Grafts sticking out with white bulb and cleaning of scabs and crusts. (Photo)

Question

Looking at transplant location I can see several raised white areas that stick out of the scalp. Many look ready to fall out/off and look like the "bulbs" Trabsplanted on the crown. The hairline ones are not sticking out at all. Wanting to confirm grafts are ok. It's been 7 days. We have read many methods of cleaning scabs & crust and want to use the one that will not damage the grafts. Do we use pads of fingers to scrub off? I've seen on here mention of using a qtip and rolling. Which is best?

John Bitner, MD · Answer

My care routine is as follows:spray witch hazel 4-6 times a day on the transplanted areaWash gently with baby shampoo twice daily, starting 36 hours after the surgery (morning of day 2 after surgery).  Just let water run gently through your hair before that without shampooDo not get the shampoo foamed up into a latherNo digging, picking, scratching or doing anything to disrupt the graftsAllow the scabs to come off on their own without rubbing on the area for at least 10 days following surgery

Jae Pak, MD · Answer

The best way to care for your grafts after surgery is to follow your doctor's instruction.  Not instructions from the Internet.

P. Daniel Ward, MD · Answer

Hi jojo,Were you provided with any care instructions? In general, I have my patients gently wash their hair once or twice a day for the first 5 days or so to help clean the scabs. That should slowly help get rid of the scabs. I would not advise you to try and pick them off. After about 10 days, you can pretty much resuming doing whatever you want. The follicles are highly unlikely to become dislodged at that point.Good luck!

William Rassman, MD (retired) · Answer

You are looking good. An FUE is treated just like a regular hair
transplant with regard to the recipient area, but the donor area has open
wounds which require daily washing with soap and water. Within 3 days of
surgery, you can resume full activities, heavy exercises if you wish. The
recipient area requires daily washes as well to keep the recipient area free of
crusts. I generally recommend the use of a sponge and supply my patient with a
surgical sponge to fill with soapy water and press on the recipient area daily.
By repeating this daily, all crusts can be washed off without any fear of
losing grafts. IF any crust are present, use a Q tip and dip it into soapy
water, and roll it on the crusts and that will lift them off without dislodging
them, but never rub them, just roll the Q tip on the recipient crust. I like to
see no evidence of any crusting in the recipient area and the crusts from the
donor area gone in 7-10 days with daily washing

Grafts sticking out with white bulb and cleaning of scabs and crusts. (Photo)

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