FUE Hair Transplant
Follicular unit extraction, no linear scar
The grafts you leave with are not yet yours. For roughly ten days they are held by a fibrin clot and nothing else. Everything in the first phase exists to protect that clot. After day ten the graft has its own blood supply and almost nothing you do can dislodge it.
- Anaesthetic
- Local, with sedation on request
- Time in theatre
- Five to eight hours, depending on graft count
- Sutures
- None. Donor punches heal by secondary intention
- Off work
- Three to seven days for desk work
- Fully presentable
- Ten to fourteen days
- Result assessed
- Month twelve
01Hours 0 – 6
Leaving the theatre
Local anaesthetic is still working, so the scalp feels tight rather than sore. A fine fibrin clot is forming around every implanted graft. Anaesthetic fluid injected during surgery is beginning to track downwards under gravity.
What you do- ✓Go straight home. Arrange the transport before the procedure, not after.
- ✓Sit upright or semi-reclined. Not flat.
- ✓Start the first dose of pain relief before the anaesthetic wears off, not after it has.
- ✓Keep the donor dressing dry and in place until told otherwise.
What you avoid- ✕Driving yourself, if you were sedated.
- ✕Any hat, helmet or headphone band that touches the recipient area.
- ✕Bending forward to pick things up. Squat instead.
What to expect- •Oozing of thin, pink fluid from the recipient area. This is normal and it settles.
- •A tight, hot band across the forehead as the anaesthetic recedes.
02Day 0 – 2
The first forty-eight hours
The clot is at its most fragile. Anaesthetic fluid and normal post-surgical oedema are collecting in the loose tissue of the forehead. Grafts are entirely dependent on the surrounding plasma for oxygen.
What you do- ✓Sleep at forty-five degrees. Two or three pillows, or a recliner. This single measure does more to control forehead swelling than any medication.
- ✓Spray the recipient area with the saline provided every thirty to sixty minutes while awake. Damp grafts survive better than dry ones.
- ✓Take the prescribed anti-inflammatory on schedule, not on demand.
- ✓Cold compress on the forehead and above the brows only. Never on the grafts.
What you avoid- ✕Touching, scratching or rubbing the recipient area for any reason at all.
- ✕Alcohol. It thins the blood and worsens swelling.
- ✕Smoking. Nicotine constricts the exact microvasculature the grafts are waiting on.
- ✕Bending, lifting, straining, or anything that makes your face feel full.
What to expect- •Numbness across the top of the scalp. Normal, and it can last weeks.
- •The donor area feeling tighter and more uncomfortable than the recipient area.
03Day 3 – 5
Peak swelling, first wash
Oedema peaks around day three and then falls away quickly. Grafts are anchoring. Crusts of dried plasma and blood are forming around each graft shaft.
What you do- ✓Expect the first supervised wash on the schedule you were given. Follow the demonstrated technique exactly.
- ✓Pour, do not spray. Lukewarm water, poured from a mug, running down over the recipient area.
- ✓Apply the prescribed shampoo by dabbing with an open palm. No fingertips, no circular motion, no pressure.
- ✓Pat dry with a clean towel. Do not rub. Air-dry where possible.
What you avoid- ✕Shower heads directed at the scalp.
- ✕Hot water. It dilates vessels and increases oozing.
- ✕Picking at any crust, however tempting, however loose it looks.
What to expect- •Swelling may reach the eyelids and can look alarming on day three. It is gravity, not infection, and it resolves within about seventy-two hours.
- •Small crusts on every graft. They are supposed to be there.
04Day 6 – 10
Crust clearance
Grafts have established their own circulation. Crusts are lifting. The donor punches are closing over as pinpoint scabs.
What you do- ✓Continue daily washing, now with slightly more confidence in the dabbing motion.
- ✓Soak the crusts by holding the shampoo lather on the scalp for the time you were told before rinsing. Softened crusts release on their own.
- ✓Return for the day-ten review, in person, with the area unwashed that morning so it can be assessed as it is.
What you avoid- ✕Fingernails. Use only the pad of the finger, and only after day seven.
- ✕Swimming pools, the sea, steam rooms and saunas.
- ✕Gym, running, and anything that raises your heart rate substantially.
What to expect- •Some transplanted hairs will come away attached to their crust. The follicle stays behind. This is not graft loss.
- •Itching in the donor area as it heals. Irritating, and a good sign.
05Day 11 – 21
Secure, and almost presentable
The grafts are now surgically secure. Redness fades from the recipient area at a rate that depends heavily on skin tone. The transplanted hairs are entering a resting phase.
What you do- ✓Resume normal showering and normal shampoo technique.
- ✓Resume light exercise from around day fourteen, building back gradually.
- ✓Restart any minoxidil or topical only when specifically cleared, not before.
- ✓Begin sun protection. A loose hat outdoors, from day fourteen.
What you avoid- ✕Direct sun on the recipient area. New scalp skin burns easily and pigments badly.
- ✕Hair colour, chemical treatment, and any clipper work on the recipient area for six weeks.
- ✕Heavy resistance training and contact sport until week four.
What to expect- •Persistent pink or red in the recipient area for several weeks. Longer in fairer skin.
- •A texture change in the scalp that settles over one to two months.
06Week 3 – 6
Shock shedding
The transplanted hair shafts fall out. The follicle beneath the skin is unharmed and enters a resting phase before producing a new shaft. Some native hair around the grafts may also shed temporarily.
What you do- ✓Understand this before it happens, which is why it is written here.
- ✓Photograph the area under the same light every two weeks. It gives you something objective when memory becomes unreliable.
- ✓Attend the week-four call. It is scheduled in advance for exactly this phase.
What you avoid- ✕Concluding anything. Nothing about the final result can be read at week four.
- ✕Starting new products in a panic. Changing three variables at once means you learn nothing.
What to expect- •Loss of most or all transplanted hairs. This is the expected course, not a complication.
- •The area looking, briefly, worse than before surgery. It does not stay that way.
07Month 2 – 4
The low point
Follicles are in the resting phase. Nothing visible is happening above the skin. This is the phase that generates the most doubt, and almost all of that doubt belongs to people who were never told it was coming.
What you do- ✓Continue medical therapy exactly as prescribed. This is where compliance decides outcomes.
- ✓Attend the month-three call. It is booked before your surgery, deliberately.
- ✓Keep taking the standardised photographs.
What you avoid- ✕Judging the surgery.
- ✕Seeking a second opinion on a result that does not yet exist.
What to expect- •No visible growth. Possibly less density than the day before surgery.
- •Fine, pale hairs beginning to appear towards the end of this window.
08Month 5 – 8
Emergence
Follicles re-enter the growth phase, staggered rather than synchronised. New shafts are initially fine, pale and sometimes curly regardless of your native hair texture.
What you do- ✓Resume all normal grooming. The area can be cut, styled and treated as ordinary hair.
- ✓Attend the month-six review with the standardised photograph set.
What you avoid- ✕Comparing your month six against somebody else's month twelve.
What to expect- •Uneven growth. Follicles do not run on a shared clock.
- •Texture that normalises over the following months.
09Month 9 – 12
Maturation and formal assessment
Shafts thicken, darken and acquire their final calibre. Density reads as continuous rather than as individual hairs. The crown, if treated, matures later than the front.
What you do- ✓Attend the month-twelve assessment. The result is measured against the plan you signed, not against a memory.
- ✓Discuss whether a second staged session was always part of the plan, or whether it is now worth considering.
What you avoid- ✕Assuming maintenance can stop. Surgery restores what was lost. It does not stop what is still being lost.
What to expect- •Eighty to ninety per cent of the final result at month twelve for the frontal zone.
- •The crown continuing to improve into month fifteen to eighteen.
Call the clinic. Do not wait for the next appointment
- !A graft site that becomes a discrete, tender, enlarging lump
- !Donor bleeding that soaks through a dressing
- !Numbness that is worsening rather than slowly improving after week six
- !Swelling that is one-sided or accompanied by visual disturbance
- !Bleeding that does not stop after ten minutes of firm, continuous pressure
- !Fever above 38 °C, or chills
- !Pain that is increasing after day three rather than decreasing
- !Spreading redness, heat or a red streak moving away from the site
- !Pus, or a foul smell from a wound
- !Sudden swelling that is one-sided, hard or rapidly enlarging
+91 70362 77799 · If something worries you at 2 a.m., call. A phone call costs nothing. A complication caught three days late costs a great deal.
Your review datesThese are booked before your procedure, not after it.
When you can resumeIf your own sheet says something different, your sheet wins.
This guide describes the standard protocol. Your own sheet, signed on the day, takes precedence over anything written here. If the two disagree, follow the sheet and call the clinic.
Bio-FUE Hair Transplant
FUE with growth-factor protocols applied during implantation
Bio-FUE follows the FUE protocol in every respect. What differs is that the grafts are held in a growth-factor medium before implantation and the scalp receives an adjunct at the end of the case. The intention is a shorter dormant phase and earlier emergence. The aftercare is identical, with two additions.
- Anaesthetic
- Local, with sedation on request
- Time in theatre
- Five to eight hours, plus preparation time for the biological component
- Sutures
- None
- Off work
- Three to seven days
- Fully presentable
- Ten to fourteen days
- Result assessed
- Month twelve
What is different about Bio-FUE- •A follow-up growth-factor session is usually scheduled at around week four and again at month three. These are separate appointments, they take under an hour, and skipping them wastes the reason you chose this protocol.
- •Anti-inflammatory medication is kept to the minimum effective course, because the biological component works through a controlled inflammatory signal.
- •Emergence often begins two to six weeks earlier than standard FUE. It is a shift in timing, not a change in the final count.
- •Everything else — washing, swelling, shedding, the month-three low point — runs exactly as described in the FUE protocol.
The phase-by-phase protocol below is the FUE Hair Transplant sequence, which this procedure follows in full.
01Hours 0 – 6
Leaving the theatre
Local anaesthetic is still working, so the scalp feels tight rather than sore. A fine fibrin clot is forming around every implanted graft. Anaesthetic fluid injected during surgery is beginning to track downwards under gravity.
What you do- ✓Go straight home. Arrange the transport before the procedure, not after.
- ✓Sit upright or semi-reclined. Not flat.
- ✓Start the first dose of pain relief before the anaesthetic wears off, not after it has.
- ✓Keep the donor dressing dry and in place until told otherwise.
What you avoid- ✕Driving yourself, if you were sedated.
- ✕Any hat, helmet or headphone band that touches the recipient area.
- ✕Bending forward to pick things up. Squat instead.
What to expect- •Oozing of thin, pink fluid from the recipient area. This is normal and it settles.
- •A tight, hot band across the forehead as the anaesthetic recedes.
02Day 0 – 2
The first forty-eight hours
The clot is at its most fragile. Anaesthetic fluid and normal post-surgical oedema are collecting in the loose tissue of the forehead. Grafts are entirely dependent on the surrounding plasma for oxygen.
What you do- ✓Sleep at forty-five degrees. Two or three pillows, or a recliner. This single measure does more to control forehead swelling than any medication.
- ✓Spray the recipient area with the saline provided every thirty to sixty minutes while awake. Damp grafts survive better than dry ones.
- ✓Take the prescribed anti-inflammatory on schedule, not on demand.
- ✓Cold compress on the forehead and above the brows only. Never on the grafts.
What you avoid- ✕Touching, scratching or rubbing the recipient area for any reason at all.
- ✕Alcohol. It thins the blood and worsens swelling.
- ✕Smoking. Nicotine constricts the exact microvasculature the grafts are waiting on.
- ✕Bending, lifting, straining, or anything that makes your face feel full.
What to expect- •Numbness across the top of the scalp. Normal, and it can last weeks.
- •The donor area feeling tighter and more uncomfortable than the recipient area.
03Day 3 – 5
Peak swelling, first wash
Oedema peaks around day three and then falls away quickly. Grafts are anchoring. Crusts of dried plasma and blood are forming around each graft shaft.
What you do- ✓Expect the first supervised wash on the schedule you were given. Follow the demonstrated technique exactly.
- ✓Pour, do not spray. Lukewarm water, poured from a mug, running down over the recipient area.
