{"id":12145,"date":"2026-11-10T10:00:00","date_gmt":"2026-11-10T09:00:00","guid":{"rendered":"https:\/\/www.medespoir.ch\/blog\/?p=12145"},"modified":"2026-11-08T19:54:36","modified_gmt":"2026-11-08T18:54:36","slug":"after-hair-transplant-tunisia-day-by-day","status":"publish","type":"post","link":"https:\/\/www.medespoir.ch\/blog\/after-hair-transplant-tunisia-day-by-day\/","title":{"rendered":"After a hair transplant in Tunisia: washing, scabs, shock loss and sport, day by day"},"content":{"rendered":"<p><strong>In short:<\/strong> The first ten days after a hair transplant decide whether the grafts settle well: you protect them from pressure and friction, wash them gently every day from day one to three, and let the scabs fall off by themselves, usually by day ten. Between the second and eighth week, many transplanted hairs fall out (and sometimes nearby native hairs too, the so-called shock loss); this is expected, and the new hairs start growing from the third or fourth month. Sport, sauna, swimming, sun and helmets return in stages over one to six weeks. If you have the transplant in Tunisia, the first days happen with the clinic, and the rest of the aftercare continues in Switzerland with remote follow-up. A transplant in Tunisia is considerably less expensive than in Switzerland; the exact price is given in a free, personalised quote. This guide follows the recovery day by day and answers the questions people ask most after a transplant.<\/p>\n<p><em>Updated November 2026. This article is general information and does not replace a medical opinion. Your clinic&rsquo;s written instructions always take precedence, because they are adapted to the technique used on you.<\/em><\/p>\n<h2 id=\"contents\">Contents<\/h2>\n<ul>\n<li><a href=\"#news\">What changed in 2025 and 2026 for aftercare?<\/a><\/li>\n<li><a href=\"#why\">Why the first days matter so much<\/a><\/li>\n<li><a href=\"#day0\">Day 0: the evening after the operation<\/a><\/li>\n<li><a href=\"#day1-3\">Days 1 to 3: swelling and the first wash<\/a><\/li>\n<li><a href=\"#day4-10\">Days 4 to 10: daily washing and scabs<\/a><\/li>\n<li><a href=\"#day10-30\">Days 10 to 30: redness, itching and spots<\/a><\/li>\n<li><a href=\"#shedding\">Weeks 2 to 8: shedding and shock loss<\/a><\/li>\n<li><a href=\"#growth\">Months 3 to 12: when the hair grows back<\/a><\/li>\n<li><a href=\"#washing\">Washing step by step<\/a><\/li>\n<li><a href=\"#sleep\">Sleeping without damaging the grafts<\/a><\/li>\n<li><a href=\"#activities\">Sport, sauna, pool and helmets: the calendar<\/a><\/li>\n<li><a href=\"#sun\">Sun, cold and altitude<\/a><\/li>\n<li><a href=\"#hair\">Haircut, colour, hats and styling<\/a><\/li>\n<li><a href=\"#donor\">Looking after the donor area<\/a><\/li>\n<li><a href=\"#medicines\">Medicines and treatments after the transplant<\/a><\/li>\n<li><a href=\"#beard\">After a beard or eyebrow transplant<\/a><\/li>\n<li><a href=\"#warning\">Warning signs<\/a><\/li>\n<li><a href=\"#checkups\">Check-ups and photos<\/a><\/li>\n<li><a href=\"#work\">Work, social life and discretion<\/a><\/li>\n<li><a href=\"#tunisia\">From Tunisia to Switzerland: organising aftercare<\/a><\/li>\n<li><a href=\"#sources\">Sources<\/a><\/li>\n<li><a href=\"#faq\">Frequently asked questions<\/a><\/li>\n<\/ul>\n<h2 id=\"news\">What changed in 2025 and 2026 for aftercare?<\/h2>\n<p>Techniques for extracting and implanting grafts have evolved slowly. What has improved is the evidence on complications after surgery and how simple aftercare habits influence them. Several publications from 2025 and 2026 are directly useful for anyone preparing their recovery.<\/p>\n<h3>What does the 2026 review on FUE complications say?<\/h3>\n<p>On 3 February 2026, <em>Frontiers in Medicine<\/em> published a review by Romera de Blas and colleagues on complications of follicular unit excision (FUE), the technique most often used today. It gives practical benchmarks: scabs usually form within two to three days and come off by day seven to ten; gentle washing with saline or a mild shampoo should start within 24 to 72 hours; scabs that persist beyond two weeks, particularly thick ones with discharge, should be examined because they can signal poor blood supply. Folliculitis affects about 12% of patients, usually one to four weeks after surgery. Shock loss is reported in anywhere from 0.15% to 15% of patients, typically two to eight weeks after the operation, with regrowth from about three months. Numbness is usually temporary and resolves within four to eight months, with long-lasting changes in about 2% in one large series. The authors stress that these figures come from mostly retrospective studies and are approximate.<\/p>\n<h3>Is washing early really important?<\/h3>\n<p>Yes, according to a multicentre study published in <em>Plastic and Reconstructive Surgery<\/em> on 1,317 patients treated in four Chinese centres. Folliculitis occurred in 12.11% of them. Risk factors included surgery in summer, sessions of 4,000 grafts or more, implantation densities above 45 grafts per square centimetre, and a first wash or nursing care later than three days after surgery. Patients cannot change the season retroactively, but they can make sure the first wash is not delayed.<\/p>\n<h3>Who is most exposed to shock loss?