The first 48 hours after your hair transplant set the conditions for graft survival and a smooth recovery. This is the period when grafts are most vulnerable to displacement, infection, and poor blood supply. Here is a complete guide to managing these critical hours.
Immediately After Leaving the Clinic
You will leave with a light dressing over the donor area (usually removed the next morning), written aftercare instructions, and a supply of prescribed medications including antibiotics and anti-inflammatory tablets. Arrange a quiet journey home — minimise touching the scalp and avoid direct sunlight.
Medication Schedule
Start your prescribed medications as directed. Typically this includes: prophylactic antibiotics (take with food to avoid nausea), an anti-inflammatory or steroid course to reduce swelling, and paracetamol for pain management as needed. Do not take ibuprofen or aspirin.
Sleeping
Sleep with your head elevated to 45 degrees for the first 5–7 nights. Use two pillows or a travel neck pillow. Sleep on your back, not your side or front.
Eating and Drinking
Eat and drink normally. Stay well hydrated. Avoid alcohol, spicy food, and high-sodium meals — all worsen swelling. Avoid caffeine in excessive amounts as it can raise blood pressure.
What to Absolutely Avoid in the First 48 Hours
- Touching, prodding, or examining the recipient area
- Any physical exertion that raises your heart rate
- Bending forward (increases blood pressure in the head)
- Removing the donor dressing before instructed
- Any shower or water contact with the recipient area until your first instructed wash
The First Wash (Day 2–3)
Most surgeons instruct a first gentle saline spray or diluted baby shampoo wash at 24–48 hours. Use a cup or spray bottle — no direct shower pressure. Dab dry gently with a soft cloth.
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