Scabs/crusts very present 1 week post-op FUE. Is this normal? (Phtoo)

Question

Hi, I had 4040 grafts done 7 days ago, and my recipient area is still crusty/with scabs. Since day 4 I have applied panthenol prior to shampooing, but I was provided no spray to keep the grafts moist. Is it normal? Can the presence of crusts/scabs after one week affect my outcome? Thank you.

Emrah Cinik, MD · Answer

After 7 days washing crusts should be fall down. you had 4 days washing already. now you can do slowly massage

Anil R. Shah, MD · Answer

Hello,
The donor area after FUE, whether by hand or ARTAS, takes some time to heal.  Most patients heal atraumatically over a period of weeks.  As your hairs begin to grow, the donor area becomes harder to see.  Daily washes with mild soap can help keep the donor area clean.  If scabs form, mild soap and water can be helpful.  We use PRP in the donor area to facilitate healing as well.  
Best,
 Anil Shah

Jae Pak, MD · Answer

If you have post operative issues, especially within the first one to two weeks it is a good idea to contact your doctor.  Crusting and scabby may be normal but it is also a sign that you may not be washing your hair well enough.

Sean Behnam, MD · Answer

Generally crusts should be gone by day 14 at the latest. Be sure you're washing properly: shampoo, let it sit for 5-10 minutes, rinse. Then conditioner, let it sit 5-10 minutes, then massage gently with your finger pads and rinse. Doing that should loosen and cause most of the scabs/crusts to fall out. 
If they're particularly stubborn you can use baby oil, letting it sit then massaging gently with your finger pads. Of course oil will be harder to rinse out, but it works very well on loosening the scabs.

Koray Erdogan, MD · Answer

You should gently clean the transplanted area with a special shampoo and mousse during the first 10 days following the hair transplant procedure. Scabs in the recipient area will typically fall off after 10 days. You may resume normal washing after this natural process occurs. Furthermore, I advise you to contact your surgeon for specific advice and direction.

Baubac Hayatdavoudi, MD · Answer

Everything at this point looks normal. Be sure to stay in close communication with your clinic and follow their post op instructions. Happy Growing!

Ilker Apaydin, MD · Answer

I recommend from day 10 the patient wash and massage the scalp when wet and massage with the weight of the fingers using the fingertips in a circular motion to break down any crusts. If performed twice daily, this will really speed up the healing process and break down the crusts and scabs. It will feel like grit coming off the scalp and this is part of the process.

If it’s the first surgery then some patients are scared to massage but it really needs to be done. By day 10 grafts became secure , so don’t be shy but massage to speed up this proces

If it’s the first surgery then some patients are  scared to massage but it really needs to be done. By day 10 grafts became secure  , so don’t be shy but massage to speed up this proces

William Rassman, MD (retired) · Answer

The existance of crusting after one week indicates poor washing techniques. . By repeating this daily, all crusts can be washed off without any fear of losing grafts. IF any crusts 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.

Scabs/crusts very present 1 week post-op FUE. Is this normal? (Phtoo)

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