Scabbing/cracking lines after HT (1 week post op). (photos)

Question

I had Fue HT 6 days ago and got first wash after 2 days of HT. then my doctor provided me Foam to put 30 min. on transplanted area n then wash then put shampoo n wash again with (tap tap gentle technique) like rinse the water but not rub at all for first 7 wash post operation. Suddenly after 3 days of wash I noticed first like like crack/scab on my head n then now these increasing as per my attached pics. Could you please guide me is it normal? Or what should I do next if something going wrong?

Ozge Ergun, MD · Answer

Yes your head is too dry. The washing should be done correctly .Please contact your clinic or surgeon and ask for an advise and please follow them.

Jae Pak, MD · Answer

It is best to contact your doctor and follow up with your doctor for these issues.  Scabbing and the "cracking" you describe is a sign you are not washing your hair/scalp enough.

Matt Tahsini, MD · Answer

Thank you for posting your question. It is normal to see some amount of dryness on the scalp after a hair transplant, especially a large mega-session. This can cause the appearance such as you described as cracking. Doing 2 washes a day, and keeping the grafts moisturized and hydrated can minimize the look. If you have any concerns, feel free to contact your clinic for reassurance.

William Rassman, MD (retired) · Answer

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 and if you washed it properly, there will be no crusts on it, even the very next day. Use of a sponge which we supply our patients, 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 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.

Post op care: A I don't like the idea of anyone removing grafts that have scabs on them because we have published a paper in a formal medical journal, that when a person pulls off a scab (crust) from a recipient area in less than 12 days, the risk of losing the graft is very high. See the medical paper we wrote in a major journal below in the web reference that proves my point. Everyone having a hair transplant should follow the care I recommend below:

Post op care: A I don't like the idea of anyone removing grafts that have scabs on them because we have published a paper in a formal medical journal, that when a person pulls off a scab (crust) from a recipient area in less than 12 days, the risk of losing the graft is very high. See the medical paper we wrote in a major journal below in the web reference that proves my point. Everyone having a hair transplant should follow the care I recommend below:

Scabbing/cracking lines after HT (1 week post op). (photos)

Answers (4)

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