How To Remove Scabs After Hair Transplant?

Hair transplant is one of the most popular and effective treatment options for hair loss. However, some pre-operative and post-operative care instructions provided by your hair transplant surgeon need to be carefully followed. 

One of the important questions asked by people after a hair transplant surgery is how to get rid of scabs after a hair transplant. So, what exactly are scabs, and how to remove them?

What Are Hair Transplant Scabs?

Scabs are the rough and dry crust-like structures that are formed as a part of the body’s natural wound healing process following a hair transplant surgery. The scabs are made up of dried-up blood clots that lead to a crusty appearance.

The scabs do not develop immediately, but approximately three to four days after a hair transplant surgery and usually fall off on their own in approximately seven to fourteen days.

How Are Scabs Formed After a Hair Transplant?

The scabs are formed due to the trauma caused to the scalp skin during hair transplant surgery. 

Whenever there is any injury to the skin, the body naturally develops a blood clot to prevent loss of blood. This blood clot is soft in the beginning, but with the passage of time, it will harden, dry, and give a crusty appearance, known as a scab. As the blood clot dries, the skin underneath will keep healing and gradually the scab falls off.

Similarly, during a hair transplant surgery, the surgeon will make small incisions on the scalp for hair grafting. This results in the oozing out of blood and the subsequent formation of blood clots. These clots gradually turn into scabs or crusts.

Why Are Scabs Formed After a Hair Transplant?

Scabs form after a hair transplant procedure as a natural part of the body’s healing response to the tiny incisions made during the surgery. 

The scabs have a protective function and help protect the newly implanted hair grafts from physical damage and infections. Additionally, the scabs help in trapping the transplanted hair follicles in place and allow them to anchor properly into the scalp.

How Long Will It Take for the Scabs to Fall Off After a Hair Transplant?

The scabs that are formed after a hair transplant surgery normally start falling off between seven to fourteen days after the procedure. During this time, the scabs become rough, dry, and lightly attached to the scalp.

However, the time taken for the scabs to fall off will vary from person to person and depend upon several factors, like:

  • The number of grafts placed
  • The packing density of the grafts
  • The size of the incisions made by the surgeon at the recipient site

When the scabs start falling off, the short, transplanted hair may also start falling out with the scabs. There is nothing to worry about as this is a normal process. Transplanted hair falling off with the scabs does not mean that there is a dislodgement of the grafts, it only means that the hair is breaking and shedding. It is the root of the transplanted graft that helps in the growth of new hair and by the fifth day after the surgery, the hair follicle graft will be placed so well that it will be difficult to remove it even by pulling it out. About three to four months after the surgery, you will start seeing new hair growth.

How to Deal with the Scabs After a Hair Transplant?

It is important to clean your scalp regularly after hair transplant surgery to remove the scabs, ensure that the grafts grow properly, and prevent scalp scars. 

The following tips can help in cleaning and dealing with the scabs after a hair transplant surgery:

  • Wash your hair using a mild or baby shampoo starting 72 hours after the surgery.
  • Using a saline spray or lotion as recommended by the doctor to keep the scalp moist, decrease itchiness, and promote healing.
  • Soaking the head in a bathtub having lukewarm water and baby oil for approximately 45 minutes can help the scabs soften and slough off.
  • Avoid picking at the scabs as it could lead to the complete dislodgement of the graft. You can just pat the scabs gently.
  • Avoid exposing the scalp to direct sunlight for an extended period during the recovery period. 
  • Avoid wearing tight headgear for at least a few days after the surgery.

How to Remove Scabs After a Hair Transplant?

Washing your hair as instructed by your doctor starting from the third day after surgery and continuing it for approximately fourteen days can help in the process of scab removal. 

The following steps can help in scab removal:

  • Apply the lotion or moisturizer recommended by the doctor and wait for approximately 30 minutes. This helps in softening the scabs.
  • Wash off the lotion carefully using lukewarm water.
  • Now use a mild shampoo on the palm of your hands and lather it up till it foams.
  • Gently massage the scalp in circular motions using this shampoo and use lukewarm water to wash the shampoo off.
  • Dry off your hair by gently patting on the scalp using a soft, clean towel, and avoid rubbing it as the grafts are still not anchored in the scalp yet.

