AFTER SURGERY INSTRUCTION
post-operative instructions (after surgery)
1. Gently dab wounds on the area of the hair transplantation with the
gauze provided should you have blood or yellow serum oozing out.
You will be allowed to leave the center once Dr. Vong is satisfied that
any bleeding has stopped and that it is safe for you to do so. Your good
health is naturally our concern.
During the first 24 hours post-surgery, small amounts of bleeding may
occur or yellow serum may sporadically ooze from the new grafts.
As stated before, gently dab with gauze until it stops. Do not be
alarmed, it is quite natural and will usually stop within 24 hours.
In the unlikely event that heavy bleeding occurs, press and hold the
gauze down on the affected area for 15 minutes; this should stop the
bleeding. If the bleeding persists, please contact the center
2. Medication provided by the center:
Tylenol or Paracetamol 500 mg: take 2 tablets every 3-4 hours for pain.
Tramol 10 mg: take 1 capsule every 4 hours if pain is severe (may cause
nausea and vomiting).
Celebrex 400 mg: take 1 capsule (strong pain killer) in the evening of
the surgery and 1 capsule the following morning.
Valium 5 mg: take 1 tablet at bedtime to help you relax and sleep.
Dicloxacillin 250 mg: take 1 capsule (antibiotic taken once to help
You can take any regular medication prescribed by your doctor
3. Sleep: it is advisable for the first 3-4 days after surgery to use the air
pillow provided by the center while you sleep along with additional
pillows to keep your head raised above the rest of your body. This will
facilitate lymphatic drainage to minimize any swelling on the head.
You can sleep on the back of your head; however, some may find this
painful due to the incision on the donor site. It is also fine to sleep on
either side of your head but refrain from sleeping face down as you
can slide and damage the newly transplanted hair grafts.
4. When outdoors and/or in direct sunlight for a minimum of 3 months,
you should always wear a cap, hat, bandana, and/or turban. This will
help to stop UV rays from penetrating the newly healed wounds and
prevent damage to the incubating hair follicles underneath the skin.
5. You may shower any time after surgery but do not wash your hair or
touch the wounds.
6. At all times, do not to touch the transplanted site.
7. The evening of your surgery, you are allowed a light meal that is not
difficult to chew. Do not eat anything hot or spicy.
8. No alcohol for a minimum of 24 hours post-surgery.This will help to
reduce the possibility of bleeding and swelling.
9. Do not smoke for a minimum of 24 hours post-surgery. New hair
follicles require a healthy supply of blood which is interrupted by
nicotine. It is imperative to maintain a healthy supply of blood in order
to enhance survival and continued good health of the follicular grafts.
10. After your surgery, you will leave the center with a wound dressing that
should not be removed for 24 hours. If you feel that it is very tight or
uncomfortable, you may adjust it slightly but do not permanently
remove it. The center will remove it on your return the following day
for your first shampoo/hair wash.
11. First shampoo: the first day after surgery, the center will wash your
hair as described below:
Mix 5 ml of the shampoo provided by the center with about 1-2 liters
of clean cool/lukewarm water in a bowl.
Soak the sponge we provide into the bowl of mixed shampoo and water.
Dab the damp sponge over the transplanted site gently but thoroughly.
Do not rub, scrub, twist, or use any other form of motion to cleanse
the hair as this may damage the new grafts. Continue to cleanse the
entire scalp including the incision in the donor area for approximately
After cleaning the hair carefully, rinse out the bowl and sponge
thoroughly with clean water.
Refill the bowl with clean water and as before, dab the sponge
all over the scalp in order to rinse out the shampoo.
To dry the hair gently, dab with a clean towel and use a hair dryer
afterwards with the cool setting only.
Apply extra virgin olive oil gently on the transplanted site by blotting
with a cotton bud (Q-tips) to keep the graft wounds moist.
For the first 7 days (shampoo 1 time per day) and then shampoo 3-4
times a day until all of the “scabs” fall out. This helps to minimize the
formation of “scabs” (dry blood) and facilitates the healing process
including the promotion of healthy hair.
You may notice that some “scabs” will come out from the scalp with
the hair attached to them. Do not be alarmed as this is quite normal
since this hair is in its telogen cycle. The hair follicle is incubating in
the skin and sheds old dry hair (medical term is telogen hair) similar to
how a tree sheds its old dry leaves in the autumn. New hair will grow
from this follicle after approximately 3 months. In about 6-8 months,
around 95% of the transplanted follicles will grow new hair.
12. No swimming/diving or saunas are allowed for a minimum of 2 weeks.
13. No heavy exertion for a minimum of 2 weeks. Do not risk straining your
neck or head for a minimum of 3 months in order to avoid stretching
your incision wound and causing it to reopen.
14. Light activity is allowed.
15. Sutures (stitches):
F.U.T. (strip harvesting): nylon sutures will be removed
approximately 7 days post-surgery.
F.U.E.: no sutures exist to be removed.
16. Swelling: in many cases, swelling of the forehead is common starting
with the second (2nd) day. This is normal and may increase slightly from
the third (3rd) to the sixth (6th) day. By the seventh (7th) day, the
swelling normally decreases.
The swelling in some cases extends to the eye area. This is simply part
of the body’s natural healing process and it will eventually clear away on
Our staff will teach you how to massage your face to help reduce the
severity of any swelling. You can either perform the massage yourself or
have someone else do it for you.
It is recommended that you massage your face as often as you can to
help minimize swelling. You may use a cold/ice pack on the swelling to
help reduce it further; however,do not use the cold/ice pack
anywhere on the transplanted site.
17. Cysts: in approximately 2-3 months, the new hair that begins to grow
may develop some cysts on the transplanted site. About 5% of the
transplanted grafts will develop cysts before new hair extends the
surface of the skin. This is normal and the cysts will completely
disappear once the new hair has come through. Cysts are caused by:
An accumulation of oil trapped underneath the skin from newly
functional sebaceous glands. The oil is unable to break through
the skin’s surface due to the lack of a hair shaft. You may
either dab a hot pack on the cyst to help clear it or simply leave
it alone and it will eventually clear.
18. Should you have any questions or concerns, please do not hesitate to
contact Dr. Viroj Vong 081-406-5706 (24 hours). In addition, we will
contact you to ensure that all is going well with your recovery.
***Hotels, close to our office .
1. Asoke Residence : 02-259-0222 www.asokeresidence.com
2. Another Hotel about 5 minutes walking www.agoda.com
3. Swutelhotel :www.swutelhotel.com
2. 1 Week
3. 2 Weeks – 3 Months
- Dysmorphic hair effluvium
- (Telogen ?)
4. 6months-1 year Poor growth