You finally got your hair transplant and that’s a huge step.
But here’s something most people don’t talk about enough:
Your aftercare matters just as much as the surgery itself.
The transplanted grafts may look strong, but in the first few days and weeks, they’re extremely delicate. The way you sleep, wash, touch, and protect your scalp directly affects how many grafts survive, how evenly they grow, and how natural your final result looks.
So let’s break down what’s really happening underneath the surface and the exact do’s and don’ts that help you get the best outcome possible.

What’s Happening After the Transplant
Even though the procedure is done, your scalp is in a sensitive healing phase. The newly implanted grafts need the right environment to settle in and start building a blood supply.
During this period, the grafts need:
– A clean, bacteria-free environment so infection doesn’t interfere with healing
– Steady oxygen supply to nourish the roots
– Zero friction or pressure because even mild rubbing can dislodge the grafts
– Gentle blood flow to help the follicles anchor properly
Any disturbance – even something that feels small like scratching or rubbing can affect how well the grafts survive. That’s why your aftercare routine matters so much.
Do’s: What You Must Do for Strong, Healthy Growth
1. Sleep With Your Head Elevated
For the first few nights, sleep at a 30–45 degree angle. This helps reduce swelling, prevents pressure on the grafts, and ensures your pillows don’t rub against the transplant area. Many patients use extra pillows or a recliner to make this easier.
2. Use Only Doctor-Recommended Products
Your scalp is healing and extremely sensitive. Regular shampoos, oils, or serums can irritate the skin or weaken the grafts. Always stick to the products your surgeon recommends, especially in the first 2–3 weeks – because these formulas are gentle and designed to support healing.
3. Follow the Washing Instructions Exactly
Post-transplant washing is one of the biggest reasons for graft success or failure. Most clinics recommend a gentle routine that includes
- Using lukewarm water instead of hot water
- Pat-drying gently without friction
- Avoiding rubbing, scratching, or pressing on the grafts
Don’ts: Mistakes That Can Affect Graft Growth
1. Don’t Touch, Rub, or Scratch the Area
Even light pressure can loosen the freshly implanted grafts. If your scalp becomes itchy – which is normal resist the urge and follow the soothing tips your clinic recommends.
2. Don’t Wear Tight Caps or Helmets
Avoid anything that presses on the scalp for at least 2–3 weeks. Tight caps, helmets, and headgear can pull or shift the grafts before they settle.
3. Don’t Panic About Shedding
Many people panic when their transplanted hair starts falling out 2–6 weeks after surgery. But shedding is completely normal. The graft stays under the skin while the hair shaft falls out. New growth begins again after a few months.
The Takeaway
A successful hair transplant is 50% the skill of the surgeon and 50% how you care for your grafts afterward. By following the correct aftercare steps and avoiding common mistakes, you give your new hair the best chance to grow, survive, and look natural.
Book your post-transplant follow-up at Welona – our experts guide you through every stage to ensure the fullest, healthiest results possible.