- ✓Apply the prescribed shampoo by dabbing with an open palm. No fingertips, no circular motion, no pressure.
- ✓Pat dry with a clean towel. Do not rub. Air-dry where possible.
What you avoid- ✕Shower heads directed at the scalp.
- ✕Hot water. It dilates vessels and increases oozing.
- ✕Picking at any crust, however tempting, however loose it looks.
What to expect- •Swelling may reach the eyelids and can look alarming on day three. It is gravity, not infection, and it resolves within about seventy-two hours.
- •Small crusts on every graft. They are supposed to be there.
04Day 6 – 10
Crust clearance
Grafts have established their own circulation. Crusts are lifting. The donor punches are closing over as pinpoint scabs.
What you do- ✓Continue daily washing, now with slightly more confidence in the dabbing motion.
- ✓Soak the crusts by holding the shampoo lather on the scalp for the time you were told before rinsing. Softened crusts release on their own.
- ✓Return for the day-ten review, in person, with the area unwashed that morning so it can be assessed as it is.
What you avoid- ✕Fingernails. Use only the pad of the finger, and only after day seven.
- ✕Swimming pools, the sea, steam rooms and saunas.
- ✕Gym, running, and anything that raises your heart rate substantially.
What to expect- •Some transplanted hairs will come away attached to their crust. The follicle stays behind. This is not graft loss.
- •Itching in the donor area as it heals. Irritating, and a good sign.
05Day 11 – 21
Secure, and almost presentable
The grafts are now surgically secure. Redness fades from the recipient area at a rate that depends heavily on skin tone. The transplanted hairs are entering a resting phase.
What you do- ✓Resume normal showering and normal shampoo technique.
- ✓Resume light exercise from around day fourteen, building back gradually.
- ✓Restart any minoxidil or topical only when specifically cleared, not before.
- ✓Begin sun protection. A loose hat outdoors, from day fourteen.
What you avoid- ✕Direct sun on the recipient area. New scalp skin burns easily and pigments badly.
- ✕Hair colour, chemical treatment, and any clipper work on the recipient area for six weeks.
- ✕Heavy resistance training and contact sport until week four.
What to expect- •Persistent pink or red in the recipient area for several weeks. Longer in fairer skin.
- •A texture change in the scalp that settles over one to two months.
06Week 3 – 6
Shock shedding
The transplanted hair shafts fall out. The follicle beneath the skin is unharmed and enters a resting phase before producing a new shaft. Some native hair around the grafts may also shed temporarily.
What you do- ✓Understand this before it happens, which is why it is written here.
- ✓Photograph the area under the same light every two weeks. It gives you something objective when memory becomes unreliable.
- ✓Attend the week-four call. It is scheduled in advance for exactly this phase.
What you avoid- ✕Concluding anything. Nothing about the final result can be read at week four.
- ✕Starting new products in a panic. Changing three variables at once means you learn nothing.
What to expect- •Loss of most or all transplanted hairs. This is the expected course, not a complication.
- •The area looking, briefly, worse than before surgery. It does not stay that way.
07Month 2 – 4
The low point
Follicles are in the resting phase. Nothing visible is happening above the skin. This is the phase that generates the most doubt, and almost all of that doubt belongs to people who were never told it was coming.
What you do- ✓Continue medical therapy exactly as prescribed. This is where compliance decides outcomes.
- ✓Attend the month-three call. It is booked before your surgery, deliberately.
- ✓Keep taking the standardised photographs.
What you avoid- ✕Judging the surgery.
- ✕Seeking a second opinion on a result that does not yet exist.
What to expect- •No visible growth. Possibly less density than the day before surgery.
- •Fine, pale hairs beginning to appear towards the end of this window.
08Month 5 – 8
Emergence
Follicles re-enter the growth phase, staggered rather than synchronised. New shafts are initially fine, pale and sometimes curly regardless of your native hair texture.
What you do- ✓Resume all normal grooming. The area can be cut, styled and treated as ordinary hair.
- ✓Attend the month-six review with the standardised photograph set.
What you avoid- ✕Comparing your month six against somebody else's month twelve.
What to expect- •Uneven growth. Follicles do not run on a shared clock.
- •Texture that normalises over the following months.
09Month 9 – 12
Maturation and formal assessment
Shafts thicken, darken and acquire their final calibre. Density reads as continuous rather than as individual hairs. The crown, if treated, matures later than the front.
What you do- ✓Attend the month-twelve assessment. The result is measured against the plan you signed, not against a memory.
- ✓Discuss whether a second staged session was always part of the plan, or whether it is now worth considering.
What you avoid- ✕Assuming maintenance can stop. Surgery restores what was lost. It does not stop what is still being lost.
What to expect- •Eighty to ninety per cent of the final result at month twelve for the frontal zone.
- •The crown continuing to improve into month fifteen to eighteen.
Call the clinic. Do not wait for the next appointment
- !A graft site that becomes a discrete, tender, enlarging lump
- !Donor bleeding that soaks through a dressing
- !Numbness that is worsening rather than slowly improving after week six
- !Swelling that is one-sided or accompanied by visual disturbance
- !Bleeding that does not stop after ten minutes of firm, continuous pressure
- !Fever above 38 °C, or chills
- !Pain that is increasing after day three rather than decreasing
- !Spreading redness, heat or a red streak moving away from the site
- !Pus, or a foul smell from a wound
- !Sudden swelling that is one-sided, hard or rapidly enlarging
+91 70362 77799 · If something worries you at 2 a.m., call. A phone call costs nothing. A complication caught three days late costs a great deal.
Your review datesThese are booked before your procedure, not after it.
When you can resumeIf your own sheet says something different, your sheet wins.
This guide describes the standard protocol. Your own sheet, signed on the day, takes precedence over anything written here. If the two disagree, follow the sheet and call the clinic.
Long Hair Transplant
Full length preserved. Nothing shaved, donor or recipient
The clinical course is the FUE course. What changes is the mechanics of living with long hair over a healing scalp. Grafts carrying a full-length shaft are heavier, more easily caught, and far more easily pulled than a shaved graft. The first ten days demand more care, not less.
- Anaesthetic
- Local, with sedation on request
- Time in theatre
- Six to nine hours. Unshaven extraction is slower
- Sutures
- None
- Off work
- Two to five days
- Fully presentable
- Often immediately, which is the point
- Result assessed
- Month twelve
01Hours 0 – 6
Leaving the theatre
Long transplanted shafts are lying across the recipient area under their own weight. The fibrin clot is forming beneath them.
What you do- ✓Travel with the hair completely undisturbed. No tying, no clipping, no tucking behind ears.
- ✓Sit upright. Two pillows minimum when you rest.
- ✓Begin pain relief before the anaesthetic recedes.
What you avoid- ✕Anything that catches hair. Collars, seatbelt straps across the shoulder near the hair, headrests, jewellery.
- ✕Pulling clothing over the head. Front-opening shirts only, for ten days.
What to expect- •The hair looking flat and matted with plasma. It is not a styling problem yet.
02Day 0 – 2
The critical window, with length
Identical biology to shaved FUE. The difference is purely mechanical risk: every long shaft is a lever, and a snagged shaft can pull a graft that has not yet anchored.
What you do- ✓Sleep at forty-five degrees, on a smooth pillowcase. Silk or satin, not cotton weave.
- ✓Saline spray every thirty to sixty minutes while awake.
- ✓Keep the hair loose and separated. Do not gather it.
What you avoid- ✕Any elastic, band, clip, pin or tie on the head.
- ✕Sleeping on your side, where hair drags against the pillow.
- ✕Ceiling fans on high, which move hair against the scalp all night.
What to expect- •Hair matting together with dried plasma. It untangles safely later, and not before.
03Day 3 – 7
First washes and de-matting
Crusts are forming along the base of each long shaft, binding hairs into clumps. Grafts are anchoring but not yet secure.
What you do- ✓Follow the demonstrated wash exactly. Long hair requires more lather, more soak time and a longer, gentler rinse.
- ✓Let the hair hang under a poured stream. Gravity separates it. Your fingers do not.
- ✓Air-dry only. Let it dry hanging free, then leave it.
What you avoid- ✕Combs and brushes of any kind on the recipient area.
- ✕Detangling, in any form, at any speed.
- ✕Hair dryers, straighteners and any heat at all.
What to expect- •Significant tangling. It resolves progressively across the first three washes, without force.
04Day 8 – 14
Crusts clear, grafts secure
Crusts release, hair separates and the grafts pass out of the vulnerable window.
What you do- ✓Begin very gentle detangling with a wide-tooth comb from the ends upwards, never from the roots down.
- ✓Attend the day-ten review.
- ✓Resume normal conditioner from around day ten, on the lengths only.
What you avoid- ✕Tying the hair back until day fourteen.
- ✕Any traction style at all for six weeks: tight buns, braids, extensions.
What to expect- •A meaningful amount of hair coming away during detangling. Most of it is shed shaft, not lost graft.
05Week 3 – 6
Shock shedding
The transplanted shafts shed. Because they are long, the shed is visually dramatic and produces far more hair in the hands than a shaved case does.
What you do- ✓Expect handfuls. It is alarming to see and it is entirely normal, which is why it is written here rather than mentioned afterwards.
- ✓Attend the week-four call.
- ✓Keep photographing under identical light.
What you avoid- ✕Weighing or counting shed hair. It tells you nothing and it will ruin your month.
What to expect- •The visual advantage of the unshaven approach disappearing for a few months. It returns with the new growth.
06Month 2 – 12
Dormancy, emergence, maturation
From here the course is identical to standard FUE: a dormant phase to around month four, emergence from month five, maturation to month twelve.
What you do- ✓Follow the FUE protocol from the month two to four phase onward.
- ✓Attend the month three, month six and month twelve reviews.
What you avoid- ✕Traction styling until at least month six. Newly grown hair is more easily pulled than mature hair.
What to expect- •New growth arriving short while the untouched surrounding hair stays long, producing a layered look for several months.
Call the clinic. Do not wait for the next appointment
- !A graft site pulled during detangling that bleeds and leaves a visible pit
- !Any of the common red flags listed for every procedure
- !Bleeding that does not stop after ten minutes of firm, continuous pressure
- !Fever above 38 °C, or chills
- !Pain that is increasing after day three rather than decreasing
- !Spreading redness, heat or a red streak moving away from the site
- !Pus, or a foul smell from a wound
- !Sudden swelling that is one-sided, hard or rapidly enlarging
+91 70362 77799 · If something worries you at 2 a.m., call. A phone call costs nothing. A complication caught three days late costs a great deal.
Your review datesThese are booked before your procedure, not after it.
When you can resumeIf your own sheet says something different, your sheet wins.
This guide describes the standard protocol. Your own sheet, signed on the day, takes precedence over anything written here. If the two disagree, follow the sheet and call the clinic.
Female Hair Transplant
Diffuse thinning and hairline redesign, without shaving
Female hair loss is rarely only surgical. Almost every case here runs a medical protocol alongside the surgery, because a transplant into a scalp that is still actively thinning buys you a shorter result. The aftercare therefore has two halves: healing the surgery, and continuing the medical work that protects it.
- Anaesthetic
- Local, with sedation on request
- Time in theatre
- Four to seven hours
- Sutures
- None
- Off work
- Two to five days
- Fully presentable
- Usually immediately, with styling
- Result assessed
- Month twelve, and often month fifteen
01Hours 0 – 6
Leaving the theatre
Recipient sites have been made between existing hairs, so the surrounding native hair is also traumatised, not just the grafts.
What you do- ✓Travel home with the hair loose and undisturbed.
- ✓Sit upright. Begin pain relief before the anaesthetic fades.
- ✓Front-opening clothing only for the next ten days.
What you avoid- ✕Clips, bands, pins and anything that gathers hair.
- ✕Pulling any garment over the head.
What to expect- •The treated zone looking flat, damp and parted oddly. Styling comes later.
02Day 0 – 3
Swelling and the critical window
Grafts depend entirely on plasma. Oedema tracks down towards the brow and peaks around day three.
What you do- ✓Sleep at forty-five degrees on a satin or silk pillowcase.
- ✓Saline spray every thirty to sixty minutes while awake.
- ✓Cold compress on the forehead only, never on the grafts.
