1. For how much time will it be visible that I underwent a HT surgery?
You should bear in mind to avoid important social or professional commitments during the first 10-14 days postoperative. In most cases it will no longer be noticeable that you underwent a FUE procedure at 10 days postoperative. In case of a FUT procedure it will be necessary to remove the staples on the 14th day postoperative. Afterwards it will barely be noticeable that you underwent a hair transplant procedure. Redness of the scalp could however persist for a longer period after surgery (weeks to months), especially in case of patients with a sensitive scalp.
2. When will I be able to go to work after a HT surgery?
It should not be a problem to work after the surgery but due to the edema (swelling in the face) we recommend at least 1 week of non-activity in case of a FUE surgery and due to the staples, 2 weeks of non-activity in case of a FUT surgery.
3. Am I allowed to drive immediately after surgery?
Due to the sedation, it is not recommended to drive immediately after the surgery, it is best to come accompanied and let your companion drive. Patients that are staying at the hotel or guesthouse will be driven to their accommodation by the taxi service. On the day after it is not a problem to drive.
4. When will I be able to take a shower after surgery?
It is possible and even recommended to take a shower from the 1st day postoperative day onwards, make sure to use a low water pressure though. Avoid showers that are too long or too hot.
5. Is it necessary to remove both the staples and stitches after a FUT surgery?
The staples need to be removed at 2 weeks postoperative. It is generally not necessary to remove the stitches after a FUT surgery, the sutures that are used to close the donor wound are absorbable.
6. I suffer from a severe edema in my face, should I worry?
Due to the local anesthetic and the liquid injected into the scalp during the treatment, a swelling will occur on the forehead after the treatment. This is completely normal and will disappear after a couple of days. This swelling will occur at its worst on the face from the 2nd until the 4th day after the operation. If the area around the eyes is swollen, it can seriously restrict your vision. After that, the swelling will gradually subside and decrease. The moisture will be eliminated from the body via the lymph glands.
A few tips to restrict the swelling:
• Try to keep your head straight and try to avoid bending forward
• Regular cooling with the cool pack after the treatment eases the swelling. Only cool the forehead/eyes, never the transplantation area. After using, put the cool pack back in the refrigerator, preferably not in the freezer compartment
• Drink a lot of water
7. I suffer from a stinging and burning feeling at the back of my scalp. Do I suffer from hyperesthesia?
Yes you are unfortunately suffering from hyperesthesia. Hyperesthesia of the scalp, i.e. an enhanced sensibility of the scalp/an irritation of the nerve tissue, is a rather common side effect caused by the extraction of the follicular units. The medication Diclofenac 100mg (against pain and anti-inflammatory effect) should lessen the uncomfortable feeling already after 2-3 days.
8. When will I be able to exercise again?
In case of a FUE procedure it is recommended to start exercising again at 2 weeks postoperative, in case of intensive or contact sports (soccer, combat sports, etc.) we recommend at least 4 weeks of rest. Even after 4 weeks postoperative it is recommended to avoid any bumps to the head.
9. When will I be able to go to the sauna or Turkish bath, hammam?
We recommend to avoid the sauna, Turkish bath or hammam for at least 4 weeks postoperative. The high temperatures and humidity are not conducive for the healing process and should better be avoided.
10. When can I start using Rogaine again?
It is important to stop using Rogaine from the day of the surgery until 2 weeks postoperative.
11. When can I start using hair fibres again?
It is possible to start using hair fibres at 2 weeks after surgery if all scabs are removed. If not it might be better to wait until 3 weeks postoperative.
12. How high is the risk that I suffer from postoperative hair loss?
Postoperative shock loss is an unfortunate side effect of a hair transplant procedure and could occur in the recipient area, the areas surrounding the recipient area or even in the donor area. This is mostly a temporary condition where native hairs are “shocked” due to trauma of the scalp during hair transplantation surgery, creating an additional but mostly temporary hair loss condition. Shock loss occurs when the native hair is weak and isn’t strong enough to resist the surgical trauma that is going on around it. More often than not the hair that has gone into shock will grow back but after 3/4 months – after the resting phase. Shock loss can occur both in the recipient area, the areas surrounding the recipient area or even in the donor area a few weeks to a few months after having hair transplantation surgery. Postoperative shock loss of course does occur in women. In those that are having hair transplants, there is a risk of shock loss in women as well as men, but the hair seem to always return in women, not the case in men who have progressive hair loss with considerable miniaturized hairs. If you suffer from postoperative shock loss, it is recommended to start using Rogaine foam as it could fasten the growing process. In the meantime, you could consider the use of hair fibres to camouflage the hair loss.
