Post Procedure

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Post Hair Transplant Procedure

Patients are rightly concerned about how they will look immediately after surgery. The area where the strip is removed from the back of the scalp will not be visible because the overlying hair shingles over it unless the patient wears his hair in a very close cut. The recipient area in front or on top, is the area that will be noticeable to others.

The only time this may not be true is when the patient has a fair amount of existing hair in the recipient area prior to surgery. In fact, for patients interested in hiding the early stages of the transplant, the recommendation is that they allow their hair to grow out more. Many patients mistakenly presume that the preexisting hair in the recipient area is shaved during a transplant. The only area that is actually shaved is the thin donor strip that is excised in back.

The area of the scalp where the hair is implanted will have numerous, single, 1 to 4 stubble hair follicular units with small crusts on top of each graft protruding from the skin. These crusts, or miniature scabs, will fall off in seven to fourteen days depending on the patient’s rate of healing. The pinkness usually resolves two to six weeks later and is not particularly noticeable unless the patient has no preexisting hair. Even then, it tends to look like a sunburned area.

If a patient wants to use one of the many topical camouflaging agents available to balding men, waiting until the crusts come off is advisable. Similarly, if a patient is transitioning from a hairpiece to a transplant, the advise is not to wear the hairpiece until after the crusts have fallen off. Some surgeons firmly believe that wearing a hairpiece after a transplant can lead to poor growth. Wearing a hat after surgery is the easiest way to hide what has been done.

Shampoo and Cleanliness

The patient should begin shampooing the first morning after surgery. Many patients are scared to shampoo, but it is actually very important to cleanse the area and remove any excessive, dried blood. Patients who do not shampoo tend to develop a large, confluent scab that retards healing and makes the area more prone to infection. Shampooing is performed in a very gentle fashion for the first ten days. Rather than scrubbing the scalp, the patient gently lathers and then pats the scalp. Instead of washing the lather off under the showerhead, a cup of water is repeatedly poured over the area until the shampoo is rinsed out.

Each surgeon will have his favourite way to treat the recipient area after shampooing. Some will ask the patient to apply a variety of ointments. Others will ask him to perform repeated soaks and keep the area misted with saline spray. Still others will have the patient do nothing to the area except shampoo. Patients may style their hair as they like, but are cautioned about running a comb or a brush too roughly through the scalp for fear of pulling out grafts before they are healed. We advise against the use of hair sprays, gels, or Rogaine on the transplants for the first week. The advise is to use their blow dryers on lower settings both in regards to heat and force.

It is not at all uncommon for a few follicular units to “pop out” the first few days after the procedure. If so, the patient might notice fairly brisk bleeding. The patients are instructed to simply hold pressure over the spot with gauze wrapped around a finger for about fifteen minutes. We stress that they should not try and re-implant that follicular unit for fear of causing other nearby ones to fall out too, reminding them that losing a few will not hurt the final results.

After the Procedure Advise

For the first two weeks after a transplant, patients are instructed to avoid heavy lifting, running, or swimming. Walking for exercise is fine. If their work is not strenuous, most will take one or two days off just to be sure they are feeling good before going back.

A variety of medicines are frequently provided after surgery. A steroid such as prednisone may be given to help reduce the frequency and severity of swelling. Antibiotics are used to help prevent infection. Finally, pain pills are provided for use as necessary.

In regards to pain after the procedure, in general, patients are pleasantly surprised. The recipient area is usually not particularly painful at all. The excision site in back is what is frequently tender for a few days. That is only natural as it is like any other surgery site. Many patients either use no pain pills or just use them for a few days. Patients will notice a bigger difference with the FUE Hair Transplant Technique.

How to “Camouflage” the Procedure

If a patient is interested in trying to hide the fact that he has had a transplant during the regrowth stage three to five months after the procedure, one trick that helps is to change the hair style at about three months. A man, especially, may want to cut his hair very short and keep it short as the new hair grows in. Then, after most of it has grown in, he can let it grow to the length he wants to keep it.

Most people will have forgotten what he looked like before he cut his hair short (i.e. before the transplant grew) so that the change in his appearance is usually explained as him just letting his hair get longer.

It is common for the patient to want to judge the results of his transplant as soon as the hair starts growing in. There are several problems with judging too soon. First, some hairs may be slower growers. Sometimes it takes these hairs longer than five months to start to grow. Second, the hair will appear more dense the longer it grows.

It is not uncommon to have a patient want a second transplant six months after the first. It is advisable to wait another six months so that new hair has gained some length and the patient has become accustomed to styling it, leading to the realisation that there is no need for another transplant.

On occasion, there are patients who do not believe that the new hair actually grew. This only occurs when a transplant is performed within preexisting hair. When it grows on the scalp with someone who was completely bald, there is no question. The fact that a man might question whether it grew is an attribute to its naturalness.

Since the transplant does not begin to grow for three to five months and since it may come in a little at a time, when it actually has grown in, the change may have occurred so gradually the patient may not remember what he looked like at the beginning. At these times, it is helpful to show the patient how an expert can tell the difference between a natural and a transplanted follicular unit.

With a natural occurring follicular unit, there is a very a small amount of skin present between the hair shafts when they exit the skin. This small amount of skin is absent between the hair shafts of a transplanted follicular unit because of the compression of the graft during healing. The difference can only be distinguished with very close observation.

