Can Grafts Be Pulled out 10 Days After a Hair Transplant? (photo)

I 'd a hair transplant of 6000 grafts 11 days ago .Tonight,I washed my head gently rubbed donor area with fingers and direct touches with shampoo to the recipient area as per doctor's advise.What scared me is that I could pull out some scabs from my the transplanted area they looked like grafts and had hair in it. what I already know is that hairs grown from the transplanted grafts fall (3rd- 4th week) and regrow after 2 months .But grafts themselves fall ?? is that normal ? what's left?

Doctor Answers 11

No No No, never pull grafts out

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because you will pull out the grafts and these will never grow. I wrote an article on this very subject and it is authoratative, A I don't like the idea of anyone removing grafts that have scabs on them because we have published a paper in a formal medical journal, that when a person pulls off a scab (crust) from a recipient area in less than 12 days, the risk of losing the graft is very high. See the medical paper we wrote in a major journal below in the web reference that proves my point. Everyone having a hair transplant should follow the care I recommend below:

In FUE or any transplant including a beard transplant it should be treated just like a regular hair transplant with regard to the recipient area, but if the donor area has open wounds (FUE), it requires 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 in a rolling motion, never rubbing. 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


Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 29 reviews

Scabs

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6,000 is a lot!  That's a lot of scabs and a lot of hair that will fall out with scabs.  Don't sweat it, however, as the follicles should be integrated into the scalp by now. 

Tim Neavin, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 54 reviews

Grafts falling out

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6000 grafts. Wow! I know only a few clinics that do that many in a session. Your grafts look good and it is likely that no more will come out. The few you have seen probably came out within a day or two of the surgery and were stuck to the scalp or what you have seen  represent the early typical shedding of the grafts that occur 2-4 weeks after a transplant. . It is quite hard to intentionally pull out grafts after one week. I would not worry, but would suggest you discuss things with your surgeons.

Sheldon S. Kabaker, MD FACS
San Francisco Facial Plastic Surgeon

Fall out of grafts after a transplant

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Often after 10 days the roots (bulbs) of the grafts are well embedded. However, the shaft of the follicle may fall out and this is common and ok.  Ultimately, it is best to discuss this with your hair transplant doctor. 

Rashid M. Rashid, PhD, MD
Houston Dermatologist

Are my grafts falling out?

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Grafts are very firmly attached within 4-6 days after surgery, and are therefore very unlikely to be pulled out accidentally. Hairs and what appear to be grafts at 11 days are probably not lost follicles, but just normal shedding. No not deliberately remove any hairs or crusts, but continue your recommended scalp care. Remember also that losing up to 5% of your transplanted grafts would be considered very acceptable, and that would be 300 lost grafts in your case. So probably nothing to worry about!

Robert Haber, MD
Cleveland Dermatologic Surgeon
5.0 out of 5 stars 9 reviews

Can Grafts Be Pulled out 10 Days After a Hair Transplant?

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Thank you for your question.  After a few days the grafts are well incorporated.  The grafted hair will grow nicely for first 10-14 days then 50-75% of the hair will shed temporarily. The small crusts around the micrographs will fall off naturally at around 10-14 days.  You can wash your hair daily and gently with a mild shampoo.  Try not to remove the crusts and allow them to fall off naturally.   Discuss your concerns with your surgeon. 

Hair transplant graft take

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This graft that came out most likely was a non-viable graft.  By about 7-10 days, the grafts are fairly adhered although they can be pulled out with great effort.  If the graft was not living, it most likely came out with a scab.

If you went to a reputable clinic you should have a great result with 6000 grafts!

Post-operative period and losing grafts

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I saw the picture and it looks like a hair graft that probably never took and never survived and was part of the scab. Generally speaking the grafts take and survive during the first 5 days PO but the patient should be still very carefull about scratching the scalp or washing the recipient area. 6,000 are a lot of grafts. It is normal the shedding of the transplanted hairs and can happen up to 12 weeks after the transplant. I will suggest you to follow the postoperative instructions given by your surgeon.

David Perez-Meza, MD
Spain Hair Restoration Surgeon

If what you see are big chunks of skin they are likely dried up hair grafts that did not take.

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If what you see are big chunks of skin they are likely dried up hair grafts that did not take.  You can lose 1 to 2 grafts by accident for every 1000 grafts that was transplanted during the healing process.  If you are concerned about your potential loss, you should follow up with your doctor for a recheck.

6000 grafts by the way is a unusually high number for one surgery.

Jae Pak, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 106 reviews

Can grafts be pulled out 10 days after transplant?

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While it is difficult to say whether or not you were pulling out grafts or just removing scabs with shedding hair shafts, I never recommend picking at the scabs due to the potential risk for graft removal.  That being said, it is difficult to remove the grafts after about one week.

I tell my patients just to wash the recipient area gently without picking at the scabs.  With any hair transplant, there will be a small percentage of grafts that are lost or unsuccessful, but overall this number should be quite small.

All this best,

Matthew Richardson, MD
Frisco Facial 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.