What you avoid- ✕Touching the treated area for any reason.
- ✕Alcohol and smoking.
- ✕Hot showers, steam and any heat to the scalp.
What to expect- •Forehead and, on day three, eyelid swelling. It is gravity. It resolves.
03Day 4 – 10
Washing, crusts, and the parting problem
Crusts form at the base of each graft, sitting within surrounding long hair. Native hairs at the recipient site may begin to shed early.
What you do- ✓Wash exactly as demonstrated. Poured water, open-palm dabbing, generous soak time.
- ✓Part the hair only where it naturally falls. Do not create a parting over the grafted zone.
- ✓Attend the day-ten review.
What you avoid- ✕Comb, brush, dryer, straightener and any tool at all on the treated zone.
- ✕Dry shampoo, texturising spray and volumising powders.
- ✕Concealer fibres of any kind until cleared.
What to expect- •Temporary shedding of native hair around the grafts. It regrows.
- •The treated zone looking sparser than it did before surgery.
04Day 11 – 28
Secure, and back to styling
Grafts are anchored. The scalp is still pink and the skin barrier is still re-forming.
What you do- ✓Resume normal washing and gentle blow-drying on a cool setting from around week three.
- ✓Resume a loose ponytail from day fourteen, positioned away from the grafted zone.
- ✓Restart topical minoxidil only when specifically cleared.
What you avoid- ✕Colour, keratin, smoothing and any chemical service for six weeks.
- ✕Tight styles, and any style that puts traction on the new hairline.
- ✕Extensions, clip-ins and hair systems until month three.
What to expect- •Persistent pink at the hairline for several weeks.
05Week 4 – Month 4
Shedding and the dormant phase
Transplanted shafts shed. Native hair traumatised during site creation may shed alongside them. In diffuse female patterns this can look like a substantial setback.
What you do- ✓Continue the medical protocol without interruption. In female cases this is not optional support, it is half the treatment.
- ✓Attend the week-four and month-three calls.
- ✓Photograph fortnightly, same light, same parting, same distance.
What you avoid- ✕Concluding anything about the result.
- ✕Stopping medical therapy because the surgery appears not to have worked.
What to expect- •A visible dip below your pre-surgical density between month two and month four.
06Month 5 – 15
Emergence and maturation
New shafts emerge fine and pale, then thicken. Female results mature slightly later than male frontal cases, and density reads best once length returns.
What you do- ✓Attend month six and month twelve reviews.
- ✓Discuss long-term medical maintenance formally at month twelve.
What you avoid- ✕Assuming the transplant has protected the untreated areas. It has not.
What to expect- •Continued improvement to month fifteen, particularly in density perception once new hair reaches length.
Call the clinic. Do not wait for the next appointment
- !Shedding that continues to accelerate beyond month four
- !New shedding in areas that were never operated on
- !Any of the common red flags
- !Bleeding that does not stop after ten minutes of firm, continuous pressure
- !Fever above 38 °C, or chills
- !Pain that is increasing after day three rather than decreasing
- !Spreading redness, heat or a red streak moving away from the site
- !Pus, or a foul smell from a wound
- !Sudden swelling that is one-sided, hard or rapidly enlarging
+91 70362 77799 · If something worries you at 2 a.m., call. A phone call costs nothing. A complication caught three days late costs a great deal.
Your review datesThese are booked before your procedure, not after it.
When you can resumeIf your own sheet says something different, your sheet wins.
This guide describes the standard protocol. Your own sheet, signed on the day, takes precedence over anything written here. If the two disagree, follow the sheet and call the clinic.
PRP Therapy
Autologous platelet-rich plasma
PRP is your own blood, spun to concentrate the platelets, then injected into the thinning zone. There is no wound, so there is very little to protect. Almost all of the aftercare exists to avoid diluting or washing away the injectate in the first day, and to avoid blunting the inflammatory signal the treatment depends on.
- Anaesthetic
- Topical, occasionally a ring block
- Time in clinic
- Forty-five to sixty minutes
- Downtime
- None. Same-day return to work
- Course
- Typically four to six sessions, three to four weeks apart
- Maintenance
- Every four to six months thereafter
- Result assessed
- Month four to six of the course
01Hours 0 – 6
Immediately after the session
Plasma has been deposited into the dermis and is beginning to release its growth factors. The scalp is mildly inflamed by design.
What you do- ✓Return to normal activity. Drive, work, eat.
- ✓Leave the scalp completely alone.
- ✓Drink water. You were mildly volume-depleted by the draw.
What you avoid- ✕Washing the hair.
- ✕Any product, oil, serum or topical on the scalp.
- ✕Anti-inflammatory painkillers, which work directly against the mechanism.
What to expect- •Tenderness, mild redness and small raised bumps at injection points, settling within a few hours.
02Hours 6 – 24
The no-wash window
Growth factor release continues. The scalp is settling.
What you do- ✓Sleep normally.
- ✓Paracetamol only, if you need anything for discomfort.
What you avoid- ✕Shampoo, hot water, sauna, steam and swimming.
- ✕Gym and anything that makes you sweat heavily.
- ✕Alcohol.
What to expect- •A dull ache across the treated zone, similar to a tension headache.
03Day 1 – 3
Back to normal
The inflammatory phase resolves. Nothing further is required.
What you do- ✓Wash normally after twenty-four hours.
- ✓Resume all exercise after twenty-four hours.
- ✓Restart minoxidil, if you use it, after twenty-four hours.
What you avoid- ✕Hair colour and chemical services for three days.
What to expect- •Occasional pinpoint bruising, resolving within a week.
04Week 3 – 4
The next session
The interval is not arbitrary. The follicular response to a single session peaks and then declines; the course is designed to stack those responses.
What you do- ✓Attend on schedule. A course of six spread over a year does not do what a course of six spread over five months does.
- ✓Photograph before each session, same light, same parting.
What you avoid- ✕Judging the course before session four.
What to expect- •Reduced shedding first, usually by session two or three. Density comes later.
05Month 4 – 6
Assessment
Miniaturised follicles that responded have thickened. Follicles that were already gone have not returned, and will not.
What you do- ✓Formal review against your baseline photographs.
- ✓Agree a maintenance interval, or agree to stop.
What you avoid- ✕Continuing indefinitely without a measured reason to.
What to expect- •Improved calibre and reduced shed. PRP thickens what is there. It does not create new follicles.
Call the clinic. Do not wait for the next appointment
- !A tender, enlarging, hot lump at an injection point
- !Fever within forty-eight hours
- !Any of the common red flags
- !Bleeding that does not stop after ten minutes of firm, continuous pressure
- !Fever above 38 °C, or chills
- !Pain that is increasing after day three rather than decreasing
- !Spreading redness, heat or a red streak moving away from the site
- !Pus, or a foul smell from a wound
- !Sudden swelling that is one-sided, hard or rapidly enlarging
+91 70362 77799 · If something worries you at 2 a.m., call. A phone call costs nothing. A complication caught three days late costs a great deal.
Your review datesThese are booked before your procedure, not after it.
When you can resumeIf your own sheet says something different, your sheet wins.
This guide describes the standard protocol. Your own sheet, signed on the day, takes precedence over anything written here. If the two disagree, follow the sheet and call the clinic.
GFC Therapy
Growth factor concentrate
GFC is prepared from your own blood but processed further than PRP, so the platelets are lysed and the growth factors released before injection rather than after. Fewer sessions, wider spacing. The aftercare is close to the PRP protocol, with the same twenty-four-hour rule and the same instruction on anti-inflammatories.
- Anaesthetic
- Topical
- Time in clinic
- Sixty to seventy-five minutes, including preparation
- Downtime
- None
- Course
- Typically three to four sessions, four to six weeks apart
- Maintenance
- Every six months thereafter
- Result assessed
- Month four to six
What is different about GFC- •Fewer sessions, spaced further apart: usually three or four at four to six week intervals, against PRP's four to six at three to four weeks.
- •The injectate is acellular, so post-session tenderness is generally milder and shorter than PRP.
- •The twenty-four-hour no-wash rule and the seventy-two-hour anti-inflammatory rule apply identically.
- •GFC is frequently used alongside a transplant, at around week four and month three. If yours is part of a surgical plan, those dates are already in your file.
The phase-by-phase protocol below is the PRP Therapy sequence, which this procedure follows in full.
01Hours 0 – 6
Immediately after the session
Plasma has been deposited into the dermis and is beginning to release its growth factors. The scalp is mildly inflamed by design.
What you do- ✓Return to normal activity. Drive, work, eat.
- ✓Leave the scalp completely alone.
- ✓Drink water. You were mildly volume-depleted by the draw.
What you avoid- ✕Washing the hair.
- ✕Any product, oil, serum or topical on the scalp.
- ✕Anti-inflammatory painkillers, which work directly against the mechanism.
What to expect- •Tenderness, mild redness and small raised bumps at injection points, settling within a few hours.
02Hours 6 – 24
The no-wash window
Growth factor release continues. The scalp is settling.
What you do- ✓Sleep normally.
- ✓Paracetamol only, if you need anything for discomfort.
What you avoid- ✕Shampoo, hot water, sauna, steam and swimming.
- ✕Gym and anything that makes you sweat heavily.
- ✕Alcohol.
What to expect- •A dull ache across the treated zone, similar to a tension headache.
03Day 1 – 3
Back to normal
The inflammatory phase resolves. Nothing further is required.
What you do- ✓Wash normally after twenty-four hours.
- ✓Resume all exercise after twenty-four hours.
- ✓Restart minoxidil, if you use it, after twenty-four hours.
What you avoid- ✕Hair colour and chemical services for three days.
What to expect- •Occasional pinpoint bruising, resolving within a week.
04Week 3 – 4
The next session
The interval is not arbitrary. The follicular response to a single session peaks and then declines; the course is designed to stack those responses.
What you do- ✓Attend on schedule. A course of six spread over a year does not do what a course of six spread over five months does.
- ✓Photograph before each session, same light, same parting.
What you avoid- ✕Judging the course before session four.
What to expect- •Reduced shedding first, usually by session two or three. Density comes later.
05Month 4 – 6
Assessment
Miniaturised follicles that responded have thickened. Follicles that were already gone have not returned, and will not.
What you do- ✓Formal review against your baseline photographs.
- ✓Agree a maintenance interval, or agree to stop.
What you avoid- ✕Continuing indefinitely without a measured reason to.
What to expect- •Improved calibre and reduced shed. PRP thickens what is there. It does not create new follicles.
Call the clinic. Do not wait for the next appointment
- !A tender, enlarging, hot lump at an injection point
- !Fever within forty-eight hours
- !Any of the common red flags
- !Bleeding that does not stop after ten minutes of firm, continuous pressure
- !Fever above 38 °C, or chills
- !Pain that is increasing after day three rather than decreasing
- !Spreading redness, heat or a red streak moving away from the site
- !Pus, or a foul smell from a wound
- !Sudden swelling that is one-sided, hard or rapidly enlarging
+91 70362 77799 · If something worries you at 2 a.m., call. A phone call costs nothing. A complication caught three days late costs a great deal.
Your review datesThese are booked before your procedure, not after it.
When you can resumeIf your own sheet says something different, your sheet wins.
This guide describes the standard protocol. Your own sheet, signed on the day, takes precedence over anything written here. If the two disagree, follow the sheet and call the clinic.
Exosome Therapy
Cellular signalling adjunct
Exosomes are signalling vesicles delivered into the dermis, usually alongside microneedling or immediately after a transplant. This is an adjunct, not a primary treatment, and the clinic will say so during your consultation. The evidence base is younger than that for PRP and you are entitled to know that before you pay for it.
- Anaesthetic
- Topical
- Time in clinic
- Forty-five to sixty minutes
- Downtime
- None
- Course
- Typically two to three sessions, six to eight weeks apart
- Maintenance
- Individualised
- Result assessed
- Month four to six
01Hours 0 – 12
Immediately after
The preparation has been delivered into the dermis, frequently through a microneedled channel, so the skin barrier is temporarily open.
What you do- ✓Leave the scalp entirely alone.
- ✓Return to normal activity.
What you avoid- ✕Washing, any topical, any product.
- ✕Sweating, gym, sauna and swimming.
