Behaviour after hair transplantation
Recommendations for behaviour after hair transplantation using FUE
In order to achieve the best possible aesthetic result from your hair transplant, we ask you to observe the following points during the time after your operation:
Pre- and post-operative medication
If necessary, you can take a mild painkiller postoperatively. We will explain the dosage and application to you at the time of the operation. The pain-relieving effect starts about 30 minutes after taking it and also counteracts swelling and inflammation.
On the day of the operation you will receive antibiotics from us which you will continue to take on the second and third post-operative day.
If you do not tolerate one of the medications, we will be happy to recommend an alternative during our consultation.
To counteract swelling in the transplant area, you can also cool down with a cool pack.
Make sure you drink enough fluids, preferably water or unsweetened tea. This helps to flush medicines used during the operation, such as narcotics, out of the body more quickly.
Increase in blood pressure
Avoiding an increase in blood pressure in the head area and pressure on the transplanted area
In order to avoid an increase in blood pressure in the head area and thus a possible post-operative bleeding and wound healing disturbance, we ask you to avoid the following points, especially during the first seven days during the refixation phase of the hair transplants:
- Coughing heavily
- Bending over and letting your head hang down
Sport and fast movements
Wearing clothes with a tight head cut
Sport or physically heavy work or lifting heavy objects
Please also avoid staying in dusty or dirty rooms
During the first week after your FUE hair transplant, you should preferably sleep on your back and, if possible, with your upper body raised by about 30 degrees. A neck pillow will support the elevated sleeping position and prevent contact with the hair grafts, which could lead to graft loosening.
Blood loss after treatment
During the first night after an FUE treatment, it is possible that a little blood will leak from the graft or donor area. The pad you receive from us can prevent this from staining the bed linen.
Immediately after the treatment you can shower as usual. Your head, especially the area of the hair transplant, should not come into contact with water. In addition, you should not shower for too long or too hot, as the resulting water vapour can have a negative effect on the healing of the wound.
Please do not touch or comb the transplant area during the first three days after removal of the dressing in our practice. This could cause the transplanted hair to detach from the scalp. Outside the transplant area, you can comb your hair as usual.
Please refrain from using hair care and styling products, as well as sauna or solarium visits, direct sunlight or swimming for four weeks. This could dry out the scalp and delay healing. Do not use a hair dryer during this time or, if necessary, set the hair dryer to the lowest heat and fan setting.
You can wash your hair for the first time 48 hours after the operation with a mild, neutral shampoo. We will be happy to recommend a suitable product for this purpose. The shampoo is applied to the transplant area by careful dabbing. Avoid any rubbing as this may loosen transplanted hairs. During the first shampooing, leave the shampoo in the hair for about 30 minutes and then rinse gently with lukewarm water from front to back. Then carefully pat the graft area dry with a towel. Wash the donor area of the hair grafts with the same shampoo as for the donor area. Here you may massage the shampoo thoroughly for two minutes. Then apply a lotion to the entire hair area and leave it on for about 20 minutes. You perform this procedure once a day for ten days. Four weeks after the FUE treatment, you can wash and style your hair as usual.
Most of the crusts will fall off by themselves from the seventh to the tenth day. If they do not fall off on their own, you can help them by carefully rubbing them from the front to the back. You are welcome to come to our surgeries in Munich or Grünwald. However, you should never remove the crusts with too much force, as this could damage the grafts. All crusts should have fallen off by the 15th day at the latest, otherwise there is a risk of damage to the grafts.
Some hair will fall out with the crusts. The hair roots are weakened by the transplantation and the resulting lack of oxygen. This is a natural process and there is no cause for concern as the hair roots are only temporarily weakened. After five to six months, first fine thin and then strong hairs grow back in these areas. In rare cases, the hair at the edge of the transplant area may also fall out. These also grow back fine and thin at first and then strongly.
Hair-loss shock affects only a small proportion of our patients. This results in the loss of remaining hair. However, these hairs grow back with the transplanted hairs in the course of five to six months. However, hair roots that are already at the end of their life cycle can be lost forever. This does not necessarily affect the final result, as this is already taken into account during the treatment.
Some patients experience itching during the healing process. This is not a cause for concern. However, in order not to endanger the result of the hair transplantation, you should not scratch yourself, especially in the recipient area, as this can pull out transplanted grafts. Cooling often helps to relieve itching.
Irritation of the sebaceous glands
Three months after the FUE treatment, irritation of the sebaceous glands may occur and small pimples may become visible. This is also a harmless part of hair growth – the new hairs are trying to find their way out. If the irritation bothers you too much, you can apply a warm compress for a few minutes several times a day to soothe the affected areas.
Hypersensitivity (hyperaesthesia) of the scalp
In some cases after an FUE, hyperaesthesia of the scalp can occur. This may take the form of increased sensitivity of the scalp or, in rare cases, irritation of the nerve tissue.
Wound healing and first visible results
Wound healing is usually completed after three to four weeks. After that, you can wash and strain your hair as usual.
You can already see the first result of the FUE hair transplantation after five to six months, when the first fine hairs grow back. After about 12 to 18 months you can observe the regrowth of strong new hairs.
Last but not least, for your own safety, we would like to remind you once again not to drive yourself immediately after the operation!
If you have any further questions or suggestions, please do not hesitate to contact us.
The PD Dr. Geishauser practice team wishes you a good recovery!
IMPORTANT: You can always contact us with questions – via Skype – email – whatsapp – facetime – telephone – fax – or at any time with a visit to our practices
PD Dr. Max Geishauser
in Munich, Theatinerstrasse 36
or Schornstr. 4, Munich
or Theresienhöhe 13, Munich