The following response to a question from the Hair Restoration Social Community and Discussion Forums, was written by forum member “Gillenator”.
I had a follicular unit extraction (FUE) hair transplant 3 weeks ago in Turkey, 3000grafts and a platelet rich plasma (PRP) treatment. As far as I know scabbing should be done by week 2, but when I look at my hair, I still have plenty of dead cells, skin etc. attached to my follicles.
What worries me is that now, when I’m entering the shedding period, I’m noticing a few hairs falling with I believe what is scabs still attached to them. What I notice is that the new hairs don’t seem that dense. Should I be worried about the progress so far?
What you are seeing are “crusts” and when they come off they usually have the graft hair with them. So they are not scabs but the tips of the grafts which is dead tissue and really serve no purpose at this point in time post-op.
Most hair restoration physicians want their patients to remove those crusts when they are 12 days or so post-op. And it does help to first soften them up with shampoo in the shower. Simply allow the suds to sit on your scalp for 5-7 minutes and then use your fingertips to loosen them, and then rinse off.
It’s okay to get more aggressive in rubbing them off. You won’t hurt your grafts.