When Can I Remove Scabs After Hair Transplant?

Hair transplant surgery involves transplanting hair follicles from elsewhere on the body into the scalp. This either involves the FUE or FUT hair transplant technique. When implanting hair into a new area, it leave tiny cuts that heal similarly to other wounds on the body. It’s normal to notice red scabs after a hair transplant – it’s a sign that your body is healing.

However, many patients wonder how long the scabs last after a hair transplant and if they can be removed. Learn more about your scalp aftercare, including when and if you can remove scabs after a hair transplant.

In this guide:

• What are Scabs After Hair Transplant?
• How Long Do Scabs Last After Hair Transplant?
• What Do Hair Transplant Scabs Look Like?
• Removing Scabs After Hair Transplant
• Unusual Scalp Changes to Look For

What are Scabs After Hair Transplant?

When the skin is broken, the body’s wound-healing response is triggered. Hair transplants require tiny incisions in the scalp to both remove and insert the hair follicles. As these heal, scabs can form over each follicle.

Initially, after the procedure, some inflammation is common. Mild redness and swelling can occur as the body creates a response to prevent infection. Over 1-3 days, this begins to subside, followed by the development of individual scabs at each incision site.

The scab is made from blood cells, fibrous blood components, and other molecules that help block the wound¹. It acts as a protective barrier, preventing infectious pathogens from entering the body. It also allows the underlying hair follicle to become secure during the healing process.

Symptoms of Post-Transplant Scabs

Like any form of scab, you may notice some irritation and itchiness. Understanding what to expect is crucial to noticing any abnormal or concerning changes. You may experience:

• Discomfort or tenderness
• Mild itchiness on the scalp
• Minimal swelling that gradually subsides
• Crusty scabs over the incision sites

If you notice any symptoms beyond those listed above (or if these symptoms persist for two or more weeks), speak to your surgeon for further guidance.

How Long Do Scabs Last After Hair Transplant?

Each person responds differently to the procedure. Scabs may appear within a single day and disappear by the end of the week. Meanwhile, other people may notice that the scabs persist for up to 14 days. It depends on the person’s:

• Skin type
• Extent of the hair transplant
• Adherence to the post-transplant care instructions

Gradually, the scabs will begin to fall off naturally. There’s a temptation to remove them yourself. However, if you itch the site prematurely, you risk damaging the grafts and preventing the normal healing process. Worse, you could introduce bacteria to the scalp, increasing the risk of infection.

If the scabs continue to persist for 2 weeks or more, speak to your original surgeon. It may be a sign that you are being too cautious when washing after your hair transplant. Never try to directly remove the scabs yourself – this can only lead to further damage.

What Do Hair Transplant Scabs Look Like?

You may notice small, red scabs after a hair transplant. These scabs are crusty formations that sit on top of the transplanted follicle. They tend to look darker in the days following surgery before crusting and then washing away between days 7 and 10 after the hair transplant.

Removing Scabs After Hair Transplant

Can you remove scabs after a hair transplant? As mentioned, you should avoid picking at your scalp or peeling away the scabs. They act as a protective cover and reduce the risk of infection. The last thing you want is to risk the viability of your grafts.

That being said, you can look after the scalp, accelerating the healing process. Usually, you can begin washing your scalp from day 4 post-surgery. Avoid vigorously rubbing the scalp initially. After several days of gentle washing, the scabs should begin to fall away. It may take up to 10-14 days for the scabs to fully disappear.

Follow these aftercare tips:

• Gently Wash Your Scalp. Your doctor may advise waiting 2-3 days before washing your scalp. When ready, use a mild shampoo and warm water. Avoid rubbing or scrubbing; instead, gently pat your scalp with your fingertips to clean it without disturbing the scabs. Allow the water and shampoo to flow over the area, rinsing it clean without applying pressure.
• Keep Your Scalp Moisturised. Moisturising your scalp can reduce itching and promote healing. Your doctor might recommend a specific lotion or oil for hydration before washing especially around the 10 day mark. Apply it gently, avoiding vigorous rubbing, as this could dislodge scabs and hinder recovery.
• Resist Scratching. Although itching can be uncomfortable, avoid scratching the scabs. Scratching may cause them to come off prematurely, increasing the risk of infection and delaying healing. If itching becomes severe, consult your surgeon for advice on safe relief options.

Note. These tips are general advice for looking after your scalps post-surgery. If the listed tips contradict your surgeon’s advice, ignore them. You should always follow what your surgeon says in the letter.

Can you wear a hat to hide scabs?

Red scabs after a hair transplant can look unsightly. It’s understandable to want to cover it up with a hat.

If possible, it’s best to avoid wearing a hat during the first week after your procedure. Remember, the scabs only last between 7 to 14 days, after which time you should be scab-free. If you’re feeling self-conscious or you have to attend a specific event, you should be able to wear a hat and we are able to guide you on how to put it on without damaging your hair transplant.

Unusual Scalp Changes to Look For

Scabs after hair transplants are part of the healing process. Despite their appearance, scabs aren’t harmful to you or your grafts. What changes are a sign of an underlying problem? Here’s what to look for³:

• Redness and Swelling. Some redness and swelling are normal, but if it persists, worsens, or spreads, it can be a sign of infection.
• Persistent Pain or Tenderness. The initial discomfort usually subsides within a few days. Prolonged or increasing pain is a cause for concern.
• Pus or Discharge. Any yellow or green discharge from the scalp indicates infection.
• Bleeding Scabs. If scabs bleed (alongside any pus), it may indicate irritation or infection.
• Lumps or Nodules. Scabs may appear slightly raised; however, lumps, cysts, or uneven bumps indicate complications like folliculitis.
• Fever or Chills. If you feel feverish or severely unwell, it could be a sign of a serious infection.

If you notice any of these symptoms, seek immediate medical help. Early intervention can resolve any infection or problem, not only ensuring you remain healthy but also safeguarding your grafts. Infection is a major threat to the success of any hair transplant.

Successful Hair Transplants with The Treatment Rooms London

The Treatment Rooms London is a highly successful and experienced transplant clinic that excels in all forms of hair transplantation. From FUE to FUT hair transplant, we change patients’ lives with our expertise. Our surgeons work closely with each patient to deliver a personalised result that matches their expectations. We follow the latest hair transplant guidelines to minimise the risk of complications.

Following the procedure, we continue to support our patients. Whether you have concerns about scabs after a hair transplant or risks of infection, we answer all your questions. Your recovery is our top priority.

Get in Touch

Ready to elevate your hair restoration journey? Book a free consultation call with our London-based FUE hair transplant clinic. If you are based in Birmingham, you can reach out to our FUE hair transplant clinic in Birmingham. We also offer virtual consultations for patients in Manchester and Leicester.

Our award-winning team, including leading London hair transplant surgeons Dr Fernando and Dr Vara, is here to support you every step of the way.

References

1. Kirsner RS, Eaglstein WH. The wound healing process. Dermatologic clinics. 1993 Oct 1;11(4):629-40. Available at: https://www.sciencedirect.com/science/article/pii/S073386351830216X
2. Beehner ML. FUE vs. FUT-MD: study of 1,780 follicles in four patients. InHair Transplant Forum International 2016 Jul 1 (Vol. 26, No. 4, pp. 160-161). Hair Transplant Forum International. Available at: https://www.ishrs-htforum.org/content/26/4/160
3. Heathline. Signs of Infection: Symptoms and Treatments. Available at: https://www.healthline.com/health/signs-of-infection