<\/h3>\n<p>A Japanese study of 621 FUE patients published in <em>Aesthetic Plastic Surgery<\/em> found shock loss in 23 of them. Female sex was by far the strongest risk factor, and among women, age, with women over 40 who had female pattern hair loss more exposed. This matches clinical experience: shock loss is frequent in women and in men with a lot of miniaturised hair around the transplanted area, and much rarer in a completely bald zone.<\/p>\n<h3>What is \u00ab\u00a0tufted folliculitis\u00a0\u00bb?<\/h3>\n<p>In September 2026, <em>Dermatologic Surgery<\/em> published a Korean article describing tufted folliculitis after FUE as an under-recognised and potentially preventable complication. Tufted folliculitis is an inflammatory condition in which several hairs emerge from one widened opening, surrounded by inflammation and sometimes scarring. It remains rare, but the message is useful: persistent pustules, crusts or painful areas in the weeks after a transplant are not something to treat on your own with internet remedies. They deserve a medical opinion.<\/p>\n<h3>What about the medicines used after a transplant?<\/h3>\n<p>On 8 May 2025, the safety committee of the European Medicines Agency (PRAC) concluded that suicidal ideation is a possible side effect of finasteride tablets, mainly reported with the 1 mg dose used for hair loss; the European Commission adopted the decision on 22 August 2025. The 2025 practice census of the International Society of Hair Restoration Surgery (ISHRS), published on 13 May 2025, confirmed that medical treatment is usually combined with surgery: finasteride 1 mg, oral minoxidil and topical minoxidil are the treatments surgeons prescribe most often. The census also found that 59% of responding surgeons knew of \u00ab\u00a0black market\u00a0\u00bb clinics in their city, where unlicensed technicians perform most of the surgery, and that repairs after such operations made up on average 10% of their caseload. Good aftercare cannot rescue a poorly performed transplant, which is why choosing the team matters as much as following instructions.<\/p>\n<table>\n<thead>\n<tr>\n<th>Date<\/th>\n<th>Source<\/th>\n<th>What it means for your aftercare<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>2023-2024<\/td>\n<td><em>Plastic and Reconstructive Surgery<\/em>, 1,317 patients<\/td>\n<td>A first wash later than day 3 is associated with more folliculitis<\/td>\n<\/tr>\n<tr>\n<td>8 May \/ 22 Aug. 2025<\/td>\n<td>EMA PRAC \/ European Commission<\/td>\n<td>Finasteride 1 mg: be aware of mood changes, stop and seek advice if they occur<\/td>\n<\/tr>\n<tr>\n<td>13 May 2025<\/td>\n<td>ISHRS Practice Census<\/td>\n<td>Medical treatment is usually combined with surgery; black market repairs reported<\/td>\n<\/tr>\n<tr>\n<td>3 Feb. 2026<\/td>\n<td><em>Frontiers in Medicine<\/em>, review<\/td>\n<td>Benchmarks for scabs, washing, folliculitis, shock loss and numbness<\/td>\n<\/tr>\n<tr>\n<td>Sept. 2026<\/td>\n<td><em>Dermatologic Surgery<\/em><\/td>\n<td>Persistent pustules or crusts deserve a medical opinion<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"why\">Why the first days matter so much<\/h2>\n<p>A graft is a tiny piece of skin containing one to four hairs and their follicles. Once placed in a small incision in the recipient area, it has no blood vessels of its own. For the first hours it survives on the fluid around it, then new small vessels connect it to the scalp&rsquo;s circulation over the following days.<\/p>\n<h3>When are the grafts \u00ab\u00a0secure\u00a0\u00bb?<\/h3>\n<p>Grafts are most fragile during the first three to five days. By about day seven to ten, they are anchored firmly enough that normal washing, light rubbing and the fall of scabs no longer dislodge them. This is why almost every aftercare protocol has the same logic: extreme care during the first week, progressive return to normal habits after day ten, and full freedom after a month.<\/p>\n<h3>What can dislodge a graft?<\/h3>\n<ul>\n<li>Scratching or picking at scabs.<\/li>\n<li>A strong jet of water, a towel rubbed on the head, or a tight hat pulled on and off.<\/li>\n<li>Bumping the head on a car door, a cupboard or a headboard.<\/li>\n<li>Sleeping face down or turning the recipient area against a pillow in the first nights.<\/li>\n<li>Heavy straining, which raises blood pressure in the scalp and can cause bleeding around grafts.<\/li>\n<\/ul>\n<p>A lost graft usually shows up as a small spot of fresh bleeding with a tiny white bulb in the blood. Losing one or two grafts is not dramatic; the important thing is to understand what caused it and to protect the rest.<\/p>\n<h2 id=\"day0\">Day 0: the evening after the operation<\/h2>\n<p>The operation usually lasts most of the day. You leave with a bandage around the donor area and the recipient area uncovered or lightly protected, depending on the clinic&rsquo;s protocol.<\/p>\n<h3>What will I feel?<\/h3>\n<p>The donor area at the back of the head is usually more painful than the recipient area, because it contains hundreds or thousands of small extraction wounds. The pain is generally moderate and controlled with ordinary painkillers. The scalp feels tight and numb because of the local anaesthetic, which wears off over the evening.<\/p>\n<h3>What should I do on the first evening?<\/h3>\n<ul>\n<li>Rest with the head raised, at about 45 degrees.<\/li>\n<li>Take the prescribed medicines on schedule.<\/li>\n<li>Drink water but avoid alcohol, which increases bleeding and swelling.<\/li>\n<li>Do not touch the recipient area.