It is normal to lose the hair transplanted within 2-3 weeks of the surgery. However, it seems that you applied more force while massaging which could have caused the scab along with the hair to fall off. After 10 days, you can apply aloe Vera gel for 30-45 mins which will soften the scabs and you can gently remove them with shampoo. Till that day you can just keep the area moist by spraying Normal Saline solution to decrease the scab formation. There is nothing to worry for the hair which have been lost with the scabs as the roots are already within the scalp so they should grow back.
What to expect a few days after hair transplantation
We recommend ‘no touch’ cleaning of the recipient scalp with a spray bottle for the first few days after surgery. At that point, the transplanted follicles are adherent to the adjacent scalp tissue and will not fall out. The hair shafts themselves may fall out, but this is not important to the ultimate survival and growth of new hairs.
It is very common for scabs to fall at seven days. The hair has fallen out but it has left behind the tissue that will grow a new hair in 4-8 months.
It is very common for the scalp to itch and for patients to sometimes inadvertently pick at their scalp. If you pick at your scabs this will damage your grafts. You have to retrain yourself to either not itch at all or use cool compresses for the itching.
This is normal. Just continue to take care of your recipient area as your doctor recommended. Everything will be fine.
Aggressive massaging 6 days postop may be dangerous. The first 5 washes after a HT should be very gentle. The next 5 washes should be intermediate, however since it is not easy to explain how the intermediate style is, we prefer to instruct our patients live. We advise not to hurry in cleaning the scabs and let them fall naturally between 7-14 days. If they still remain at 14 days than we advise active rubbing to get rid of the scabs in 1-2 washes.
Be sure to check with your surgeon for specific advice and direction. In general, it is normal to lose hair, crust and scabs at day 6-7 following FUE (and sometimes even earlier!)
The cells that produce a brand-new hair are likely still deep under the scalp. You need to get rid of these little hairs to make room for the new hairs to come up in 2-3 months
Hairs fall out earlier with FUE than strip.
When can I start massage my head after hair transplant done and how I do that massage?
If you like head massages, you can have them done after about 4 weeks following a hair transplant. They do feel good
If you have irrigated your grafts well, there is a simple solution to getting those crusts out of the recipient area. I have our patients irrigate their new grafts with a spray composed of Lactated Ringer’s solution to which I add Liposomal ATP to feed the new grafts energy, particularly in the first 4 days. At day 7, if there are any scabs remaining in the recipient area, our protocol is to have the patients put a decent amount of baby oil on the grafts and let it sit there for a half an hour. Then jump in the shower, shampoo a few times and most all of the scabs and crusts should just come right off.
The transplanted hair will have less risk of dislodging after 72 hours but still up to 8 days you should be cautious and careful. Sun exposure you should be very careful and should avoid it, you may use a loose hat for protection.
An FUE is treated just like a regular hair transplant with regard to the recipient area, but the donor area has open wounds which require daily washing with soap and water. Within 3 days of surgery, you can resume full activities, the recipient area requires daily washes as well to keep the recipient area free of crusts. we generally recommend the use of a sponge fill with soapy water and press on the recipient area daily. By repeating this daily, all crusts can be washed off without any fear of losing grafts. IF any crust is present, use a Q tip and dip it into soapy water, and roll it on the crusts and that will lift them off without dislodging them, but never rub them, just roll the Q tip on the recipient crust.
The best donor hair is from the back of the scalp. Body hair might be used in various clinic; however, the results might not be natural. Generally, only around 500-600 grafts can be harvested from body hair. The graft survival rate of body hair on the scalp is only 50%. The characteristics of body hair and scalp hair are not the same, for instance length, thickness, color and shading rate and cycle completely differ. For this reason, we do not encourage body hair transplant. However, on special conditions like reconstructive surgery after an accident/burn or some cases of alopecia causing scars, body hair can be considered as donor
Generally, our patients have very minimal swelling. However, in some patients they do get minor swelling between day 3-5 which lasts a couple of days. Applying Ice to the forehead can help as well as sleeping with your head elevated.
You can wear a hat after 48 hours of the transplant if you like, use a regular hat that does not touch or move the grafts. A loose-fitting bandana or scarf will work too.
At 6 months you can do pretty much anything you want to your hair (that you would do to normal hair, anyways), including getting a haircut or shaving it.
Any hair transplant patient must be willing to make a time commitment before realizing their dream of new hair growth. By the end of 1 year after a hair transplant, all the grafted follicles will normally be cycling through the growth process, and permanent hair growth will have resumed in all of the transplanted areas. We recommend waiting at least one year before contacting the doctor who performed the surgery.
Usually patients take off anywhere from a couple of days to a week after their FUE procedure. Recovery is fast, but most patients are worried about their haircut as the hair needs to be shaved down to the skin in the donor area. It takes about 10 days for the donor zone to look fully healed.
In regards to typical recovery, patients will vary in terms of how long it takes them to recover from their hair transplant procedures. In general, most people need three to four days in order to heal. After that, they may get on with their lives and resume their typical daily activities.
After the three to four-day healing process is finished, the follicles will be under the scalp. Infection risk will be quite low at this point. As well, any discomfort which relates to the operation should ease by the time that three or four days has passed.
With this in mind, you should plan some downtime after your operation. It might be three days or it might be a week. It depends on your schedule. Be sure to take time to rest and heal after your hair transplant.
In general terms, it takes 9 months (approximately) to see final results. For some patients, it can even be extended to 12 months.
Waiting 9-12 months is important before taking decisions on final outcomes.
Generally, after one month you can consider your hair being back to normal, and you can treat it however you would treat your normal hair. Dye, cut, and style away.
It’s best to sleep in a semi sitting up position. We recommend a Lazy Boy recliner if you have one. If not, 2 pillows usually work for most patients. This will help with post-operative swelling as well as inadvertently damaging the grafts while sleeping.