A gentleman is one week post hair transplantation. He noticed a lot of scabs and crust while washing his scalp. He is worried if the grafts are coming out.
Dr. Amiya Prasad, a hair restoration specialist says that this gentleman's concern is very common. Everyone who had a transplant is afraid that they will dislodge the graft and think that the grafts are very delicate. In Dr. Prasad's practice, he does a fair number of hair transplants and the routine is fairly straightforward. He does hundreds or thousands of grafts in a session and within the first 24-48 hours, the grafts are so well in place that it would take a surgical instrument to physically remove the graft from the scalp. He also uses a material called extracellular matrix which further facilitates the healing process and treats the thinning hair concurrently.
The scabs that one sees are the combination of some old blood, some very dry skin and are a part of a normal healing process. In the first week, Dr. Prasad lets his patients wash their hair with a bowl of water and pour it gently to let this superficial scabbing dislodge. He also lets them spray the hair with some saline to keep it a little moist. By the second week, he encourages his patients to scrub a little bit. Of course, he examines his patients before he gives them this advice to make sure that they are not doing anything that can be traumatic.
Seeing a hair in the scab doesn't mean they lost the graft. The base of that graft is called the dermal papilla and is the root of the hair which does the growing. Sometimes, the hair will break or shed and that is normal. Dr. Prasad suggests thinks that communicating with the doctor is critically important. Every experienced hair restoration surgeon will be able to give a patient an advice from their experience. With a little bit of guidance, one can anticipate what will happen beyond this initial early point in the healing process.
For more information, visit our website:
prasadcosmeticsurgery.com/pras...
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