<\/li>\n<li>If a few drops of blood appear, press gently with sterile gauze for a few minutes, without rubbing. Persistent bleeding needs a call to the clinic.<\/li>\n<\/ul>\n<h3>Can I smoke?<\/h3>\n<p>No. Nicotine reduces blood flow to the scalp just when the grafts need it most. Ideally, stop at least two weeks before and two weeks after the transplant, and longer if you can.<\/p>\n<h2 id=\"day1-3\">Days 1 to 3: swelling and the first wash<\/h2>\n<h3>What happens on day 1?<\/h3>\n<p>Most clinics see you the day after surgery for a check, to remove the donor dressing and often to perform the first wash. If you are in Tunisia, this happens at the clinic or with the team, so you can see exactly how it is done.<\/p>\n<h3>Why does my forehead swell?<\/h3>\n<p>The fluid used during the operation (local anaesthetic and saline injected to raise the scalp) and the inflammation travel downwards with gravity. Swelling of the forehead usually appears on day two or three and can reach the eyelids, making the face look puffy. It is harmless and fades within a few days. Sleeping with the head raised, applying cold packs on the forehead (never on the grafts) and avoiding bending forward help. Some clinics prescribe a short course of a corticosteroid to reduce it.<\/p>\n<h3>How is the first wash done?<\/h3>\n<p>Gently, without rubbing, with lukewarm water poured from a cup or a very soft shower, and a mild shampoo or a lotion prescribed by the clinic, applied by dabbing. The aim is to remove dried blood and fluid so that thick scabs do not form, as the 2026 review recommends washing within 24 to 72 hours. Never use your fingernails.<\/p>\n<h3>Is it normal to see small red dots in the recipient area?<\/h3>\n<p>Yes. Each graft sits in a tiny incision surrounded by a small scab of dried blood. The area looks like a field of small red dots. It looks alarming to people around you, but it is exactly how it should look.<\/p>\n<h2 id=\"day4-10\">Days 4 to 10: daily washing and scabs<\/h2>\n<p>This is the phase in which you do most of the work yourself, often after you have returned to Switzerland.<\/p>\n<h3>How often should I wash?<\/h3>\n<p>Usually once or twice a day, according to the clinic&rsquo;s protocol. Washing removes fluid and softens the scabs so they come off without taking hairs with them. From about day five or six, many protocols allow a little more pressure: light circular movements with the pads of the fingers, still without nails.<\/p>\n<h3>When do the scabs fall off?<\/h3>\n<p>Generally between day seven and day ten, and sometimes up to day fourteen. When they fall, they often take the short transplanted hair shafts with them. This is normal: the follicle stays in place, and the hair it produced on the day of surgery was always going to fall. If scabs are still firmly stuck after day ten to fourteen, contact the clinic: the 2026 review notes that persistent thick scabs with discharge should be checked.<\/p>\n<h3>Can I use moisturising lotion on the scabs?<\/h3>\n<p>Many clinics recommend applying a lotion or a prescribed product to soften the scabs, left on for twenty to thirty minutes before rinsing. Use only what is recommended: perfumed products, oils not intended for the scalp and home remedies can irritate the skin or cause folliculitis.<\/p>\n<h3>Why does the recipient area itch?<\/h3>\n<p>Itching is a sign of healing. It is usually at its worst between days five and fifteen. Do not scratch. Washing, saline sprays and, if prescribed, an antihistamine help. Severe itching with spots should be shown to the clinic.<\/p>\n<h2 id=\"day10-30\">Days 10 to 30: redness, itching and spots<\/h2>\n<h3>How long does the redness last?<\/h3>\n<p>On fair skin, the recipient area can remain pink for two to six weeks, sometimes longer. It fades gradually. Early washing helps limit persistent redness, according to the 2026 review. On darker skin, redness is less visible but temporary darkening can occur.<\/p>\n<h3>What are the small spots that appear?<\/h3>\n<p>Small pimples or pustules in the recipient area are common between the second and fourth week, and sometimes later, around the tenth week, when new hairs push through the skin. They are often ingrown hairs (pseudofolliculitis) or mild folliculitis. Most settle with gentle washing and warm compresses. Do not squeeze them. If they multiply, become painful, or appear with redness spreading around them, the clinic may recommend an antiseptic or antibiotic cream, and occasionally tablets.<\/p>\n<h3>What does the transplanted area look like after a month?<\/h3>\n<p>Often like it did before surgery, with short stubble. This is the most confusing moment for many patients: the scabs have gone, the shedding has started and nothing visible is happening yet. The follicles are resting before producing new hair.<\/p>\n<h2 id=\"shedding\">Weeks 2 to 8: shedding and shock loss<\/h2>\n<p>Two different phenomena are often confused, and both are usually temporary.<\/p>\n<h3>Why do the transplanted hairs fall out?<\/h3>\n<p>The trauma of the transplant pushes most transplanted follicles into a resting phase. Their hair shafts fall out, mostly between the second and sixth week. This is expected in almost every patient, and it does not mean the grafts have failed. The follicles remain alive under the skin and start a new growth cycle about three months after surgery.<\/p>\n<h3>What is shock loss?