Pre and Post-Operative Instructions for Beard Hair Transplants
Hair restoration is a delicate process and it is important that you understand the nature, goals, potential complications, and limitations of this procedure which are explained to you during your consultation. Your adherence to the following instructions will help assure you get the very best results. If you have any questions, please do not hesitate to ask.
- Ten days prior to your procedure: do not take aspirin, vitamin E, gingko biloba, or any multivitamins (as these contain vitamin E). Many medications also contain aspirin, so please be sure to read all medication labels. You may take an acetaminophen (Tylenol).
- Three days prior to your procedure: do not take any anti-inflammatory medications (e.g. ibuprofen), do not drink any alcohol, and do not over-expose to the sun.
- Make arrangements for transportation from the office after your procedure if you will be receiving any sedation during the procedure. The type of sedation you receive will be decided upon by you and the doctor. Most patients choose oral sedation, but we also offer twilight sedation which must be arranged ahead of time and requires you to have someone stay with you that first evening. These procedures typically take between four and eight hours to perform.
- If you are traveling from out of town, please make the necessary arrangements for your hotel, flights, and transportation. Our office is here to assist you with your accommodations and we have a list of recommended hotels near the office.
- To help cover the donor site sutures, the hair in the back of your head needs to be ½ inch (2 cm) in length. If your procedure is being done by the FUE technique- which is the more common technique- the back and/or sides of your head will be shaved depending upon the number of grafts being transplanted. This may involve trimming a small area that can easily be covered by surrounding hair, or require more extensive shaving. You should plan accordingly and discuss this with your doctor and/or his assistants.
- For best healing, please refrain from smoking for one week prior to and one week after your procedure.
- Taking vitamin C, 1000 to 2000 mg a day for one week prior to your procedure may help with healing. To reduce the incidence of bleeding during surgery, vitamin K 50 to 80 micrograms a day, can be taken starting five days before surgery and continuing for two days after.
Day of your procedure:
- Have a light breakfast, but no coffee or caffeinated beverages in the morning as these substances will increase bleeding and sensitivity to medications. You will be provided lunch in the office and offered breaks during your procedure.
- Routinely prescribed medications (e.g. for blood pressure) should be taken as usual unless otherwise instructed.
- Wear clothes that do not need to be pulled over your head to prevent dislodging grafts immediately after your procedure. Please remove all jewelry.
- Be prepared to remove contact lenses before your procedure if you normally remove them to sleep.
- Feel free to bring music to listen to during your procedure. Our procedure rooms are also equipped with satellite radio, as well as an iPad to allow you to watch a movie on Netflix® or surf the internet.
Medications: These are the medications that will be given to you and/or prescribed by the office. If you are not able to take any of them (i.e. due to allergies) please let us know before your procedure. This will allow us to properly call in your prescription to your local pharmacy.
I hereby acknowledge the medications below have been prescribed to me. ______ (please initial)
- Keflex – antibiotic to prevent infection. Take one pill twice a day for three days.
- Tylenol #3 – mild pain reducing pill containing hydrocodone. Take one to two pills every four to six hours as needed for any discomfort in the donor area. Advil (Ibuprofen) and Aleve (Naproxen) are also very effective and should be taken with the earliest sign of discomfort. They can be taken with the Tylenol #3 or Percocet for best results.
- You will be given prescriptions for Percocet (a stronger pain pill) and Ambien (for sleep) on the day of your procedure. These prescriptions can be filled while you are having your procedure.
- Antibiotic ointment – provided to you for you to apply to the donor area twice a day for five days after the procedure.
Sleeping and Activity:
- For the first night, sleep with your head elevated on several pillows or in a recliner chair to prevent swelling, and place a towel under your head for possible light bleeding.
- Avoid any strenuous physical activity the first two days after your procedure to prevent increased swelling and loss or damage of grafts. After six days, you may resume moderate exercise, weight lifting, etc. After 10 days, you may resume swimming.
- No direct sun exposure to the face for more than 30 minutes at a time for the first two weeks. Wearing a hat provides adequate protection.
Caring for the transplants:
- There will be tiny crusts where each graft was placed that will fall off at four to six days. Gently rub off any remaining crusts at one week. If there is any discomfort or bleeding, stop rubbing and begin to rub again two days later. There will also likely be a mild amount of pinkness to the area for a few days after the crusts fall off.
- You can begin to shave at eight days after the procedure.
- Most of the transplanted hairs will fall out typically by two to three weeks. This is normal, as the hairs will start to grow back four months later. Once the hairs start to grow back, you can shave them normally.
- Most patients are presentable at five to seven days after without any obvious signs of having had a procedure other than they will have new hairs and possibly some mild flaking. There is a chance you will have prolonged pinkness. We recommend you take Benadryl 25 mg twice a day to treat this.
- For the first five days after the procedure do not get the transplanted areas wet. On the sixth day, you can begin to wash your face normally, and full exercise is permitted. Normal hair shampooing is permitted the day after your procedure.
- If your procedure is done by the FUE technique, no sutures are used. If your procedure is done by strip, you can receive absorbable sutures and thus do not need to have them removed as they will dissolve. If nonabsorbable sutures are used, they can be removed at 10 to 12 days by a family member, friend, or local doctor using the kit provided by the office. If you live close to one of our offices, you can return for suture removal at 10 to 12 days.
What to expect:
- Numbness, tingling, or similar sensations at the graft sites and along and above the donor area in the scalp is common and normal. This will generally take several weeks, occasionally several months, to resolve on its own.
- You may have your hair cut at one week. Hair coloring is permitted two weeks after your procedure.
- Once transplanted, the hairs will grow just like normal beard/mustache hairs. They can be shaved or allowed to grow out.
Note the following:
- Please arrive at the office at on the day of your procedure
- These instructions will be reviewed with you before and after your procedure
It has been explained to you that a choice of anesthesia provider exists
The Florida offices of the surgeons of Foundation for Hair Restoration are regulated pursuant to the rules of the Florida Board of Medicine as set forth in the Rule Chapter 64 B8 FAC.
Please call, (preferably text) your surgeon with only emergent questions when the office is closed. Dr. Epstein can be reached at (305) 310-6361; Dr. Bared can be reached at (305) 975-2859. All post op questions need to be either phoned in to the office (305) 666-1774 and/or send in by email to your Patient Advisor and [email protected]
IN CASE OF ANY EMERGENCY, PLEASE DIAL 911
I, , acknowledge receipt of 4 pages of these instructions. (Print name)
Patient Signature Date
Witness (print name) Date
Witness Signature Date