Patient Instructions

These instructions apply only to THT Center patients who have had a hair transplant procedure performed at the THT Center.

Before The Transplant

1. Blood test for HIV is required and is done at the clinic prior to the procedure.

2. Do not take any aspirin, vitamins, herbs, non-steroidal anti-inflammatory agents or Propanolol for 7-10 days before the surgery. You can continue taking your regular medication unless your doctor tells you otherwise.

3. Avoid alcoholic beverages for 2 days before the surgery.

4. We advise not to get your hair cut prior to the transplant. Leave the hair long to provide better coverage.

Transplant day

1. Please wear a loose-fitting, buttoned up top or shirt as you will not want to pull anything over your head after the surgery.

2. Before the operation, have a light breakfast with no tea or coffee.

3. Please inform the doctor of any drug allergies.

4. Please arrive at the clinic at the time specified.

5. You must have someone drive you home after your transplant due to the relaxing medication that you will receive.

6. Please notify the doctor if you have recently experienced any fever or sickness prior to surgery.

After the transplant

1. Take special care not to hit your head. This often occurs while you are getting into a car.

2. Please do not touch the transplanted hair for the first 24-48 hours after the surgery since we want the grafts to adhere solidly during this time. You can comb and style your hair but do not allow the comb to contact the skin in the grafted area.

3. Limit all strenuous exercise (including lifting and sex) and swimming for the week following the transplant. Also avoid all Aspirin and alcoholic beverages for 3 days following the transplant.

4. Taking post-operative medications as the doctor prescribed.

Pain relief medication Take 2 pills every 4-6 hours when needed, beginning with the early stages of discomfort. Do not wait for the discomfort to get too bad before taking any medication. It is more effective to stay ahead of the discomfort than to try to overcome it. Most patients are pain-free after the first or second postoperative day.

Antibiotics Take one antibiotic capsule 3 times a day (after meals) for 2-3 days until finished. 

5. After 24-48 hours post transplant, return to the clinic to have your hair washed. After this you can wash your hair everyday at home.

6. A loose-fitting hat or hair piece may be worn with care after your procedure.

7We provide all our patients with a headband to wear for 7 days following the procedure to help prevent swelling from the recipient area spreading down to the face and eyes.  Be aware that if you choose not to wear the headband for the full 7 days, you will most likely end up with a swollen face and eyes. Even though the swelling is painless and does not affect the growth of the grafts, it does look unsightly. To keep swelling to a minimum only take the headband off to wash your hair and do not leave it off for more than 10 minutes. On occasions, you may still experience some minor swelling even with the headband on, but this usually subsides within 2-3 days and will be completely gone in a week.

8. Slight bleeding may occur from the donor or grafted area. This is normal and there is no need for concern. On very rare occasions (less than 1% of cases), active bleeding may occur from the donor or grafted area. If this occurs apply gentle, but firm pressure to the area for 5-10 minutes with the gauze provided and the bleeding should stop. If it doesn't stop, notify the doctor.

9. On occasion, you may develop a folliculitis (a pimple like lesion) at the grafted site. If this happens, please notify the doctor and he/she will prescribe medication for this problem.

10. Suture removal from the donor site will take place anywhere from 10 to 21 days after surgery. However, it is not necessary for patients to stay in Chiang Mai in order to have their stitches removed after the transplant. We provide you with a letter, as well as a video containing the relevant information for your doctor as a guide for their removal. The procedure is quite simple. If you would like further information, go to Removing Stitches Video

11.We recommend you stay here at least 4-5 days for the procedure. Day 1 for consultation and surgery, days 2-5 for post-op checkup and hair washing. If you prefer, you are also welcome to visit us the day prior to your surgery for a preliminary consultation. 

12. You can return to work 1-3 days after the transplant.

13. It is important to realize that a dense result cannot be achieved with one session of hair transplant. Generally 2-3 sessions are needed. Each session may be done as far apart as the patient wishes, but there must be a minimal 6 months interval between sessions.

14. Remember, after the transplant, dry scabs will form at each graft site. As these are shed, the accompanying hair may also be shed with it. These events are to be expected and are not a cause for concern. New hair growth may not be noted until the third to fourth month after each procedure. Please do not become concerned if you do not see growth before the fourth month! After that time, your transplanted hair will gradually grow, generally, about 1/2 inch per month.


Instructions for washing hair     

A. Wet your head with a bowl of cool water or with a gentle stream of cool water from the shower.

B. Lather up with an extra mild or baby shampoo in your hands first.

C. Pat the shampoo on the transplanted area gently. Do not rub. You may scrub any area that does not have any graft including the sutured line. Wash your hair in this manner for 10 days

D. Rinse off shampoo with a lot of cool water or a gentle stream of cool water from the shower.

E. Pat dry your hair gently with a towel (do not rub) or with a cool blower if desired.

F. After ten days, you should start to moderately rub the grafted area while it is moist, to remove any remaining scabs. (Never pick at the scabs while they are dry). As you remove the scabs in this way, the accompanying hair may also fall out with them, but the hair roots will remain behind. This is normal, and should not alarm you. New hair growth will begin after 90-120 days.

G. It is common to have itchiness at the donor or grafted area. If this occurs, apply a few drops of pure olive oil (obtainable from the supermarket) onto these areas 3-4 times a day. Remember, never pick at scabs while they are dry. 

If any questions arise that are not answered above, please call or email us and we will be glad to answer them for you.

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