Post Operative Instructions
FUE (Follicular Unit Extraction)
Hair transplantation is a delicate procedure.
Your adherence to the following instructions is essential for
1. DO NOT drink alcohol for 48 hours after the surgery.
Alcohol thins the blood and may cause bleeding.
2. DO NOT take aspirin, Motrin, NSAIDs for 2 days after
surgery (except if the doctor approves the intake of these
drugs) as these can also thin the blood and cause bleeding.
If you are in doubt call the clinic.
Do not bend over but rather lower your body to pick up things
for the first 5 days to prevent swelling.
Do not over eat food after surgery because this may cause
stomach upset especially with the drugs you’re receiving
during surgery, no restricted food.
Keep the head elevated with two pillows and use a towel roll
under your neck to help relieve the pain. Lie on your back,
try not to sleep on your sides because the grafts might rub on
POST – OPERATIVE MEDICATIONS
A) Antibiotics (Ibilex500mg) 1 cap 3 times a days for 3 days
to help prevent infection, should be finished.
B) Pain killers: You may take Tylenol 2 tablets every 6 hrs
or IF NEEDED.
C) Sleeping pill (Valium 10mg): take 1 pill at bedtime.
SHAMPOOING AND CLEANING
Your hair will be washed 24-48 hours after surgery.
We want the grafts to adhere solidly during this time.
1) Wet your head with a bowl of room temperature water
or with a gentle stream of water from the shower.
If you use the shower block the stream with your hand
so that the water pressure is not too strong.
2) Lather up shampoo on the palm of your hands.
3) Pat this shampoo on the area gently (DO NOT RUB)
and let it sit for 1-2 minutes.
4) Gently rinse off with a bowl of water or a gentle stream
of water from the shower.
5) Pat dry gently with towel. After 24 hours you can use a
blow drier on cool setting only.
DO NOT RUB THE GRAFTS TO DRY THEM.
6) Do this twice a day starting 24 or 48 hours after surgery.
7) After 7 days you can begin to lightly rub the graft area
to help remove crust.
8) After 14 days you should be able to shower normally.
9) You can use any good quality shampoo for washing.
10) You can repeat the process with a conditioner to help
break down crusting.
You can be more aggressive with the donor area.
Wash this daily starting 24-48 hours after surgery.
This may occur in less than 10% of patients after surgery.
This is due to the medication given during surgery.
Don’t panic because this condition is self limited and the
doctor will give you medication for this.
For intractable vomiting you may need intravenous fluid.
This may occur occasionally and may last for 24 hours.
Drink plenty of water at one time. Don’t worry this condition
is self limited.
On occasion slight bleeding may occur from either the graft
site or donor site. If this occurs, apply gentle but firm pressure
to the area with the gauze provided or a clean cloth.
APPLY THE PRESSURE FOR A FULL 5 MINUTES.
The bleeding should stop. If it does not, please call us.
It should not be removed in the first 48 hrs except when you
shampoo and unless the doctor will tell you to do so.
Continue to wear it a few more days for a minimum of 3 days
post-op. It prevent swelling to your eyes and face.
On occasion swelling may occur in 3% of patients.
However currently we have incorporated anti-swelling
medication in the local anesthetic that we use which is why
most patients don’t usually experience swellingbut if it does
occur it is very minimal. It is not dangerous and is painless
and will not affect the growth of the graft. Using ice on the
forehead after surgery for 10 minutes 4 times a day will further
decrease your chance of swelling.
DO NOT APPLY ICE DIRECTLY TO THE GRAFT SITE AS
THIS MAY DAMAGE THEM.
APPLY THE ICE TO THE FOREHEAD BELOW THE GRAFTS.
A few days after surgery, early sign of wound healing is
itchiness either in transplanted or donor area. If you have this
symptom, do not scratch it! Cold compression, gentle pat or
touches will relief it. If there is no improvement, anti-histamine
drugs may be prescribed.
SCAB or CRUST
Small crusts may form on each graft, and these can usually
be camouflaged by any existing hair that can be combed over
the recipient area, or with camouflage products such as Toppik.
These crusts will flake-off by 5–14 days after the surgery.
Alovera gel given to you will keep the grafts moist in first 3
days and accelerate scab falling by applying twice a day after
Apply it from back to front in rolling direction using cotton tip
applicator, do not apply too thick. Do not pick at the scab,
let it fall off by itself.
EXERCISE AND ACTIVITY
No exercise should be done for 7 days after the procedure.
It could result in increased swelling or lost grafts.
After 7 days mild exercise can be resumed and
after 14 days normal exercise can be resumed.
SWIMMING AND SUN
You should avoid swimming for at least a few weeks after
surgery. Remember there are acids, chlorine and bacteria
in pools! After this, swimming is alright.
The skin of the grafts is not used to the sun and may burn
easily. Stay away from the sun! It is OK to go into the sun
but do not sunbathe without some protection for this
FOLLICULITIS AT THE GRAFT SITE
On occasion a patient may develop a folliculitis at the grafted
site, these look similar to acne with pimple like lesions.
If this happens apply moist warm soaks for 15 minutes and
antibiotic ointment to the areas 3 times a day.
PLEASE NOTIFY US IF THIS OCCURS AS I LIKE TO
PRESCRIBE SPECIFIC MEDICATION FOR THIS PROBLEM.
TEMPORARY HAIR SHEDDING OF DONOR AREA
In few patients there may be shedding of the hairs.
Don’t worry because this condition is temporary and
the hairs will grow back in 3-4 months.
REDNESS OF DONOR SCAR
In most patients redness over the donor scar fades in few
weeks, however in a few patients the redness may take
several months to disappear. If it takes longer in your case
please just be patient because eventually the redness will
fade with the passing of time.
CUT & DYE
We advise not to have the hair cut or colored at least 3-4
weeks after the surgery.
No sauna for at least a few weeks.
Rogaine, gel, hair spray and mousse are allowed for
grooming 7 days after surgery.
MIND YOUR HEAD!
Be careful when you get in or get off the car.
Make sure your head does not hit the roof. We have a few
patients a year that lose the grafts from this accident
No helmet wearing for 1 week