<\/h3>\n<p>Shock loss is the shedding of native hairs (your own hairs that were already there) around the transplanted area, or sometimes in the donor area. It usually appears between two and eight weeks after the operation. It is more common in women, in people with many fine, miniaturised hairs, and when grafts are placed densely between existing hairs. Most of the hair grows back within three to six months. Hairs that were already very miniaturised and close to falling may not come back: that would have happened anyway, but the transplant accelerates it.<\/p>\n<h3>Can shock loss be prevented?<\/h3>\n<p>Not completely. The risk can be reduced by a good plan (avoiding very dense implantation between healthy native hairs), by stabilising hair loss with medical treatment before surgery, and in some cases by minoxidil around the operation. Ask your surgeon whether you should start or continue minoxidil after the transplant, and when.<\/p>\n<table>\n<thead>\n<tr>\n<th>Phenomenon<\/th>\n<th>When<\/th>\n<th>Where<\/th>\n<th>Usual outcome<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Fall of transplanted hair shafts<\/td>\n<td>Weeks 2 to 6<\/td>\n<td>Recipient area<\/td>\n<td>Normal; new growth from month 3 or 4<\/td>\n<\/tr>\n<tr>\n<td>Shock loss of native hair<\/td>\n<td>Weeks 2 to 8<\/td>\n<td>Around the recipient area<\/td>\n<td>Most regrows in 3 to 6 months<\/td>\n<\/tr>\n<tr>\n<td>Donor-area effluvium<\/td>\n<td>Weeks 2 to 4<\/td>\n<td>Back and sides of the head<\/td>\n<td>Usually resolves in 3 to 6 months<\/td>\n<\/tr>\n<tr>\n<td>Folliculitis, ingrown hairs<\/td>\n<td>Weeks 1 to 4, sometimes around week 10<\/td>\n<td>Recipient area<\/td>\n<td>Settles with care; see a doctor if widespread<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"growth\">Months 3 to 12: when the hair grows back<\/h2>\n<h3>When will I see the first new hairs?<\/h3>\n<p>Usually between the third and fourth month. The first hairs are fine, sometimes curly or wavy, and grow irregularly. Some push through with a small pimple.<\/p>\n<h3>When is the result visible?<\/h3>\n<p>Around the sixth month, most patients see a clear change. The hairs thicken and lengthen between the sixth and twelfth month. The final result is usually judged at twelve months for the front of the head and at twelve to eighteen months for the crown, which grows more slowly. Our guide to <a href=\"https:\/\/www.medespoir.ch\/blog\/male-hair-transplant-tunisia-fue-dhi-grafts\/\">hair transplants for men in Tunisia<\/a> describes growth month by month in more detail, and Medespoir&rsquo;s page on <a href=\"https:\/\/www.medespoir.ch\/resultat-greffe-cheveux.php\">the result of a hair transplant<\/a> (in French) shows what to expect.<\/p>\n<table>\n<thead>\n<tr>\n<th>Time after surgery<\/th>\n<th>What you usually see<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Days 1 to 10<\/td>\n<td>Small scabs, swelling of the forehead on days 2 to 4<\/td>\n<\/tr>\n<tr>\n<td>Weeks 2 to 6<\/td>\n<td>Transplanted hairs fall; redness fades<\/td>\n<\/tr>\n<tr>\n<td>Months 2 to 3<\/td>\n<td>\u00ab\u00a0Ugly duckling\u00a0\u00bb phase: the area looks as before<\/td>\n<\/tr>\n<tr>\n<td>Months 3 to 4<\/td>\n<td>First fine new hairs, sometimes small spots<\/td>\n<\/tr>\n<tr>\n<td>Month 6<\/td>\n<td>Clear visible change, hairs still thin<\/td>\n<\/tr>\n<tr>\n<td>Months 9 to 12<\/td>\n<td>Hairs thicken; front close to final result<\/td>\n<\/tr>\n<tr>\n<td>Months 12 to 18<\/td>\n<td>Final result, especially on the crown<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"washing\">Washing step by step<\/h2>\n<p>Your clinic&rsquo;s protocol comes first. The following describes the method used in many protocols in the first ten days, to help you understand the logic.<\/p>\n<ol>\n<li><strong>Prepare:<\/strong> lukewarm water (never hot), a cup or jug, the shampoo or lotion recommended by the clinic, and a clean paper towel or soft cotton towel.<\/li>\n<li><strong>Apply the lotion<\/strong> if prescribed, by dabbing it on the recipient area. Leave it on for the time indicated, often 20 to 30 minutes, to soften the scabs.<\/li>\n<li><strong>Prepare the shampoo foam<\/strong> in your hands and apply it by gently tapping with the fingertips, never rubbing, in the first days. From about day five or six, light circular movements are often allowed.<\/li>\n<li><strong>Rinse<\/strong> by pouring water from a cup, or with a very soft shower jet that does not hit the grafts directly.<\/li>\n<li><strong>Dry<\/strong> by dabbing with a paper towel, or let the scalp air-dry. No hair dryer on hot air in the first weeks; a cold setting at a distance is sometimes allowed after the first week.<\/li>\n<li><strong>Donor area:<\/strong> it can usually be washed normally, gently, from the first days.<\/li>\n<\/ol>\n<h3>When can I wash my hair normally?<\/h3>\n<p>Most protocols allow normal washing with a normal shampoo from about day ten to fourteen, once all the scabs have come off. Avoid strong anti-dandruff or heavily perfumed products for the first month unless prescribed.<\/p>\n<h2 id=\"sleep\">Sleeping without damaging the grafts<\/h2>\n<h3>How should I sleep in the first week?<\/h3>\n<p>On your back, with the head raised at about 45 degrees, for the first five to seven nights. A travel pillow (neck pillow) prevents the head from turning sideways and rubbing the recipient area on the pillow. Two or three pillows or a wedge help keep the head raised, which also limits swelling of the forehead.