Some swelling after a hair transplant is normal and expected. It catches people out because it often appears a day or two after surgery rather than immediately, and because it tends to travel downwards from the scalp to the forehead and occasionally around the eyes.
Why does it happen?
Fluid is used during the procedure to anaesthetise and support the tissue, and the body responds to the work done on the scalp with normal inflammation. Gravity then does the rest, drawing that fluid down towards the forehead over the following days.
When does it appear and how long does it last?
Typically it starts on day two, peaks around day three or four, and settles by the end of the first week. Forehead swelling is the most common pattern; some people get puffiness around the eyes for a day or so, which looks alarming but resolves on its own.
Not everyone swells. Some patients have almost none, and that is equally normal.
How can you reduce it?
Sleep with your head elevated, propped on two or three pillows or in a reclining position, for the first several nights. Keep your head above heart level during the day, avoid bending forward for long periods, and avoid heavy lifting and strenuous exercise in the first week.
A cool compress can be applied to the forehead, never directly on the grafts, if we have advised it. Do not put ice on the recipient area. Keeping well hydrated and going easy on salt and alcohol also helps.
When should you be concerned?
Swelling that is one-sided and painful, accompanied by fever, spreading redness, heat, pus or a discharge from the donor or recipient area, or swelling that is worsening after day five rather than settling, all warrant a phone call. So does anything affecting your vision. These are uncommon, but they should be assessed rather than waited out.
Frequently asked questions
Will swelling damage the grafts?
No. Ordinary post-operative swelling does not affect graft survival. It is uncomfortable and cosmetic rather than a threat to the result.
Can I take anti-inflammatories?
Only what we have specifically advised. Some medications affect bleeding and healing, so follow the written aftercare rather than reaching for whatever is in the cupboard.
Why are my eyes puffy?
Fluid drains downwards under gravity, so forehead swelling can settle around the eyes for a day or two. It is common and it passes.
Should I take time off work?
Most people return to desk work in three to five days, which usually coincides with swelling settling. If you would rather not be seen during that window, plan for a full week.
Book a free consultation at our Harley Street clinic, and if you are a patient with a concern, call us rather than waiting. This is general information, not a diagnosis.