Specialist in Dermatology and Cosmetic Medicine

HOURS
M-F 7:30 AM5:00PM
PHONE
(314) 576-7343

Post-Op Instructions

Surgery Day
AVOID ALL CONTACT TO DONOR SITE AND NEWLY IMPLANTED GRAFTS

  • Start using your spray bottle every hour after leaving the procedure while awake

  • Remove bandage from surgery by cutting one side in the evening before going to bed (do NOT pull over head. Grafts can easily dislodge if you do so.)

  • Eat food with your medication

  • Stay off your feet, nothing aerobic and no heavy lifting

  • Keep your blood pressure down and head elevated above heart

  • If you have fluid and swelling, you can sit at a 45 degree angle and apply ice to forehead (NOT ON TRANSPLANT AREA)

  • Any increase in pressure to scalp causes oozing and can cause a graft to pop out in the first couple days so the more you can stay off feet, the better

1st & 2nd Day
AVOID ALL CONTACT TO DONOR SITE AND NEWLY IMPLANTED GRAFTS

  • Use the spray bottle that was sent home with you to apply about every hour to the scalp and pat with gauze for the next 48 hours after surgery while awake

  • There should be no direct water pressure from the shower head on the implanted grafts

  • Do not wash your hair until at least 48 hours after your procedure

  • Do not consume any alcohol for the first 24-48 hours after your procedure

  • Sleep in an elevated position for the first 2 nights following the procedure. It is best to use 3 pillows  under your upper body or sleep in a recliner (about 45 degree angle)

  • Consult with your physician before resuming any medications, including vitamins and herbal supplements

  • No ibuprofen (e.g. Advil, Motrin), aspirin, or blood thinners of any kind. Tylenol may be taken to help  manage pain. Speak with your physician to see if a prescription-strength pain medication is needed.

3rd & 4th Day

  • There should still be no direct water pressure from the shower head on the newly implanted grafts.

  • As your scalp begins to heal, you will start to see scabbing on the donor site as well as the newly implanted graft site. This is perfectly normal

  • A very loose fitting hat/cap (that does not come in contact with the grafts) may be worn.

  • Only use hair products that are recommended to you by your physician for the first 14 days

  • You may massage the donor site, but do not touch the new grafts with your fingers for 7 days post-op  as this may cause the grafts to dislodge

5th, 6th, & 7th Day

  • Same as post op day 3 & 4. However you can begin to shampoo the donor area and sides of the head normally.

1 Week Post-Op

Continue to gentle shampoo to the grafted area and avoid direct shower pressure to the recipient area.

After 2 Weeks, the Scabs Should Have Fallen Off

  • Avoid excessive sun exposure to the grafts. After 14 days you may use  spray-on sunscreen or an adjustable hat if you will be out in the sun for more than 30 minutes

  • Avoid exposure to water (e.g. swimming), which may result in submersion of the newly implanted  grafts, for at least the first 3 weeks, but you can resume all non-swimming exercises.

  • No helmets, wigs, or fitted hats/caps/beanies for the first 2 days, unless otherwise cleared by your  physician

  • Avoid activities that cause excessive sweating, such as running, weightlifting, intense workouts, or the use of a sauna within the first 2 weeks. However, minor workouts can be added into your daily regimen after 2 weeks.

  • Only use hair products that are recommended to you by your physician for the first 14 days

  • Refrain from using bleaches or any type of hair dye for the first 4-6 weeks following your hair  restoration procedure. Even afterward, it is recommended that you only use a semi-permanent dye  so as to not damage your grafts.

  • You can resume using Rogaine and propecia after 2 weeks.

After 3 Weeks

  • Check with your physician before resuming the use of supplemental hair products, such as Topik.

  • Continue to refrain from using bleaches or any type of hair dye for the first 4 weeks following  your hair restoration procedure. Even afterward, it is recommended that you use a semi-permanent  dye so as to not damage your grafts.

  • Do not pick or scratch at these scabs as this can hinder healing and could cause scarring or infection

FOR ITCHING & DISCOMFORT
SCABBING OR ITCHING AT THE DONOR AND TRANSPLANT SITE IS NORMAL

  • Scabs will naturally fall off within 2 weeks and may contain small hairs. (Do not be alarmed as this  is normal. The hair bulb remains in the skin)

  • A diluted saline solution or water (in a spray bottle) can be used as a skin soothing mist that may reduce  discomfort, itching, and inflammation. Spray the mist as needed up to every hour while awake post-op to keep the scabs moist. It is recommended to use the diluted saline solution or water on the irritated  area immediately after showering.

FOR SLEEP
BY FOLLOWING THE DIRECTIONS BELOW, YOU WILL CONTROL SWELLING IN THE FOREHEAD/BROW REGION

  • Frontal Hairline Restoration: Sleep in an elevated position for 2 nights following the procedure. It is  best to use 3 pillows under your upper body or sleep in a recliner.

  • Crown Restoration: Sleep with a neck pillow or rolled up towel under your neck

FOR SWELLING
SWELLING IS A PART OF THE HEALING PROCESS AND TYPICALLY OCCURS ON DAY 2 OR 3 AFTER YOUR  PROCEDURE. IT USUALLY DISAPPEARS IN 5-7 DAYS.

  • Do not apply ice directly to the graft area

  • For swelling around the eyes and forehead, apply an ice pack on the eyebrow area and below

  • Do not use hot compresses

FOR MINOR BLEEDING
IN OCCASIONAL INSTANCES, MINOR BLEEDING MAY OCCUR FROM THE TRANSPLANT SITE AND/OR DONOR AREA

  • To control bleeding, apply gentle, but firm pressure on the area for 5-10 minutes with a dampened  gauze pad. Press only, do not rub.

If excessive bleeding occurs anywhere on the scalp and cannot be stopped by firm pressure for  greater than 20 minutes, proceed to the nearest hospital emergency room or urgent care facility.  Call Dr. Samuels or his staff with any questions: (314) 576-7343

 

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