Aftercare

How to use your post surgery kit
Click here how to use your post surgery kit
Postoperative instructions
Click here how to use your post surgery kit
 

IMPORTANT
   
Please follow the instructions as much as possible in order to enable a quick recovery without complications

Immediately after surgery

Driving
For safety reasons, we advise our patients not to drive themselves after the treatment, as the local anesthetic can reduce alertness in traffic. Preferably you should be driven and collected, or take a taxi.

Movements
Please make sure that you do not bump your head, particularly when getting in and out of a car. This could cause bleeding. Be careful when getting dressed and undressed, and preferably wear clothing with a zip or buttons, especially during the first few days after treatment. After a FUT: try to hold your head straight all the time, and avoid sudden movements, both sideways movements and bending forward. This will not put strain on the stitches, and allow the wound to heal well.

Sleeping
During the first week after the treatment, it is preferable to sleep on your back and in an almost sitting posture. Use the neck pillow provided so that the transplants in the transplanted area do not become detached.
Blood loss
On the night after the treatment, there may be slight blood loss both from the transplanted area and the donor area. This is completely normal. You will receive a special adhesive cover that you can put around your neck pillow and/or head cushion, so that the bed linen is not soiled.

Showering
You may take a shower after the operation, but you must not stand with your head underneath the water jet. Avoid showers that are too long or too hot.

Alcohol / smoking
It is best not to smoke and drink much alcohol after the treatment.

Better not alone
We advise our patients to come with their partner, a friend or relative, so that another person is always present during the first night. Not possible? Then always keep the telephone within reach in case a problem should arise.

The first months after surgery

Sebaceous gland irritation
From the third month after the treatment, you will feel that new, young hairs are starting to emerge. Sometimes little pimples (sebaceous gland irritation) form under the skin, which can be irritating. However, this is part of the growing process, where the new hairs are trying to find a way out. If the sebaceous gland irritation is really annoying, you can apply a warm, damp compress for a few minutes, 2 to 3 times per day. If this is not enough, you can contact our clinic so that you can be treated on the spot. Do not squeeze the pimples yourself under any circumstances!

Numb sensation
On the donor area, you may get a numb sensation after an FUS treatment. This is no cause for concern, because the numb sensation will gradually disappear and the sensitivity will return after 4 to 12 months.


Hair loss shock
A ‘hair loss shock’ can occur after the treatment, which involves the existing hair partly falling out. These hairs should start growing back, in principle, together with the transplanted hair (after 3 to 4 months).
This side-effect only occurs with 10-20% of all patients.

End result
The end result can be judged after 12 months in the case of an FUS treatment and after 12 to 18 months in the case of an FUE treatment. The end result must be evaluated in consultation with Dr. Feriduni and cannot be evaluated without a personal consultation with Dr. Feriduni.

Other post-operative examinations are carried out preferably 4 months and 8 months after the treatment.
 

Possible side effects

Swelling
Due to the local anesthetic and the liquid sprayed into the scalp during the treatment, a swelling will occur on the forehead after the treatment. This swelling will occur at its worst on the face from the 2nd until the 4th day after the operation. If the area around the eyes is swollen, it can seriously restrict your vision. After that, the swelling will gradually subside and decrease. The moisture will be eliminated from the body via the lymph glands. 

A few tips to restrict the swelling 
- Try to keep your head straight and not bend forward
- Regular cooling with the cool pack after the treatment eases the swelling
  Only cool the forehead/eyes, never the transplantation area
  After using, put the cool pack back in the refrigerator, preferably not in the freezer compartment 
- Drink a lot of water

Inflammation
If there is an inflammation, usually clear symptoms can be observed, such as redness and a painful, hot sensation. If these phenomena appear, please contact our clinic as soon as possible. A course of antibiotics will be prescribed (Azithromycine 250 or 500mg) if necessary. Azithromycine is also administered preventively during the surgery to prevent inflammation.

Hyperesthesia of the scalp
In some cases, mostly after FUE, a hyperesthesia of the scalp may occur. Hyperesthesia of the scalp, i.e. an enhanced sensibility of the scalp/an irritation of the nerve tissue, is a rather uncommon side effect caused by the extraction of the follicular units.
 
The medication Diclofenac 100mg (against pain and antiphlogistic effect) in combination with the vitamins should lessen the uncomfortable feeling already after 2-3 days
- Vitamin B1 (Thiamin) 100-200mg a day 
- Vitamin B2 (Riboflavin) 50-100mg a day 
- Niacin 50mg a day 
- Vitamin B6 50mg a day 
- Biotin 200-300mg a day 
- Vitamin B12 50mcg! a day (e.g. Vitasprint ampoules, 1 ampoule every other day)

Formation of scabs
In the first few days after the treatment, scabs will form on the transplantation area. After about 7-10 days, these scabs should come off unaided, and often, hairs will detach with them. This is a natural process. The hair roots are weakened after the operation by a reduced oxygen supply, and the transplanted hairs which will fall out. Since the hair roots are only weakened but not damaged, they will produce strong hairs again, which will be visible after about 4 to 12 months. We point out that in some cases, in densification treatments, nearby hairs can fall out as well, and will also be visible after a similar period (postoperative Shockloss). 

Please note – All scabs should be removed 2 weeks after the procedure! 
In case they do not come off unaided, it is advisable to take a long shower to moisturize the scabs and to put a hydrating lotion (Aloe Vera or Bepanthen, Nivea-Lotion) on the recipient area, leave it to soak for half an hour, if possible under a plastic shower cap, and try to remove the scabs by firmly rubbing during the shampoo. Repeat this every day until all scabs are removed.

Itching
In the first few days after the hair transplant, you may experience itching both in the transplantation area and in the donor area. The healing process is often associated with itching, so there is no need to worry.Try to avoid scratching (hard), especially in the transplantation area.