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<blockquote data-quote="friends" data-source="post: 13464" data-attributes="member: 1910"><p>الجزء الثانى </p><p>4. Other Post-op Hair Transplant Recovery Issues</p><p>Swelling</p><p>You have been given an injection of cortisone during your hair restoration procedure to decrease swelling after surgery. If there is significant swelling, it usually occurs around the 2nd to the 5th day post-op. The swelling usually begins at the hairline and then, from gravity, it gradually moves down the forehead and settles into the bridge of the nose and around the eyes. Occasionally, it may cause the eyelids to swell shut for a short period of time. Sometimes the swelling is extreme, but it always resolves by itself after a few days and does not require any special treatment. It should not be a cause for concern.</p><p></p><p>If you would like, you may place cool compresses over the area that is swollen, as long as it is not placed over the implants. Sleep with your head raised at a 45-degree angle for the first 3 nights after the procedure; this may help to prevent swelling. You may use a recliner chair or 3-4 pillows. If the swelling is associated with redness, pain, tenderness, fever or chills, it may indicate an infection. If any of these symptoms occur, please call our office.</p><p></p><p>Bleeding</p><p>Before you leave the office, all bleeding will be controlled. Rarely, some bleeding may occur after the hair loss surgery. If bleeding occurs, put firm, continuous pressure on the area. We suggest using a rolled up, clean towel and lying your head on top of it. APPLY CONTINUOUS PRESSURE FOR A FULL 20 MINUTES. If the bleeding does not stop, call us at the above numbers and follow the directions given. If you are unable to contact us through this beeper, then go to the nearest Emergency Room and show these instructions to the physician on duty.</p><p></p><p>Lost or Dislodged Grafts</p><p>It is not uncommon to loose a few grafts after the procedure. Do not be concerned, this is expected.</p><p></p><p>Activities, Alcohol and Other Restrictions</p><p>The day after your hair transplantation, take it easy. You will be tired from the sedatives given the day of your hair surgery. If possible, spend this day at home, or in a comfortable place, and concentrate on showering properly and following the post-op instructions.</p><p></p><p>You may perform normal daily activities for the next three days and moderate exercise for the next 14 days. After two weeks, you may resume your normal daily activities. Avoid direct trauma to the head for two weeks after the hair transplant procedure. Abstain from sexual intercourse and alcohol for THREE days following the procedure.</p><p></p><p>Exercise</p><p></p><p>Follicular Unit Transplantation (WOUND CLOSED WITH SUTURES OR STAPLES). The main concern with exercise is the suture line in the donor area. Straining or stretching the back of the neck may predispose to a wider scar, and should be avoided. Exercises that do not flex the neck, or put pressure, on the back of the neck are usually OK. In general, exercises such as sit-ups (especially with your hands clasped behind your head), squats or bench presses will strain the back of the neck and should be avoided for at least 4 weeks post-op. If the back of the scalp feels tight after 4 weeks, or if you have a tendency to heal with wide scars, these activities should be avoided for 3-6 months. Exercises such as walking up an incline, lifting very light weights and isolated leg exercises may be started within a few days after your procedure, if you feel up to it. Swimming may be resumed 2 weeks after your procedure. Since the impact of exercise will vary greatly from person to person, “cookbook” recommendations are not possible. Remember, the donor wound will not regain its full strength for at least 3-6 months after the hair transplant surgery, so some reasonably degree of caution should be exercised during this period. You must use your own good judgment in each particular case and call us if you have questions.</p><p>Follicular Unit Extraction (FUE PR0CEDURE WITHOUT SUTURES). Avoid any activities that rub or place excessive pressure on the donor area for several (2-3) days, as this may cause the area to bleed. (Be certain to follow the instructions on caring for the transplanted (grafted) area described above.)</p><p>Smoking</p><p>Smoking causes constriction of blood vessels and decreased blood flow to the scalp, predominantly due to its nicotine content. The carbon monoxide in smoke decreases the oxygen carrying capacity of the blood. These factors may contribute to poor wound healing after a hair transplantation and can increase the chance of a wound infection and scarring. Smoking may also contribute to poor hair growth.</p><p></p><p>The deleterious effects of smoking wear off slowly when one abstains, particularly in chronic smokers, so that smoking puts one at risk to poor healing even after smoking is stopped for weeks or even months. Although it is not known exactly how long one should avoid smoking before and after a hair transplant a common recommendation is to abstain from 1 week prior to surgery to 2 weeks after the procedure.</p><p></p><p>Sun</p><p>Please avoid unprotected exposure to sunlight for 3 months. Wear a hat when you are going to be outside. After two weeks you may use a strong sunscreen with a SPF of 30+.</p><p></p><p>Infection</p><p>Redness, swelling, and slight tenderness are to be expected for the first few days after a procedure. If the redness, swelling, or tenderness increases after the second day, call us. Rarely, one or more grafts may become infected. They present as white pustules (pus pimples) or redness around individual hairs. They may be associated with a yellow colored crust and may be tender. If this should occur during your hair transplant recovery, please contact our office. It may require antibiotic treatment.