Complications after a hair transplant are uncommon, and most of what worries people in the first fortnight is entirely normal. It is still worth knowing the difference, because the few things that do need attention are best dealt with early.
What is normal
Redness across the recipient area, small scabs around each graft, swelling that peaks around day three or four and travels to the forehead, numbness or tightness across the scalp, itching as things heal, and shedding of the transplanted hairs in the first weeks. All of this is expected and none of it needs an emergency call.
Signs of possible infection
Call the clinic if you develop spreading redness that is expanding rather than fading, warmth over the area, pus or a cloudy discharge, an unpleasant smell, a fever or feeling generally unwell, or pain that is increasing after day three rather than settling.
Infection after a hair transplant is rare with proper sterile technique and aftercare, but it responds well to prompt treatment and badly to being ignored.
Bleeding
A little spotting in the first day is normal. Persistent bleeding that does not stop with gentle steady pressure for ten minutes, or bleeding that starts up days later, should prompt a call.
Pain that does not fit
Discomfort should improve day by day. Pain that worsens after the first 48 hours, pain that is severe rather than achy, or pain concentrated in one spot rather than generalised, is worth reporting.
Other things worth a call
Swelling that affects your vision, a graft area that looks disturbed after a knock, no regrowth at all by around the eight month mark, or any new symptom that simply feels wrong to you. You are not being a nuisance; we would far rather look at something that turns out to be nothing.
How to reduce the risk
Follow the written aftercare, wash exactly as instructed rather than improvising, keep hands and pillowcases clean, do not pick scabs, avoid swimming pools, saunas and gyms until cleared, take any prescribed medication as directed, and keep the scalp out of direct sun.
Frequently asked questions
How common is infection?
Uncommon when the procedure is done in a properly sterile environment and aftercare is followed. It is treatable, and early contact makes it simpler.
Is a pimple around a graft serious?
Small spots can appear as hairs regrow, often around months two to four, and are usually ingrowing hairs rather than infection. Tell us if there are many, or if they are painful and spreading.
Should I worry if nothing has grown at four months?
No. Regrowth commonly begins around three to four months and builds through to twelve. Judge the result at a year.
Who do I call out of hours?
Use the contact details in your aftercare pack. For anything severe or systemic, such as a high fever, seek urgent medical care rather than waiting.
Book a free consultation at our Harley Street clinic. This is general information, not a diagnosis; contact your clinician about any specific concern.