- ✕Sun exposure on an open barrier.
What to expect- •Redness and a warm, sunburn-like sensation for several hours.
02Hours 12 – 24
Barrier closing
Microchannels close. Redness fades.
What you do- ✓Sleep normally, on a clean pillowcase.
What you avoid- ✕Shampoo and hot water until the twenty-four hours are complete.
What to expect- •Mild flaking in some patients.
03Day 1 – 5
Normal service
The scalp is back to baseline.
What you do- ✓Wash normally from twenty-four hours.
- ✓Resume minoxidil and all topicals from twenty-four hours.
- ✓Resume exercise from twenty-four hours.
What you avoid- ✕Chemical services for five days.
What to expect- •Nothing visible. This is a slow, signalling treatment.
04Week 6 – 8
Next session
The interval reflects the follicular cycle, not the clinic's diary.
What you do- ✓Attend on schedule and photograph before each session.
What you avoid- ✕Adding a second new treatment in the same window. You will not know which one worked.
What to expect- •Reduced shedding before any density change.
05Month 4 – 6
Assessment
Response, or absence of it, is now readable against baseline photographs.
What you do- ✓Honest review. If there is no measurable change, the clinic will tell you to stop.
- ✓Decide on maintenance, or on switching protocol.
What you avoid- ✕Repeat courses without a measured result from the first.
What to expect- •A frank conversation about whether this is worth continuing for you specifically.
Call the clinic. Do not wait for the next appointment
- !Persistent redness beyond seventy-two hours
- !Any tender, expanding lump
- !Any of the common red flags
- !Bleeding that does not stop after ten minutes of firm, continuous pressure
- !Fever above 38 °C, or chills
- !Pain that is increasing after day three rather than decreasing
- !Spreading redness, heat or a red streak moving away from the site
- !Pus, or a foul smell from a wound
- !Sudden swelling that is one-sided, hard or rapidly enlarging
+91 70362 77799 · If something worries you at 2 a.m., call. A phone call costs nothing. A complication caught three days late costs a great deal.
Your review datesThese are booked before your procedure, not after it.
When you can resumeIf your own sheet says something different, your sheet wins.
This guide describes the standard protocol. Your own sheet, signed on the day, takes precedence over anything written here. If the two disagree, follow the sheet and call the clinic.
Beard Transplant
Follicular unit extraction into the jaw, cheek and chin
Beard grafts are taken from the back of the scalp and placed into the face at the angle facial hair actually grows, which is far more acute than the scalp's. That angle is the entire operation. Density can be added later, and a patchy area can be filled again, but a graft placed at the wrong angle points the wrong way for life. The first fortnight is about not disturbing grafts that sit in skin which moves every time you speak.
- Anaesthetic
- Local, to donor and recipient
- Time in clinic
- Five to eight hours depending on graft count
- Donor
- Occipital scalp, occasionally under the jaw
- Social downtime
- Seven to ten days of visible crusting
- Shaving
- Not before day fourteen
- Result assessed
- Month twelve
01Hours 0 – 24
The day of surgery
Grafts are held only by fibrin. Facial skin is mobile and vascular, so it swells and oozes more readily than scalp.
What you do- ✓Sleep on your back, head raised on two pillows.
- ✓Cool the cheeks with a cold pack held near, not on, the grafts.
- ✓Take the prescribed medication with food.
- ✓Speak as little as you reasonably can for the first evening.
What you avoid- ✕Touching, wiping or dabbing the recipient area.
- ✕Chewing anything that needs real jaw work.
- ✕Alcohol and smoking, both of which reduce graft perfusion.
- ✕Lying face down.
What to expect- •Pinpoint bleeding for a few hours.
- •Redness across the whole beard area, deeper than you expect.
- •A tight, stretched sensation when you smile.
02Day 1 – 3
Swelling and the soft diet
Fluid tracks downward with gravity, so beard work swells the jawline and sometimes the neck. Crusts begin to form around each graft.
What you do- ✓Eat soft food that needs no chewing: dal, curd, khichdi, soup, eggs.
- ✓Sip through the side of your mouth rather than opening wide.
- ✓Continue sleeping propped up.
- ✓Spray saline as instructed, from a distance, never wiping.
What you avoid- ✕Biting into anything. Cut food small.
- ✕Beard oil, balm, moisturiser or any cosmetic product.
- ✕Steam, sauna, and standing over hot cooking.
- ✕Kissing, and anything that presses the face against a surface.
What to expect- •Swelling that peaks around day two or three.
- •Small dark crusts at every graft, which is normal and is not scabbing over failure.
03Day 4 – 10
Washing, and the visible phase
Grafts are anchoring. Crusts loosen and separate. This is the fortnight people notice.
What you do- ✓Begin the prescribed gentle wash from the day you were told, patting rather than rubbing.
- ✓Let crusts come away on their own during washing.
- ✓Plan to be out of client-facing situations, or accept that people will ask.
What you avoid- ✕Picking, scratching or 'helping' a crust off. A crust removed early takes the graft with it.
- ✕Razors, trimmers, threading and waxing anywhere near the area.
- ✕Gym, running and anything that makes you sweat into the recipient area.
- ✕Swimming pools and the sea.
What to expect- •Redness fading unevenly, and lasting longer on fair skin.
- •Itching as crusts separate. Itching is healing, not infection.
- •Most crusts gone by day ten.
04Week 2 – 4
The shed
The transplanted shafts fall out while the follicles beneath them stay and enter a resting phase. This is expected, it is universal, and it is not the operation failing.
What you do- ✓Resume normal eating and normal exercise from week two.
- ✓Trim with scissors only, if you must, from day fourteen.
- ✓Photograph the area monthly in the same light.
What you avoid- ✕Concluding anything from what you see in the mirror this month.
- ✕Razor shaving before week four.
- ✕Starting any topical on the face without asking first.
What to expect- •Beard hair falling out through weeks three and four.
- •A face that looks much as it did before surgery by week five. This is the hardest part and it is the normal path.
05Month 2 – 4
The quiet months
Follicles are dormant, then begin to cycle back. Nothing visible is happening and nothing is meant to be.
What you do- ✓Shave and groom entirely normally from month two.
- ✓Keep photographing.
- ✓Attend the month-three review even though there is nothing to see.
What you avoid- ✕Seeking a second opinion on a result that does not exist yet.
- ✕Booking a second procedure before month twelve.
What to expect- •Little to no growth. First fine hairs usually appear around month three to four.
06Month 5 – 12
Growth and assessment
Hairs emerge fine and soft, then thicken and darken over months. Facial hair coarsens later than scalp hair does.
What you do- ✓Let it grow out fully before judging shape.
- ✓Formal assessment at month twelve against your baseline photographs.
- ✓Discuss a top-up only after that assessment, if density needs it.
What you avoid- ✕Judging density before month twelve.
- ✕Assuming a patch that is slower is a patch that failed.
What to expect- •Progressive filling. Beard grafts often keep improving into month fourteen or fifteen, later than scalp.
Call the clinic. Do not wait for the next appointment
- !Spreading redness with heat and increasing pain after day three
- !Pus from more than an isolated graft
- !Fever above thirty-eight degrees
- !Swelling that shuts an eye, or any difficulty swallowing
- !Any of the common red flags
- !Bleeding that does not stop after ten minutes of firm, continuous pressure
- !Fever above 38 °C, or chills
- !Pain that is increasing after day three rather than decreasing
- !Spreading redness, heat or a red streak moving away from the site
- !Pus, or a foul smell from a wound
- !Sudden swelling that is one-sided, hard or rapidly enlarging
+91 70362 77799 · If something worries you at 2 a.m., call. A phone call costs nothing. A complication caught three days late costs a great deal.
Your review datesThese are booked before your procedure, not after it.
When you can resumeIf your own sheet says something different, your sheet wins.
This guide describes the standard protocol. Your own sheet, signed on the day, takes precedence over anything written here. If the two disagree, follow the sheet and call the clinic.
Moustache Transplant
Philtrum and upper lip restoration
The upper lip is the least forgiving area on the face. It moves constantly, it sits at the centre of every conversation, and moustache hair lies almost flat against the skin pointing down and outward from the philtral columns. There is nowhere to hide a graft placed at the wrong angle. The recovery is shorter than a beard's because the area is smaller, but the first week asks more of you, because you cannot eat, drink or speak without moving the site.
- Anaesthetic
- Local. A dental-style block is often used
- Time in clinic
- Three to five hours
- Donor
- Occipital scalp, chosen for calibre match
- Social downtime
- Seven to ten days
- Shaving
- Not before day fourteen
- Result assessed
- Month twelve
01Hours 0 – 24
The day of surgery
Grafts sit in skin that moves with every word. Nothing holds them but fibrin.
What you do- ✓Sleep on your back, propped up.
- ✓Keep conversation short and your mouth movements small.
- ✓Drink through a wide straw held to the side, or from a spoon.
- ✓Take the prescribed medication with food.
What you avoid- ✕Smiling broadly, laughing hard, and yawning wide, as far as you can help it.
- ✕Any hot drink, which relaxes the tissue and increases oozing.
- ✕Touching or wiping the lip.
- ✕Smoking. The mechanical purse of the lips alone is enough to displace grafts, before the vascular effect.
What to expect- •Pinpoint bleeding.
- •A stiff, wooden upper lip.
- •Speech that feels clumsy for a day.
02Day 1 – 3
Eating without moving the site
Crusts form. The lip swells more visibly than any other facial site relative to its size.
What you do- ✓Cold, soft food. Curd, ice cream, cold soup, smoothies.
- ✓Small spoonfuls placed past the lip.
- ✓Saline spray as instructed, from a distance.
- ✓Sleep propped up for a third night.
What you avoid- ✕Biting into anything, including chapati and bread.
- ✕Hot food and hot drinks.
- ✕Wiping the mouth with a napkin. Dab below the lip only.
- ✕Toothbrushing that stretches the upper lip. Use a small head and keep the lip still.
What to expect- •Visible upper-lip swelling for two to three days.
- •Crusts at every graft.
- •Some grafts sitting proud. They settle.
03Day 4 – 10
Washing and crust clearance
Anchoring is under way. Crusts loosen. The site is unavoidably visible.
What you do- ✓Begin the prescribed gentle wash on the day you were told.
- ✓Let crusts fall on their own.
- ✓Expect to be asked about it, and plan the fortnight accordingly.
What you avoid- ✕Picking. On an area this small, one lost graft is a visible gap.
- ✕Razors, trimmers and threading anywhere near the lip.
- ✕Sweating heavily.
- ✕Spicy food, which draws you into wiping your mouth.
What to expect- •Redness across the philtrum, fading unevenly.
- •Itching as crusts separate.
- •Crusts largely gone by day ten.
04Week 2 – 4
The shed
Transplanted shafts fall. The follicles stay. This is the same sequence as every other transplant and it is not failure.
What you do- ✓Return to normal eating and exercise from week two.
- ✓Scissor trim only, from day fourteen.
- ✓Photograph monthly, same light, same angle.
What you avoid- ✕Judging anything this month.
- ✕Razor shaving before week four.
What to expect- •The moustache disappearing through weeks three and four, back to roughly how it looked before.
05Month 2 – 12
Regrowth and assessment
Follicles cycle back from around month three. Upper lip hair emerges fine and lightens the look until it coarsens.
What you do- ✓Groom normally from month two.
- ✓Attend the month-three review, in full knowledge that there is nothing to see.
- ✓Formal assessment at month twelve.
What you avoid- ✕Reading month three as the outcome.
- ✕Booking a second session before month twelve.
What to expect- •First hairs around month three to four, thickening steadily to month twelve and beyond.
Call the clinic. Do not wait for the next appointment
- !Spreading redness, heat and rising pain after day three
- !Pus beyond an isolated graft
- !Fever above thirty-eight degrees
- !Swelling that spreads into the cheek or closes an eye
- !Any of the common red flags
- !Bleeding that does not stop after ten minutes of firm, continuous pressure
- !Fever above 38 °C, or chills
- !Pain that is increasing after day three rather than decreasing
- !Spreading redness, heat or a red streak moving away from the site
- !Pus, or a foul smell from a wound
- !Sudden swelling that is one-sided, hard or rapidly enlarging
+91 70362 77799 · If something worries you at 2 a.m., call. A phone call costs nothing. A complication caught three days late costs a great deal.
