I found about 20 grafts and blood on my pillow the first night after my transplant. Should I be worried? (Photo)

Do not worry about the bleeding it is normal. However, fallen grafts will not survive. 20 grafts won't make a big difference. İf you are worried and experience more lost contact with your hair expert.

Unfortunately you seem to have lost some grafts. Graft dislodgement usually occurs in the initial 3 days after hair transplant operation. Direct trauma is the main cause of graft dislodgement.You should take up the matter with the surgeon who treated you and contact the clinic where the operation was carried out as soon as possible.

Hello, Thank you for your question, and attaching photos. Bleeding is normal on the first night after the FUE, this is why there should be bandages, which I usually let my patients keep only over the night. However, the bleeding on transplanted area might happen only if the grafts are out or accidentally damaged, which happened in your case. You should have contacted your surgeon immediately, The grafts which were out, the will not survive, but 20 grafts should not effect on the results. 

In general, you never want to lose a single graft.  In my experience losing 20 grafts is more than I typically have seen.  However, if you had a relative large case like 2000-3000 for example, 20 grafts should have minimal impact unless they were all in one area close to one another or along one side of the hairline for example.

Don't panic. As long as no further grafts are found, there should be minimal impact on your results. However, make sure you discuss this with your surgeon, and if you require an additional procedure, it is reasonable to expect a few complimentary grafts. Also make sure you are following your post-operative care instructions carefully.