Question regarding Dr. Rassman's study on graft anchoring in HT with reference to his journal article?

If Dr. Bernstein and Dr. Rassman so clearly mentioned in their research articles, that after day 9 there is no risk to the graft, then why can't I tug gently on hair shafts ( NOT CRUSTS, NOT SCABS), just the transplanted hair itself, if they come off easily. Isn't it easier that way than to let dead hair keep hanging on the head for weeks / months, causing folliculitis / foreign body reaction. Regards, Dr. Kiren Kodali

Doctor Answers 4

Our Article on graft anchoring

You could pull out the hair within the grafts after the crusts are off, probably safely, but playing with your hair might damage the skin around it unless you do it microscopically. But more important I would ask why, since the hairs will fall off in a few weeks anyway letting nature take its course. Call me if you have more questions

Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 27 reviews


Thank you for your question. You can tug on the grafts, however, it is recommended that patients wait for the grafts to take their natural course. While day 9 is an average and a good estimate, it is not a steadfast rule in-place for every patient. Always consult with a board certified facial plastic surgeon.

Best wishes,

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 95 reviews

If you want to tug on your hairs and you feel it is safe based on what you read, there should be no issue.

If you want to tug on your hairs and you feel it is safe based on what you read, there should be no issue.  But is also best to follow your doctor's recommendations.  You don't have to actively tug on your hair.  Transplanted hair generally shed on its own.

Jae Pak, MD
Los Angeles Hair Restoration Surgeon
4.9 out of 5 stars 85 reviews

Tug on the hair shaft after hair transplant surgery

It is usually safe to touch and pick on the grafts after the ninth day. However if you are pulling on the hair shafts, some of hairs may still
be attached to the hair follicle so therefore you have to be a bit more careful to not pull them. 

Michael Meshkin, MD
Newport Beach Hair Restoration Surgeon
4.8 out of 5 stars 27 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.