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HAIR TRANSPLANT
Post Operative Instructions

 "The key to a great result is meticulous aftercare"

Hair Transplant Aftercare FAQ

1. Do not touch the recipient and donor areas until the day you start washing them on day 3 (see Hair Washing Regimen below). 

2. Do not scratch the head at any time. It is important that germs are not transferred from your hands to the donor or recipient sites as this could cause infection. 

3. Keep the headband on for 5 days both day and night, you can adjust the size if too tight. Place icepacks after the operation over the headband for 10 minutes every half an hour for 2 days. These measures are to minimise swelling from spreading down to the eyes and face.

4. Eat a light meal following the operation for 2-3 days. Ideally soft meals with minimal chewing.

5. Sleep on your side or back but not on your stomach.

6. If you are given steroid medication (Prednisolone) in order to avoid swelling of the eyes and forehead, it is imperative that you do not add salt to your food for five days.

7. Do not drink any alcoholic drinks the day following the operation. Do not take any Aspirin or any medication containing Salicylic Acid the day following your operation. Also avoid the use of any non-prescribed substances for one week following the procedure. 

8. If you wear a hair piece you must not put it on for at least 7 days after the operation.

9. Avoid strenuous exercise for 14 days following the operation.

10. Do not turn your head upside down or lean forwards for the first 2 days after the operation.

11. Do not expose your head to direct sunlight for 14 days following the operation, if you go outside under direct sun, you will need to put a hat/cap. Avoid sunburn on the head for 2 months after the operation.

12. You should not swim in the sea for the first 3 weeks and should avoid swimming pools for for 2 months.

The following evening after surgery (24 hours at least), remove your headband and gently soak the bandage at the back of your head with warm water in order to ensure it doesn’t stick to skin as you gently peel it away. If at any time there is bleeding in 
either area, do not be concerned. Apply direct pressure with a dry, clean cloth until the bleeding stops. This may take several minutes If you have any concerns or questions, please contact us. Once this is completed reapply your headband. 

You may dry your hair with a warm, NOT HOT, hair dryer. Hair spray should NOT be used for the first week

At the time of surgery, your scalp was thoroughly cleaned of blood and crusts, but these will tend to re-form soon after your 
procedure. Care should be taken while cleaning the transplanted site during the 10 days following operation, During the first 10 days, the healing process of your body secure the grafts firmly in place. However, appropriate care of the recipient area will 
minimise crusting and make the transplant less noticeable and the healing more rapid [it is in your hand to reach the good results].

A spray bottle & saline water solution are supplied on discharge. You may use mineral/bottled water when the sterile water provided is finished. On the day of operation to day 3, you should spray the transplanted area vigorously every 30 minutes 
during your waking hours [for the first 6 hours], Put some towels around your shoulders while using the Spray and let the extra 
water drip down. Do not touch the transplanted hair. Once you have completed the 6 hours of spraying you should sleep for a few hours.

Washing: The first wash will be on day 3 following operation using a small amount of baby shampoo, on your finger pads, and gently apply the shampoo to the recipient area with a patting or rolling motion. Do not rub. Continue to follow the hair washing regime below:

IMPORTANT:  No chemical-based products such as hair colour, hair lacquer or sprays etc should be used on the head for 4 weeks following the operation. Shampooing or rinsing the transplanted area must be gentle for the first 10 days. 

DO NOT RUB, PICK, Or SCRATCH, as this may dislodge grafts.

Instructions

Day 3  – First wash to be performed on the third day following the operation. Wash the scalp with the baby shampoo; tapping gently over the transplanted area. Use your fingertips over the donor areas and rinse off. Rinse off very gently and avoid a strong shower stream.

Day 4 – No Washing

Day 5 to 13 – Wash the scalp with the baby shampoo tapping gently over the transplanted area. Use your fingertips over the donor areas and rinse off. Rinse off with warm water. NO shower jet stream over the transplanted area.
To avoid any harm to the transplanted area, we advise you let the scalp air dry or the use of a hair dryer on a low setting. If needed, dry the transplanted area with a paper towel. Gentle dabbing is advised and avoid rubbing. Towels can be used in other areas of the scalp.

Day 14 – Apply the shampoo on the transplanted area using circular massage movements and keep it on the scalp for 1 hour. Rinse off. Dry skin crusts should fall off by day 14.

Day 15 onwards – At this point you can go back to your usual shampoo if you wish. For follow up purposes we provide aftercare consultation review after 4,6 and 12 months.

