Did I Pull out Grafts One Week After a Hair Transplant? (photo)

I'm 24 year old male. I had a hair transplant of 3000 grafts 7 days ago. Tonight I washed my hair and gently rubbed it with my fingers because that's how my doctor advised me. What really scared me is that I could see some scabs in my hand that looked like grafts. They were the same size and they had hair in it. Is it possible that I pulled out some? And also, is it normal that my head is still full of scabs after 7 days? Shouldn't it heal faster? Are these cracks on my head normal?

Doctor Answers 17

Scabbing is normal one to two weeks after hair transplants

What you described is completely normal. Seven days after the surgery, signs of wounding in the donor area should deplete. Scabs in the recipient area will typically fall off within seven to 14 days. At just a week after your surgery, you are still in the normal time frame for scabs to fall off. Additional shedding is possible for up to eight weeks. Both areas will continue to heal with virtually no scarring. If after two months, you are still having scabbing and shedding, then contact your surgeon. Additionally, if excessive hair loss continues while showering, contact your surgeon immediately. This may be a complication. A patient can expect new hair growth in 14 to 16 weeks, which usually maxes out at a year. New hair will continue to mature and thicken for up to a year and a half after the FUE surgery. Follow-ups with the surgeon will continue during this time to track progress.

Redondo Beach Dermatologic Surgeon
4.7 out of 5 stars 30 reviews

Crack can be normal but probably means you're not washing well

Crack can be normal but probably means you're not washing well.  You should follow up with your doctor for a recheck.  Doctors generally instruct patients to wash their hair in 1 day.  You will lose your transplanted hair as well as some of your native hair weeks after surgery. You may look worse before it starts to look better. It may take 6 to 12 months to see the results of a hair transplant

Jae Pak, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 90 reviews

Did I pull out grafts

From the pictures that I'm looking at, it does not appear as though you pulled out any graphs however, you yourself would know better if you actually pull them out or accidentally scratched your head vigorously during the first week or so . I believe what I'm looking at is separation in the scabs at the graft sites and not missing follicular units so I would not worry however, if you are concerned, I would make a follow-up appointment with your hair transplant surgeon for a careful close-up examination, but I'm encouraged that you will be fine and obtain an excellent result. The downside is being patient and that you won't see any growth for a minimum of six months and possibly as long as 9 to 10 months.

Post op regiment after hair transplant surgery

The hair shaft is attached to the follicle and detaches after the surgery.   The detached hair shaft will come out with the scabs.  Usually the first ten days the scabs start to fall off.  We usually give our patients a post op regiment to make the wound and the recipient area heal faster. If our clients follow direction, then within two weeks all the scabs would have fallen off.  When you wash or rub the recipient areas, you may notice scabs fall off with the detached hair.  However, the follicle remains and will start to grow in a few months after the procedure.  

Michael Meshkin, MD
Newport Beach Hair Restoration Surgeon
4.8 out of 5 stars 27 reviews

Hair loss after a hair transplant

This could be normal.  It is hard to tell from the photos but the history doesnt sound out of line.  

Rashid M. Rashid, PhD, MD
Houston Dermatologist
4.5 out of 5 stars 8 reviews

Scabs with hairs one week after a hair tanspl ant.

This is the normal course of events in that the crusts with the hairs fall out  after about a week or two. The hair the start to regrow after 3 months. If they fall out within the first 3 days, then the grafts may have been lost. Your transplant surgeon should have told you about this and you should discuss it with him/her. Then cracks that show up on photography likely represent where the crusts fell off.

Sheldon S. Kabaker, MD FACS
San Francisco Facial Plastic Surgeon
4.4 out of 5 stars 35 reviews

Post transplant scabbing

It is normal to still have some scabbing at this point and this may continue for the next week or more.  Be very gentle when rubbing your head.  I recommend that my patients wash their hair daily, but for the first two weeks just use baby shampoo and water in a cup, and they pour it over their head to avoid the shower pressure on the grafts.  This will soften the scabs and help them fall of naturally.  Don't pick! 

The hairs will start shedding at this point and will continue for several weeks.  Be patient, you will heal in time and be looking fabulous in a few weeks!

Best of luck

Dr Rodman

Regina Rodman, MD
Houston Facial Plastic Surgeon
5.0 out of 5 stars 8 reviews

Did I Pull out Grafts One Week After a Hair Transplant?

Thank you for your question.  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.  Just looking at your photos it appears that your healing normally.   Discuss your concerns with your surgeon. 

Did I Pull out Grafts One Week After a Hair Transplant?

Thank you for your question. Your transplant look very normal.. you need to continue washing with shampoo and follow your surgeons instructions.

Bulent Cihantimur, MD
Turkey Plastic Surgeon
4.9 out of 5 stars 90 reviews

Scabs (Crusts) Following Hair Transplantation

It appears that the hair follicles were tightly placed so that there will be good density when the new hair grows.  The "cracks" are where the scabs (crusts) have come off of your scalp.  If you rubbed too hard or "picked" you may have pulled some of the follicles out.  It is also possible that some of your hair was cut when making the sites and came off with the scabs, i.e., the hairs were the the transplanted hairs that were transplanted.  The normal progression is for the transplanted hairs to fall out around 2 weeks or so and the new very fine hairs will start to be noticeable in about 4 months.  It will take approximately a year to see the final result.  I do not think there is anything with which to be alarmed.  The scabs (crusts) will usually be gone in 2-3 weeks.  Letting the shampoo soak for a few minutes before you rinse will slowly remove the crusts and the "cracks" will be gone.  The hair follicles are held in the scalp very well by 5-7 days so at 7 days you are past the critical point when the transplanted hairs will pull out easily.  I expect that your transplant will grow plenty of hair.  However, don't expect to end up with super dense hair with one transplant.   

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.