How to Prevent and Treat
Itching After a Hair Transplant
So, you’ve just had a hair transplant and now your scalp is starting to feel a little… itchy? Don’t worry—itching is a common part of the healing process, but it’s important to manage it properly to avoid damaging your newly transplanted hair.
Here’s a step-by-step guide on how to deal with itching after your procedure, courtesy of IdealofMeD’s specialists.
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Days 1-3: Mild Inflammation & Initial Healing
Why It Itches
In the first few days after your hair transplant, your scalp is going through the early stages of healing. The tiny incisions made during the procedure trigger an inflammatory response, which is a natural part of your body’s repair process.
This mild inflammation, combined with increased blood flow to the scalp, can create a sensation of tightness, tingling, or slight itching. Additionally, as the anesthesia wears off, nerve endings in the scalp may become more sensitive, contributing to the itchy feeling.
What to Do
Hands Off! As tempting as it may be, avoid touching, rubbing, or scratching your scalp to prevent irritation or damage to the newly transplanted grafts.
Follow Your Post-Op Care Routine: Use the IdealofMeD Foam to soothe the scalp and gently cleanse with IdealofMeD Shampoo as instructed. This helps remove any buildup without disrupting healing.
Keep Your Scalp Hydrated: Dryness can worsen itching. Your clinic may recommend a cream to keep the area hydrated (Bepanthene is a safe choice).
Manage Swelling & Discomfort: If you experience swelling along with itching, apply cold compresses (but avoid direct contact with grafts) and sleep with your head slightly elevated (for more check our guide on sleeping after a hair transplant).
Take Prescribed Medications: If your doctor has prescribed anti-inflammatory medication or pain relievers, take them as directed to minimize discomfort.
Days 3-7: Scab Formation & Healing
Why It Itches
As your scalp heals, small scabs form over the incision sites. This is a natural part of the recovery process, as the body works to protect and repair the transplanted follicles. As these scabs dry and start to shed, mild to moderate itching may occur.
What to Do
Keep Washing Gently: Use IdealofMeD Foam and Shampoo as directed to clean the area and help scabs soften and fall off naturally.
No Picking or Scratching: Let the scabs shed on their own to avoid damaging the grafts.
Stay Hydrated: Drinking enough water and maintaining a healthy scalp can reduce dryness and irritation.
Monitor Your Scalp: Mild itching is normal, but if you notice excessive redness, swelling, or pus, consult your doctor.
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Weeks 2-4: Scabs Falling Off & Follicle Growth
Why It Itches
As scabs naturally shed, the underlying follicles become more active. This increased activity, combined with skin regeneration, can cause mild irritation and itching.
What to Do
Moisturize: After the first 10 days, apply a small amount of Bepanthen cream to relieve dryness and itching.
Rinse Gently: Leave the cream on for about an hour before washing it off with lukewarm water.
Hands Off: Let scabs fall off naturally—picking or scratching can disrupt healing and affect results.
Stay Consistent: Follow your post-op care routine to keep your scalp clean and hydrated.
Weeks 4-6+: Shock Loss & New Growth
Why It Itches
Around this time, some transplanted hairs may shed in a process called “shock loss.” This is completely normal and makes way for new hair to grow. As new follicles start emerging, the healing skin and hair regrowth can cause tingling or itching sensations.
What to Do
Hydrate Your Scalp: Use a water-based moisturizer or dermatologist approved cream to reduce dryness and irritation.
Gentle Massaging: Follow your consultant’s advice on safe massage techniques to promote circulation and relieve discomfort.
No Scratching! Instead, try tapping or applying a cold compress (using a paper towel instead of a textured fibrous towel, which can cause further irritation).
Patience is Key: Any remnants of itching at this stage are normal and mean that your scalp is healing. Stick to your post-op routine.
On itching and science
Itching, or pruritus, is a common postoperative symptom following hair transplant surgeries. Some studies have investigated its potential causes:
- Inflammatory Responses: Hair transplant procedures can trigger inflammatory conditions such as lichen planopilaris (LPP). A study reported that 70% of patients developing LPP after hair transplantation experienced itching, with symptoms appearing between 4 to 36 months post-surgery.
- Surgical Techniques: The method of recipient site preparation may influence the incidence of itching. Research on robotically assisted site creation noted pruritus in 12.9% of cases, suggesting that surgical technique can impact postoperative itching.
final thoughts
Itching is a normal part of the healing process after a hair transplant, but it doesn’t have to be uncomfortable. By following the proper aftercare steps, using gentle products, and avoiding the temptation to scratch, you can ensure a smooth recovery and protect your new hair. Always follow your surgeon’s advice for the best results, and don’t hesitate to contact us if you have any concerns.
For even more personalized support, download the Hair Back App, where you can track your recovery, get aftercare reminders, and join a supportive community of peers who are on the same journey.
FAQ: ITCHING AFTER A HAIR TRANSPLANT
Itching typically lasts for a few weeks, with the worst of it subsiding in the first 14 days. It may return intermittently as new growth begins, but it should gradually improve.
Yes, but only those approved by your surgeon. Mild antihistamines like cetirizine may help if the itching becomes severe. Avoid creams with fragrances or harsh chemicals.
Mild discomfort is normal, but if you experience severe pain, it could indicate an infection or another issue. Contact your surgeon immediately for advice.
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We have used the following sources to compile this page:
Information checked by an expert
Alona Arel
The information on this page is checked by Alona Arel. She’s an expert on beauty and longevity and often asked to share her knowledge. For example for Healthline and Lifehacker.
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