If you have any questions, please feel free to contact our office at (800) 642-9942.
MEDICATIONS: Start taking your medications as prescribed below on the evening of your surgery.
a) Antibiotic: This is taken to prevent a scalp infection. Take one tablet twice daily with food for five days.
Complete the full antibiotic course as directed.
b) Prednisone: This is an anti-swelling medication. Take as directed-four tablets (all taken together at the same time). NEVER take this medication on an empty stomach-this can cause extreme nausea and upset stomach.
c) Pain medication: Should you experience any discomfort, you may take the pain medication that has been provided for you as directed. You may also take an aspirin-free medication such as regular or extra strength Tylenol. Do not take the pain medication if you will be working, driving, or operating any machinery due to possible drowsiness. Also DO NOT take any medication that contains ASPIRIN for ONE WEEK following your procedure.
No alcohol consumption for one week
Propecia may be taken as usual.
BLEEDING: Slight bleeding or oozing may occur from the donor area where the sutures are placed. We recommend placing an old towel on your pillow while sleeping for the first several nights in case of oozing so that your pillow case will not be stained. If bleeding occurs, apply firm pressure with a clean cloth to the area for 10 -15 minutes. If bleeding persists after 15 minutes of pressure, contact our office.
SWELLING: This is a surgical procedure and swelling does occur. It is part of healing process. The degree of swelling varies with each patient from mild to pronounce. To minimize the swelling you should do the following:
1. Sleep with your head elevated at a 45 degree angle for 3 nights following surgery. This can be done by sleeping in a recliner or by using at least 3 pillows supporting your back and neck in bed.
2. Apply crushed ice packs, wrapped in a clean cloth as frequently as possible to your forehead and temples (20 minutes every two hours while awake). Never apply ice directly to the grafted area.
3. Perform forehead massage with firm pressure moving the fluid out toward the ears. Begin this activity the night of surgery. Perform after each ice pack for 3-4 minutes. Expect swelling to peak on or around the third day.
4. If significant swelling persists after three days, discontinue the ice and change to warm compresses on forehead and temples, and repeat massage as described above.
GUIDELINES FOR PROPER HAIR CARE
EXERCISE: For ten days after your procedure, refrain from any strenuous activities that would increase your blood pressure, i.e. JOGGING, WEIGHTLIFTING, and SEXUAL ACTIVITY. When picking up items from the floor, bend at the knees while keeping your back straight to avoid having your head go below the level of your heart.
SHAMPOO: See attached Post-operative Hair Care, Graftcyte or Salt Water Soak Instructions.
If you have never used Rogaine, you may start at suture removal. If you have been using Rogaine, you may resume at day 3-5 after your surgery to the area where there are no grafts.
STYLING: Style your hair as desired after shampooing and remember:
1. Using a blow dryer is not harmful to the hair, but it should be on a cool setting.
2. Comb hair with light to moderate strokes (without touching scalp). Never use force.
3. Only use styling products that do NOT contain alcohol.
4. Coloring the hair, wait 5-6 weeks after the surgery.
Direct any scalp problems to our Medical Staff (i.e. itching, in-growns, and flaking) so proper treatment can be provided.
CRUSTS: Crusts or scabs will naturally begin to fall off within the first week following your procedure. DO NOT SCRATCH OR PICK at these crusts because you may accidentally remove a graft or cause an infection. If all the crusts have not fallen off after 2 weeks, call our office. After the fifth day, conditioner may be applied to the transplanted area for 15 minutes before shampooing. This will cause the crusts to soften and then fall off.
HEALING: Allow the grafted area to be exposed to as much air as possible. Hats and hairpieces should only be worn if necessary. Hats, if worn, should not be so tight or constricting that they rub on the transplanted grafts. If you will be in the sunlight for more than 10 minutes, you should protect the grafts by wearing a non-constricting hat for three months. Five days after surgery, you may use sunscreen with SPF 30 or higher. Avoid tanning for 3 months after the surgery.
If a graft is accidentally knocked or combed out, immediately place the graft in a solution of salt and water and refrigerate, then call our office.
NUMBNESS: Fine nerve endings may be cut during each procedure. This will result in decreased sensitivity or numbness to both the donor and recipient areas. This usually subsides over a period of 6 to 8 months, but can persist for greater than 12 months.
VITAMINS: You may start taking Vitamin C 24 hours after your surgery. Avoid vitamin E or multivitamins for 1 week.
SUTURES: You should make arrangements to have your sutures removed on day 10.
Upon completion of your procedure, a routine no charge check-up will be given at 5 and 10 months. Any questions regarding your past or future procedures can be addressed at this time.