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Thread: Is this normal?

  1. #1
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    Default Is this normal?

    It has been about 12 days since my hair transplant. I am noticing some pieces of dead skin coming off the recipient area but also they have bunches small hair attached to them that I suspect is the transplanted hair.

    Is this normal? Does it mean that the transplanted grafts are coming off with the dead skin off my scalp?

    I have heard that it is normal for the transplanted hair to fall post-surgery but I am not sure if it is normal for it to happen this early.

  2. #2
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    Any doctors could comment on this? It has me kinda worried.

    Is it normal for the skin in the recipient area to dry up and come off the scalp with small piece of hair attached?

    I rang the doctors office and one of her staff said that the grafts are lodged by day 3 and after that they will be within the skin and the drying process and the skin and hair coming off the recipient area does not affect them. Is it true?

  3. #3
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    Dear Tenex,
    My name is Jen Hoffman, and I am Dr. Robert Haber's head tech. It is completely normal for the crusts to slough off between 6-12 days post op, and very often the hair comes out with the crust. It often appears as if you are losing a graft, but I assure you, that by this time the grafts are securely in place. The hairs will all begin to grow in two to three months, and then they will continue to grow at a rate of 1/4 to 1/2 inch per month. Be Patient, I have been told it is like watching paint dry, but when the hairs come in, it will be worth the wait.

    Jen Hoffman
    Head Tech Haber Dermatology

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    Thank you Jenny. That is a relief. I knew that the transplanted hair will fall and regrow but was not sure if the drying scalp was a part of the normal process or if it could affect the transplanted grafts.

    I am currently keeping my scalp as moisturized as possible.

  5. #5
    Senior Member gillenator's Avatar
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    Quote Originally Posted by Tenex View Post
    It has been about 12 days since my hair transplant. I am noticing some pieces of dead skin coming off the recipient area but also they have bunches small hair attached to them that I suspect is the transplanted hair.

    Is this normal? Does it mean that the transplanted grafts are coming off with the dead skin off my scalp?

    I have heard that it is normal for the transplanted hair to fall post-surgery but I am not sure if it is normal for it to happen this early.
    Tenex,

    It simply sounds like your crusts are coming off. Yes, most of the crusts will carry the small shaft of graft hair. The hair follicle went into telogen (resting phase) and why the hair shaft falls out with the crust. Perfectly normal!
    "Gillenator"
    Independent Patient Advocate
    more.hair@verizon.net

    NOTE: I am not a physician and not employed by any doctor/clinic. My opinions are not medical advice nor are they the opinions of the following endorsing physicians: Dr. Glenn Charles, Dr. Jerry Cooley, Dr. James Harris, Dr. Bob True & Dr. Bob Dorin

  6. #6
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    Quote Originally Posted by gillenator View Post
    Tenex,

    It simply sounds like your crusts are coming off. Yes, most of the crusts will carry the small shaft of graft hair. The hair follicle went into telogen (resting phase) and why the hair shaft falls out with the crust. Perfectly normal!
    You guys are great in providing insight to people that are a little inexperienced such as myself.

    Is it safe to slowly take the crusts and dead skin off with my nails and fingers?

    I am generally fairly active but have played it carefully since the operation up until now. This afternoon I did some exercise and some lifting and immediately noticed a burning sensation on my scalp. More like a whole bunch of needles being inserted kind of feeling.

    When is it safe to start exercising and how intense can the exercise be? My doctor said after 10 days and it has now been about 20 days since my operation.

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    It is 3 weeks and 2 days since the transplant. Almost half the density of the transplanted area (since the day of transplant) has fallen and so have all the scabs and lots of scalp dead/dried skin.

    The dilemma which concerns me is why half the transplanted hair came out with the crust starting since 10th day post-op while the other half is standing nice and strong and I can tell it is even very slightly growing (I could be wrong but it certainly looks like it is).

    I am really hoping that the fallen hair is going to grow back and the root of it did not fall off with dried skin and crusts.

  8. #8
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    I am going to upload some photos as well.

    The first one is a couple of days after the surgery and the second one is today. As you can see half the density is gone.
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  9. #9
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    The crusts coming off with pieces of hair attached to them post-op has created bald patches on my scalp and it is going to kill me before I find out whether the transplanted hair came out with their roots or it was just some crust attached to them.

    Problem is the hair continues to fall even now but the difference is, now there is nothing attached to the small strands of hair that are falling off.

  10. #10
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    Tenex,

    I know how this must be like an emotional roller coaster watching the bald areas redevelop but if it be of any consolation my friend, you are right at the one month post-op mark in your progress and most patients begin to shed their grafts at this point in time, just like you. Remember, you are shedding the graft hair but not the transplanted hair follicles. They are intact and they should be safe. But they are resting for 3-4 months before the new growth cycle begins. They entered the resting phase as result of the shock and trauma of being moved from one area of scalp to the other.

    What I and others reading this thread you started are looking forward to is you reporting back in 6-12 months with favorable feedback regarding your regrowth. The tough part is waiting. Once we have the surgery, we have to hurry up and wait! Tenex, if you went to a reputable doctor, have no other medical condition(s) that could affect the regrowth, you'll be fine. Don't worry.

    The white pieces of tissue you were seeing appear to be the crusts which as you said, are pretty much gone, along with the hair that was attached to them. That's why you are now seeing the bald patches of scalp, nothing more. And really, you don't have to do anything to your scalp other than wait it out.

    Always, always follow your doctors orders and post-op instructions. They shoild be there to provide the same level of care as they did during the procedure. Obviously they will want to know how your regrowth progresses as well.

    IMHO it's okay for post-op patients at this point in time to resume their normal life style excepting strenuous weightlifting and activity. That can help keep your mind on other things.
    "Gillenator"
    Independent Patient Advocate
    more.hair@verizon.net

    NOTE: I am not a physician and not employed by any doctor/clinic. My opinions are not medical advice nor are they the opinions of the following endorsing physicians: Dr. Glenn Charles, Dr. Jerry Cooley, Dr. James Harris, Dr. Bob True & Dr. Bob Dorin

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