Your review datesThese are booked before your procedure, not after it.
When you can resumeIf your own sheet says something different, your sheet wins.
This guide describes the standard protocol. Your own sheet, signed on the day, takes precedence over anything written here. If the two disagree, follow the sheet and call the clinic.
Eyebrow Transplant
Brow reconstruction, single-hair grafting
A brow is not a line, it is three zones with three different hair directions, and it is the one facial area where every single graft is placed individually and almost flat to the skin. Two things must be said before you book. Scalp hair transplanted to the brow keeps growing like scalp hair, so it needs trimming for life. And if the loss is from thyroid disease, alopecia areata or active scarring, the underlying cause has to be settled first or the new hair will follow the old.
- Anaesthetic
- Local, to donor and both brows
- Time in clinic
- Three to four hours
- Grafts
- Typically two hundred to four hundred per brow
- Social downtime
- Seven to ten days
- Trimming
- Lifelong. Scalp hair keeps scalp growth habits
- Result assessed
- Month twelve
01Hours 0 – 24
The day of surgery
Single grafts sit at a very shallow angle in thin, mobile skin directly above the eye.
What you do- ✓Sleep on your back, head well raised.
- ✓Cool the forehead above the brows, never the brows themselves.
- ✓Keep the face still. Minimal frowning and eyebrow raising.
- ✓Take the prescribed medication with food.
What you avoid- ✕Touching, rubbing or scratching the brow.
- ✕Bending forward, lifting, and anything that raises head pressure.
- ✕Alcohol and smoking.
- ✕Rubbing your eyes on waking, which is the commonest way grafts are lost.
What to expect- •Pinpoint bleeding along the brow.
- •A tight forehead.
- •Grafts that look coarse and too dark. That is the shaft, not the result.
02Day 1 – 4
Swelling, and the eyes
Fluid tracks down from the forehead into the eyelids. This is the most reliably swollen of the three facial sites.
What you do- ✓Stay upright during the day.
- ✓Cold compress on the forehead well above the graft line.
- ✓Saline spray as instructed, from a distance.
- ✓Sunglasses if you go out, for comfort rather than protection.
What you avoid- ✕Any compress on the brow itself.
- ✕Face wash, cleanser, serum and moisturiser near the brow.
- ✕Make-up of any kind, including brow pencil and tint.
- ✕Steam, sauna and hot showers on the face.
What to expect- •Eyelid and forehead swelling peaking around day two to three, sometimes puffy enough to be obvious.
- •Crusts at each graft.
03Day 5 – 10
Crust clearance
Grafts anchor and crusts separate. The brow looks patchy and uneven while they do.
What you do- ✓Begin the prescribed gentle wash on the day you were told, patting only.
- ✓Let every crust come away on its own.
- ✓Accept an uneven-looking brow for this week.
What you avoid- ✕Picking. A brow graft lost here leaves a visible gap in a small, symmetrical area.
- ✕Threading, waxing, tweezing and tinting.
- ✕Swimming and sweating.
- ✕Sleeping face down.
What to expect- •Redness fading unevenly.
- •Itching.
- •Crusts gone by around day ten.
04Week 2 – 4
The shed
Transplanted shafts fall out. Follicles remain and rest. Because the area is small and symmetrical, this phase feels worse here than anywhere else.
What you do- ✓Resume exercise from week two.
- ✓Use brow pencil again only from week four, and gently.
- ✓Photograph monthly, straight on, same light.
What you avoid- ✕Judging shape or symmetry now. There is nothing to judge.
- ✕Threading or waxing the transplanted brow, at any point, ever.
What to expect- •The brow returning to close to its pre-operative appearance by week four to five.
05Month 2 – 6
Emergence
Follicles cycle back. Hairs come through fine and often lighter than the surrounding brow, and lie less flat at first.
What you do- ✓Trim as soon as they outgrow the brow line. You will do this every two to four weeks for life.
- ✓Brush them into direction daily with a spoolie. Early training genuinely helps them lie down.
- ✓Attend the month-three review.
What you avoid- ✕Pulling out a hair that grows at an odd angle. Trim it.
- ✕Concluding that a slower brow has failed.
What to expect- •First hairs around month three, uneven between the two brows. They even out.
06Month 7 – 12
Assessment
Calibre thickens and direction settles with daily brushing.
What you do- ✓Formal assessment at month twelve against your baseline photographs.
- ✓Discuss a density top-up only after that.
- ✓Continue trimming and brushing.
What you avoid- ✕Judging symmetry before month twelve.
What to expect- •A brow that reads naturally at conversational distance. Under close inspection, transplanted brow hair is always slightly straighter than native brow hair. That is the honest limit of the procedure.
Call the clinic. Do not wait for the next appointment
- !Spreading redness and rising pain after day three
- !Pus beyond an isolated graft
- !Fever above thirty-eight degrees
- !Swelling that closes an eye, or any change in vision
- !Any of the common red flags
- !Bleeding that does not stop after ten minutes of firm, continuous pressure
- !Fever above 38 °C, or chills
- !Pain that is increasing after day three rather than decreasing
- !Spreading redness, heat or a red streak moving away from the site
- !Pus, or a foul smell from a wound
- !Sudden swelling that is one-sided, hard or rapidly enlarging
+91 70362 77799 · If something worries you at 2 a.m., call. A phone call costs nothing. A complication caught three days late costs a great deal.
Your review datesThese are booked before your procedure, not after it.
When you can resumeIf your own sheet says something different, your sheet wins.
This guide describes the standard protocol. Your own sheet, signed on the day, takes precedence over anything written here. If the two disagree, follow the sheet and call the clinic.
Mole & Naevus Excision
Removed whole, sent to histopathology, closed to sit flat
Two things are happening after this procedure and they run on different clocks. The wound heals over about two weeks. The scar matures over about a year. Almost everything patients dislike about excision scars is decided in the first six weeks, by tension and by sun, which is why this protocol spends most of its attention there.
- Anaesthetic
- Local infiltration
- Time in theatre
- Twenty to forty-five minutes
- Sutures
- Yes. Face 5 to 7 days, trunk and limbs 10 to 14 days
- Histopathology
- Every specimen, without exception
- Report
- Seven to ten working days
- Scar assessed
- Month six
01Hours 0 – 24
Pressure and the first dressing
Small vessels in the wound edge are sealing. The dressing is applying the pressure that keeps them sealed.
What you do- ✓Leave the dressing completely alone for the full period you were told, usually twenty-four to forty-eight hours.
- ✓Keep the area elevated where anatomically possible.
- ✓Take paracetamol regularly for the first day rather than waiting for pain.
- ✓If it bleeds through, press firmly and continuously for ten minutes by the clock. Do not lift to check.
What you avoid- ✕Getting the dressing wet.
- ✕Aspirin and anti-inflammatories on the first day unless they are your regular prescribed medication.
- ✕Alcohol, which increases oozing.
What to expect- •A small amount of pink staining on the dressing. Normal.
- •Aching rather than sharp pain once the anaesthetic recedes.
02Day 2 – 3
First dressing change
The wound edge has sealed. A thin fibrin seal covers the suture line.
What you do- ✓Change the dressing as instructed, with clean hands, on a clean surface.
- ✓Apply a thin film of the prescribed ointment. Thin. A thick layer macerates the edge.
- ✓Shower is usually permitted from forty-eight hours: let water run over, pat dry immediately, redress.
What you avoid- ✕Soaking. No baths, no swimming, no submerging.
- ✕Antiseptic solutions unless specifically prescribed. Most of them are toxic to healing cells.
- ✕Peeling anything off the suture line.
What to expect- •A neat line with visible suture material or a fine adhesive strip.
- •Mild redness along the immediate wound edge.
03Day 4 – 7
Tension is the enemy
Collagen is being laid down. It is disorganised and weak. The wound has perhaps five to ten per cent of its final strength.
What you do- ✓Protect the line from stretch. If it is on a limb or the back, limit the movement that pulls across it.
- ✓Continue thin ointment and a clean dressing daily.
- ✓Face sutures usually come out between day five and day seven.
What you avoid- ✕Gym, lifting, stretching and any activity that pulls the wound apart. This is the single biggest cause of a wide scar.
- ✕Scratching. The itch is histamine, not infection.
What to expect- •Itching from around day four. It is a healing sign.
- •Bruising spreading downwards under gravity, sometimes far from the wound.
04Day 8 – 14
Sutures out
The wound is closed but immature. Removing sutures does not mean the wound is strong; it means the sutures have done their job and would otherwise leave marks.
What you do- ✓Attend for suture removal on the date given. Late removal leaves track marks.
- ✓Begin adhesive strip support across the line if instructed, and keep replacing it.
- ✓Ask for your histopathology report at this visit if it has arrived.
What you avoid- ✕Assuming the wound is now strong. It is at roughly twenty per cent strength.
- ✕Sun, entirely, on the fresh line.
What to expect- •A pink, slightly raised line.
- •Small numb patches around the scar that resolve over months.
05Week 3 – 6
The window that decides the scar
Collagen is remodelling fastest now. Mechanical tension and ultraviolet light during this window are what turn a fine line into a wide or pigmented one.
What you do- ✓Start silicone gel or sheet, if prescribed, and use it daily without gaps.
- ✓Begin scar massage once fully healed: firm, small circles, two minutes twice a day.
- ✓SPF 50 on the scar every single day it sees light, indoors near windows included.
- ✓Confirm your histopathology result has been seen, explained and filed.
What you avoid- ✕Sun. Ultraviolet on an immature scar causes pigmentation that can be permanent.
- ✕Heavy resistance training across the scar until week six.
- ✕Bleaching creams and home remedies on a fresh scar.
What to expect- •The scar looking its worst at around week four to six. Red, firm, slightly raised.
- •Steady improvement after that, over months.
06Month 2 – 6
Maturation
The scar flattens, softens and loses its redness. This is slow and it does not need help beyond what you are already doing.
What you do- ✓Continue silicone and sun protection for at least three months, ideally six.
- ✓Continue massage.
- ✓Attend the month-six scar review.
What you avoid- ✕Judging the scar before month six. Nobody can, including the surgeon.
What to expect- •Progressive fading from red to pink to pale.
- •Full maturation at twelve to eighteen months.
Call the clinic. Do not wait for the next appointment
- !The wound edges separating
- !Increasing pain, redness or discharge after day three
- !A histopathology report you have not been called about within fifteen working days
- !Any of the common red flags
- !Bleeding that does not stop after ten minutes of firm, continuous pressure
- !Fever above 38 °C, or chills
- !Pain that is increasing after day three rather than decreasing
- !Spreading redness, heat or a red streak moving away from the site
- !Pus, or a foul smell from a wound
- !Sudden swelling that is one-sided, hard or rapidly enlarging
+91 70362 77799 · If something worries you at 2 a.m., call. A phone call costs nothing. A complication caught three days late costs a great deal.
Your review datesThese are booked before your procedure, not after it.
When you can resumeIf your own sheet says something different, your sheet wins.
This guide describes the standard protocol. Your own sheet, signed on the day, takes precedence over anything written here. If the two disagree, follow the sheet and call the clinic.
Cyst, Lipoma & Skin Tag Removal
Capsule removed whole, because a cyst left partly behind comes back
The difference between a cyst that never returns and one that returns in eighteen months is whether the capsule was removed intact. That is decided in theatre. What is decided afterwards is whether the cavity heals cleanly, and the enemy there is a collection of fluid in the dead space the lesion left behind.
- Anaesthetic
- Local infiltration
- Time in theatre
- Twenty minutes to an hour, by size and depth
- Sutures
- Usually. Deep lesions may have a layered closure
- Histopathology
- Every specimen
- Report
- Seven to ten working days
- Recurrence risk
- Low if the capsule came out whole, which is the whole point
01Hours 0 – 24
Pressure over the cavity
A cavity exists where the lesion was. Pressure from the dressing is holding the tissue planes together so that they seal rather than fill with fluid.
What you do- ✓Leave the pressure dressing exactly as applied, for the full period specified.
- ✓Elevate where possible.