<\/p>\n<h3>What if I wake up on my side?<\/h3>\n<p>Check the pillow: a few small spots of blood or fluid are common and not alarming. If you see bleeding in the recipient area with small white bulbs, a graft may have been dislodged. Press gently with sterile gauze and inform the clinic. One or two lost grafts do not affect the result.<\/p>\n<h3>When can I sleep normally?<\/h3>\n<p>Usually from about day ten, once the scabs have come off. Use a clean pillowcase, changed often in the first two weeks.<\/p>\n<h2 id=\"activities\">Sport, sauna, pool and helmets: the calendar<\/h2>\n<p>The logic is simple: in the first ten days, avoid anything that raises blood pressure in the head, makes you sweat heavily, or creates friction or pressure on the grafts. Then, return progressively.<\/p>\n<table>\n<thead>\n<tr>\n<th>Activity<\/th>\n<th>Usual time frame<\/th>\n<th>Why<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Calm walking<\/td>\n<td>From day 1<\/td>\n<td>Good for circulation; avoid sun on the head<\/td>\n<\/tr>\n<tr>\n<td>Light cardio (walking fast, home bike)<\/td>\n<td>From about day 7 to 10<\/td>\n<td>Moderate sweating once the grafts are anchored<\/td>\n<\/tr>\n<tr>\n<td>Running, weight training<\/td>\n<td>From about 2 to 3 weeks<\/td>\n<td>Straining raises pressure in the scalp<\/td>\n<\/tr>\n<tr>\n<td>Swimming pool, sea<\/td>\n<td>From about 3 to 4 weeks<\/td>\n<td>Chlorine, salt and bacteria irritate healing skin<\/td>\n<\/tr>\n<tr>\n<td>Sauna, hammam, steam<\/td>\n<td>From about 4 weeks<\/td>\n<td>Heat and sweating increase swelling and folliculitis<\/td>\n<\/tr>\n<tr>\n<td>Contact sports, martial arts<\/td>\n<td>From about 4 to 6 weeks<\/td>\n<td>Risk of blows and friction<\/td>\n<\/tr>\n<tr>\n<td>Bike, ski or motorbike helmet<\/td>\n<td>From about 2 to 4 weeks, depending on the fit<\/td>\n<td>Pressure and friction on the recipient area<\/td>\n<\/tr>\n<tr>\n<td>Sexual activity<\/td>\n<td>Usually after a few days<\/td>\n<td>Avoid strong straining in the first days<\/td>\n<\/tr>\n<tr>\n<td>Alcohol<\/td>\n<td>Avoid for at least the first week<\/td>\n<td>Bleeding, swelling, interactions with medicines<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>I cycle to work in Zurich. When can I wear my helmet again?<\/h3>\n<p>Most clinics advise waiting at least two weeks, often longer, depending on how the helmet sits on the recipient area. A helmet that presses on the hairline or crown, or rubs when you take it off, is the problem. Until you can wear it safely, take public transport rather than cycling without a helmet. The same applies to ski helmets in winter: plan a transplant so that the first ski days fall after the first month.<\/p>\n<h3>Can I go to the gym after a week?<\/h3>\n<p>Light exercise without heavy straining is often allowed after a week to ten days. Heavy weights, especially exercises with the head down or with strong breath-holding, usually wait until the third week. Sweat itself is not dangerous once the scabs have fallen, but wash the scalp after training.<\/p>\n<h2 id=\"sun\">Sun, cold and altitude<\/h2>\n<h3>Why should I avoid the sun?<\/h3>\n<p>Direct sun on healing skin can cause prolonged redness, pigmentation (especially on darker skin) and discomfort. In the first two to four weeks, avoid direct sun on the scalp. Wear a loose hat when you are outside (see below) and stay in the shade. After the first month, use a sunscreen on the scalp if it is exposed, particularly where the hair is still short.<\/p>\n<h3>What about mountains and skiing?<\/h3>\n<p>UV radiation is stronger at altitude and is reflected by snow. A freshly operated scalp, still numb and red, burns easily without you feeling it. For the first months, wear a hat or helmet once it is allowed, and sunscreen on exposed areas. Severe cold can also make the numb scalp vulnerable: cover it in winter.<\/p>\n<h3>Is the Tunisian sun a problem during the stay?<\/h3>\n<p>It can be in summer. That is one of the reasons why the 2023 study associated summer surgery with more folliculitis: heat and sweat. If you can choose, many patients prefer spring, autumn or winter. If you travel in summer, stay in the shade and follow the clinic&rsquo;s advice on hats.<\/p>\n<h2 id=\"hair\">Haircut, colour, hats and styling<\/h2>\n<h3>When can I wear a hat or a cap?<\/h3>\n<p>A loose hat that does not touch the grafts, such as a bucket hat or a hat provided by the clinic, can often be worn from the first days to protect against sun and dust. Tight caps and beanies, which rub when put on and taken off, usually wait until about day ten to fourteen. Put them on and take them off carefully, from the front to the back, without dragging.<\/p>\n<h3>When can I cut my hair?<\/h3>\n<p>Scissors on the existing hair are often possible after two to three weeks, provided the hairdresser does not touch the recipient area roughly. Clippers on the donor area are usually allowed after about three to four weeks, and on the recipient area later, often after one to two months. Tell the hairdresser about the transplant.<\/p>\n<h3>When can I colour my hair?<\/h3>\n<p>Wait at least four to six weeks for hair dye, and longer if the scalp is still red or sensitive. Hair dyes contain chemicals that can irritate the skin. A strand test is wise for the first colour after surgery.<\/p>\n<h3>Can I use gel, wax or hair fibres?