Hair Transplant Scabs

Author: Dr. Blake Bloxham

A hair transplant is a surgical procedure that involves implanting hair follicles into balding or thinning areas of the scalp. One of the most common post-procedure effects is the formation of scabs around the transplanted grafts and in the donor area. While these scabs are a natural part of the healing process, understanding how long they last, how to care for them, and when to be concerned can help ensure optimal results.

In this article, we’ll cover everything you need to know about hair transplant scabs, from how long they last to proper cleaning techniques.

Scabs typically form within the first 24 to 72 hours after a hair transplant as the scalp begins to heal. These scabs are tiny crusts that develop around each implanted follicle and in the donor area (where hair follicles were extracted).

Days 1–3:

Scabs begin to form around transplanted grafts and the donor area.

Days 4–7:

Scabs harden and may appear more pronounced. The healing process continues beneath the surface.

Days 7–10:

Most scabs start to loosen and fall off naturally.

Days 10–14:

The majority of scabs should be gone if proper cleaning techniques are followed.

For most patients, scabs fully disappear within two weeks. However, in some cases, mild crusting or dryness may persist a bit longer.

Days 1–3: Small, red dots surrounded by mild swelling.

Days 4–7: Scabs darken and become more noticeable.

Days 7–10: Scabs start loosening and may have tiny hairs attached.

Days 10–14: Scabs flake off, leaving pink or slightly red skin underneath.

Mild redness or pinkness in the recipient area may persist for several weeks but gradually fades.

Here are some examples of scabs at different stages of healing after surgery. Special thanks to Hasson & Wong for providing these photos!

If scabs remain after two weeks, it may indicate inadequate cleaning or slower healing. Stubborn scabs that don’t fall off naturally can trap debris, delay healing, and even increase the risk of folliculitis (inflammation of hair follicles).

Not washing the scalp properly 

Being too gentle when cleaning can cause scabs to linger.

Excessive dryness 

Dry skin can cause scabs to stick to the scalp longer.

Delayed healing

Some people, especially those with sensitive skin, may experience slower healing.

Infection or inflammation

If scabs are red, swollen, or filled with pus, consult your surgeon.

If your scabs persist beyond 14 days, follow proper scab removal techniques or check with your hair transplant surgeon for guidance.

Do’s and Don’ts for Removing Hair Transplant Scabs

✅ Do:

Wash your scalp gently but thoroughly after the first few days.

Apply a doctor-recommended moisturizer (e.g., aloe vera, saline solution, or baby oil) to soften scabs.

Massage scabs gently with your fingertips after 7–10 days to help loosen them.

🚫 Don’t:

Pick or scratch scabs—this can dislodge grafts and lead to scarring.

Use harsh shampoos—stick to mild, sulfate-free shampoos.

Rub too hard with a towel—pat your scalp dry instead.

Your surgeon may recommend lukewarm saline soaks to help soften and remove lingering scabs safely.

Many patients notice that tiny hairs are attached to the scabs when they fall off. This can be alarming, but it’s usually a normal part of the shedding phase.

Shock Shedding (Temporary Hair Loss)

Transplanted hairs go into a resting phase (telogen) before new growth starts.

Scabs Loosening Hairs

Some weakly attached hairs may come out with the scabs.

Normal Healing Process

The follicle remains intact under the skin, even if the hair shaft sheds.

When to Be Concerned:

If entire follicles (bulb-like structures) are attached to scabs, contact your surgeon.

If you experience excessive redness, swelling, or pus, it may indicate an infection.

Proper cleaning is essential to help scabs fall off naturally without harming the grafts. It is essential to follow the post-procedure instructions provided by your clinic to ensure optimal healing and the best possible results from your treatment.

How to Wash Your Scalp And Scabs Post-Transplant

First 3 Days

Gentle rinsing only.

Days 4–7

Use a mild, sulfate-free shampoo mixed with water.

Gently apply with your fingertips, using a patting motion.

Rinse with lukewarm water—avoid strong water pressure.

Days 7–10

Start massaging the scabs very gently in circular motions.

Use a moisturizing lotion or baby oil before washing to soften scabs.

Days 10–14

Continue massaging the scalp daily to help remove remaining scabs.

By day 14, all scabs should be gone if properly washed.

Scabbing also occurs in the donor area, where follicles are extracted.

Donor Area Healing Timeline:

Days 1–5: Small scabs and redness are visible.

Days 7–10: Scabs begin falling off.

Days 10–14: The donor area appears mostly healed, with minor redness fading.

How to Care for the Donor Area:

Keep it clean and moisturized.
Avoid scratching or picking scabs.
Avoid tight hats or anything that puts pressure on the donor area.

Unlike the transplanted area, the donor region heals faster since the skin is less sensitive.

Scabs after a hair transplant are a normal part of the healing process, typically lasting 7 to 14 days. Proper scalp care—including gentle washing, hydration, and avoiding irritation—can help speed up scab removal while protecting your grafts.

If scabs remain beyond two weeks, cause excessive discomfort, or are accompanied by signs of infection, consult your hair transplant surgeon for guidance. With the right aftercare, your scalp will heal properly, paving the way for healthy, natural hair growth in the months to come.