- ✓Regular paracetamol for the first day.
What you avoid- ✕Removing or loosening the pressure dressing early. It is doing real work.
- ✕Getting the dressing wet.
- ✕Alcohol.
What to expect- •More aching than a simple mole excision, particularly with larger lipomas.
- •Some serous ooze in the first day.
02Day 2 – 4
Watching the dead space
The cavity is either sealing or, less commonly, filling with serous fluid. Which of the two is happening is the main thing being watched.
What you do- ✓Change the dressing as instructed and look at the site properly each time.
- ✓Note any soft, fluctuant swelling under the wound and report it. It is easily managed early.
- ✓Shower from forty-eight hours, pat dry, redress.
What you avoid- ✕Massaging or pressing the area to 'see if anything is left'.
- ✕Soaking or swimming.
What to expect- •Bruising, often more than you expected, particularly on the back and shoulders.
- •Firmness under the wound as the cavity organises.
03Day 5 – 14
Sutures and closure
Surface closure is complete. Deep sutures, if used, are dissolving over weeks.
What you do- ✓Attend for suture removal on the date given.
- ✓Ask about your histopathology report.
- ✓Begin adhesive support if the site is under tension, such as the back or shoulder.
What you avoid- ✕Loading the area. Back and shoulder wounds sit under constant tension and widen easily.
- ✕Sun on the fresh line.
What to expect- •A firm lump under the scar that is scar tissue, not recurrence. It softens over months.
- •Track marks if sutures are removed late, which is why the date matters.
04Week 3 – 8
Scar management
The scar remodels. Cyst and lipoma scars are often longer than patients expect, because the incision has to be long enough to deliver the capsule whole.
What you do- ✓Silicone daily from full healing.
- ✓Scar massage, two minutes twice daily, once fully closed.
- ✓SPF 50 daily.
What you avoid- ✕Heavy resistance work across the scar until week six.
- ✕Interpreting the underlying firmness as the cyst returning.
What to expect- •Peak redness and firmness around week four to six.
- •Gradual softening thereafter.
05Month 3 – 12
Maturation and recurrence watch
The scar pales. A recurrent cyst, if the capsule was breached, would typically declare itself in this window.
What you do- ✓Attend the month-six review.
- ✓Report any new, discrete, mobile lump at the same site.
What you avoid- ✕Ignoring a returning lump on the assumption that it is scar.
What to expect- •A pale, flat line by month twelve in most sites. Back and chest scars remain more visible, and you were told this before surgery.
Call the clinic. Do not wait for the next appointment
- !A soft, expanding, fluctuant swelling under the wound
- !Discharge with odour
- !A returning discrete lump at the same site
- !Any of the common red flags
- !Bleeding that does not stop after ten minutes of firm, continuous pressure
- !Fever above 38 °C, or chills
- !Pain that is increasing after day three rather than decreasing
- !Spreading redness, heat or a red streak moving away from the site
- !Pus, or a foul smell from a wound
- !Sudden swelling that is one-sided, hard or rapidly enlarging
+91 70362 77799 · If something worries you at 2 a.m., call. A phone call costs nothing. A complication caught three days late costs a great deal.
Your review datesThese are booked before your procedure, not after it.
When you can resumeIf your own sheet says something different, your sheet wins.
This guide describes the standard protocol. Your own sheet, signed on the day, takes precedence over anything written here. If the two disagree, follow the sheet and call the clinic.
Suspicious Lesion Assessment
Dermoscopy, biopsy where indicated, and a report you are actually told about
The wound from a diagnostic biopsy is trivial. The waiting is not. This protocol therefore covers both: how to look after a very small wound, and exactly what happens with your report, when, and who tells you. Nobody in this clinic is left to chase a result.
- Anaesthetic
- Local, for biopsy
- Time in theatre
- Fifteen to thirty minutes
- Sutures
- One or two, or none for a shave or punch biopsy
- Histopathology
- Always. This is the entire purpose
- Report
- Seven to ten working days, sooner if flagged urgent
- You will be called
- Whatever the result is
01Hours 0 – 48
A small wound
A punch or shave defect is sealing. There is very little tissue involved.
What you do- ✓Leave the dressing for twenty-four to forty-eight hours.
- ✓Paracetamol if needed, which most patients do not.
- ✓Keep it dry.
What you avoid- ✕Picking at the site.
- ✕Swimming or soaking.
What to expect- •Minimal discomfort.
- •A small pink or dark scab.
02Day 2 – 10
Healing, and waiting
A shave or punch site heals by secondary intention over one to three weeks. Sutured sites close faster.
What you do- ✓Daily thin ointment and a clean dressing.
- ✓Suture removal at day five to seven on the face, day ten to fourteen elsewhere.
- ✓Note the date your report is expected. It is written on your sheet.
What you avoid- ✕Searching your specific lesion type online at 3 a.m. It is not a diagnosis and it is not good for you.
- ✕Sun on the healing site.
What to expect- •Slow closure of an open punch or shave site. This is normal for the technique.
- •A dip or divot at a punch site that fills in over months.
03Day 7 – 10
The report
Histopathology is reported and reviewed by Dr. Revanth before you are contacted.
What you do- ✓Expect a call. Benign or otherwise, you are told, and you are told what it means.
- ✓Bring someone with you if the appointment is to discuss an abnormal result. It helps, and there is no reason not to.
- ✓Ask for a copy of the report. It is yours.
What you avoid- ✕Assuming that no news is good news. If you have not heard by the date on your sheet, call us.
What to expect- •A clear explanation of the diagnosis, the margins, and whether anything further is needed.
04Week 2 – 8
If further surgery is needed
If the report shows involved or narrow margins, a wider local excision is planned. This is common, expected, and not a failure of the first procedure.
What you do- ✓Understand that a diagnostic biopsy is deliberately small. Its job was to name the lesion, not to clear it.
- ✓Follow the mole and naevus excision protocol for the wider excision.
- ✓Ask directly what the margin was and what margin is now being taken.
What you avoid- ✕Delaying. Margin surgery has a clinically appropriate window.
What to expect- •A larger scar than the biopsy. This is the correct trade.
05Month 3 – 12
Surveillance
Anyone who has had one atypical lesion is watched, because risk is a property of the person and not only of the lesion.
What you do- ✓Attend the surveillance interval you were given, usually six or twelve months.
- ✓Learn a monthly self-check. It takes four minutes.
- ✓Daily SPF 50, permanently, and not just on the scar.
What you avoid- ✕Discharging yourself because the result was benign.
What to expect- •Full-body dermoscopy at surveillance visits, with the mapped lesions photographed.
Call the clinic. Do not wait for the next appointment
- !No contact about your report by the date written on your sheet
- !A biopsy site that continues to grow, bleed or ulcerate
- !New lesions that change in weeks rather than years
- !Any of the common red flags
- !Bleeding that does not stop after ten minutes of firm, continuous pressure
- !Fever above 38 °C, or chills
- !Pain that is increasing after day three rather than decreasing
- !Spreading redness, heat or a red streak moving away from the site
- !Pus, or a foul smell from a wound
- !Sudden swelling that is one-sided, hard or rapidly enlarging
+91 70362 77799 · If something worries you at 2 a.m., call. A phone call costs nothing. A complication caught three days late costs a great deal.
Your review datesThese are booked before your procedure, not after it.
When you can resumeIf your own sheet says something different, your sheet wins.
This guide describes the standard protocol. Your own sheet, signed on the day, takes precedence over anything written here. If the two disagree, follow the sheet and call the clinic.
Acne Scar Revision
Subcision, punch techniques, TCA CROSS and resurfacing, matched to scar type
Acne scarring is not one problem, so it does not have one treatment. A rolling scar, a boxcar and an icepick each need something different, and most faces have all three. Your plan is a sequence, and the aftercare changes with the technique used on the day. What does not change: sun is the enemy, and picking undoes work.
- Anaesthetic
- Topical, local, or nerve block by technique
- Time in theatre
- Thirty to ninety minutes
- Sessions
- Typically three to six, six to eight weeks apart
- Social downtime
- Two to seven days per session, by technique
- Improvement
- Quantified against baseline, not promised as a percentage
- Result assessed
- Six to twelve months after the final session
01Hours 0 – 12
Immediately after the session
Depending on the technique: subcision has divided tethering bands and there is deliberate bruising and bleeding under the skin; TCA CROSS has produced controlled frosting inside individual scars; resurfacing has removed a controlled depth of epidermis.
What you do- ✓Cool compress over a clean barrier, not directly on the skin, for the first few hours.
- ✓Keep the head elevated. Sleep at thirty to forty-five degrees on the first night.
- ✓Apply only what you were given. Usually a bland occlusive or a prescribed ointment.
- ✓Paracetamol if needed.
What you avoid- ✕Anti-inflammatories after subcision, which increase bruising.
- ✕Any active skincare. No acids, no retinoid, no vitamin C, no exfoliant.
- ✕Make-up.
- ✕Hot showers, steam, gym and alcohol.
What to expect- •Swelling, and after subcision, significant bruising. Plan your week accordingly, and you were told this before booking.
- •White frosted spots after TCA CROSS that darken over days.
02Day 1 – 3
Peak swelling and bruising
Inflammation peaks. This is the therapeutic phase for subcision, where new collagen is being triggered in the space that was released.
What you do- ✓Gentle cleanse with a non-foaming cleanser, twice daily, patting dry.
- ✓Re-apply the prescribed ointment to keep the surface from drying and cracking.
- ✓Continue sleeping elevated.
- ✓SPF 50 from the moment the skin will tolerate it.
What you avoid- ✕Touching, pressing or testing the treated areas.
- ✕Facials, threading, waxing and any salon treatment.
- ✕Sun, entirely.
What to expect- •Bruising spreading downwards, sometimes to the jaw and neck.
- •Skin feeling tight and looking swollen enough that the scars temporarily appear better than the final result.
03Day 4 – 10
Crusting and peeling
TCA CROSS sites form dark crusts that lift. Resurfaced skin peels. New epidermis is forming underneath and it is fragile and photosensitive.
What you do- ✓Let every crust fall on its own. Every single one.
- ✓Continue bland moisturiser and SPF 50 without a single missed day.
- ✓Mineral make-up is usually permitted from around day five to seven if the surface is intact. Ask first.
What you avoid- ✕Picking. This is where a good result becomes a pigmented one.
- ✕Actives. Retinoid and acids stay out until you are specifically cleared, usually week three to four.
- ✕Sun and heat, including cooking over a hot stove and sitting near a window.
What to expect- •Redness that is brightest around day five to seven.
- •Skin that looks worse before it looks better.
04Week 2 – 6
Collagen remodelling
This is where the actual improvement is manufactured. New collagen is being laid down under the released scars. Nothing you can see reflects what is happening.
What you do- ✓Resume your usual routine gradually, actives last and only when cleared.
- ✓SPF 50 every day, reapplied.
- ✓Photograph in the clinic's standard lighting before your next session.
What you avoid- ✕Judging the session. Subcision results at week two mean nothing.
- ✕Booking the next session earlier than the interval given. The interval is the treatment.
What to expect- •Post-inflammatory redness settling over four to eight weeks, longer in deeper skin tones.
05Week 6 – 8
Next session
The face is re-assessed, technique for the next session is chosen against what actually responded, and the sequence continues.
What you do- ✓Attend on schedule with the photographs.
- ✓Say honestly what you did and did not do. It changes what is chosen next.
What you avoid- ✕Adding a new clinic, a new device or a new home treatment mid-course.
What to expect- •A different technique from the last session, if that is what your scars now need.
06Month 6 – 12
Final assessment
Collagen remodelling from the final session completes over six to twelve months. The result is measured against your baseline photographs, in the same light.
What you do- ✓Attend the formal review.
- ✓Agree a maintenance plan, or agree that you are finished.
- ✓Keep the acne itself controlled. New scars form from new lesions.
What you avoid- ✕Expecting smooth skin. The honest target is a meaningful reduction in shadow and texture, not erasure, and that is what was quantified for you at the start.
What to expect- •Continued subtle improvement for up to a year after the last session.
