Post 5 days are the transplanted grafts secure? how do we know if the grafts have come out? is it identified by bleeding?

Transplanted grafts are secure few days after surgery.  A week or so is what most would agree upon. You'll probably know if the grafts came out if you see dried up tissue the size of a rice grain with hair in the middle.

Hello, All techniques, including handheld FUE, strip technique, and ARTAS will have some transections or grafts which were damaged during harvest.  Our numbers (which we believe translates to most other hair centers) were around 35-50% transection rate with handheld FUE, 15% transection rate with strip surgery (due to location of bevel of knife along the whole periphery of strip), and less than 5% transection rate with ARTAS.  In my own transplant procedure, I had 1000 grafts harvested and 1 transection with harvest!!!  If a patient paid for 1000 grafts, does this mean they paid for 1000 harvest attempts or 1000 legitimate grafts.Best, Dr. Anil Shah

It takes about 7-9 days for the recipient wounds to fully close over each of the inserted grafts. After this point, the follicles are permanently embedded beneath the skin’s surface. Before the wounds are completely closed, it is quite possible for the follicles to become dislodged. Bleeding is certainly a possibility, but this may not necessarily occur.Slight shedding can be expected after a procedure. And this will become more noticeable within the following three to four months. This is because transplanting the hairs to new locations will create a type of stress that causes the follicles to enter a telogen resting phase. The hair will fall out to make room for new growth.If you have concerns about losing grafts that don’t seem like natural shedding, speak to your doctor. 

It takes around 7 days to secure your grafts. To know if your grafts comes out you will see some bleeding scabs

It varies by the size of grafts, the procedure, and your healing time. We often tell people 10 days is the safest mark of time. 

Day is an important day as most grafts are pretty secure by that time point. However, grafts could still potentially be lost up to day 7.You can't always tell if a graft is lost. If it's dead (never hooked up a blood supply) you simply won't tell it's been lost.  If the first few days a graft that is lost will often bleed.

if the grafts were to come out at this point, you would see bleeding. Just be careful with the grafts and follow the following washing routine. 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

The transplanted hair is still fresh and needs to be handled gently for up to ten days.  Therefore you need to be gentle with them until they are set in.