<\/h3>\n<p>Usually after about three to four weeks for gel and wax on the existing hair, after checking with the clinic. Hair fibres (keratin fibres that make hair look denser) are often allowed after about a month, when the scalp is fully healed, and can help during the \u00ab\u00a0ugly duckling\u00a0\u00bb phase. Wash them out carefully every day.<\/p>\n<h2 id=\"donor\">Looking after the donor area<\/h2>\n<h3>What does the donor area look like?<\/h3>\n<p>After FUE, the donor area is covered with small dots where grafts were extracted. They heal in about a week, and the area looks normal once the surrounding hair grows to a few millimetres. After FUT (strip), there is a line of stitches that are removed after ten to fourteen days, unless they are absorbable.<\/p>\n<h3>Is numbness in the back of the head normal?<\/h3>\n<p>Yes. Small sensory nerves are affected by extraction. Numbness, tingling and itching are common and usually disappear within a few months, typically by four to eight months according to the 2026 review.<\/p>\n<h3>What is donor-area effluvium?<\/h3>\n<p>Temporary thinning in the donor area, usually starting two to four weeks after surgery and resolving within three to six months. It is more frequent when the extraction is dense. A careful surgeon limits the number of grafts removed from each zone, which also preserves the donor area for the future.<\/p>\n<h3>Why is overharvesting a concern?<\/h3>\n<p>The donor area is your \u00ab\u00a0capital\u00a0\u00bb of hair. If too many grafts are taken, the back of the head can look thin or patchy for life, and future transplants become impossible. The 2026 review suggests limiting extraction to roughly 10 to 20% of follicles per session. This is a question to ask before surgery, not after.<\/p>\n<p><strong>Planning a hair transplant?<\/strong> Request your <a href=\"https:\/\/www.medespoir.ch\/devis.php\">free personalised quote<\/a>, sent within 48 hours. Send clear photos of the front, top, crown and back of your head: they allow a realistic first plan.<\/p>\n<h2 id=\"medicines\">Medicines and treatments after the transplant<\/h2>\n<h3>Which medicines are prescribed after surgery?<\/h3>\n<p>Typically painkillers for a few days, sometimes a short course of corticosteroid to limit swelling, and sometimes an antibiotic, depending on the clinic&rsquo;s protocol; the 2026 review notes that routine antibiotic prophylaxis is not universally recommended. Take them as prescribed and keep the prescription for your doctor in Switzerland.<\/p>\n<h3>Should I continue finasteride or minoxidil?<\/h3>\n<p>A transplant moves resistant follicles, but it does not stop the progression of hair loss in the native hair around them. This is why surgeons often recommend medical treatment to preserve the existing hair. Whether and when to restart finasteride or minoxidil after surgery is decided with your surgeon. Topical minoxidil is usually restarted only once the scalp has healed, often after two to four weeks, because it can irritate fresh wounds. Finasteride tablets are generally not interrupted for long, but follow the instructions given to you. Since the 2025 European decision, anyone taking finasteride should know that mood changes are a possible side effect: stop it and see a doctor if they occur.<\/p>\n<h3>Does PRP help after a transplant?<\/h3>\n<p>Platelet-rich plasma (PRP) is sometimes offered to support healing and growth. The evidence is mixed, with some studies suggesting faster growth or better density and others showing little difference. It is an option, not a necessity. Medespoir&rsquo;s page on <a href=\"https:\/\/www.medespoir.ch\/prp-cheveux-tunisie.php\">PRP for hair in Tunisia<\/a> (in French) describes the procedure.<\/p>\n<h3>Can I take vitamins or supplements?<\/h3>\n<p>A balanced diet with enough protein, iron and zinc supports hair growth. Supplements are only useful if you have a deficiency, which a blood test can show. Avoid supplements that increase bleeding (fish oil, vitamin E, ginkgo) in the first week unless your doctor agrees.<\/p>\n<h2 id=\"beard\">After a beard or eyebrow transplant<\/h2>\n<h3>How is aftercare different for a beard transplant?<\/h3>\n<p>The principles are the same: protect, wash gently, do not pick. The face swells more easily, and small scabs on the cheeks are visible, so plan about a week of discretion. Shaving the beard area is usually postponed for about ten days to two weeks, and then done carefully with an electric razor at first. The transplanted beard hairs fall in the first weeks and regrow from about the third month. Medespoir&rsquo;s page on the <a href=\"https:\/\/www.medespoir.ch\/greffe-barbe-tunisie.php\">beard transplant in Tunisia<\/a> (in French) describes the procedure.<\/p>\n<h3>And after an eyebrow transplant?<\/h3>\n<p>Eyebrows are small and visible, so every scab shows. Avoid make-up on the area for about two weeks, do not rub the eyes, and sleep on the back. Transplanted eyebrow hairs come from the scalp and keep growing like scalp hair, so they need regular trimming once they grow back. Our article on <a href=\"https:\/\/www.medespoir.ch\/blog\/female-hair-loss-beard-eyebrow-transplant-tunisia\/\">female hair loss, beard and eyebrow transplants<\/a> explains these procedures in more detail.