Call the clinic. Do not wait for the next appointment
- !A cold sore outbreak after resurfacing
- !A spreading, tender, honey-crusted area, which suggests infection
- !Darkening that continues to deepen after week three
- !Any of the common red flags
- !Bleeding that does not stop after ten minutes of firm, continuous pressure
- !Fever above 38 °C, or chills
- !Pain that is increasing after day three rather than decreasing
- !Spreading redness, heat or a red streak moving away from the site
- !Pus, or a foul smell from a wound
- !Sudden swelling that is one-sided, hard or rapidly enlarging
+91 70362 77799 · If something worries you at 2 a.m., call. A phone call costs nothing. A complication caught three days late costs a great deal.
Your review datesThese are booked before your procedure, not after it.
When you can resumeIf your own sheet says something different, your sheet wins.
This guide describes the standard protocol. Your own sheet, signed on the day, takes precedence over anything written here. If the two disagree, follow the sheet and call the clinic.
Surgical & Trauma Scar Revision
Re-excision, geometric closure, and the tension planning that decides the outcome
Revision replaces a bad scar with a better-planned one. The surgery redirects tension into lines the skin tolerates; the aftercare protects that plan for the six weeks in which the new scar decides what it is going to become. Patients who take the first six weeks seriously get a very different result from those who do not, and the difference is not subtle.
- Anaesthetic
- Local, occasionally with sedation for long scars
- Time in theatre
- Thirty minutes to two hours by length and complexity
- Sutures
- Layered. Deep dissolvable plus surface
- Off work
- Two to seven days by site
- Scar assessed
- Month twelve, minimum
- Honest framing
- A scar is exchanged for a better scar. It is never erased
01Hours 0 – 48
Immobilise and support
A layered closure is holding the wound. Deep sutures carry the tension so the surface can heal without stretching.
What you do- ✓Keep the dressing and any support strapping exactly as applied.
- ✓Immobilise the area as far as normal life allows. Across a joint, this may mean a sling or splint.
- ✓Elevate. Regular paracetamol.
What you avoid- ✕Any movement that stretches across the line.
- ✕Getting the dressing wet.
- ✕Alcohol and smoking. Smoking measurably worsens scar outcomes and this is the wrong week to prove it.
What to expect- •A longer wound than the original scar. Geometric closures are deliberately longer in order to be finer.
02Day 3 – 7
Early healing under tension
Collagen is being laid down. Wound strength is minimal. Every unnecessary stretch at this stage widens the final scar.
What you do- ✓Change dressings as instructed. Thin ointment.
- ✓Keep the support strapping across the line replaced and taut.
- ✓Shower from forty-eight hours, pat dry, redress immediately.
What you avoid- ✕Gym, lifting, reaching, stretching.
- ✕Soaking, swimming and sun.
What to expect- •Bruising and firmness along the line.
- •Itch from around day four.
03Day 7 – 14
Surface sutures out
Surface sutures are removed while deep sutures continue to hold for several more weeks.
What you do- ✓Attend on the exact date. Late removal on a revision scar is self-defeating.
- ✓Continue taping across the line, replaced regularly, for six to twelve weeks. This is not optional on a revision.
- ✓Begin silicone once fully closed.
What you avoid- ✕Believing the wound is strong. It is at roughly twenty per cent.
- ✕Any sun at all.
What to expect- •A pink, firm line that looks, briefly, no better than what you started with.
04Week 3 – 6
The decisive window
Peak collagen activity. If the scar is going to widen, thicken or turn hypertrophic, it happens now, and it is largely driven by tension and ultraviolet light.
What you do- ✓Silicone daily. Taping daily. SPF 50 daily. All three, without gaps.
- ✓Begin scar massage: firm, small circles, two minutes twice a day.
- ✓Attend the week-six check so that an early hypertrophic response can be treated before it establishes.
What you avoid- ✕Resistance training across the scar.
- ✕Sun, without exception.
- ✕Assuming a thickening scar will settle by itself. Caught at week six it is easily managed.
What to expect- •Worst appearance at four to six weeks.
- •Firmness under the line, which is normal and softens.
05Month 2 – 6
Remodelling
Collagen reorganises along lines of tension. Redness fades. The scar flattens.
What you do- ✓Continue silicone and sun protection to at least month six.
- ✓Continue massage.
- ✓Attend the month-three and month-six reviews.
- ✓Discuss adjuncts if the scar is thickening: intralesional steroid, laser, or further taping.
What you avoid- ✕Stopping silicone at week eight because it looks fine. Week eight is not the finish line.
What to expect- •Progressive fading, softening and flattening.
06Month 6 – 18
Final maturation
The scar reaches its final colour and texture, usually between twelve and eighteen months.
What you do- ✓Attend the month-twelve assessment with the standardised photographs taken at baseline.
- ✓Decide, with the doctor, whether any further intervention is worth it.
What you avoid- ✕Assessing the outcome before month twelve. Anyone who does is assessing an unfinished scar.
What to expect- •A pale, flat, narrower line. Better, and still a scar.
Call the clinic. Do not wait for the next appointment
- !Wound edges separating
- !A scar that is thickening and rising rather than flattening after week six
- !Increasing pain after day three
- !Any of the common red flags
- !Bleeding that does not stop after ten minutes of firm, continuous pressure
- !Fever above 38 °C, or chills
- !Pain that is increasing after day three rather than decreasing
- !Spreading redness, heat or a red streak moving away from the site
- !Pus, or a foul smell from a wound
- !Sudden swelling that is one-sided, hard or rapidly enlarging
+91 70362 77799 · If something worries you at 2 a.m., call. A phone call costs nothing. A complication caught three days late costs a great deal.
Your review datesThese are booked before your procedure, not after it.
When you can resumeIf your own sheet says something different, your sheet wins.
This guide describes the standard protocol. Your own sheet, signed on the day, takes precedence over anything written here. If the two disagree, follow the sheet and call the clinic.
Keloid Management
A programme, not a procedure. Excision alone makes keloids worse
A keloid is a scar that did not know when to stop. Cutting one out and closing it, with nothing else, recurs in the large majority of cases and often comes back larger. Everything in this protocol exists because the keloid will try again, and the twelve months after treatment matter more than the treatment itself.
- Anaesthetic
- Local
- Time in clinic
- Fifteen minutes for injection, longer for excision
- Protocol
- Multi-modal: intralesional therapy, pressure, silicone, and excision only within a combined plan
- Injection interval
- Four to six weeks, typically four to six cycles
- Follow-up
- Minimum twelve months. Recurrence is a long game
- Honest framing
- The aim is control and flattening, not disappearance
01Hours 0 – 24
After an intralesional session
Steroid, or a steroid and antimitotic combination, has been injected under pressure directly into dense scar tissue.
What you do- ✓Expect it to have hurt. Injecting into keloid tissue is genuinely uncomfortable and nobody should pretend otherwise.
- ✓Cool compress over a barrier for the first few hours.
- ✓Paracetamol as required.
- ✓Keep silicone and pressure therapy in place if you are already using them.
What you avoid- ✕Massaging the site on the day of injection.
- ✕Hot showers and steam.
What to expect- •Aching and firmness for a day or two.
- •The lesion feeling temporarily harder before it softens.
02Day 2 – 14
Response begins
The keloid begins to soften and flatten. Itch and pain, which are often the worst symptoms, usually improve before the appearance does.
What you do- ✓Resume silicone gel or sheeting daily, twelve hours minimum, ideally more.
- ✓Resume pressure therapy if prescribed: clips for earlobes, garments elsewhere. Compliance here is the difference between control and recurrence.
- ✓Photograph monthly under identical light.
What you avoid- ✕Any new piercing, tattoo or deliberate skin trauma anywhere. You are a keloid former; that is a property of you, not of one site.
- ✕Sun on the lesion.
- ✕Scratching.
What to expect- •Itch and tenderness settling first.
- •Flattening becoming visible from around week three.
03Week 4 – 6
Next cycle
Sequential injections stack. The lesion is reassessed for height, firmness, symptoms and any thinning of the surrounding skin.
What you do- ✓Attend on schedule. Gaps in the cycle allow the lesion to reorganise.
- ✓Report any lightening or thinning of the skin around the keloid immediately. It is dose-related and it is managed by adjusting, not by stopping.
What you avoid- ✕Skipping cycles because it looks better. Improvement is not the same as resolution.
What to expect- •Progressive flattening across cycles.
- •Some pigment change around the injected area, which usually recovers.
04If excision is part of the plan
Surgery inside a combined protocol
Excision is only offered here in combination with adjuvant therapy, because excision on its own has an unacceptable recurrence rate.
What you do- ✓Understand the adjuvant plan before the surgery, not after: injections at set intervals from the day of, or shortly after, closure.
- ✓Follow the surgical scar aftercare protocol in parallel.
- ✓Begin pressure and silicone the moment the wound is closed and cleared.
What you avoid- ✕Treating the excision as the end of the treatment. It is the middle of it.
- ✕Missing a single adjuvant appointment in the first six months.
What to expect- •A period where the new scar is red and raised and looks like it is recurring. This is watched closely and treated early.
05Month 3 – 12
Recurrence watch
Most recurrences declare themselves within the first year. Watching is treatment.
What you do- ✓Attend every scheduled review, including the ones where you feel fine.
- ✓Continue silicone and pressure for the full prescribed duration, which is measured in months.
- ✓Report any return of itch or tenderness. Symptoms return before height does, and early treatment is far more effective.
What you avoid- ✕Discharging yourself.
- ✕Any elective skin trauma to the area.
What to expect- •A flatter, paler, softer, asymptomatic lesion.
- •A permanent mark. That was always the target, and it was said plainly at the start.
Call the clinic. Do not wait for the next appointment
- !Return of itch or tenderness in a treated lesion
- !Visible thinning, lightening or visible vessels in the skin around the injection site
- !Rapid regrowth after excision
- !Any of the common red flags
- !Bleeding that does not stop after ten minutes of firm, continuous pressure
- !Fever above 38 °C, or chills
- !Pain that is increasing after day three rather than decreasing
- !Spreading redness, heat or a red streak moving away from the site
- !Pus, or a foul smell from a wound
- !Sudden swelling that is one-sided, hard or rapidly enlarging
+91 70362 77799 · If something worries you at 2 a.m., call. A phone call costs nothing. A complication caught three days late costs a great deal.
Your review datesThese are booked before your procedure, not after it.
When you can resumeIf your own sheet says something different, your sheet wins.
This guide describes the standard protocol. Your own sheet, signed on the day, takes precedence over anything written here. If the two disagree, follow the sheet and call the clinic.
Vitiligo Surgery
Melanocyte transfer, offered only on disease documented stable
The success of this operation is decided in the first week, by whether the graft stays exactly where it was put. There is no clever aftercare here, there is only immobilisation. Patients who keep the dressing undisturbed and the area still for the full period get repigmentation. Patients who peek do not.
- Anaesthetic
- Local
- Time in theatre
- Sixty to one hundred and twenty minutes by area
- Stability requirement
- Twelve months with no new or expanding patches. This is not negotiable
- Donor site
- Usually the thigh or buttock. It heals as a superficial graze
- Immobilisation
- Five to seven days, and this is the whole procedure
- Pigment appears
- Four to eight weeks. Full colour match, six to twelve months
01Day 0 – 7
Immobilisation. The whole treatment
Transferred melanocytes are adhering to the prepared recipient bed. They have no mechanical attachment yet. Shear force displaces them and they do not go back.
What you do- ✓Leave the dressing completely untouched for the full period specified. Five to seven days, usually seven.
- ✓Immobilise the area. On a joint this means a splint and it means genuinely not using it.
- ✓Sleep in the position you were shown, which may be inconvenient. Do it anyway.
- ✓Keep the donor site dressing dry and in place.
What you avoid- ✕Lifting the dressing to look. This is the single commonest reason this operation fails.
- ✕Any shear, rubbing, bending or stretching across the site.
- ✕Getting the dressing wet.
- ✕Sweating heavily.
What to expect- •Discomfort at the donor site exceeding the recipient site.
- •Absolutely nothing visible, because you are not going to look.
02Day 7 – 14
First dressing, and a colourless graft
The dressing comes off in clinic. The graft is taken, but the transferred melanocytes have not yet begun producing pigment.
What you do- ✓Attend for the first dressing change in clinic, not at home.
