Mastering the correct technique for washing and removing scabs after hair transplant is the most stressful but essential part of your early recovery. We understand that it feels scary to touch your new hair, and the fear of dislodging a graft is real. However, maintaining a clean scalp is the key to survival for your new follicles; scabs that remain too long can block oxygen and prevent healthy growth.
The Daily Routine: How to Wash Without Rubbing
From Day 3 to Day 9, your goal is to keep the scalp clean without applying any friction. Follow this ritual once a day:
- Step 1: Softening (Lotion/Oil): Generously apply the panthenol lotion or oil provided by the clinic to the transplanted area. Do not rub. Simply cover the area thick enough to hide the scabs. Wait 20 to 45 minutes to allow the crusts to soften.
- Step 2: Washing (Medical Shampoo): Pour the medical shampoo into your hands and create a foam before touching your head. Apply the foam to the recipient area by gently tapping only. Do not rub or massage.
- Step 3: Rinsing: Use lukewarm water. Do not use a high-pressure showerhead directly on the grafts. Instead, use a cup to pour water gently over your head, or block the shower stream with your hand to reduce the pressure.
- Step 4: Drying: Pat the area dry with a paper towel only. Do not use cloth towels, as they harbor bacteria and the loops in the fabric can snag a graft.
Clinic Care Center: The “Day 10” Scab Removal Rule
The most common mistake patients make is being too gentle after the 10th day. By Day 10, the grafts are anchored. The scabs (crusts) must now be removed to allow the new hair to breathe and grow. If you leave scabs on for too long (past 14 days), they can block the follicles and cause infection. On Day 10, you must change your technique: apply the lotion, wait, and then massage gently in circular motions to lift the scabs off. Do not use your fingernails; use your fingertips.
Washing Technique Timeline: From Surgery to Normalcy
Adhere to this timeline to balance graft safety with necessary hygiene.
| Post-Op Days | Washing Technique | Objective |
|---|---|---|
| Day 1 – 2 | Clinic Wash Only. Do not wash at home. | Cleaning initial blood; teaching the patient proper care. |
| Day 3 – 9 | Tapping Motion. Lotion + Foam. No pressure. | Keeping the area clean and softening crusts without dislodging fragile grafts. |
| Day 10 (The Big Wash) | Circular Massage. Apply light but firm pressure. | REMOVING ALL SCABS. Ensuring the scalp is breathable and clean. |
| Day 14+ | Normal Washing. You can use normal pressure. | Returning to routine hygiene. Grafts are fully secure. |
Is It a Graft or Dead Skin?
Around Day 5 or 6, you may see white, mushy material coming off your scalp while washing. Patients often panic, thinking they have lost a graft. This is typically dead skin and fibrin (biological glue) that has turned white due to water absorption. If there is no bleeding, it is not a graft. A lost graft involves the follicle bulb and will almost always cause immediate bleeding. Shedding this “white gunk” is a normal part of the healing process.
Frequently Asked Questions (FAQ)
What water temperature should I use?
Always use lukewarm water. Hot water can increase swelling and potential bleeding, while very cold water can shock the scalp. Test the temperature on your wrist before applying it to your head.
Can I use baby shampoo?
For the first 14 days, stick to the medical shampoo provided by Clinic Care Center, as it is formulated to be anti-bacterial and gentle. After 2 weeks, you may switch to a pH-balanced baby shampoo if you wish.
What if the scabs don’t come off on Day 10?
Do not force them all at once if they are stubborn. Perform the massage wash. If some remain, repeat the process the next day (Day 11). They should all be gone by Day 12 or 13 at the latest. Never pick them off with fingernails.
Can I use a hair dryer?
Avoid heat on the grafts for the first month. If you must dry your hair, use the cool setting only and hold the dryer at least 30cm away from your head.
When can I take a full shower with pressure?
You can return to standing under a normal showerhead with standard pressure after Day 14. The grafts are securely anchored by this point.
Is it normal to lose hair while washing scabs?
Yes. Often, the hair shaft inside the follicle will shed along with the scab. This is the beginning of “Shock Loss”. The root remains safely under the skin, and a new hair will grow in its place in 3-4 months.
Unsure About Your Washing Technique?
Proper hygiene is the foundation of a successful hair transplant. If you are unsure if your scabs are clearing properly, or if you see signs of infection (redness, pus), send a photo to the Clinic Care Center medical team immediately for guidance.
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