13. How do I use the postoperative kit?
The post-surgery mousse shampoo: needs to be applied from the second postoperative day onwards. It needs to be applied every other day until the 14th day postoperative by dabbing the shampoo gently on the scalp. The hair spray treatment: needs to be started from the first postoperative day and applied at least 3x a day until the 6th postoperative day. The post-surgery serum: needs to be applied on the recipient area after the shampoo from the 5th postoperative day onwards until the 14th postoperative day. It is important to apply only a thin layer of serum on the recipient area, apply it 1x/day by dabbing the serum gently on the recipient area. The serum doesn’t need to be rinsed off on days that the hairs are not being washed. The post-surgery oil: should be applied on the donor area from the 5th postoperative day onwards until the 14th postoperative day. It needs to be applied 2 to 3 times a day by dabbing the oil on the donor area.
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14. A residue of serum remains on my scalp after the hair wash, could this damage the transplanted hairs?
It is important to put only a thin layer of serum on the recipient area. From the 7th day postoperative it is possible to rub the scalp during the hair wash so it will be easier to remove the serum. If there still are some residues left from the serum, it is not a problem for the transplants so there is no need to worry.
15. Do the scabs come off by themselves after the surgery?
At 7 days postoperative it is recommended to start gently removing the scabs while washing your hair. The scabs might not all come off during the first wash but they should all be removed by the 10 postoperative day. There might be transplanted hairs that could come off together with the scabs but that is completely normal and inevitable. In that case the transplanted hair bulbs will start to produce new hairs and these will start to grow at about 3-4 months postoperative. If not all scabs are removed after the 10th postoperative day it is recommended to apply a moisturizing lotion on your scalp and let it soak for at least half an hour up to 45 minutes and put a piece of household foil on top. Afterwards rinse the lotion from your scalp and start rubbing the scabs from your scalp. After rinsing, you can wash your hair whilst making again rubbing movements so the scabs will fall off. A fine comb could also help to remove remaining scabs.
16. I have lost some transplanted hairs together with the scabs, are these transplants lost?
No these transplants are not lost, the transplanted hair bulbs are fixed into the dermis and will start to produce new hairs, those new hairs will be visible at about 3-4 months after surgery. They will be very sparse and fine in the beginning and will grow thicker and fuller in the following months.
17. I have ‘cracked lines’ in the recipient area. Should I worry about this?
When the scalp is very dry or dehydrated after the surgery, ‘cracked lines’ could occur in the recipient area. This phenomenon appears when the scalp returns to its normal condition. It is almost comparable to the cracks in the desert (see pictures below). You could use a moisturizing body lotion to hydrate the scalp (for example The Postoperative Serum from Dr. Feriduni Hair Clinic or a regular Nivea lotion).
18. I suffer from pimples on my scalp. Is there anything I should do?
If you suffer from a few pimples, there is no need to do anything. If you suffer from too many painful pimples, you could put a warm compress on the pimples and let it soak for a couple of minutes. Afterwards try to squeeze the pimples by using 2 compresses, never squeeze the pimples with your bare hands, this might cause an infection. 20. I am now 3 months postoperative, what can I expect at this stage? This stage after the surgery is often very difficult for the patient because nothing much happens and a lot of patience is necessary. Patients often start to worry because there is (mostly) no hair growth visible and the hair situation might even look worse at this stage than prior the surgery. Only in few cases (fast growers) the transplanted hairs did not fall out after surgery and just continue to grow but is rather rare than common. 21. I am now 6 months postoperative, what can I expect at this stage? New hair growth is visible at 6 months postoperative but mostly the hairs are still sparse and thin at this stage and will grow thicker and denser in the following months. 22. I am now 9 months postoperative, what should I expect at this stage? At 9 months postoperative there should be quite some hair growth visible, but the maximum hair density has normally not been attained yet. In the following months hair density should still increase. 23. At what time after the surgery will the final result be perceptible? The final result is mostly visible between 12 and 18 months after surgery. Fast growers will have their final result attained at 10-12 months postoperative but generally it takes rather 12 to even 18 months before the final result shows.
19. I am now 3 months postoperative, what can I expect at this stage?
This stage after the surgery is often very difficult for the patient because nothing much happens and a lot of patience is necessary. Patients often start to worry because there is (mostly) no hair growth visible and the hair situation might even look worse at this stage than prior the surgery. Only in few cases (fast growers) the transplanted hairs did not fall out after surgery and just continue to grow but is rather rare than common.
20. I am now 6 months postoperative, what can I expect at this stage?
New hair growth is visible at 6 months postoperative but mostly the hairs are still sparse and thin at this stage and will grow thicker and denser in the following months.
21. I am now 9 months postoperative, what should I expect at this stage?
At 9 months postoperative there should be quite some hair growth visible, but the maximum hair density has normally not been attained yet. In the following months hair density should still increase. 23. At what time after the surgery will the final result be perceptible? The final result is mostly visible between 12 and 18 months after surgery. Fast growers will have their final result attained at 10-12 months postoperative but generally it takes rather 12 to even 18 months before the final result shows.
22. Postoperative sports?
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