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Before and After Hair Transplantation

Pre- And Post- Procedure Instructions for Hair and Beard Transplant

The following instructions should be followed before and after any hair transplant procedure. Should you have any inquiries, please contact us.

This procedure will take a full day. Please plan on being here all day. The length of the procedure is determined by a number of factors, such as the amount of grafts, how well the procedure is going, blood pressure, if there is unusual bleeding or graft popping, etc.

You may need to come to the center the next day for bandage change. You will come on the third day after the operation for washing your head (or beard) for the first time after the surgery.

Two Weeks Before Your Procedure:

1- Stop taking any medications or vitamin supplements that contain aspirin or ibobrufen, or herbs, or vitamin E as they increase the risk of bleeding (please consult with your doctor in case you are using any for medical issue).

2- Do NOT cut or shave your hair (or beard) especially the back of your head (the donor area).

3- Please check the medical history form sent to you and inform us about any medical problem you have. If you have ever experienced high blood pressure, diabetes, asthma, chest pains or palpitations, liver or kidney problems, sleep disorders, or shortness of breath, it is extremely important that we have this information.

4- It is highly important to inform us if you have hepatitis B or C or HIV. If you are not sure or if you have suspicions, check that by doing blood tests and inform us with the results.

One Week Before Your Procedure:

1- Refrain from alcohol intake one week before the procedure and one week after (It makes you likely to bleed during the surgery.

2- Refrain from smoking and all nicotine products.          

3- Refrain from heavy physical exercises 3-7 days before the surgery. Refrain from taking any type of supplements if you are using any.

4- Please do NOT color your hair one week before the procedure.

Night Before Your Procedure:

1- Wash your hair (or beard) and take a bath.

2- Sleep early and do not strain yourself.

On the Day of Your Procedure:

1- Do NOT wash your hair (or beard).

2- Have healthy breakfast.

3- Do NOT drink coffee.

4- Wear comfortable clothing that does not need to be pulled over your head. A button down or zippered shirt is easiest, and we recommend you wear sweatpants for comfort.

After Your Procedure:

The day following  your surgery is considered post-operative day 1.

Special Note:

After your transplant, you may shower your body only as long as the hair (or beard) is kept dry. Do not let the force of the water hit the grafts or attempt to wash any portion of the hair for 72 hours after the procedure.

Wound Care:

1- To minimize swelling, apply an ice pack or frozen peas over the eyebrows for 15 minutes every hour, NOT on the grafts and  four fingers away from the hairline (after hair transplant only).This swelling may last for a couple of days after the procedure and may travel down below the forehead to the eyes.

2- You should expect to see small “scabs” at many of the graft sites. These will usually fall off within 7-14 days. Please do NOT pick them off; you may disturb the newly planted grafts.

3- A dressing is applied to your head by our medical staff after the surgery, leave it in place until your first follow-up visit on post-operative day 1, at which time it will be removed or changed by our staff.

4- You may experience the hair in the grafts falling out over the first few weeks after the procedure. This is expected       and your new hair will start growing approximately 4-6 months after your procedure. In rare instances, additional hair in the area of the transplanted hair may fall out due to the stress of the transplant procedure. This hair will re-grow along  with the transplanted hair.

ACTIVITY: 

1- Avoid bending, lifting and straining for 1 week after your procedure. Avoid strenuous activity of any kind for 1 week. Too much activity could cause swelling, bleeding, and loss of grafts. Keep activity VERY minimal.

2- Bend at the knees instead of at the waist when picking up objects and tying shoes.

3- Pray when you are sitting and avoid bending for 1 week.

4- If you have a pressure dressing in place, leave it in place until your hospital visit on post-operative day 1, when it will be removed by our staff.

5- Do NOT do any physical exercises or sports for 2 weeks from the procedure. After 2 weeks, you can do light exercises and sports for 2 weeks.

6- Do NOT go swimming, or enter sauna or jacuzzi, or even go to a thermal or public bath for 1 month.

How to Wash Your Head (or Beard) in First Week:

You may wash your head (or beard) very gently after 72 hours from the procedure: by applying the special shampoo on all your head (or beard) (covering both grafted and donor sites) very softly and keep it for 10 minutes.

Then, you wash your head with warm water WITHOUT any pressure or rubbing movements on the grafted area. Water pressure must be very smooth and do not let the shower spray hit directly on the grafts. This can most easily be accomplished by filling a container such as a large measuring cup or pitcher with warm water from the tap; pour the water so it hits the non-grafted portion of the scalp (either the front or the back) NOT ON THE GRAFTS. Allow the water to run over the grafts wetting the entire head.

Re-apply the special shampoo again and wash it directly as mentioned without waiting for 10 minutes.

Allow the hair to air dry (DO NOT USE A HAIR DRYER).

Repeat this process daily.

FOLLICULITIS:

Folliculitis is one or more ingrown hairs that cause pimple-like lesions. Occasionally, a patient may develop this as the new hair is beginning to grow through the surface. It can last until 2 to 4 months after the procedure.

Folliculitis will not affect your outcome.

NUMBNESS:

Some numbness at the graft sites will most likely occur. This is normal and will begin to resolve in     six to eight  weeks. Some patients may notice small areas that will remain numb for up to one year.

Cutting and Shaving:

Transplanted portion: You CANNOT cut or shave until 6 months after the procedure. After 6 months, you can use scissors only. After 1 year, you can use a shaving machine.

Donor portion of your head: You CANNOT cut of shave until 3 months after the procedure. After 3 months, you can use scissors only. After 6 months, you can use a shaving machine.

You can color your hair after 6 months from the hair transplant procedure.

SPECIAL INSTRUCTIONS:

1- You will need to avoid direct sunlight or cold for three weeks. In case you need to wear any hat or cap, it must NOT be tight and must be loose and wide that does not come in direct touch with the grafted portion of your head.

2- Avoid alcohol for one  week after the procedure.       

3- It is normal to bleed slightly  overnight during the first days after the procedure

4- Contact us if you develop any of the following:

  • Fever (higher than 38 0C)
  • Pain not relieved with ordered pain medication
  • Sever redness at the grafted site or donor area
  • Unexpected swelling
  • Heavy bleeding
  • Foul drainage
  • Persistent nausea and vomiting or any other concerns.

5- Avoid any intimate intercourse (or ejaculation) for 7 – 10 days after the procedure

What to Expect:

Two to Four Months: you may start to see some growth. Itching in the recipient area or discomfort in the donor area may still be present.

Four to Six Months: you should now start to see your new growth coming in; it represents 20% of the anticipated growth.

Six to Eight Months: a significant change usually happens as by the 8th month, approximately 80% of the hair should have penetrated the skin; but still will only have achieved about 50% to 60% of the final visual aesthetic effect.

Eight to Twelve Months: the final aesthetic effect is usually achieved up to one full year after the procedure. The hair must have this amount of time to re-grow.