Patient Testimonials

Aside from achieving fantastic results, we believe that keeping in touch with our patients before, during and after their hair transplantation procedure is paramount – it helps to keep our patients feeling calm and in control. We’re always on hand to provide guidance, support and aftercare advice. Time and again, our patients tell us that this is what sets us apart from other clinics.

You can read our great reviews of FUE hair transplants over on Google and TrustPilot

Samantha Mccallum
Samantha Mccallum
25 June 2024
My experience with Harley Street Hair Transplant has been fantastic straight from my first communication on 27/04/24 which was about my eyebrow hair transplant with the amazingly lovely Sara (Lead Patient Advisor). Was only 3 days later my free consultation via video call with the amazing Doctor Mohammed Ditta. Dr Ditta has a great energy and shows his compassion and confidence on helping me to get the confidence back from total eyebrow hair loss, which I never deemed possible. He was very informative of the procedure that was being held in Manchester clinic and putting me at ease by answering all my questions. So as of 20/06/24 I am now on day 5 post op and it has been a journey. Sara has been with me every step of the way answering all questions, checking in on me regularly and supporting me through this process. Day of procedure was so settling that I didn’t have time to be over thinking. The very cheerful warm welcoming lady at the front of house on entry to then being greeted by harley street hair transplant director Yannis who is great, he was funny, welcoming and just so caring, being supportive throughout the whole procedure popping in checking on me and even helping me exit building after procedure which to me is a company of kindness. Dr Ditta in person was fantastic with warm energy and patience he explained everything in detail ensuring my comfort throughout the procedure and his two lovely girls on his team were amazing. He ensured I had an understanding of the after care process to ensure best results and ensuring support from the company if anything is needed. Still having regular communication ensuring my recovery is still going well, which is it!! Confident in my eyebrow hair transplant journey!
G fitmarp
G fitmarp
24 June 2024
Great clinic with friendly and experienced team. I wanted my surgery done in the UK and found the clinic on Google. Process started with virtual consultations with patient advisor and then with the surgeon. FULL costs were given up front, with good finance options available. On the day I designed a new hairline with the surgeon and ended up getting about 1600 grafts iirc, which was good value for money. Clear pre- and post-op instructions given and recovery has gone as expected. Now waiting patiently for regrowth :)
Julie Burhnam
Julie Burhnam
12 June 2024
If anyone is thinking big having this procedure done I would highly recommend it to be done here. I’m so excited to see the new hair growth starting and it’s only 3 mths since the procedure. The surgeon was absolutely first class and the after care is amazing. Regular check ups and in between checks you can pick the phone up and speak to them even if it’s just for reassurance.
anthony page
anthony page
10 June 2024
I visited the clinic near Manchester a little over a month ago and have been very happy with the service to date. It's too early to see the results yet but I am pretty optimistic as it all went to plan. The engagement before, during and after was faultless. Quick responses to any queries and good after care/follow up. The day itself, as expected, is quite long and be prepared for possible swelling after. The first few days after it were a little rough, but that was explained to me before hand. That said, i was up and out and about by day 3 and worked from home OK throughout all of it. The surgery itself went well and I was very impressed with Dr Tetiana and her team, they helped a long day go as best as can be expected, worked hard and were good company throughout. Sara has also followed up regularly since. Very happy to recommend and good luck!
patrick boyd
patrick boyd
13 April 2024
Very happy with the process so far. With a busy schedule I wasn’t too sure about taking 2 weeks of work but we managed to get the procedure booked within a month or so of my initial consultation so I was able to plan around it all easily. The team were very helpful in assessing my aims and suitability for the procedure and answered all my questions and concerns. They also offered the use of a facility in Manchester which I preferred so I wouldn’t have to use public transport post procedure. The procedure itself was a little uncomfortable at the start but I understand this is completely normal until the numbing kicks in. Both Dr Ditta and the two technicians were very experienced and comforting during the procedure. They handled my complications easily and I knew I was in safe hands. I had initially been looking at 1900 grafts but when we sat down to design my hairline more grafts were needed and I had a healthy donor area so we upped it to 2500 grafts at no additional cost. Currently on day 12 post procedure but the scabs came off on day 10 ahead of schedule, my aftercare routine was explained clearly and I was given everything I needed. My advice to anyone considering a transplant is that the procedure itself and the day after are a little rough but worth it. It’s definitely a big factor knowing your surgeon is experienced and you’re in good hands. I’ve recommended the team to friends of mine who are considering the procedure and would encourage people to use the team at the Harley Street Hair Transplant Clinics.
Sav fandi
Sav fandi
12 March 2024
I was a bit nervous before the procedure but it was a very comfortable environment there. I was well taken care of and the results now are incredible! Many thanks to the team!
James D
James D
18 February 2024
Would highly recommend. Everyone I had the pleasure of dealing with was so friendly and helpful. I had help with travel and accommodation and i was so well looked after before, during and after the procedure. I'm very thankful and now just waiting for the results.
WatchTheHorison
WatchTheHorison
30 August 2023
Welcoming staff. Nurse and doctor was lovely. No issues parking and coffee while you wait.
Mazza Ellerton
Mazza Ellerton
23 August 2023
Great experience. Made to feel really comfortable throughout the whole day and would highly recommend
Tom Francis
Tom Francis
23 August 2023
If you are thinking about it - go for it! Looked after, day went smoothly and worth it - let’s wait and see for the progress.

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