<\/p>\n<h2 id=\"warning\">Warning signs<\/h2>\n<table>\n<thead>\n<tr>\n<th>Sign<\/th>\n<th>Possible cause<\/th>\n<th>What to do<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Bleeding that does not stop after 10 to 15 minutes of gentle pressure<\/td>\n<td>Bleeding from a wound or dislodged graft<\/td>\n<td>Call the clinic; see a doctor if it continues<\/td>\n<\/tr>\n<tr>\n<td>Fever, spreading redness, pus, increasing pain<\/td>\n<td>Infection<\/td>\n<td>See a doctor the same day and inform the clinic<\/td>\n<\/tr>\n<tr>\n<td>Scabs still thick and stuck after 2 weeks, dark areas, discharge<\/td>\n<td>Poor blood supply to an area<\/td>\n<td>Send photos to the clinic quickly<\/td>\n<\/tr>\n<tr>\n<td>Many pustules, painful bumps, tufts of hair from one opening<\/td>\n<td>Folliculitis, possibly tufted folliculitis<\/td>\n<td>Medical opinion; do not squeeze<\/td>\n<\/tr>\n<tr>\n<td>Swelling that closes the eyes or keeps increasing after day 4<\/td>\n<td>Abnormal swelling or allergic reaction<\/td>\n<td>Contact the clinic; see a doctor<\/td>\n<\/tr>\n<tr>\n<td>Severe headache, vomiting, unusual drowsiness<\/td>\n<td>Rare but serious causes<\/td>\n<td>Emergency services (144 in Switzerland)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"checkups\">Check-ups and photos<\/h2>\n<h3>Which check-ups should I expect?<\/h3>\n<p>A check the day after surgery, then remote follow-up. The usual milestones for photo review are about ten days (scabs gone), one month, three months, six months, nine months and twelve months, and eighteen months for the crown.<\/p>\n<h3>How should I take good photos?<\/h3>\n<ul>\n<li>Always in the same place, with the same light, ideally daylight from a window and no direct sun.<\/li>\n<li>Dry hair, combed the same way, without fibres or product.<\/li>\n<li>Front view, top view (from above), both sides, crown and the donor area at the back.<\/li>\n<li>Take a short video in addition: it shows density better than a photo.<\/li>\n<\/ul>\n<p>Comparing these photos over time is the only reliable way to judge progress. In front of a mirror, day after day, you will not see change.<\/p>\n<h3>What if growth seems poor at six months?<\/h3>\n<p>Do not panic: some people grow later, especially on the crown. If density still seems poor at twelve months for the front, discuss it with the surgeon, with your photos. A second session may be considered, but only after the result is final and if the donor area allows it. Medespoir&rsquo;s page on <a href=\"https:\/\/www.medespoir.ch\/deroulement-greffe-cheveux.php\">how a hair transplant takes place<\/a> (in French) puts each stage in context.<\/p>\n<h2 id=\"work\">Work, social life and discretion<\/h2>\n<h3>When can I go back to work?<\/h3>\n<p>For office work, many people return after about a week, once the swelling has gone and if they accept that the recipient area still shows small scabs. If you want complete discretion, plan about ten to fourteen days off, until the scabs have fallen. For physical work, sweating and dust, ten days to two weeks is a reasonable minimum. In Switzerland, time off after a cosmetic procedure is a matter for you and your employer; many people use holiday time.<\/p>\n<h3>Will people notice?<\/h3>\n<p>In the first ten days, probably, if the recipient area is visible. After that, the area looks normal, especially if you had a short haircut before surgery. Some people choose an unshaven FUE technique when possible to stay discreet, but this depends on the case and the number of grafts.<\/p>\n<h3>Can I take a video call?<\/h3>\n<p>Yes. A camera angle from slightly below and a loose hat make the scabs almost invisible in the first days, if you are not ready to talk about it.<\/p>\n<h2 id=\"tunisia\">From Tunisia to Switzerland: organising aftercare<\/h2>\n<p>A transplant in Tunisia means that the first days take place close to the team that operated on you, and the rest of the aftercare happens at home. Good organisation makes the handover easy.<\/p>\n<h3>What happens in Tunisia?<\/h3>\n<p>The consultation, the operation, the check the next day and usually the first wash take place in Tunisia. Ask the team to show you the washing technique on your own head, and to give you the full protocol in writing. Medespoir&rsquo;s page on <a href=\"https:\/\/www.medespoir.ch\/greffe-cheveux-tunisie.php\">hair transplants in Tunisia<\/a> (in French) describes the procedure, and the <a href=\"https:\/\/www.medespoir.ch\/guide-greffe-cheveux.php\">hair transplant guide<\/a> (in French) gives an overview.<\/p>\n<h3>How do I protect the grafts on the flight home?<\/h3>\n<ul>\n<li>Wear a loose hat or the one provided by the clinic, put on carefully.<\/li>\n<li>Watch out for overhead lockers when you stand up: the most common accident is bumping the head.<\/li>\n<li>Use a neck pillow if you want to sleep on the plane.<\/li>\n<li>Keep the lotion, shampoo and medicines in your hand luggage, within the liquid rules.<\/li>\n<li>Drink water, avoid alcohol.<\/li>\n<\/ul>\n<h3>What should I bring back to Switzerland?<\/h3>\n<p>The written aftercare protocol, the prescription, any products you need for the first two weeks, the contact details for remote follow-up, and the operative report with the number of grafts and the technique used. Your GP or a dermatologist in Switzerland may need it if you develop folliculitis or another problem.<\/p>\n<h3>What does the price include?