- ✓Begin gentle moisturising as instructed.
- ✓Protect the area from friction: soft clothing, no waistbands or straps across it.
What you avoid- ✕Expecting colour. There will be none, and its absence at this stage means nothing.
- ✕Sun on the site.
- ✕Scrubbing, exfoliating or any active on the area.
What to expect- •A pink, slightly shiny, colourless area.
- •The donor site healing as a superficial graze, with pinkness lasting several weeks.
03Week 4 – 8
First pigment
Transferred melanocytes begin producing pigment. Colour usually appears first as fine dots or at the edges, then spreads and coalesces.
What you do- ✓Begin the prescribed phototherapy or topical protocol on the schedule given. This is what drives and evens the pigmentation.
- ✓Photograph monthly in the clinic's standard lighting.
- ✓Daily sun protection on the treated area.
What you avoid- ✕Unprotected sun, which darkens the surrounding normal skin and makes the match look worse than it is.
- ✕Stopping the adjuvant protocol as soon as colour appears.
What to expect- •Speckled, uneven early pigmentation. This is the normal pattern and it evens out.
04Month 3 – 6
Coalescence and colour match
Pigment islands merge. Colour deepens towards the surrounding skin. The match improves gradually.
What you do- ✓Continue phototherapy or topicals for the full prescribed course.
- ✓Attend the month-three and month-six reviews.
- ✓Continue photographic documentation.
What you avoid- ✕Judging the colour match before month six.
- ✕Any new trauma to the area. Koebner phenomenon is real and it applies to you.
What to expect- •Continued improvement in both coverage and colour match.
05Month 6 – 12
Final result, and stability watch
Colour reaches its final match. The underlying disease is watched, because surgery treats a patch, not the condition.
What you do- ✓Attend the month-twelve review with the full photograph series.
- ✓Report any new patch anywhere on the body immediately.
- ✓Continue whatever medical management was agreed for stability.
What you avoid- ✕Assuming surgery has cured the vitiligo. It has repigmented an area. The disease is still yours to manage.
What to expect- •A good, though rarely perfect, colour match.
- •Ongoing surveillance, because activity elsewhere changes the plan.
Call the clinic. Do not wait for the next appointment
- !The dressing coming loose in the first week. Call, do not fix it yourself
- !Any new or expanding depigmented patch anywhere on the body
- !Donor site that is spreading, weeping or increasingly painful
- !Any of the common red flags
- !Bleeding that does not stop after ten minutes of firm, continuous pressure
- !Fever above 38 °C, or chills
- !Pain that is increasing after day three rather than decreasing
- !Spreading redness, heat or a red streak moving away from the site
- !Pus, or a foul smell from a wound
- !Sudden swelling that is one-sided, hard or rapidly enlarging
+91 70362 77799 · If something worries you at 2 a.m., call. A phone call costs nothing. A complication caught three days late costs a great deal.
Your review datesThese are booked before your procedure, not after it.
When you can resumeIf your own sheet says something different, your sheet wins.
This guide describes the standard protocol. Your own sheet, signed on the day, takes precedence over anything written here. If the two disagree, follow the sheet and call the clinic.
Nail Unit Surgery
Ingrown nail, nail biopsy and matrix procedures
Two things determine how this goes: whether you actually elevate the limb for the first forty-eight hours, and whether you wear sensible shoes for two weeks. Neither is complicated. Both are routinely ignored, and the patients who ignore them are the ones who throb for a week.
- Anaesthetic
- Digital ring block
- Time in theatre
- Twenty to forty-five minutes
- Histopathology
- Always, for any nail biopsy or pigmented nail band
- Off feet
- Twenty-four to forty-eight hours of genuine elevation
- Nail regrowth
- Fingernail six months, toenail twelve to eighteen months
- Footwear
- Open or wide shoes for two weeks
01Hours 0 – 48
Elevate. Genuinely elevate
The digit is anaesthetised by a ring block that will wear off over several hours. Blood is pooling in a dependent limb every minute it hangs down.
What you do- ✓Elevate the limb above the level of the heart. For a toe that means lying down with the foot on pillows, not sitting with it on a stool.
- ✓Start analgesia before the ring block wears off. The wear-off is the most uncomfortable moment of the whole procedure.
- ✓Keep the dressing bulky, dry and untouched.
- ✓If it throbs, elevate higher. Throbbing is almost always position, not infection.
What you avoid- ✕Walking around, standing, driving.
- ✕Removing or loosening the dressing.
- ✕Getting it wet.
- ✕Tight or enclosed shoes of any kind.
What to expect- •Throbbing when the limb is down, relief when it is up. That is the diagnostic test.
- •Bloodstaining of the dressing.
02Day 2 – 7
Soaks and dressing changes
The nail fold is healing. Phenolised matrix, if performed, produces a sterile inflammatory discharge for two to six weeks, which patients reliably mistake for infection.
What you do- ✓Begin salt-water soaks as instructed, usually daily for ten minutes, then dry thoroughly.
- ✓Redress daily with a simple non-adherent dressing.
- ✓Wear open-toed or wide, soft footwear.
- ✓Keep elevating whenever you sit.
What you avoid- ✕Enclosed or narrow shoes.
- ✕Long periods standing.
- ✕Sport, running and swimming.
What to expect- •Clear or straw-coloured discharge, particularly after a phenol matricectomy. This is expected and can continue for weeks.
- •Progressive reduction in pain from day three onwards.
03Week 2 – 6
Closing and drying
The nail fold epithelialises. Discharge reduces and stops. The nail plate begins its slow forward growth.
What you do- ✓Continue soaks until the discharge stops, then keep it simply clean and dry.
- ✓Return to normal footwear once comfortable, usually week two to three.
- ✓Cut nails straight across, never curved down at the corners. This is what caused it the first time.
What you avoid- ✕Digging at the nail corners.
- ✕Pedicures and nail salons until fully healed.
- ✕Football, running and anything that repeatedly strikes the toe, for four weeks.
What to expect- •A narrower nail after matrix ablation. That is the intended result, not a complication.
- •Discharge stopping between week two and week six.
04Month 2 – 6
Regrowth
The nail plate advances. A fingernail replaces itself in about six months; a great toenail takes twelve to eighteen.
What you do- ✓Attend the review at the interval given.
- ✓Ask for the histopathology report if a biopsy was taken. Pigmented nail bands are always reported and always discussed.
- ✓Keep cutting straight across.
What you avoid- ✕Expecting the nail to look normal quickly.
- ✕Ignoring a recurrence of the ingrown edge. Caught early it is a small procedure.
What to expect- •A ridge or groove in the regrowing nail that grows out.
- •A permanently narrower nail if a matrix procedure was done.
05Month 6 – 18
Final nail
The nail reaches its final shape and thickness.
What you do- ✓Final review, particularly after biopsy for a pigmented band.
- ✓Continue straight-across cutting permanently.
What you avoid- ✕Returning to the nail-cutting habit that caused the original problem.
What to expect- •A stable, comfortable nail. Narrower if the matrix was treated, which is what stops it recurring.
Call the clinic. Do not wait for the next appointment
- !Spreading redness up the toe or foot
- !Fever
- !Pain that increases after day three despite elevation
- !Thick, foul, green or yellow discharge, as opposed to clear or straw-coloured
- !Any of the common red flags
- !Bleeding that does not stop after ten minutes of firm, continuous pressure
- !Fever above 38 °C, or chills
- !Pain that is increasing after day three rather than decreasing
- !Spreading redness, heat or a red streak moving away from the site
- !Pus, or a foul smell from a wound
- !Sudden swelling that is one-sided, hard or rapidly enlarging
+91 70362 77799 · If something worries you at 2 a.m., call. A phone call costs nothing. A complication caught three days late costs a great deal.
Your review datesThese are booked before your procedure, not after it.
When you can resumeIf your own sheet says something different, your sheet wins.
This guide describes the standard protocol. Your own sheet, signed on the day, takes precedence over anything written here. If the two disagree, follow the sheet and call the clinic.
Earlobe Repair
Split, stretched and torn lobes, closed to take a piercing again
A small operation with two ways to go wrong: a notch at the lower edge of the lobe, and a keloid. The first is a surgical matter and was addressed in theatre. The second is largely an aftercare matter, and it is why re-piercing is delayed and why the scar is watched for longer than the wound needs.
- Anaesthetic
- Local infiltration
- Time in theatre
- Thirty to forty-five minutes for both sides
- Sutures
- Fine, front and back. Removed at day seven
- Off work
- None, for most people
- Re-piercing
- Six to eight weeks, and not through the scar
- Keloid risk
- Assessed before surgery. If you keloid, the plan changes
01Hours 0 – 24
Straight after
The lobe is closed in layers with fine sutures on both surfaces. There is minimal tissue and minimal bleeding.
What you do- ✓Keep the small dressing dry, if one was applied.
- ✓Sleep on your back, or on the opposite side.
- ✓Paracetamol if needed, which most patients do not require.
What you avoid- ✕Sleeping on the operated ear.
- ✕Headphones, phone against the ear, and spectacle arms rubbing the lobe.
- ✕Any earring, on either side.
What to expect- •Very little pain.
- •Mild swelling and a firm, tender lobe.
02Day 2 – 7
Until the sutures come out
The wound is sealing. Sutures on both surfaces are holding a three-dimensional repair.
What you do- ✓Clean gently as instructed and apply a thin film of ointment twice a day.
- ✓Shower normally from forty-eight hours, keeping the lobe out of the direct stream.
- ✓Attend for suture removal at day seven.
What you avoid- ✕Pulling on the lobe for any reason, including drying it with a towel. Pat only.
- ✕Hair tied back so tightly it drags on the ear.
- ✕Swimming.
What to expect- •A fine line front and back with visible suture material.
- •Itching from around day four.
03Week 2 – 6
Scar management and the keloid watch
The scar remodels. This is when a keloid, if you form them, would begin to declare itself.
What you do- ✓Silicone gel twice daily from full closure.
- ✓Gentle massage of the lobe from week two, thirty seconds twice a day.
- ✓SPF on the ear. It is more exposed than any other part of you.
- ✓Report any thickening, itching or firmness early. Treated at week three this is straightforward.
What you avoid- ✕Any earring at all. Six weeks minimum, and eight is better.
- ✕Heavy spectacles resting on the lobe.
What to expect- •A pink line settling to pale over two to three months.
- •The lobe feeling firm for several weeks.
04Week 6 – 8
Re-piercing
The repair is strong enough to take a new piercing, provided it is placed correctly.
What you do- ✓Have it re-pierced in clinic, not at a counter in a shop.
- ✓Have it placed away from the scar line, usually a few millimetres to the side.
- ✓Wear light studs only for the first six months. Nothing heavy, nothing hooped, nothing that hangs.
What you avoid- ✕Piercing through the scar itself. It is the weakest tissue in the lobe and it will split again.
- ✕Heavy or dangling earrings. This is what caused the original tear.
What to expect- •A normal piercing course from there.
05Month 3 – 12
Maturation
The scar pales and flattens. Contour settles.
What you do- ✓Attend the month-three review.
- ✓Continue light earrings for six months.
- ✓Continue silicone if any thickening was seen.
What you avoid- ✕Returning to heavy earrings and expecting a different outcome this time.
What to expect- •A barely visible line, a normal lobe contour, and a lobe that takes a stud.
Call the clinic. Do not wait for the next appointment
- !Thickening, itching or a rising firm lump at the scar
- !Splitting of the repair
- !Any of the common red flags
- !Bleeding that does not stop after ten minutes of firm, continuous pressure
- !Fever above 38 °C, or chills
- !Pain that is increasing after day three rather than decreasing
- !Spreading redness, heat or a red streak moving away from the site
- !Pus, or a foul smell from a wound
- !Sudden swelling that is one-sided, hard or rapidly enlarging
+91 70362 77799 · If something worries you at 2 a.m., call. A phone call costs nothing. A complication caught three days late costs a great deal.
Your review datesThese are booked before your procedure, not after it.
When you can resumeIf your own sheet says something different, your sheet wins.
This guide describes the standard protocol. Your own sheet, signed on the day, takes precedence over anything written here. If the two disagree, follow the sheet and call the clinic.
