I think my FUE got messed up. Is this something to worry about? (Photo)

Question

I had a FUE Hair Transplant 5 days ago on the front hairline and I think the grafts are starting to come off as there appears to be the visible gaps between the grafts in the shape of lines. There hasnt been any sort of bleeding but is it something to worry about?

Jae Pak, MD · Answer

If you are concerned about hairs falling out with scabs or skin, it is best to contact your doctor.  It may be normal.

Sanusi Umar, MD · Answer

You photos are consistent with normal scabbing following FUE hair transplant. The scabs should all come off over the course of 2 weeks after your surgery. Keeping the entire recipient area moist would haste the time it takes for these scabs to come off all together.

Amir Yazdan, MD · Answer

5 days post op our cases never look like this. Based on your photo it looks like there was a significant amount of bleeding in the hairline and recipient zone.  This is likely caused by the recipient site incisions being too large and too deep, thus causing more tissue damage to the scalp and causing excessive bleeding. The larger recipient site incisions can also damage the natural hair that was there before the hair transplant so lets hope that those don't fall out as well. When doctors don't have enough experience with FUE, they tend to use larger punches to extract grafts as it is much easier.  This leaves the grafts larger and thus require a larger incision (recipient site) to be placed in. There is also considerable gaps in the transplanted zone which likely means that the surgeon was not very careful making the sites.  There is an art to hairline design and recipient site creation.Was your surgeon involved with your entire case? Who made the recipient site incisions? Was it the doctor or an unlicensed technician?Our clinic uses a small punch to extract the grafts( usually 0.7mm) and tiny incisions the transplant zone. This minimizes tissue trauma, and minimizes the risk of shock loss to the surrounding hair follicles.  This is why it is imperative to make sure you research a hair transplant surgeon that is qualified and specializes in both FUE and FUT procedures. You also want to make sure they don't perform more than one surgery per day as that would cause them to rush to get you out the door and the next person in. A lot of times these doctors have their staff performing the surgeries themselves and are minimally involved in the procedures themselves.At this point the best thing to do is to followup with your doctor and discuss your concerns.  Then wait and see what the outcome is.

Bernardino Arocha, MD, FISHRS · Answer

Barfi,
Please try to relax, the procedure was only done 5 days ago. It will be difficult and stressful if you do not. It is far too early to judge what final outcome will be.What's more all the transplanted grafts can fall out in the next few weeks, this can be entirely normal. The growth usually starts within 3-4 months after the transplant.

Sincerely,

Bernardino Arocha, MD

Ilhan Serdaroglu, MD · Answer

There is nothing to worry about. Dark colored scubs and non scub area creates a contrast and visual illusion as you have  a gaps between transplanted areas or have small empty roads on the skin .you have all grafts over there ...

Matt Tahsini, MD · Answer

Thank you for sharing your picture. Being only 5 days post, everything looks to be on point. As the days proceed, you may experience a little bit more cracking of the grafted areas. Within few more days, the grafts will be secured in place and you should see the results in the coming months. Best wishes.

Baubac Hayatdavoudi, MD · Answer

Based on your pictures and post operative day 5 expectations, you're on course.  You will have some shedding as the scabs fall out, but the follicles will remain safe.  Your scalp does appear dry and you can use some vitamin e to hydrate your scalp.

William Rassman, MD (retired) · Answer

This is the result of excess crusting. Your doctor should have showed you how to wash off the crusts on day one and the problem that you have, not really significant other than the visible impact of it, will go away as the crusts eventually shed over time and with frequently shampooing

I think my FUE got messed up. Is this something to worry about? (Photo)

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Answers (8)

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