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Did I Pull out Grafts One Week After a Hair Transplant? (photo)

I'm 24 year old male. I had a hair transplant of 3000 grafts 7 days ago. Tonight I washed my hair and gently rubbed it with my fingers because that's how my doctor advised me. What really scared me is that I could see some scabs in my hand that looked like grafts. They were the same size and they had hair in it. Is it possible that I pulled out some? And also, is it normal that my head is still full of scabs after 7 days? Shouldn't it heal faster? Are these cracks on my head normal?

Doctor Answers 5

Scabbing is normal one to two weeks after hair transplants

What you described is completely normal. Seven days after the surgery, signs of wounding in the donor area should deplete. Scabs in the recipient area will typically fall off within seven to 14 days. At just a week after your surgery, you are still in the normal time frame for scabs to fall off. Additional shedding is possible for up to eight weeks. Both areas will continue to heal with virtually no scarring. If after two months, you are still having scabbing and shedding, then contact your surgeon. Additionally, if excessive hair loss continues while showering, contact your surgeon immediately. This may be a complication. A patient can expect new hair growth in 14 to 16 weeks, which usually maxes out at a year. New hair will continue to mature and thicken for up to a year and a half after the FUE surgery. Follow-ups with the surgeon will continue during this time to track progress.

Redondo Beach Dermatologic Surgeon
5.0 out of 5 stars 26 reviews

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Hair loss after a hair transplant

This could be normal.  It is hard to tell from the photos but the history doesnt sound out of line.  

Rashid M. Rashid, PhD, MD
Houston Dermatologist
5.0 out of 5 stars 6 reviews

Scabs with hairs one week after a hair tanspl ant.

This is the normal course of events in that the crusts with the hairs fall out  after about a week or two. The hair the start to regrow after 3 months. If they fall out within the first 3 days, then the grafts may have been lost. Your transplant surgeon should have told you about this and you should discuss it with him/her. Then cracks that show up on photography likely represent where the crusts fell off.

Sheldon S. Kabaker, MD
Oakland Facial Plastic Surgeon
4.5 out of 5 stars 10 reviews

Grafts pulled out

The events you described are probably normal, but best determined by in-person exam with your surgeon.  Most likely you are describing the normal "shedding" of scab which can often be accompanied by with hair shaft (but hopefully not bulb or follicle).   This can certainly continue for up to two weeks post procedure, so you are well within the expected course.  We do not use a rubbing technique, but only a "tapping" shampoo technique during the first two weeks.  You should contact your doctor immediately to make sure you are following his/her instructions properly.  The "cracks" are likely where larger scab or scab clusters have shed.  We use a water/spray technique immediately after the procedure to reduce size and amount of scabbing.  This can reduce dryness and itchiness as well. 

Losing Grafts After Washing

Hi there, and thanks for your question. What you're describing is a common occurrence. It's normal for the follicles to shed following hair transplant, especially when agitated by an activity such as washing your hair. This will not harm your results, and it doesn't mean that your procedure was ineffective.

If you notice continued follicular loss, or if you feel that your loss is excessive, contact your doctor for a follow-up evaluation. Good luck!

Richard Chaffoo, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 7 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.