months. During this time, the graft recipient site may have some redness and tightness. In addition, pimples may form around the newly transplanted graft areas as individual hairs emerge through the skin.
- Between the fourth and sixth month, typically only 20% of the transplanted hair will be visible. Often the hair that grows during this period is thin with poor colorization. In time, they will continue to mature into thicker and stronger hair.
- Between the 6th and 8th month, more hair will emerge so that by the end of the eighth month 50 - 60% of final hair growth should be visible.
- By the 12th month, the final growth of the transplanted hairs should be achieved as well as the final aesthetic look. There are however, some individuals that even require more than 12 months including even up to 18 months - this is related to the overall maturation of the hairs to become thicker and stronger to get to the final desired hair volume.
- If there are pre- existing hair around the transplanted grafts, it is not uncommon to have some shock loss related to the existing going through a stress period. The shock loss of pre-existing hairs is temporary and last approximately 3 - 6 months after the transplantation.
- The maximal benefit from a hair transplant usually occurs after 12 months.
- It is always important to remember that hair loss is a progressive condition and other areas outside of the transplanted graft recipient area may thin. Additional hair transplant procedures may be required or other non- transplant procedure such as Platelet Rich Plasma/ACell injection therapy or maintenance and or laser light therapy or medication management may be required to meet your desired goals.
Important Timeline Items:
Day 1 - You may resume light walking and very light exercise. May resume Propecia Day 11 - You may use a hair dryer, mouse, gel, and hairspray
You may apply hair conditioner on remaining scabs and rinse oﬀ gently after 20 minutes.
Day 14 - May resume more strenuous exercise including running and some weight training and may resume swimming.
Day 30 - May resume intense exercise and weight training. May resume some sun and cold exposure. May resume Rogaine
Day 60 - May color hair with a semi- permanent dye for the first coloring only, then as normal
- All hair transplant patients have access to our in-oﬃce Laser Light for four weeks after the procedure to help with hair growth. It is recommended that there be a strong consideration for the purchase of a Laser Cap for long term laser light therapy at home.
- There may be some benefit to use Biotin, Zinc, B-complex Vitamins and Vitamin C during the first month to assist with the healing and hair growth, although there is limited research supporting their use.
- If you had a great experience with your hair restoration procedure, then refer your friends and family who may be suﬀering from hair loss. You can also like us on Facebook and Yelp or write a review.
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