By the start of week 2, the most acute phase of recovery is behind you. Swelling has resolved, the donor area is healing well, and the main challenge is managing the crusting and itching that comes with scalp healing.
The Crusting Phase
Crusts (small scabs) around each transplanted graft are a normal part of healing. During week 2, these can be gently softened and removed through careful daily washing. Most surgeons recommend applying a moisturising oil or saline soak to the recipient area, leaving it for 30–45 minutes, then gently massaging in a circular motion to loosen the crusts.
It is important to be methodical: by day 10–14, crusts should largely have gone. Remaining crusts can trap bacteria and look unsightly. However, forcing crusts off before they are ready risks pulling out an ungrafted follicle with them — always soften first.
Itching
Itching is common and often intense in week 2. It is a sign of healing — nerve endings reactivating and skin regenerating. Do not scratch. Options for relief include: gentle tapping over the area, antihistamines (cetirizine is non-sedating), and the saline sprays provided by your clinic. Cold water poured gently over the area can provide brief relief.
Returning to Normal Activity
By day 10–14, most patients can return to most normal activities. However, heavy gym work, contact sports, and swimming pools remain off limits until at least 4 weeks. Direct sun on the scalp should be avoided or protected with a loose hat after the first 10 days.
What the Transplanted Area Looks Like at 2 Weeks
The recipient zone will look pink and may still have some residual redness. Some transplanted hairs will have small crusts at their base. This is entirely normal. The area will continue to normalise over the following weeks.
Have questions about your recovery? Book a consultation with Dr Anzal Qurbain →
Related reading
