Can I wear a hat post-op? My job requires me to wear a hat for the whole day. thank you.

— B.

You can wear a hat as long as it is clean and not too tight fitting and does not touch the grafted area for the first few days. If you have had temple reconstruction, you must be a little more careful that the hat doesn’t push to hard on the sides. Most baseball like hats are fine. No knit caps or anything that may attach to the grafts for the first week.

— Victor Hasson, MD

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How does smoking post-op affect the long term results of transplants? Does it make the hair shafts thinner and eventually hair loss in the grafted region? Is this something that will reverse with exercise, and stopping smoking? — S.B.

Dear S.B., there is no evidence that smoking has any negative long-term effect on hair transplant results. As doctors, we don’t want patients to smoke for health reasons, but also, we urge patients to refrain from smoking in the short term post-operatively for an optimal healing process. Smoking reduces blood flow, and may slow the short-term healing process. Many patients who smoke simply don’t stop smoking pre-op or post-op and there is no negative impact on the results. Stopping post-operatively is a “nice-to-have” not a “must-have”.

— Jerry Wong, MD

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If I went tanning in a high powered tanning bed for about 15 minutes without covering my head a few days after a hair transplant would that delay or restrict growth of the newly transplanted hair? — S.D.

There is not sufficient data on exactly what effects a tanning bed may have on the transplanted grafts soon after surgery. We advise our patients to limit sun or tanning bed exposure to the transplanted area for up to 6 months after surgery. Severe burning of the area can potentially cause damage to the grafts. Your 15 minute exposure probably would not have caused any harm. However, if you were a patient of ours we would recommend that you stay out of the tanning bed for several months post-op. If a patient of ours feels it necessary to go in the tanning bed, we advise they cover the recipient area to prevent exposure.

— Victor Hasson, MD

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I’m currently using Scalpmed an it hasn’t kicked in yet. When my hair gets wet from sweating or what have you my it looks very thin and my scalp is showing in the front. The brush over doesn’t work. My question to you is how would my post transplant hair look when wet? Do you have any pictures of of clients with wet hair post transplant?—J.L.

Thanks for the question J.L. A good quality transplant will look good when wet. Ultra fine follicular units and dense packing are necessary to achieve this natural look. Of course we use all of the principles to control angle direction and orientation such as the lateral slit technique and custom cut blades. Not only is dense packing with small follicular units essential, the angle and direction of the hair must be precise. When the hair is wet, the scalp is exposed and you can see where the grafts exit the skin. If large grafts are used with big incisions, big spaces and the angles of the hair are not uniform, the transplant looks and unnatural.

In this video, the patients hair is wet:
http://www.hassonandwong.com/hair-transplant-videos.php?file=86_kdv-108-4134.flv&screenshot=86_screenshot_kdv-108-4134.jpg.

In most of our videos, you will see a comb through the hair to reveal the grafts as they exit the skin. This is where the details of a good transplant can be examined. If it looks good this close up, it’ll also look good wet.

—Jerry Wong, MD.

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I’ll need to fly to Vancouver, undergo a 4000 graft surgery, and be back in the office within three days. I do not want to reveal that I’ve had cosmetic surgery. How do I conceal the shave, incision and staples? Other than wearing a baseball cap 18 hours a day, how do other patients handle this? — N.

Hi N.
Regardless of which clinic performs your surgery, there will always be visible signs only three days post-op with or without shaving the recipient and donor area and regardless of the hair transplant technique employed, particularly for a session of 4000 grafts. With smaller sessions, say 2000 grafts, we can get away with foregoing the shave. If there were not shaving (which we never recommend as we can more clearly visualize the recipient site with head shaved) then the staples would be hidden as would the recipient area. However, even if we forego shaving there is potential for some post-operative edema (swelling) which usually begins on post-op day three. Edema is common to all hair transplant surgery and though you may be one of the lucky ones who is not affected, there is no guarantee that it won’t occur.

Educated patients who understand the value of a dense packed megasessions with a top-tier clinic, and the need to shave for an optimal results, know that the minor inconvenience is a small price to pay for a world-class result that will be on your head for a lifetime.

At about 10 days, with a short hair cut to blend the sides into the top, the hair transplant will not be detectable.

— Jerry Wong, MD

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Dear Doctors, I had a successful hair transplant in the front area only. my hair is short and i like it this way. after 10 days the skin under the transplanted hair is still a bit red thus given a contrast and showing the transplanted region darker. How long for the skin to regain its original light brown color, and is there any medicine that accelerate this healing?
— H.K.

Hi H.K. Thanks for the question.
Generally, patients will experience some redness for a few weeks post-op. Those with darker skin tend to show less redness. For fair skinned people, the redness can take longer to subside. Though most people won’t notice it, there can be a slight pigment difference up to several months after a hair transplant. There is no effective way to reduce redness quickly, but some patients have found that the use of vitamin E oil may make a slight difference. Best of luck with your hair transplant results.

— Victor Hasson, MD

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I have lost hair over a period of 20 years. I want to add density to my crown by placing the grafts in between natural hair. Will this damage the existing hair? Post the scar healing period of 3 weeks, will the transplant be
obvious and visible to others? When the transplant shoots start growing after 3 months, will the difference between natural hair and transplanted hair be noticeable? Is the size of the acne big enough to give away the fact that you had a transplant? When can you take your cap off and still look the same old you?
— S.

Clinics that don’t precisely trim grafts, that do not use custom cut blades, or require shaving the recipient site, do run the risk of damaging surrounding (native) hair. There is virtually no risk at Hasson & Wong because transection of existing hair is eliminated by the use of ultra-refined follicular units and custom cut blades made to match the depth of grafts. We shave the recipient area . This allows us to read the exact angle and direction of existing hair and provides a better field of vision to make incisions without causing damage to that native hair.

As for your concerns about post-op appearance: at three weeks post-op most people will have no idea that you have had a hair transplant. Your scalp may appear somewhat red, as if you have a mild sunburn, but even with short hair, any effects of transplantation (redness, acne, flaking), will be mostly obscured by your short hair. With very fair skinned patients, the redness may linger a little longer. At three to four months, the new hair will begin to grow gradually and naturally. Because the change in your appearance is gradual, it will not draw attention to you. Acne in the recipient area, if it occurs at all, will not draw any unneeded attention; nobody will associate a few pimples with a hair transplant. By three months, you’ll look like the "same old you" and your grafts will gradually grow and improve your appearance which each passing month. At 8 months, the result is quite apparent, most growth will have occurred with further growth and maturing of hair grafts between 8 and 12 months. Please see our graft growth timeline.

— Jerry Wong, MD

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