<\/h3>\n<p>For a hair transplant, the price in Tunisia is considerably less expensive than in Switzerland; the exact price is given in a free, personalised quote, sent within 48 hours. Medespoir&rsquo;s packages in Tunisia include the stay, transfers and remote follow-up after your return. The flight, personal expenses, care received in Switzerland and travel insurance remain at your own expense. Swiss basic insurance does not cover a hair transplant for cosmetic reasons.<\/p>\n<h3>Tunisia or Turkey for a hair transplant?<\/h3>\n<p>Medespoir offers hair transplants in Tunisia and in Turkey, where it has two clinics in Istanbul. Both destinations remain considerably less expensive than Switzerland, and the quote can compare them for your case. Aftercare is the same wherever the operation takes place. For a broader overview, see our <a href=\"https:\/\/www.medespoir.ch\/blog\/hair-transplant-tunisia-2026-guide\/\">2026 hair transplant guide<\/a> and our article on <a href=\"https:\/\/www.medespoir.ch\/blog\/before-hair-transplant-tunisia-diagnosis-norwood\/\">what to do before a hair transplant<\/a>.<\/p>\n<p><strong>Ready to take the next step?<\/strong> Request your <a href=\"https:\/\/www.medespoir.ch\/devis.php\">free quote<\/a>. Include photos and any treatment you already use (finasteride, minoxidil): they help the team propose a realistic plan.<\/p>\n<h2 id=\"sources\">Sources<\/h2>\n<ul>\n<li>Romera de Blas C. et al., \u00ab\u00a0Complications in follicular unit excision hair transplantation: current evidence and practical approaches\u00a0\u00bb, <em>Frontiers in Medicine<\/em>, 3 February 2026: <a href=\"https:\/\/www.frontiersin.org\/journals\/medicine\/articles\/10.3389\/fmed.2026.1750989\/full\">frontiersin.org<\/a><\/li>\n<li>Zhou Y. et al., characterization and risk factors of folliculitis after hair transplantation, multicentre study, <em>Plastic and Reconstructive Surgery<\/em>: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37904273\/\">pubmed.ncbi.nlm.nih.gov<\/a><\/li>\n<li>Okochi H. et al., risk factors of recipient-site temporary effluvium after FUE, <em>Aesthetic Plastic Surgery<\/em>, 2024: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37816944\/\">pubmed.ncbi.nlm.nih.gov<\/a><\/li>\n<li>Chung J. et al., \u00ab\u00a0Devastating Tufted Folliculitis After Follicular Unit Extraction\u00a0\u00bb, <em>Dermatologic Surgery<\/em>, September 2026: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/42770983\/\">pubmed.ncbi.nlm.nih.gov<\/a><\/li>\n<li>ISHRS, 2025 Practice Census results, 13 May 2025: <a href=\"https:\/\/ishrs.org\/2025-practice-census-results\/\">ishrs.org<\/a><\/li>\n<li>European Medicines Agency, finasteride and dutasteride-containing medicinal products: <a href=\"https:\/\/www.ema.europa.eu\/en\/medicines\/human\/referrals\/finasteride-dutasteride-containing-medicinal-products\">ema.europa.eu<\/a><\/li>\n<li>Medespoir (in French): <a href=\"https:\/\/www.medespoir.ch\/deroulement-greffe-cheveux.php\">how a transplant takes place<\/a>, <a href=\"https:\/\/www.medespoir.ch\/greffe-cheveux-tunisie.php\">hair transplant in Tunisia<\/a>, <a href=\"https:\/\/www.medespoir.ch\/resultat-greffe-cheveux.php\">result of a transplant<\/a>, <a href=\"https:\/\/www.medespoir.ch\/guide-greffe-cheveux.php\">hair transplant guide<\/a><\/li>\n<\/ul>\n<h2 id=\"faq\">Frequently asked questions<\/h2>\n<h3>When can I wash my hair normally after a transplant?<\/h3>\n<p>Usually from about day ten to fourteen, once all the scabs have fallen. Before that, wash gently according to the clinic&rsquo;s protocol, starting within the first one to three days.<\/p>\n<h3>Is it normal for transplanted hair to fall out?<\/h3>\n<p>Yes. Most transplanted hairs fall between the second and sixth week. The follicles stay in place and produce new hair from the third or fourth month.<\/p>\n<h3>When do the scabs fall off?<\/h3>\n<p>Generally between day seven and ten, sometimes up to day fourteen. Do not pick them. Contact the clinic if thick scabs remain after two weeks.<\/p>\n<h3>How long should I sleep on my back?<\/h3>\n<p>For the first five to seven nights, with the head raised. A neck pillow helps.<\/p>\n<h3>When can I wear a cap or a helmet?<\/h3>\n<p>A loose hat can often be worn from the first days, a cap after ten to fourteen days, and a bike or ski helmet usually after two to four weeks, depending on the fit.<\/p>\n<h3>When can I go back to the gym?<\/h3>\n<p>Light exercise after about a week, heavier training after two to three weeks, swimming after three to four weeks and the sauna after about a month.<\/p>\n<h3>What is shock loss?<\/h3>\n<p>Temporary shedding of native hair around the transplanted area, usually between two and eight weeks after surgery. Most of it grows back within three to six months.<\/p>\n<h3>When will I see the final result?<\/h3>\n<p>Around twelve months for the front and twelve to eighteen months for the crown.<\/p>\n<h3>Can I drink alcohol after a hair transplant?<\/h3>\n<p>Avoid alcohol for at least the first week: it increases bleeding and swelling and can interact with the medicines prescribed.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What happens after a hair transplant, day by day and month by month: first wash, scabs, shedding and shock loss, sleep, sport, helmets, sun, haircuts and check-ups after returning to Switzerland.<\/p>\n","protected":false},"author":1,"featured_media":12306,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[288],"tags":[],"class_list":["post-12145","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tunisia-en"],"yoast_head":"<!-- This site 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