post-op instructions FUE hair transplantation Bangkok Thailand

                                           

 

 

 

 

Post Operative Instructions
FUE (Follicular Unit Extraction)

 

Post op care is free, we provide post op shampoo, pain killers, antibiotics and LLLT..
Low Level Laser therapy (LLLT) is free 5 consecutive days after procedure,

45 minutes each day to promote healing, reduce swelling and better growth of grafts

Day 1: time to be confirmed: surgery (Or can wrap up the consultation in this day then followed with surgery) 

LLLT immediatly after surgery


Day 2: 3.00 PM: follow up, hair wash, wound care, remove dressing, then you can leave this day,

if you want to have low level laser therapy, please stay a bit longer (2-3 more days are recommended)

if you chould not stay, we give you a spray for the grafted area.

Day 3, shampoo, LLLT

Day 4, shampoo, LLLT

Day 5, shampoo, LLLT

Day 6, shampoo, LLLT 

Hair transplantation is a delicate procedure.  
Your adherence to the following instructions is essential for 
optimal result.

 

WARNING
1. DO NOT drink alcohol for 48 hours after the surgery.  
Alcohol thins the blood and may cause bleeding.
2. DO NOT take aspirin, Motrin, NSAIDs for 2 days after 
surgery (except if the doctor approves the intake of these 
drugs) as these can also thin the blood and cause bleeding. 
If you are in doubt call the clinic.

POSTURE 
Do not bend over but rather lower your body to pick up things 
for the first 5 days to prevent swelling.

DIET 
Do not over eat food after surgery because this may cause 
stomach upset especially with the drugs you’re receiving 
during surgery, no restricted food.

SLEEPING 
Keep the head elevated with two pillows and use a towel roll
under your neck to help relieve the pain. Lie on your back, 
try not to sleep on your sides because the grafts might rub on 
the pillow.

POST – OPERATIVE MEDICATIONS
A) Antibiotics (Ibilex500mg) 1 cap 3 times a days for 3 days 
to help prevent infection, should be finished. 
B) Pain killers:  You may take Tylenol 2 tablets every 6 hrs 
or IF NEEDED.
C) Sleeping pill (Valium 10mg): take 1 pill at bedtime. 

SHAMPOOING AND CLEANING 

    
  TRANSPLANTED AREA
    Your hair will be washed 24-48 hours after surgery. 
    We want the grafts to adhere solidly during this time. 
   1) Wet your head with a bowl of room temperature water
       or with a gentle stream  of water from the shower.  
       If you use the shower block the stream with your hand 
       so that the water pressure is not too strong.
   2) Lather up shampoo on the palm of your hands.
   3) Pat this shampoo on the area gently (DO NOT RUB) 
       and let it sit for  1-2 minutes.
   4) Gently rinse off with a bowl of water or a gentle stream 
       of water from the shower. 
   5) Pat dry gently with towel.  After 24 hours you can use a 
       blow drier on cool setting only. 
       DO NOT RUB THE GRAFTS TO DRY THEM.
   6) Do this twice a day starting 24 or 48 hours after surgery.  
   7) After 7 days you can begin to lightly rub the graft area 
       to help remove crust.
   8) After 14 days you should be able to shower normally.
   9) You can use any good quality shampoo for washing. 
  10) You can repeat the process with a conditioner to help 
       break down crusting.
   DONOR AREA
     You can be more aggressive with the donor area.  
     Wash this daily starting 24-48 hours after surgery.  
 


NAUSEA/VOMITING
This may occur in less than 10% of patients after surgery. 
This is due to the medication given during surgery. 
Don’t panic because this condition is self limited and the 
doctor will give you medication for this. 
For intractable vomiting you may need intravenous fluid.
 
HICCUPS
This may occur occasionally and may last for 24 hours. 
Drink plenty of water at one time. Don’t worry this condition 
is self limited.
 
BLEEDING
On occasion slight bleeding may occur from either the graft 
site or donor site. If this occurs, apply gentle but firm pressure 
to the area with the gauze provided or a clean cloth.  
APPLY THE PRESSURE FOR A FULL 5 MINUTES. 
The bleeding should stop. If it does not, please call us. 
 
HEAD BAND
It should not be removed in the first 48 hrs except when you 
shampoo and unless the doctor will tell you to do so.  
Continue to wear it a few more days for a minimum of 3 days 
post-op. It prevent swelling to your eyes and face.
 
SWELLING
On occasion swelling may occur in 3% of patients. 
However currently we have incorporated anti-swelling 
medication in the local anesthetic that we use which is why 
most patients don’t usually experience swelling but if it does 
occur it is very minimal. It is not dangerous and is painless 
and will not affect the growth of the graft.  Using ice on the 
forehead after surgery for 10 minutes 4 times a day will further 
decrease your chance of swelling.  
DO NOT APPLY ICE DIRECTLY TO THE GRAFT SITE AS 
THIS MAY DAMAGE THEM. 
APPLY THE ICE TO THE FOREHEAD BELOW THE GRAFTS.
 
ITCHINESS
A few days after surgery, early sign of wound healing is 
itchiness either in transplanted or donor area. If you have this 
symptom, do not scratch it! Cold compression, gentle pat or 
touches will relief it. If there is no improvement, anti-histamine 
drugs may be prescribed. 
 
SCAB or CRUST
Small crusts may form on each graft, and these can usually 
be camouflaged by any existing hair that can be combed over 
the recipient area, or with camouflage products such as Toppik. 
These crusts will flake-off by 5–14 days after the surgery.  
Spray will be given to you will keep the grafts moist in first 3  
days
Do not pick at the scab,.
 

EXERCISE AND ACTIVITY
No exercise should be done for 7 days after the procedure.  
It could result in increased swelling or lost grafts.  
After 7 days mild exercise can be resumed and 
after 14 days normal exercise can be resumed.  

SWIMMING AND SUN
You should avoid swimming for at least a few weeks after 
surgery. Remember there are acids, chlorine and bacteria 
in pools! After this, swimming is alright.  
The skin of the grafts is not used to the sun and may burn 
easily.  Stay out off the sun! It is OK to go into the sun 
but do not sunbathe without some protection for this 
sensitive skin.
 
FOLLICULITIS AT THE GRAFT SITE
On occasion a patient may develop a folliculitis at the grafted 
site, these look similar to acne with pimple like lesions.  
If this happens apply moist warm soaks for 15 minutes and 
antibiotic ointment to the areas 3 times a day. 
PLEASE NOTIFY US IF THIS OCCURS AS I LIKE TO 
PRESCRIBE SPECIFIC MEDICATION FOR THIS PROBLEM.

TEMPORARY HAIR SHEDDING OF DONOR AREA 
(SHOCK LOSS)

In few patients there may be shedding of the hairs.  
Don’t worry because this condition is temporary and 
the hairs will grow back in 3-4 months.
 
REDNESS OF DONOR SCAR
In most patients redness over the donor scar fades in few 
weeks, however in a few patients the redness may take 
several months to disappear. If it takes longer in your case
please just be patient because eventually the redness will
fade with the passing of time.
 

CUT & DYE
We advise not to have the hair cut or colored at least 3-4
weeks after the surgery.

SAUNA 
No sauna for at least a few weeks.

GROOMING
Rogaine, gel, hair spray and mousse are allowed for 
grooming 7 days after surgery.  

MIND YOUR HEAD!
Be careful when you get in or get off  the car. 
Make sure your head does not hit the roof. We have a few 
patients a year that lose the grafts from this accident
No helmet wearing for 1 week

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