Tushar Kshirsagar, MBBS

Shampooing at 2 weeks after the procedure is alright. Do it gently with fingertips without using nails. The scabs ideally should come off by 10days post hair transplant. After this the scabs start getting firmly attached to the skin which is no good. As far as the graft dislodgement is concerned: it's unlikely at 2 weeks post hair transplant. Skin to skin closure occurs by 7-10 days over the scalp in most healthy individuals. This means the live portion of grafts is sealed inside the skin. In fue the upper part forms a dark colored scab. This scabs can be removed by 10-12 days after hair transplant. Keeping it longer will just increase downtime and may cause skin discoloration. Also when the scabs come off, hairs might be attached to it. As I often tell patients: each graft is  like a hair building machine. Dosent matter if hair comes off, the machine will build the hair again. This hair shedding will anyways happen during shedding phase of hair transplant, whether you shampoo or not. 

PS do send a picture of the 'graft' that you feel that has come off to your hair Transplant Surgeon. He/she will be  in better position to tell what's happening. 

Density is better decided during the Implantation by the hair transplant surgeon and it's not just the numbers that matter but also the type and Calibre of donor hairs. At the moment, from recent pics it can seen that the hairs which are planted are in shedding stage. Left and right mismatch should not be decided right now, as it can be very misleading and would cause unnecessary apprehension. Neither should be any corrective measures taken before completion of 8-9 months (in my opinion). If there is Density mismatch between planted and original hairs and if it is very obvious then corrective procedure may be possible. For now just let the hair transplant evolve through the stages. 

We exclusively use Implanters in our practice for primarily following reasons:

1. Implanters provide tighter graft fit so so chances of graft dislodgement is quiet less. 
2. Angles and direction are perfectly applied so as to produce a natural outcome.
3. Cause less swelling
4. Less skin trauma and healing occurs generally faster as compared to slits. 
5. Personally I have observed with Implanters you get a little early hair growth as compared to slits due to reduced post Transplant shedding phase. (No trial has been done on this however, only personal observation)

While over harvesting is a real problem of improper technique while extraction process, donor area shock loss is also a very common phenomenon. The donor sites do seem a little larger than usual. However there is a real possiblity of donor hair shedding exactly like planted hairs are shed after hair transplant. I will wait for at least 6 months after FuE extraction to confirm whether this is over harvesting or donor area shock loss. If it's donor area shock loss, all areas will be covered in roughly 5-6 months time after hair transplant.