</p><p></p><p>Virtually everyone will develop a few pimples in the recipient areah starting at about a month following hair surgery and continuing for several months. These are new hairs breaking through the skin. They occasionally can be confused with a true infection, but pimples tend to resolve on their own in 3-4 days. As individual pimples resolve, new ones may crop up. They generally do not require treatment. Larger pimples can be unroofed by removing the thin top layer of skin with a sterile needle, and then any fluid can drain. If more than just a few develop at one time, or the skin in a larger area becomes swollen, red, tender and hot, then you should call us as antibiotics or drainage by the doctor may be necessary.</p><p></p><p>Ingrown hairs may cause a cyst to develop in the area of a graft. They can develop over a graft that was placed several months earlier. Cysts present as local swelling and redness, with or without tenderness. We can treat these easily in the office.</p><p></p><p>If the sutured area becomes infected, swelling, pain, or tenderness may be present in this area. Fever and/or chills are also indications or infection as well. There also may be a discharge or puss in the suture line. If any of these conditions should occur, please contact the office.</p><p></p><p>Numbness</p><p>Numbness, tingling or similar sensations may occur temporarily on your scalp. These are the results of cutting small nerve endings in the skin during the course of harvesting the donor grafts and creating the recipient sites. This generally disappears within a few months, as nerve endings re-grow.</p><p></p><p>Hair Coloring and Cosmetics</p><p>Do not dye your hair for 4 weeks following the procedure. Do not use cosmetic camouflage agents (such as Toppik) for at least 7 days following your surgical hair restoration procedure. When applying the cosmetics, or washing them out, be very gentle through day 10.</p><p></p><p>5. Follow-up Visits and Suture Removal</p><p>There are three types of sutures that may be used in the donor area during your procedure, staples, non-absorbable sutures and absorbable sutures. The stapes and non-absorbable sutures must be removed. During your procedure your hair transplant doctor used the following sutures:</p><p></p><p>Staples</p><p>The staples in the donor area must be removed. They are generally removed one to three weeks after the procedure. They usually are removed in stages over two sessions. If you do not have these staples removed, scarring may occur. Please shower the morning your staples are to be removed but DO NOT apply ointment to the donor area that morning. This makes it easier for the staples to be removed.</p><p></p><p>Non-Absorbable Sutures</p><p>The sutures in the donor area must be removed. They are generally removed from 10 to 14 days after the procedure. If you do not have these sutures removed, scarring may occur.</p><p></p><p>Absorbable Sutures</p><p>These sutures will dissolve on their own. Do not pull on them. The knots at the ends may occasional persist more than weeks. After 2 weeks, you may cut off the knots at home using fine scissors (if the knots are bothering you). It is also perfectly fine to let the knots fall off on their own.</p></blockquote><p></p>
[QUOTE="friends, post: 13464, member: 1910"] الجزء الثانى 4. Other Post-op Hair Transplant Recovery Issues Swelling You have been given an injection of cortisone during your hair restoration procedure to decrease swelling after surgery. If there is significant swelling, it usually occurs around the 2nd to the 5th day post-op. The swelling usually begins at the hairline and then, from gravity, it gradually moves down the forehead and settles into the bridge of the nose and around the eyes. Occasionally, it may cause the eyelids to swell shut for a short period of time. Sometimes the swelling is extreme, but it always resolves by itself after a few days and does not require any special treatment. It should not be a cause for concern. If you would like, you may place cool compresses over the area that is swollen, as long as it is not placed over the implants. Sleep with your head raised at a 45-degree angle for the first 3 nights after the procedure; this may help to prevent swelling. You may use a recliner chair or 3-4 pillows. If the swelling is associated with redness, pain, tenderness, fever or chills, it may indicate an infection. If any of these symptoms occur, please call our office. Bleeding Before you leave the office, all bleeding will be controlled. Rarely, some bleeding may occur after the hair loss surgery. If bleeding occurs, put firm, continuous pressure on the area. We suggest using a rolled up, clean towel and lying your head on top of it. APPLY CONTINUOUS PRESSURE FOR A FULL 20 MINUTES. If the bleeding does not stop, call us at the above numbers and follow the directions given. If you are unable to contact us through this beeper, then go to the nearest Emergency Room and show these instructions to the physician on duty. Lost or Dislodged Grafts It is not uncommon to loose a few grafts after the procedure. Do not be concerned, this is expected. Activities, Alcohol and Other Restrictions The day after your hair transplantation, take it easy. You will be tired from the sedatives given the day of your hair surgery. If possible, spend this day at home, or in a comfortable place, and concentrate on showering properly and following the post-op instructions. You may perform normal daily activities for the next three days and moderate exercise for the next 14 days. After two weeks, you may resume your normal daily activities. Avoid direct trauma to the head for two weeks after the hair transplant procedure. Abstain from sexual intercourse and alcohol for THREE days following the procedure. Exercise Follicular Unit Transplantation (WOUND CLOSED WITH SUTURES OR STAPLES). The main concern with exercise is the suture line in the donor area. Straining or stretching the back of the neck may predispose to a wider scar, and should be avoided. Exercises that do