How delicate are grafts the first night?

The first night after a procedure is probably the most important night regarding your hair transplant. I always say the first 24 hours is your most important time to be as relaxed and do a little activity as possible. Keeping your head open to air and not having any bandages or coverings over your head will help out with the outcome. Here at Natural Transplants, we recommend our patients sleep at a 45 to 60° angle with no covering over there grafted area. And usually by morning time the graphs are more stable and our patients are able to fly home. If there is an area that uses a little bit I usually recommend a hair dryer on the cool setting to go over the area for about five or 10 minutes in this usually resolves the bleeding.

The grafts are pretty delicate the first couple of days after the procedure. However, hair does grow at different times, and you would need to allow for the full 12 months to really assess. I recommend you discussing this with your surgeon so the area can be monitored.

It is difficult to say without the benefit of a formal evaluation. For hair regrowth, I suggest the following to my patients:
Start Theradome now (see link) and in office PRP/acell, you can do early transplant if you want. You need a formal evaluation to see what type of hair loss you may have. when you have hair loss its best to do a full hormonal workup for internal optimization plus scalp biopsies or scrapings to rule out any stress related, inflammatory, autoimmune or infectious causes of hair loss. In general most people with early hair loss have telogen (stress related) and/or androgenetic (normal aging) and both can be treated with in office treatments like steroid injections, PRP/acell, Exosomes and at home treatments like oral medications, oral vitamins like Viviscal, topical exfoliating sprays like Restorsea, and weekly growth factors like anteagemd. See an expert for an evaluation. Best, Dr. Emer

The grafts are typically very delicate the first night of the procedure, and most at risk of being dislodged. From your description, it seems like you may have caused some bleeding to the area, but didn't actually dislodge the grafts themselves. Typically, you would see the actual grafts dislodged (with follicles) and there would be empty sites where they dislodged from. At 6 months, the good news is that it is still very early in the process. The full result isn't apparent for one full year. Hang in there, there is still a lot of growing and thickening that occurs. If by 9 months, you aren't seeing some decent density in the area then you may have cause for concern. It is still too early to tell at 6 months. Wait the full year and hopefully the result will be as expected.

You should pay attention to the factors that affect the survival of grafts after hair transplantation. The healing process for the transplanted grafts takes place for about 8 to 10 days. You need to be very careful for the first two weeks after the hair transplantation. This is because the grafts are not fixated instantly after the transplantation. You can remove the bandages after 2 to 5 days of the procedure but don’t touch the grafts. You can wash your hair gently using your hands with clean water.

After two weeks, you can regularly wash your hair, and also after 10 to 14 days, you can remove the non-dissolvable stitches. After a few weeks, the transplanted grafts will fall out and new hair starts to grow. It takes 12 to 18 months to see the full results. The hair starts to grow completely. Grafts falling out are rare within a few days of transplantation. 90% to 100% of the grafts will not fall out and most of the time, hair transplantation and graft survival go smoothly with the right candidate for transplantation.

The graft survival issues arise only when the donor scalp has some issues, surgery day conditions, dehydration, graft storage issues, and other few factors are responsible for this. Worrying about hair fall after transplantation is useless because it happens and is normal. Normally, the transplanted grafts shed out after five months of hair transplantation, feeding space for new hair to grow in.