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metro

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    Post op do's and don'ts???

    in Open Hair Loss Topics

    Posted

    Instructions ??“ Before Surgery

     

     

    Preparation for Surgery

     

    Allow your hair to grow at least 1/2 inch at the back and sides of head (this will cover the staples after surgery)

    Start to massage the back of your scalp by pushing the skin firmly up and down to help loosen the donor area. Do this as many times daily as you can.

    Stop using Rogaine 3 months prior to surgery

     

    1 week prior to Surgery

     

    Stop the use of Aspirin (ASA), anti-inflammatories (i.e. Advil, Motrin), any vitamins, herbs and supplements (Gingko, Gluscosamine), marijuana and alcohol. Please read all labels on any medications you may need to take, aspirin may be an ingredient.

    Tylenol is okay to take

     

     

     

    Night before Surgery

     

    Get a good nights rest

     

    Day of Surgery

     

    It is important to have a light breakfast before your hair transplant surgery.

    Wear loose fitting comfortable cloths. Please do not wear tight clothing that must be pulled over you head

    If sedation is used during surgery, driving is not permitted for 12 hours and you will need to arrange transportation to and from our clinic. **During hair transplant surgery, sedation is rarely used and therefore the patient is able to drive.

     

    Instructions ??“ After Surgery

     

     

    Rest, sleep or watch television for the remainder of the day. Do not lay or put any pressure on the grafted area.

     

    Maintain your normal diet. No aspirin or alcohol for 3 days after surgery.

     

    Take antibiotics, pain relieving medications and sleeping pills as directed.

     

    Ice forehead with a cold pack (ice bag wrapped in towel) for 20 minutes each hour while awake for the first day. Continue to use ice for 2-3 days if swelling occurs.

     

    If unable to return to our office the day after surgery, wait 24 hours to do your first hair wash. Wash hair in shower using a very gentle water flow of luke warm water, not hot water, and gentle hands. To dry your hair you can use a cool air setting on a blow dryer or gently pat with a towel. You must wash your hair everyday, and after day 5 you can start to apply more pressure when washing the scalp. 8 days after surgery, you can gently rub off the loose scabs during your showers.

     

    A clean loose fitting cap or hat may be worn.

     

    If you have staples they will be removed in 8-10 days, if you have sutures they will be removed in 7 days. Please make an appointment to come back in for your removal at our office, or out-of-town patients may see their own doctor.

    Instructions for staple removal (if you are unable to come back to clinic):

     

    *To minimize discomfort during your staple removal apply a medium layer of Betacaine Gel to the donor area and rub it in. For best results apply the gel at 1 1/2 hours, 1 hour and ?? hour before your staple removal.

     

    Do not scratch sutured area: be careful when combing over grafted area. DO NOT USE A BRUSH.

     

    Minimize swelling by: no strenuous activity for 2 days, no swimming for 1 week and no contact sports for 2 weeks. Keep hair clean, be careful not to bump head and avoid getting sunburned.

     

    Report any bleeding, swelling, infection, excessive discomfort or temporary hair loss to your doctor. Swelling of the forehead is common, and usually starts on the third day after surgery and can last 3-6 days.

     

     

     

    Spotting and occasional light bleeding from the donor area may occur 12 ??“ 14 hours after surgery. Apply firm, constant pressure over the area for 20 minutes. If bleeding occurs from the grafted area (dislodged graft) gently clean of blood and continue to gently clean until bleeding stops. Do not apply pressure to grafted area.

     

    Apply thin layer of Bactroban ointment to donor and grafted area two times per day. To apply the Bactroban use a clean finger and smooth it gently on in the same direction as your hair growth.

     

    Do not use rubbing alcohol or any styling products containing alcohol on grafted areas for 7 days.

     

    For the vast majority of surgeries, no sedation is used. On the rare occasion when sedation is used during surgery, do not operate motor vehicles, boats, machinery or power tools until the following day.

     

    The transplanted hair shaft will fall out 2-4 weeks after surgery, this is normal. You still retain the live follicle that lies dormant and starts to grow within 4-5 months.

     

    Four months after surgery, continue scalp-lifting exercises to loosen donor scar.

     

    Regular use of vitamin B complex (2 tablets daily) and vitamin E (1 tablet daily) will help to maintain hair quality and facilitate nerve regeneration in the grafted area and above the incision line.

    Hairline Question?

    in Open Hair Loss Topics

    Posted

    donor area is limited. one doc said lower the hairline with more graphs. another doc said remove old graphs,then cut them up and place them back in and then add new graphs months later.

     

    I guess it depends how good each doctor is???

     

    ..can't removing older graphs be damaged??

    Hairline Question?

    in Open Hair Loss Topics

    Posted

    If I am getting my hairline repaired because of previous bad h/t. What would be a proper repair method, have the pluggy(9 hairs growing in one graph) removed and then cut up and be placed again back in the hairline or have the hairline lowered a bit would new graphs,and have the new graphs blended in with the old pluggy graphs???

    Hairline Question?

    in Open Hair Loss Topics

    Posted

    If I am getting my hairline repaired because of previous bad h/t. What would be a proper repair method, have the pluggy(9 hairs growing in one graph) removed and then cut up and be placed again back in the hairline or have the hairline lowered a bit would new graphs,and have the new graphs blended in with the old pluggy graphs???

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