At the time of surgery, your scalp was thoroughly cleaned of blood and crusts, but these will tend to re-form soon after your procedure. Care should be taken while cleaning the transplanted site during the 10 days following surgery, because it is during this period that the healing mechanisms of your body secure the grafts firmly in place. However, appropriate care of the recipient area will minimize crusting and make the transplant less noticeable and the healing more rapid.
The morning following surgery, remove your bandage and shower with comfortably warm water.
Allow the shower water to flow gently over the transplant area. You may partially block the flow of the water with your hand so that the scalp is not subject to strong, direct pressure. Lift up the hair in the back of your scalp so that water may irrigate the sutured areas as well. Place a small amount of mild shampoo like johnson and Johnson ( on the sponge that we have given you or on your finger pads, and gently apply the shampoo to the recipient area with a patting or rolling motion. Do not rub. As soon as the shampoo has been applied to the entire transplanted area, rinse the shampoo off with indirect running water. You may use the rinsed sponge or your finger pads to assist in removing the shampoo, but be careful that you pat the area and do not rub. Stop soaking your head as soon as the shampoo is rinsed off. It is not necessary to remove all of the crusting during the first shower. Repeat the showering and gentle shampooing three (3) times the day following surgery. On the second day after the procedure, shower and shampoo twice daily and continue this regime for 10 days. If the scalp becomes too dry, you should switch to Baby Shampoo on the fourth day and continue showering using only the Baby Shampoo for the remainder of the 10 days. Resume your normal shampoo after 10 days and/or when the mild shampoo runs out.
If the grafts are soaked too long, they may swell and rise above the skin surface and appear as little white bumps immediately after showering. This is a problem more likely encountered the first few days after the procedure. It is not harmful to grafts, but indicates that you are soaking too much. As soon as you allow your scalp to dry, they will disappear.
It is important when shampooing, or rinsing the transplanted area, that you are gentle for the first 10 days following surgery. DO NOT RUB, PICK, OR SCRATCH, as this may dislodge grafts From one to four weeks post-op you can expect that some transplanted hair will begin to shed. This is a normal process and should not be a concern. The healthy hair follicles are firmly in place at TEN days post-op and cannot be dislodged. If there is still any residual crusting at this time,you may scrub them off in the shower. First, soften the crusts by soaking them in the shower under direct running water and then, using regular shampoo, scrub them all off. If this is not done, the crusts will eventually fall off naturally as the hairs are shed.Please note that when hairs are shed, there may be a crust at the top and a bulb at the bottom. Remember the bulb is not the root (the growth part of the hair follicle). It is normal for the hair, bulb and associated crust to be shed and this does not represent a lost graft. If a graft is actually lost (something that may occur the first few days following the procedure) there will be bleeding at the site of the lost graft. Therefore, if you don’t see any bleeding, don’t be concerned. Do not use tar shampoo (a dark-colored, medicated shampoo used for psoriasis) on the transplanted area for 10 days following your procedure, as this may interfere with the growth of the grafts.