Archive for the ‘Swelling’ Category

Ice Compress to Reduce Swelling After a Hair Transplant?

Tuesday, January 21st, 2014

Q:
Hello Doctor,

I was wondering if it is okay to ice the forehead and donor area to reduce potential swelling. I will make sure to not touch the grafts in the recipient area.

A:

Ice Pack for swelling after hair transplnat

Some people may recommend putting cold compress or ice, after a hair transplant, on the donor or recipient areas. However, it may not affect the swelling much, since the swelling which happens after a hair transplant, is mostly post-inflammatory swelling. Post-inflammatory swelling is generally a secondary reaction to the healing of your scalp skin.

However, if putting ice around the transplanted area, such as on the forehead or on donor area, makes you feel better you may carefully do so. Make sure to keep the contact time for ice minimum and do not leave the compress on one spot longer than a few seconds in order to prevent tissue ischemia.

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Donor Thickness After FUE Transplant

Thursday, October 24th, 2013

Q:

Hello Dr. Mohebi, I had a 1500 graft FUE transplant with you about 2 months ago. In the procedure, 1500 grafts were taken from the back, left side of my head. I’m having concerns because at 2 months post op, there is a noticeable difference in the thickness of my hair between the left side and right side. In the donor area, a lot more of my head can be seen. I like to keep my hair short at a #2 guard and I’m just a little concerned because there is a noticeable difference at that length. My question is, is this normal or should I be concerned about it? Will it get better over the next few months? And is there anything I can do to fix this? Any help would be great. Looking forward to hearing back from you. Thanks.

FUE Transplant by Dr. Parsa Mohebi

6 Months After FUE Transplant

A:

Removing 1500 grafts from one side of the scalp usually does not leave a noticeable change.  I have never seen this as a problem.  However, it is a bit difficult to judge it at this point since you may also be experiencing some of the neighboring hair going to resting phase known as telogen effluvium, due to the inflammation of the healing.  This will be reversed when the resting follicles start growing new hair, as time goes by.  Feel free to let us know if you have any other questions or concerns.

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Exercise After Hair Transplant

Friday, May 17th, 2013

exercise after hair transplantQ:

I am post op day 5 from my hair transplant. I exercise regularly and my regular fitness routine is an extensive swimming program in the pool. I usually wear a swimmers cap to reduce the friction as most advanced swimmers and to protect my hair from long term chlorine damage. How will this affect my hair transplant? As you probably know the caps are very tight.

A:

Exercise after hair transplant is generally allowed after the first few days.  Wearing a cap at this point is probably OK.  However, since the swimmers cap is very tight I prefer you are on the safe side and wait 7 days. This is the minimum time we like to recommend to re-engage in exercise after a hair transplant procedure.  If there are any further concerns we can certainly see you in the office, I anticipate all will be just fine with that waiting period.

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Cold Feet Before Hair Transplantation Surgery

Friday, February 24th, 2012

Q.

Dr Mohebi,

I hope you are well. As we get closer to my surgical date I have put together some questions for you.

I have been reading a lot on the hair restoration network and found this 1 individual called Megatron with a similar makeup to myself.

I have looked at his very detailed journal and find many similarities to myself. Because of this I have several concerns.

Folliculitus After Hair TransplantationIf you look through his journal you will notice that he has a similar hair type to myself. It appears he got acne throughout the donor and recipient area that looks horrible at about 2 months after hair transplant and continued for several months. I was very prone to acne as a child and as I mentioned in our consultation I have incredibly sensitive skin and very thin tissue. If I went to a spa and received a facial not only would my face become very red and inflamed but the benefit of the facial would not be realized for sometime due to the fact that I would most certainly get a breakout the following day. Seems like my skin does not like to be touched, squeezed etc. It also appears that he was treated for several infections around the 2 month mark as well which may have affected or increased his shock loss.

I am also concerned about the level of shock loss that he had. What are the common reasons for this and is there a way to minimize this other that the propecia you have already prescribed? It appears as if he lost a good portion of the density at about 2-3 months in the recipient area. I am not sure if I am ready to go through that even for the greater good. I understand that everyone is different and will react differently to the surgery. I have always been on the side of having the most and weirdest reactions to everything that messes with my bodies natural makeup!

When would you say that a return to normal sleeping patterns is likely?

I am not sure if this can be considered a random case of cold feet but I just wanted to get some additional reassurance from you prior to finalizing everything today

 

A:

It is great to hear from you. I will be answering your questions in the order you asked:

1.      What is generally seen a few months after a hair transplant procedure in some individuals is called folliculitis. This happens due to an accumulation of sebum, oily secretions, of the hair follicles.  They are not seen in every patient and do not generally have to do with having a history of acne in the past.

2.      Having sensitive skin may indicate more swelling and redness for the first few days after surgery, but this might be controllable with steroids that we already give to most patients.

