After care hair transplant
After my hair transplant, I want to be careful not to lose any of my grafts. How do I accomplish this?
CARE OF GRAFTED AREA
A. I should wear a paper medical cap or a clean
hat (must be
machine washed to be considered “clean”) anytime I venture outside during the first week after my transplant. Care should be taken so that the hat is not touching any of the grafts. I should apply a thin layer of antibiotic ointment to the stitches on the back of my head twice daily with my fingertip for 14 days. My stitches will be removed in approximately 14 days.
SHAMPOOINGA. The first day after your procedure you may place a soaked
washcloth on your grafts for 5 minutes at a time up to 4 times per day. After 1 day I may begin gentle shampooing of the grafts twice a day. Gently means I do not allow the force of the shower to strike the grafts and I do not aggressively massage the grafts with my fingertips or fingernails. I may mix baby shampoo and warm water in a small basin and pour it over my scalp and then rinse it out by pouring water over the scalp. I can do this a number of times until my scalp is clean and I may do this twice a day. I will then let my hair air dry.
B. On the seventh day I may shampoo normally. I may normally
massage the surface of the grafts with my fingertips and remove any crusts present.
HAIR GROOMINGA. Combing my hair- I may gently comb my hair (except in the
grafted zone) from the first day after transplantation. I should not touch the grafts themselves with the comb. I may normally comb all my hair including any hair that may be present in the grafted zone beginning the seventh day as I did before the transplant.
B. Hairspray/Hairdressings- I may use hairsprays, conditioners,
shampoos, and other hairdressings after 7 days. Since the grafts will be well healed, I will not harm them if sprays or other hair products come in touch with the grafts.
A. Swelling- I may have been given an oral medication, Prednisone,
to take as instructed to help prevent swelling after the transplant.
B. Pain- I have oral medication, Vicodin, to take as instructed for
pain. I may also have Valium for relaxation and Ambien for sleep. It is important not to take these medications together, and only to take them as directed. Of course, there is no driving or operating machinery while under the effects of these medications.
C. Itching- I may take Benadryl or Claritin to help with itching. I will not itch my scalp no matter how much I want to.
SWELLINGA. Swelling is uncommon, but I may have some swelling around the
area of my forehead and maybe around my eyes. Swelling if it occurs, peaks between the third and fifth day, and will be gone by the seventh day. Rarely does blood work its way down into the eyelids producing a black eye, but this can happen.
OTHER PROBLEMSA. If my grafted area or the stitches in my donor area bleed, I can
usually control the problem by applying pressure to the area. Applying a cold pack to the donor area can also help with pain control in the region. I can use a soft cloth saturated with ice-cold water or I can use an ice cube wrapped in a wet cotton cloth. If the bleeding does not stop with firm pressure applied for 15 minutes I will call Dr. Dauer or my personal physician. NEVER put a cold pack on the grafted area.
B. Numbness may occur for a short period of time after
transplantation. It will resolve on its own, in most cases, within 3-12 months.
C. My stitches could be somewhat uncomfortable and this is
normal. If my grafts or donor area become hot, inflamed or very uncomfortable, I should call Dr. Dauer. If he is not available, I should call my personal physician.
D. I may experience some dandruff-like scaling, redness, or itch
during the first month after transplantation. I can use over-the-counter hydrocortisone cream or lotion to the area 2-4 times each day to clear this up. Small crusts may form at the micrograft sites. These will come off with shampooing at 7 days or later. The small spicules of hair that come off with the crust are normal and do not represent loss of grafts. The hair will still begin growing as expected 3 months after the transplant. Some
“ingrown hair” type of pimples may occur during the regrowth phase, 45-90 days after the procedure. I can use over-the-counter benzoyl peroxide preparation to the area 2 times each day for 3-5 days to help clear these up quickly.
E. I will contact Dr. Dauer or my personal physician if any of these
Any other problems I believe out of the ordinary
Many of these problems will be resolved on their own. Some will need the attention of Dr. Dauer or my personal physician.
Over many years of hair transplantation experience, we have found the procedure to
be very safe and complicated by few difficulties. The vast majority of patients who have
undergone the procedure have done so without problems. They have enjoyed the rewards of
lifelong improvement in their appearance. Recent advances, especially with naturally
occurring follicular unit micrografting, have dramatically improved the patient’s
appearance creating a much more natural result.
Proper aftercare is important in assuring the best results, so be sure to follow the
instructions given. Always remember, we have your very best interest at heart. We want
you to be pleased with your results. Be assured we will do everything reasonably within
our power to perform the procedure in a proper and professional fashion. Also, we will
follow up on any problems you may develop in the routine course of healing after your
We expect you to inform us if any problems arise so that we can handle them in the
proper manner. You are very special to us; you health and happiness are our purpose in
Follow instructions careful y to avoid loss of grafts.
Growth wil not be as thick as you or I would want. The top of your head
original y had between 30,000-50,000 hair before it began to lose hair.
Typical y, even with multiple procedures, we only move 12,000-18,000 hair.
Growth wil not occur as fast as you would like, in fact, you wil probably see
no growth before 4 months. Be patient. It takes most people at least 4-6
months to begin seeing the positive change and 12 months to see the ful
In some cases, your hair may actual y look a little thinner after the transplant.
This is more likely to occur when pre-existent hair are present in the
transplanted zone. These hair may thin out in the 3 months after
transplantation, but wil usual y grow back about the same time and rate that
the grafts grow in. Do not worry if you look thinner at 3 months after
transplantation- your rewards come at 6-12 months.
You wil not get the maximum benefit from your transplant until 9-12 months
after the procedure because the hair must have this amount of time to
regrow length and thickness of shaft. You wil see improvement at 4-6
months in the form of fine hair but results peak out at 9-12 months.
Hair loss is a relentlessly progressive process, therefore you likely wil want
additional replacement procedures in the future to thicken or cover new areas
of loss. This is also the reason we strongly recommend the use of Propecia
and Rogaine to help prevent this progression.
We are always available to discuss any questions or concerns you may have.
Don’t be hesitant to cal . To us you are the most important person in the
NORMAL ACTIVITIES YOU MAY RESUME AFTER THE NUMBER OF DAY INDICATED
Washcloth applied to grafts for 5 minutes at a time
Return to brushing normal nongrafted hair as usual
Intense Exercise (running, aerobics, etc.)
Met nieuwe ogen Werkboek voor de ontwikkeling van een transculturele attitude Martha van Endt-Meijling Third, revised edition 2007 This article: Healthy abroad is additional information to Met nieuwe ogen by Martha van Endt-Meijling. © 1999 Uitgeverij Coutinho b.v. All rights reserved. No parts of this publication may be reproduced or transmitted in any form or by any means, electronic o
Elizabeth J. Vella, Ph.D. Department of Psychology, University of Southern Maine, Portland, ME 04103 Phone : 207.780.4252. Fax: 207.780.4974 Education Virginia Polytechnic Institute & State University, Blacksburg VA: Ph.D. in Psychology (Psychological Sciences), 2005. Dissertation Title: Anger Expression, Harassment, and Evaluation: Cardiovascular Reactivity and Recovery to Ment