not flex the neck, or put pressure, on the back of the neck are usually OK. In general, exercises such as sit-ups (especially with your hands clasped behind your head), squats or bench presses will strain the back of the neck and should be avoided for at least 4 weeks post-op. If the back of the scalp feels tight after 4 weeks, or if you have a tendency to heal with wide scars, these activities should be avoided for 3-6 months. Exercises such as walking up an incline, lifting very light weights and isolated leg exercises may be started within a few days after your procedure, if you feel up to it. Swimming may be resumed 2 weeks after your procedure. Since the impact of exercise will vary greatly from person to person, “cookbook” recommendations are not possible. Remember, the donor wound will not regain its full strength for at least 3-6 months after the hair transplant surgery, so some reasonably degree of caution should be exercised during this period. You must use your own good judgment in each particular case and call us if you have questions. Follicular Unit Extraction (FUE PR0CEDURE WITHOUT SUTURES). Avoid any activities that rub or place excessive pressure on the donor area for several (2-3) days, as this may cause the area to bleed. (Be certain to follow the instructions on caring for the transplanted (grafted) area described above.) Smoking Smoking causes constriction of blood vessels and decreased blood flow to the scalp, predominantly due to its nicotine content. The carbon monoxide in smoke decreases the oxygen carrying capacity of the blood. These factors may contribute to poor wound healing after a hair transplantation and can increase the chance of a wound infection and scarring. Smoking may also contribute to poor hair growth. The deleterious effects of smoking wear off slowly when one abstains, particularly in chronic smokers, so that smoking puts one at risk to poor healing even after smoking is stopped for weeks or even months. Although it is not known exactly how long one should avoid smoking before and after a hair transplant a common recommendation is to abstain from 1 week prior to surgery to 2 weeks after the procedure. Sun Please avoid unprotected exposure to sunlight for 3 months. Wear a hat when you are going to be outside. After two weeks you may use a strong sunscreen with a SPF of 30+. Infection Redness, swelling, and slight tenderness are to be expected for the first few days after a procedure. If the redness, swelling, or tenderness increases after the second day, call us. Rarely, one or more grafts may become infected. They present as white pustules (pus pimples) or redness around individual hairs. They may be associated with a yellow colored crust and may be tender. If this should occur during your hair transplant recovery, please contact our office. It may require antibiotic treatment. Virtually everyone will develop a few pimples in the recipient areah starting at about a month following hair surgery and continuing for several months. These are new hairs breaking through the skin. They occasionally can be confused with a true infection, but pimples tend to resolve on their own in 3-4 days. As individual pimples resolve, new ones may crop up. They generally do not require treatment. Larger pimples can be unroofed by removing the thin top layer of skin with a sterile needle, and then any fluid can drain. If more than just a few develop at one time, or the skin in a larger area becomes swollen, red, tender and hot, then you should call us as antibiotics or drainage by the doctor may be necessary. Ingrown hairs may cause a cyst to develop in the area of a graft. They can develop over a graft that was placed several months earlier. Cysts present as local swelling and redness, with or without tenderness. We can treat these easily in the office. If the sutured area becomes infected, swelling, pain, or tenderness may be present in this area. Fever and/or chills are also indications or infection as well. There also may be a discharge or puss in the suture line. If any of these conditions should occur, please contact the office. Numbness Numbness, tingling or similar sensations may occur temporarily on your scalp. These are the results of cutting small nerve endings in the skin during the course of harvesting the donor grafts and creating the recipient sites. This generally disappears within a few months, as nerve endings re-grow. Hair Coloring and Cosmetics Do not dye your hair for 4 weeks following the procedure. Do not use cosmetic camouflage agents (such as Toppik) for at least 7 days following your surgical hair restoration procedure. When applying the cosmetics, or washing them out, be very gentle through day 10. 5. Follow-up Visits and Suture Removal There are three types of sutures that may be used in the donor area during your procedure, staples, non-absorbable sutures and absorbable sutures. The stapes and non-absorbable sutures must be removed. During your procedure your hair transplant doctor used the following sutures: Staples The staples in the donor area must be removed. They are generally removed one to three weeks after the procedure. They usually are removed in stages over two sessions. If you do not have these staples removed, scarring may occur. Please shower the morning your staples are to be removed but DO NOT apply ointment to the donor area that morning. This makes it easier for the staples to be removed. Non-Absorbable Sutures The sutures in the donor area must be removed. They are generally removed from 10 to 14 days after the procedure. If you do not have these sutures removed, scarring may occur. Absorbable Sutures These sutures will dissolve on their own. Do not pull on them. The knots at the ends may occasional persist more than weeks. After 2 weeks, you may cut off the knots at home using fine scissors (if the knots are bothering you). It is also perfectly fine to let the knots fall off on their own. [/QUOTE]
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