Hair transplantation using the FUE (Follicular Unit Extraction) method is considered one of the most advanced and refined solutions in the fight against hair loss. However, the surgical procedure itself is only the beginning of the entire process. The real transformation starts after the operation—during the recovery phase and the regrowth of new hair.
To achieve natural, dense, and long-lasting results, it is extremely important to properly care for both the transplanted area and the entire scalp, as well as to strictly follow the doctor’s instructions. Below is a detailed week-by-week and month-by-month guide on post-transplant hair care.
First 72 Hours: Maximum Caution
The first three days after the transplant are the most critical. During this time, the transplanted follicles are not yet securely in place, and any mechanical or chemical interference can damage them.
The patient may feel tightness of the scalp, mild pain, swelling, or itching. Some discomfort may also be present in the donor area.
During this period, it is strictly forbidden to wash the head, touch or scratch the transplanted area, wear hats or clothing with tight neck openings. Sleep should be arranged so that the head is elevated—preferably using two pillows or a special orthopedic pillow.
Additionally, smoking, alcohol consumption, spicy food, sports activities, and direct sun exposure are strictly prohibited.
Week 1: Scab Formation and Initial Healing
Starting around days 3 to 5, your doctor may allow you to gently wash your head using a special sulfate-free, mild shampoo. The shampoo should be diluted with water and gently poured over the scalp without rubbing. It should then be rinsed with warm water, and the hair gently patted dry with a paper towel.
During this time, small scabs will begin to form in the transplanted area. These are part of the skin’s natural protective response and should never be removed manually. They must fall off on their own, as forcibly removing them may damage the follicles and impact future hair growth.
Direct sun exposure, activities that cause sweating, and any chemical treatments on the scalp are also strictly prohibited unless prescribed by a doctor.
Week 2: Scab Shedding and Initial Hair Loss
From days 7 to 10, the scabs begin to fall off. At the same time, patients may notice shedding of the transplanted hairs. This is a normal and expected process known as “shock loss.”
In reality, what falls out is the outer hair shaft, while the follicle remains beneath the skin and will later produce new hair.
Some itching or dryness may persist during this phase. In certain cases, the doctor may recommend using moisturizing lotions or special therapeutic solutions.
Loose-fitting hats are allowed for sun protection. At this point, the patient can resume normal daily activities, except for physically demanding tasks.
Weeks 3–4: Continued “Shock Loss”
At this stage, most of the transplanted hairs fall out. Some patients may also notice temporary shedding of their native, nearby hairs. This occurs due to the scalp and follicle response following the procedure.
This is a natural stage and nothing to be concerned about. The follicles remain active and are now entering the resting phase, which precedes new hair growth.
During this time, you may continue washing your hair according to the doctor’s exact instructions. Hair dyes, chemical treatments, heated brushes, and intense sun exposure remain prohibited. If approved by your doctor, you may begin gentle scalp massages to stimulate blood circulation.
Months 2–3: Resting Phase
During this phase, there may be little to no visible change. The transplanted hairs have already fallen out, and new ones have yet to begin growing. However, important internal processes are underway—follicles are becoming stronger, scalp circulation is stabilizing, and preparations for the growth phase are taking place.
Many experts recommend taking photos during this phase to document progress, as visible results will start to emerge in the following months.
Months 4–6: New Hair Begins to Emerge
During this period, the first new hairs begin to grow. They are usually fine, light-colored, and grow unevenly at different rates in different areas. This is entirely normal.
In some cases, patients may notice small pimples or acne-like bumps on the scalp. These occur when new hairs are trying to break through the skin. It is important to maintain good hygiene and consult your doctor if needed.
At this stage, your doctor may also recommend starting hair growth stimulants such as minoxidil or PRP therapy.
Months 6–9: Active Hair Growth
The new hairs begin to grow longer and become noticeably denser. They gradually take on a more natural color, texture, and thickness. Any initial coarseness or curliness is temporary—this is part of the post-surgical phase, and the hair will normalize with time.
Patients can trim their hair, style it, and use mild hair care products. However, it is still advisable to avoid products containing alcohol, ammonia-based dyes, and exposure to high heat.
At this point, you can assess your results by comparing pre-operative photos with your current progress.
Months 9–12: Near-Final Results
By 12 months post-surgery, you are approaching your final result. The transplanted hairs will have reached sufficient length, density, and a natural appearance. They begin to closely resemble your original hair, and patients can resume full care routines as before.
Hair coloring (preferably using ammonia-free dyes), heat styling, and the use of brushes and accessories are permitted.
Doctors also recommend continuing a diet that supports hair health and regularly moisturizing the scalp.
Months 12–18: Final Results
By 18 months, the results of the transplant are considered final. The new hair has a stable growth pattern, natural shine, structure, and density. It has now become a complete, integrated part of your body and no longer requires any special care.
If there are areas where density remains low, or if the patient desires even fuller coverage, a second hair transplant may be considered upon the doctor’s recommendation.
Conclusion
Hair transplantation using the FUE method is one of the most popular, modern, and minimally invasive solutions—both in Armenia and worldwide. In recent years, Yerevan has become a hub for medical tourism, thanks to its high-quality healthcare services, affordable prices, and experienced professionals. The cost of hair transplantation in Yerevan is significantly more accessible compared to many European and regional countries.
In addition to hair transplants, there is also high demand in Yerevan for other plastic surgeries such as rhinoplasty, blepharoplasty, liposuction, and more.
However, even the best results are only possible when a skilled surgeon is matched with a committed and responsible patient. Every stage, week, and month plays an important role in achieving the desired outcome.
Patience, proper care, and following your doctor’s instructions are the key factors for achieving a natural-looking, long-lasting result.