3.      Shock loss is most often seen in the areas where you have significant miniaturization, which in your case we know exists based on our microscopic evaluation.  However, we recommend using finasteride after your hair transplant for a few months to minimize the shock loss.

4.      You may want to add minoxidil after hair transplant to the finasteride, to minimize the risk of shock loss even further.

5.      You can go back to your normal sleeping pattern after the 4th day after hair transplantation. Within the first four days you need to sleep in semi-sitting position, but there is no problem with putting pressure on the closed donor area.

In closing, be aware it is normal to have some level of anxiety before any type of procedure.  Please contact me if you have any other questions.

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Two Weeks After Hair Transplantation – What to Expect

Wednesday, December 7th, 2011

Q.

Hi Dr. Just got back from my vacation in XX, had a good and relaxing time. While I was gone for 2 weeks all the scabbing from my hair transplantation is pretty much gone in the donor scar and the implanted areas. Also I noticed that I did lose hairs as you mentioned would most likely happen. the hairs that fell that looked like the grafts were just the hair shaft that I saw fall. I did not see skin attached to the end of the hair shaft so I assume the follicle survived in the skin where it was implanted. not all have fallen but I did notice a good amount. I also notice small dark hairs sprouting in the implanted area. I assume these are coming from where the originial grafts shed?
 
Its almost a month post op and I feel no pain and have all feeling back on my scalp. I pretty much wash and style my hair as usual.
 
Is all this normal progress after the surgery?
Thanks.A.

It is good that you had a nice vacation! 
 
One month after hair transplant surgery is the general time which you should have lost most of your transplanted hair shafts.  The follicles are now part of your scalp and will be growing new hair in 2-3 months.  Your inflammation should be subsided on both the transplanted and donor areas.  Minor itching might be noticed at this time which is a good sign of the scalp wound healing.  You may have lost or will soon lose some of the bulk of your existing hair due to the shock loss.  Using finasteride can significantly minimize it.  You will be noticing new hair growing in 2-3 months from now and the hair shafts will continue getting longer and thicker till about one year from the time of your hair transplant.

Care after hair restoration surgery

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First Few Days After Hair Transplantation

Saturday, August 20th, 2011

Q:

I am planning to have my hair transplantation with you soon and I have a few questions about the few days after hair transplantation.  I’ve been letting my hair grow so that I’ll be able to push it forward to cover the frontal work, but I’m concerned with how much swelling there might be, or if there’s a lot of shock loss, so that the hair I was going to use to conceal, fell out.
How many days is it again that the scabs usually persist? And how long would it be until I could get back into the gym or doing some other kind of exercise?

Also, I have been taking finasteride (1mg) and cutting the tablets into quarters. Is that correct? I haven’t kept up with the scalp massaging though. It was taking so long I was starting to wonder if was going to happen at all. But I could start doing that again now.

Thanks in advance, for your answers!

A:

These are great questions and I will be happy to answer them!

  • Swelling
    Generally speaking, swelling after hair transplant surgery may occur 1-5 days following the procedure. It is usually moderate with certain exceptions which might be more noticeable and involve some area around the eyes as well. Not everyone experiences swelling, but I must always describe the worst case scenario: you may have an elevation (due to fluid) on your forehead which is alleviated by the medication we provide and elevating your head during the first few days after hair transplant.
  • Bruising
    You may have some bruising or discoloration on the transplanted area, forehead, and occasionally around eyes which is even less likely, but necessary to mention. Wearing a baseball cap usually conceals your hair transplant for the following week. I’m sure your existing hair will do an adequate job as well (of course that is only for individuals who have some existing hair to cover the transplanted area).
  • Shock loss
    The medication finasteride, or minoxidil in women, will help to lighten the shock loss (acceleration of the loss of native hair in balding area). Most of those shocked hairs usually go into a temporary resting phase and come back with your new transplanted hair.
  • Scabbing
    The scabs are simply tiny crusts that dry up and flake off within a week.  They are hardly noticeable, and if you wear a cap no one can see anything.
  • limitations in physical activities
    Exercise can be resumed two days following your surgery. Try to keep the blood pressure down (no squats, dead lifts, bent rows, etc) for the first four days after hair transplantation. If you can do some light machine work for a week, that would be best. Try to keep your head elevated/upright. You can do the treadmill or cycle, but just keep the intensity moderate. After 4 days post op, the grafts are pretty much locked in.

Rub your scalp before the hair transplantation. It helps! Your procedure size is rather small so scalp laxity will be a minor issue. However, do the scalp exercises! They are good for the delts also! And yes, you are correct in dividing the finasteride into 1/4′s!