– If the scalp becomes too dry, you should switch to moisturising conditioner on the sixth day and continue showering using the baby shampoo only and conditioner moving forward. Resume your normal shampoo after 10 days (try to use natural type shampoo).

– If the grafts are soaked too long, they may swell and rise above the skin surface and appear as little white bumps immediately after showering and for the first few days after the operation. It is not harmful to grafts, but indicates that you are soaking too much. As soon as you allow your scalp to dry, they will disappear. 

– Transplanted Hair shedding is expected for the first 4 weeks after the operation. It is a normal process and should not be a concern. The healthy hair follicles are firmly in place at 10 days after the operation and cannot be dislodged. 

– Please note that when hairs are shed, there may be a crust at the top and a bulb at the bottom. Remember the bulb is not the root (the growth part of the hair follicle). It is normal for the hair, bulb and associated crust to be shed and this does not represent a lost graft. If a graft is lost (something that may occur the first few days following the operation) there will be bleeding at the site of the lost graft. Therefore, if you don’t see any bleeding, don’t be concerned. 

Do not use tar shampoo (a dark-colored, medicated shampoo used for psoriasis) on the transplanted area for 10 days following your operation, as this may interfere with the growth of the grafts.

Medication plays an important role in aiding your recovery, managing the pain and also preventing or limiting the side effects. We provide a range of medication to ensure just this. 

The medication we provide are:

Flucloxacillin – an antibiotic. Helps prevent any infection post procedure. 

Prednisolone – steroid and anti-inflammatory agent. Mainly to reduce the inflammation & helps with reducing swelling that may occur to the forehead and around the eyes post op., It is important that once started you don’t suddenly stop it and must be weaned down slowly [any concerns, please contact your GP or seek medical advice].

Day of Operation – Flucloxacillin 1 tablet 4 times a day

Day 2 – Flucloxacillin 1 tablet 4 times a day. Prednisolone 7 tablets in the morning.

Day 3 – Flucloxacillin 1 tablet 4 times a day. Prednisolone 7 tablets in the morning.

Day 4 – Flucloxacillin 1 tablet 4 times a day. Prednisolone 7 tablets in the morning.

Day 5 – Flucloxacillin 1 tablet 4 times a day. Prednisolone 7 tablets in the morning.

Day 6 – Flucloxacillin 1 tablet 4 times a day.

We advise you to follow the medication regime below. Please take care in ensuring you take the appropriate medication at the correct timings. If you have any questions, please do not hesitate to contact us or speak with your GP or seek medical advice/ A&E.

Additionally, you can use the following medication as required:

If you experience itching to the scalp and it becomes intolerable, An antihistamine can be used. In such case you can take Piriton 4mg three times a day or Cetirizine 10mg once daily (which can cause drowsiness). Both are readily available over the counter medications.

If you experience pain, you can take paracetamol 500mg, two tablets every six hours for two days then at the patient’s discretion; if the pain persists then please seek medical advice (GP or A&E).

*PLEASE CONSULT YOUR GP BEFORE TAKING ANY MEDICATION.

1. Swelling: this is quite rare but could occur usually 24 to 48 hours after the surgery. You may notice some swelling in the forehead, which may travel down towards the eyebrows. This will resolve itself, without intervention, usually 48 to 72 hours after it begins. Raising the top of the bed will help.

2. Bleeding: there may be some bleeding directly after the surgery from the donor area, if any bleeding occurs, it is important to apply pressure with some gauze for as long as it takes to settle.

3. Pain: sometimes pain can occur in the donor, the transplanted area or your neck area due to the procedure/ the position, then Paracetamol is recommended for this.

4. Numbness/Tingling: these sensations in the recipient area sometimes occur. It can last from few weeks to a few months and will fade without intervention. 

5. Infection: there is a very low risk of infection as with any surgery. You should return to the clinic if you feel there is any signs of infection such as localised redness, pain…etc.

It’s common after a hair transplant to have:

  • a tight, achy and swollen scalp for a few days
  • temporary scabbing where the hair was transplanted
  • a single scar or a number of very tiny incisions 

Beard transplants are pretty straightforward when it comes to aftercare. Don’t touch your face for 10 days and keep the area clean at all times.
Gently wash your hair with baby shampoo and it will trickle down and magically cleanse your new facial grafts.
Redness should subside after about a week and you can shave again after a fortnight.
Don’t be alarmed when most of the new hairs fall out after a couple of weeks. This is entirely normal and new hairs will grow from the transplanted grafts in 3 or 4 months. You will need to be patient and allow at least 12 months for your new beard to thicken up.