Hair Transplant Recovery: Timeline & Aftercare (Day 1–18 Months)
Understand what to expect after FUE, DHI or FUT — from swelling and scabbing to “shock loss”, washing rules, exercise, adjunct therapies (LLLT/PRP), and the point when results fully mature.
Washing starts: 24–72 hours (gentle)
Exercise: light 2 weeks; full ~4 weeks
Visible growth: 3–4 months
Final results: 9–18 months
Hair Transplant Recovery Timeline: Week-by-Week
Days 1–3: swelling, crusts begin
Expect mild swelling/redness. Tiny scabs form around grafts. Use any saline sprays and medications exactly as prescribed. Sleep with your head elevated.
Days 2–7: gentle washing starts
Most surgeons allow a first gentle rinse within 24–72 hours; pat, don’t rub. By day 7 you can usually remove remaining crusts with lotion/foam as instructed.
Weeks 2–4: “shock loss” is normal
Transplanted hairs often shed; follicles remain alive and enter a rest phase. Itching can occur — do not scratch; use approved sprays/antihistamines if advised.
Months 2–4: early regrowth
Fine hairs appear; coverage looks patchy at first. Donor area typically looks normal.
Months 5–9: thickening & styling
Density and caliber improve noticeably; most people feel confident styling hair again.
Months 9–18: final results
The vast majority of the final look appears by ~12 months; slower follicles can mature up to 18 months.
Timelines vary by technique (FUE/DHI/FUT), graft count, and individual healing. Always follow your own surgeon’s protocol.
How & When to Wash After a Hair Transplant
- Start gently at 24–72 hours if your clinic allows. Let water trickle; apply foam/lotion then pat shampoo — never rub the grafts.
- Use a mild/“baby” shampoo initially; avoid high-pressure shower heads on recipient sites.
- Soften crusts with the clinic’s lotion/foam before rinsing; aim to clear crusts by the end of week 2.
- Air-dry or use cool air only. No scratching; if itchy, ask about saline spray or antihistamines.
Sleep, Hats, Work & Exercise
- Sleep: Head elevated (30–45°) for ~3–5 nights to limit swelling.
- Hats: Loose caps only if your team approves; avoid friction on grafts in week 1.
- Work: Desk jobs: ~3–7 days; physical jobs: 10–14 days depending on sweat/strain.
- Exercise: Walks/light cardio after ~10–14 days; heavy lifting/HIIT/contact sports typically after ~4 weeks, with surgeon clearance.
Medications & Adjunct Therapies
Core medications
- Antibiotics/anti-inflammatories: Short course if prescribed.
- Minoxidil/Finasteride: Often continued or (re)started post-op to protect native hair; timing varies by clinic (commonly after crusts clear). Discuss with your surgeon.
Adjuncts (optional)
- PRP: Some clinics offer PRP to support healing and density; evidence is supportive but variable.
- LLLT (laser caps/combs): Non-invasive option that may aid wound healing and graft survival; consider after medical clearance.
Your doctor’s protocol supersedes general advice; do not add therapies without approval.
What to Avoid
- Direct sun/heat (sauna/steam) on the scalp for ~3–4 weeks.
- Swimming (pool/sea) for ~2–3 weeks or until cleared.
- Smoking and heavy alcohol — both impair healing.
- Helmet use and tight headwear until your surgeon okays it.
When to Contact Your Surgeon
- Severe/worsening pain, spreading redness, fever, or discharge with odor.
- Painful pustules/bumps (possible folliculitis) not resolving promptly.
- Unexpected trauma to grafts (e.g., impact) within the first 10–14 days.
Helpful Resources
WMedtour Guides
Trusted External References
- American Academy of Dermatology (AAD): Hair Transplant
- Cleveland Clinic: Hair Transplant & Recovery
- ISHRS: FUE – What is it? (recovery notes)
- ISHRS: FUT – Procedure & Recovery
- ASPS: General Surgical Recovery Guidance
- NHS: Hair Loss Overview & Care
- StatPearls: Hair Transplantation (shock loss & timeline)
- PMC: LLLT in Androgenetic Alopecia (adjunct to HT)
- PMC: Complications in Hair Transplantation
- PMC: Low-Level Laser Therapy Review
- WebMD: Hair Transplants (timeline notes)
- Cleveland Clinic: Hair Replacement Surgery
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Frequently Asked Questions
How long is hair transplant recovery?
Most people resume desk work in 3–7 days. New growth begins around 3–4 months and the result continues to mature up to 12–18 months.
Is “shock loss” normal?
Yes. Transplanted hairs often shed in weeks 2–6; follicles stay alive and re-enter growth after a rest phase.
When can I wash my hair?
Usually within 24–72 hours using the clinic’s foam/lotion and a gentle pour-over technique. Avoid rubbing until crusts are gone (~day 7–10).
When can I exercise?
Walking/light cardio after ~10–14 days; heavy lifting and contact sports around 4 weeks unless your surgeon advises differently.
Can I wear a hat?
Only loose headwear that doesn’t touch grafts during the first week — and only if your clinic approves.
When should I restart Minoxidil or Finasteride?
Many clinics continue or restart once the scalp has healed and crusts clear. Confirm timing with your surgeon, especially if you had FUT sutures.
Are PRP or LLLT worth it?
They’re optional adjuncts. Evidence suggests potential benefits for healing/graft survival and density when used appropriately, but protocols vary.
When can I swim or use a sauna?
Commonly after 2–3 weeks (pool/sea) and 3–4 weeks (sauna/steam), once your surgeon confirms healing.
What if I see pimples or bumps?
Small folliculitis-type bumps can occur during regrowth. Avoid picking; contact your clinic for treatments if they’re painful or persistent.
Will all grafts survive?
High survival is expected with proper technique and care, but not every graft survives. Following aftercare and avoiding trauma are key.
Medical disclaimer: This page is informational and not a substitute for medical advice. Follow your surgeon’s individualized plan.