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Redness and Inflammation After a Hair Transplant

Saturday, July 9th, 2011

Redness after hair restorationQ:

Hi Dr. Mohebi,

I hope this email finds you well. I’m still waiting for a date to open up for me to come in, but in the meantime I was looking once again at the before and after photos on the site. I have a question regarding a couple of them.  In some patients in whom their after photos taken 8 months after the procedure, but it looks like his scalp is still rather red.  So I’m wondering for how many months could I have redness, scabbing or other telltale signs of the procedure?  Thanks very much for taking the time to answer my question!

Best wishes,

-

A:

The process of healing and hair growth is usually not complete before a solid 10 to 12 months after the hair transplant.  In fact, some people do not see their best result until month 18 after their hair transplant surgery.  Redness and inflammation of skin usually resolved after the first few weeks, however some patients may continue to have some remaining inflammation and slower disappearing, pinkish discoloration for months, yet they eventually resolve.

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Covering Newly Transplanted Hair After Hair Restoration

Monday, March 21st, 2011

Q:

Dr. Mohebi, I have already made an appointment for hair transplant surgery on Wed April 20th per your recommendations and paid the deposit. If you don’t mind I have a quick question.

Do you think it’s realistic for me to see patients on Monday following my procedure? I have clinic that day and OR the next (will need to wear surgical cap), is this okay in the week following?

A:

Because we will be transplanting a large number of hairs in the frontal area of your scalp, we expect significant swelling until day 4-5 after surgery.  Occasionally patients may experience swelling until day 6-7, but your surgical cap use is okay and should easily cover it.

In addition, some patients occassionally get swelling and bruising around their eyes (which may be difficult to cover). Probability of bruising/swelling around the eyes is minimal but its possibility should still be notated.

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Do I Get an Infection After Hair Transplant?

Friday, February 4th, 2011

Q:

I had a hair transplant back on October 31, 2009. I started getting red boils along my transplanted area (suspected to be folliculitis) in January and I have been taking Accutane for the last complete month.

My question to you is, why did it happen? Was it due to infected surgical equipment used in the surgery? I was advised to get such a heavy drug which has effected the overall tone of my face somewhat like getting severe dryness. Lastly, sir what do u think there are few patches in the infected area who are now like bald patches. Do you have any suggestions or medicine for the future?

A:

Pimple-like scalp lesions that develop after hair transplant surgery are typically folliculitis.

Folliculitis can typically be seen after hair transplant surgery in both the implanted and donor wound areas in the few weeks to month after hair transplant.

The development mechanism of folliculitis is similar to acnea.  It is usually due to blockage in the exit pores of the sebaceous gland (skin oil glands).  Following obstruction of those pores that can occur after hair transplant surgery, sebum (skin oil) cannot be emptied to the skin surface and instead begins accumulating underneath the skin surface.  The result is red or white head-like pimples.

Recovery is generally spontaneous. Although, if too many of these lesions develop, or if there was any sign of secondary infection (i.e.- redness or swelling around the area), the lesions may need to be drained by your physician and the patient may occasionally be recommended to use antibiotics.

Thanks to the generous vascular supply of scalp skin, the infection of scalp skin after hair transplant surgery is extremely rare.

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During and After Hair Transplant Surgery – What to Expect

Sunday, November 28th, 2010

Q:

Where can I see Dr. Mohebi’s before and after photos? Would Dr. Mohebi be doing the hair transplant surgery himself? How are the donor hairs relocated once broken down into follicular units? Do they just get shoved into place? Am I completely out during the procedure or awake? How long before I don’t look like I just dove into a pool full of needles? Can you send me a link to you’re site if you have one. Thanks so much!
A:

Here is the answer to your questions:
Before and after photos could be seen in our hair transplant photo gallery that we try to keep updated with the new pictures on a regular basis.

Would Dr. Mohebi be doing the hair transplant surgery himself?
Yes, at this point all surgeries will be performed by Dr. Mohebi himself.  A surgical team will assist the doctor during the dissection and implantation of hair follicular unit grafts.

How are the donor hairs relocated once broken down into follicular units?
We transplant the hair grafts or follicular units based on the need of a patient. The doctor will draw the hairline before surgery and discuss it in detail with the patient.  Hairline designing has to do with the degree of baldness in each area and patients preferences.

Do hair grafts just get shoved into place?
The follicular units need to be maintained in special solutions in sold temperature while they are out of the body.  When the sites are made, we insert the grafts gently into them one at a time.  This process is very meticulous and usually takes a few hours.

Am I completely out during the procedure or awake?
You will be sedated, but you will not be totally out.  You will become more alert during the surgery in which you are sitting in a surgical chair most of the time.  You can be watching a movie, listening to the music or reading a book during your hair transplant surgery.

How long before I don’t look like I just dove into a pool full of needles?
You will probably never look like that, but if you are concerned with redness and swelling after surgery they may last a few days.  Most patients recover from surgical swelling and redness after the first 4 or 5 days.

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