What Precautions Should be Taken While Removing Scabs After Hair Transplant?

When you remove the scabs or crusts after a hair transplant surgery, you need to take the following precautions:

  • Avoid using your nails to pick off the scabs from the scalp. This could damage or dislocate the transplanted grafts.
  • Avoid using hair brushes till the scabs fall off or till the doctor permits the same.
  • Avoid rubbing or scratching your scalp if it is itching as it could result in scarring. You can instead use a lotion recommended by the doctor or saline spray to relieve the itchiness following a hair transplant.
  • Avoid using a shower or high water pressure while washing your hair.
  • Avoid touching or putting a lot of pressure on the transplanted area.

What Will Happen if I Remove the Scabs Early?

You should not try to remove your scab using nails or anything rough before they have completed their purpose as this could affect your hair transplant treatment results and injure your scalp.

Picking your scab before its time can result in the following:

  • Bleeding
  • Dislodgement of the implanted hair follicle
  • Scarring
  • Higher infection risk
  • Delayed hair growth
  • Longer healing time

To prevent infection risk and even failure of hair transplant procedure, it is best to avoid picking your scab early.

What Do I Do if the Scabs Do Not Fall Off Two Weeks After a Hair Transplant?

In some patients, the scabs do not fall off in two weeks after a hair transplant surgery even after following all the instructions provided by the doctor.

It is best to not get panicked in such a situation and contact your surgeon to be sure that there are no problems and to help you get rid of the scabs. In the meantime, you can continue to follow the doctor’s instructions regarding moisturization and proper cleaning of your scalp and be patient till your scalp heals completely.

If the scabs persist after the healing period, it can impact hair growth negatively and lead to itching. So, it is best to get the scabs removed with the help of your transplant team if they fail to fall off about two weeks after the hair transplant procedure.

How to Take Care of Your Hair After a Hair Transplant Surgery?

The following tips can help you in taking care of your health following a hair transplant surgery:

  • If you have mild bleeding from the site of the incision, you can gently press the area using a moist cotton pad.
  • You can wash your hair gently using a mild shampoo and as instructed by the doctor 72 hours after the surgery.
  • Take all the medications prescribed by your doctor to help you with pain relief and preventing infections.
  • Avoid using blood-thinning medications like ibuprofen, aspirin, warfarin, arthritis medications, etc. as they could result in excessive bleeding during and after the surgery.
  • Keep your recipient area moist using the hair care products recommended by the doctor.
  • Avoid doing any type of strenuous physical activity for at least one week after the procedure.
  • Sleep in a slightly upright or elevated position during the recovery period.
  • Avoid hair products with chemicals, use of hair dryer, or any type of hair styling for at least one to two weeks after the procedure.
  • Avoid alcohol consumption and smoking for at least a couple of days after the surgery as they can interfere with the healing process.

Following the above tips can help in a quick and smooth recovery process. If you experience severe pain, bleeding, or any complication after the surgery, you should immediately contact your transplant surgeon.

It is important to be patient and follow your doctor’s instructions after the surgery as it may take seven to fourteen days to get rid of scabs after a hair transplant. You can get in touch with your surgeon if you have any doubts regarding scab removal.

Hair Transplant Surgery at ALCS Clinic, Jaipur

ALCS Clinic in Jaipur has some of the best hair transplant surgeons to provide you with excellent treatment results in a safe and comfortable environment. We use the latest technology and equipment to provide our patients with successful hair transplant surgeries.

To get the best hair transplant treatment, book an appointment with ALCS Clinic in Jaipur today!


ALCS Hair Transplant and Cosmetic Clinic, under the leadership of the internationally recognized Cosmetic Surgeon, Dr. Sunil Arora, specializes in hair restoration and cosmetic procedures. With a focus on quality, ALCS Clinic offers a range of Hair Transplantation and Cosmetic Surgery Services under one roof.


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