Pre-Operative Instructions

Pre-Operative Instructions prior to Hair Transplant 

To have the best results, it is important for you to follow these instructions and contact the oce with any questions or concerns.

Your hair transplant procedure will likely take the entire day, depending on the amount of grafts actually placed. Small procedures of 500-750 grafts can often be completed in half a day. The length of the procedure can be prolonged, depending on the individual. Examples would include excessive bleeding, blood pressure issues, graft placement popping and patient comfort issues. To minimize any potential challenges during your hair transplant procedure, it is important for you to follow these instructions before and during the procedure.

 NOTE: PLEASE MAKE SURE THAT YOUR FUTURE WORK AND SOCIAL SCHEDULE ALLOWS FOR A HAIR TRANSPLANTATION CASE TO BE PERFORMED ON THE DATE CHOSEN. By scheduling on a particular date, you have taken into consideration an appropriate timeframe after your procedure to conceal/protect the grafts, allow shaven scalp regions to fill in with typical hair growth and allow for any potential facial swelling to resolve.

One week before the procedure:

  • Discontinue: Aspirin, Ibuprofen, Vitamin E and Herbal Supplements. This would also include, Motrin, Advil, Aleve, Echinacea, Gingko Biloba and Vitamin E supplementations. By holding these medicines/supplements one week prior to the procedure, you minimize the chance for bleeding during the procedure and/or prolonging it. Also watch for any cold medication formulas including Goody’s Powder, Alka-Seltzer, and other combination cold and flu over-the-counter medications which may contain aspirin and/or ibuprofen
  • You are able to take Tylenol prior to the procedure with no restrictions other than taking recommended dosing per package.
  • We recommend taking vitamin c 1000mg, 3 times per day, since this may help with healing and also decrease the chance for bleeding during the procedure.
  • If you are taking a daily blood-thinner/anticoagulant such as, but not limited to Aspirin, Coumadin, Plavix, Aggrenox, Eent, Pradaxa, Eliquis and Brillinta. You will need to discuss with the hair transplant physician and clinical team prior to the case. We will need to coordinate with the prescribing physician (Primary Care, Cardiologists or Neurologists) to receive clearance/instructions for holding the blood- thinner prior to the procedure and instructions for restarting after the procedure.
    • It is recommended that Aspirin, Plavix and Aggrenox be held for at least 10 days prior to a hair transplant You must get clearance from your physician prescribing these medications and have your physician allow for these medication to be held for this duration.
  • The length of time for holding Coumadin depends on blood work including PT/INR which will need to be drawn one day prior to the procedure. The recommended PT/INR need to be close to 1.0 to prevent bleeding during the procedure. You must get clearance from you physician prescribing Coumadin and have your physician allow for it to be held so that the PT/INR approach is 1.0. Coumadin can be restarted the day following thee procedure and arrangements will need to be made with the physician managing you Coumadin for follow-up dosing and appropriate lab work.
  • Typically Eent, Pradaxa, Eliquis and Brillinta can be held for 48 hours prior to the procedure and restarted one day following the procedure - this depends on the instructions we receive from your prescribing physician. Again, instructions for holding blood-thinners are determined by your prescribing physician to decide an appropriate time frame for holding the medications prior to the procedure and provide restart instructions the day following the procedure.

It is your responsibility to communicate with us and your specialists to get proper instructions concerning all of the above. 

  • To prevent the risk of bleeding during and after your hair transplant procedure, please refrain from heavy alcohol one week before and after the procedure. 
  • If you smoke or use other nicotine products such as chewing tobacco, snuff or electronic cigarette, it is important for you to know that nicotine can cause blood vessels to constrict which reduces the oxygen to the transplanted grafts. By using nicotine one week before and after the procedure, your inability to receive optimal results from hair transplant surgery may be compromised. Please refrain from using any nicotine products one week before and after the procedure. 
  • If you are taking Rogaine, please discontinue it one week prior to the procedure and it can be restarted approximately one month following the For those taking Propecia, just hold it the day of the procedure, resume the following day and then continued as prescribed.
  • Avoid strenuous activity and exercise 3 days prior to If you are a body builder or do strenuous cardio exercises, please refrain from those activities for 3 days prior to surgery to decrease the risk for bleeding during and after your hair transplant case. You may do light weight exercises, walking and stretching without restrictions.
  • If you color your hair, color it the week prior to the hair transplantation By coloring your hair, it does allow better visualizations of gray hairs that could be used from your hair transplant. Please use your typical hair coloring technique - no special formula is required.

Please keep in mind you cannot color your hair for 8 weeks after the procedure.

Instructions for the morning of your procedure: 

  • Wash your hair with Hibiclens by mixing in a 50/50 ration with your own shampoo. This will decrease the bacterial load on your scalp reducing the chance of infection. It is important not to get any Hibiclens in or around your eyes, since significant irritation and potential corneal scarring can occur. We will provide the Hibiclens to you, or you can purchase at the pharmacy.
  • Arrange for transportation to and from our office. This is required for anyone receiving any kind of oral sedation/pain medication on the day of the procedure.
  • Make sure that you have all of your prescription medications filled at least the day before the procedure. Prednisone, pain medications and sedation medications. You will need to bring these medications to the office with you on the day of your hair transplant.
  • You can eat your typical dinner and snack the night before the procedure and there is no need to hold after midnight.
  • Eat a small breakfast the morning of and this can include coffee.
  • If you are on daily prescribed medications through another physician, take them as prescribed prior to coming to the office. Also, if one or more of your medications requires taking it later in the day, let us know so that we can build it into the day’s schedule.
  • You will also be provided with lunch and snacks during the day, so there is no need to bring in food, unless you have special dietary needs and considerations.

Items to have on hand prior to surgery:  

  • Tylenol
  • Benadryl
  • Ice Packs/ Frozen green peas in bag
  • Neosporin with Pain Relief

What to wear on the day of your procedure:

  • T-shirt you do not care about
  • Button down shirt to wear over the t-shirt
  • Comfortable pants (i.e, sweat pants)