What to expect after a Hair Transplant

Making the decision to get a Hair Transplant was a huge step. Now its done and now comes the waiting game for your new hair to grow in. As with any surgical procedure come post operative instructions. Here at the Paragon Plastic Surgery and Med Spa, Dr. Mark A. Bishara has made sure to have a list with step by step instructions to follow after your Hair Transplant surgery.

All done….

After your Hair transplantation you will be tired as you will be sitting all day and still have sedative in the your body (at least most patients). At the Paragon Plastic Surgery and Med Spa we make sure we answer all questions about your Hair Transplantation surgery, as well as Dr. Mark A. Bishara. Patients are also advised to feel free to contact us here at the Paragon Plastic Surgery and Med Spa with any questions after leaving the office.

What to do and what not to do..

1. DO NOT lean over to tie your shoes or pick-up objects for the first 48 hours, as this may provoke bleeding.
2. DO NOT drink any alcoholic beverages for 2 days following the transplant procedure, to avoid excessive bleeding. Also avoid the use of marijuana or other chemical substances not prescribed, for one week following surgery.
3. If bleeding occurs in the donor area, apply firm, steady pressure for 20-30 minutes.Repeat if necessary. If bleeding persists, locate the exact bleeding point and apply pressure directly to the area with an ice pack. If bleeding continues, contact us or your family physician. If you are out of town, go to the nearest emergency department. If he/she has any questions, they should call Dr. Bishara at 877-70- NEW LOOK any time day or night.
4. Take your medication for pain at the first signs of discomfort. DO NOT WAIT UNTIL YOU HAVE PAIN. Take one tablet approximately 20 minutes before retiring for the evening. Take this medication with food.
5. Sleep with your head elevated on two or three pillows for 2 days. We have provided you with disposable pillowcases for use on your top pillow.
6. Crusts (scabs) will form over the transplant sites and solidify the first few days.These crusts will naturally fall off within 1week. DO NOT pick at these crusts at anytime.
7. You may develop some post-operative edema (swelling) of the forehead and eyes for up to 2-3 days post-op. Ice packs can be applied to the forehead area. Do not apply ice to the grafts. This is not serious and resolves itself spontaneously. We have applied tape across your forehead to reduce swelling. If in the unlikely event you have fever, redness or pain call the doctor immediately.

Beard hair or facial hair is often time desired in people who lack the ability to grow facial hair.  This can be a for a several reasons.  Religious reasons, social status and self esteem all contribute to why men seek out a fuller-thicker beard!

Beard Shapes and Sizes

Beard Anatomy

7 Regions: Cheek Beard, Mustache, Forebeard, Side Beard, Jaw Beard, Under Beard and Neck Hair

Usually, when I am transplanting the beard, I will use advanced harvest techniques at 3000 RPM with a 19G punch using the FUE ARTAS robot and taking hair from back of the head.  If I am taking hair from under the angle of the mandible I like to use a 1.0MM or 0.9MM sharp punch.
Most patients will need around 32 weeks for the beard to become fully developed from the transplant procedure. It usually takes 2 beard transplants to get a desired result however we occasionally will perform up to 4 transplants to achieve the amount of thickening that patients will want.
Average Cost ranges from about $5000.  Average number of Hairs needed to transplant varies dramatically but it is very common to go over 4,000 total hairs over 2,200 to 2,500 grafts.
For a consultation appointment at one of our offices or for a Skype Online consultation please email
Dr Mark A Bishara MD and Paragon Plastic Surgery and MedSpa and the Paragon Hair Clinics, LLC offer Beard and Facial Hair Transplants to patients both in North Texas from Dallas, Mansfield, Southlake, , Fort Worth, Austin, Houston, San Antonio, Los Angeles, Las Vegas, Miami, New York, Brooklyn, Manhattan, Staten Island, Chicago, Oklahoma City, Little Rock, New Orleans, Tyler, Arlington, Washington D.C., Plano and Boston.

How many hairs come out of a graft area?

The number of hair ranges from one hair to four hair for each graft. We have an advantage by using a robot to select only two hair grafts if we need to provide more density. On the other hand single hair grafts are very important for the front of the hairline to get a feathered natural look.  We also have the ability to program the robot to only take single hair follicular units.

What % of hairs actually take?

90% of transplanted grafts or better will survive in the recipient site. Much of this is determined by the use of PRP, the use of high potassium based  holding solutions, and decreasing the time to transplantation. Limiting our hair transplant sizes the 800 g per session Minimizes the time of out of body and oxidative stress on the follicle.

What is the long term aftercare?

After transplant you may begin to use minoxidil at one week or once the scabs fall out. In the immediate postoperative period, there is a shampoo, conditioner, spray, and copper impregnated guaze pads. These are very important for healing and specifically Helps decrease the downtime from the procedure. I highly recommend the graft site kit and it is available at our office. After the hair transplant several months later you will begin to see your new hair growing. PRP injections would be advisable in your case at 4 weeks and 8 weeks. We would look at your overall hair Results of 10 months and recommend additional transplants in that area if it looks beneficial. You can of course transplant another area after two months allowing the donor site to heal appropriately.  There is no long-term of you care needed the transplanted hair. It is your hair and you don’t need to do anything to it to the transplants.

Will I need prp with the transplant?

This is answered above, PRP treatments will provide you with more hair mass. The recommendation is to do this might not only help your transplanted here but more importantly to prevent your natural hair from falling out.   As discussed in our consult, there has been no large multi institutional randomized double-blind placebo-controlled trials that have been peer-reviewed to support a statistical significance of hair mass to date.  Existing here should go from the flimsy hair to thicker more robust hair and will give Is the appearance of more hair in some individuals.

Should I stop rogaine so you can really see the troubled area in its entirety before transplant?

No, you should not stop rogaine use.
Will I lose the transplanted hair over time since I am diagnosed with hereditary hair loss?

Most likely yes but by using hair laser you will slow your hair loss down.

Is it harder to transplant African American hair?  Does it take to the new site as well?  Does it take longer?  Have you performed any transplants on African Americans?

It is not technically harder to transplant African American hair.  The success of hair restoration at the receipt site is acceptable. It does take a little bit longer and yes we have conducted African American hair transplants. AA have acceptable results usually require multiple procedures.
What should I expect during procedure, and what should I expect at home after procedure?

You can expect to come to our office early in the morning take before pictures, have blood drawn, sign consent forms, and be placed in the chair where the nerve block will be performed. You’ll be given antibiotics and a sedative by mouth, next PRP will be injected into the recipient bed followed by recipient site creation. You will then be placed into the robot where we will dissect out a number of grafts that correspond to the number of recipients sites that we created. Then we will place you back into the chair to implant you.

You will rest for two days without increasing your blood pressure and we will follow up with you 2 weeks later on the phone call. Most of the scabs and existing hair connected to the follicle with fall out by seven days. You’ll have some existing scabs. Social downtime is about a week.

We look forward to helping you through your hair restoration journey!

Please give us a call 817-473-2120 or email us at

Please also visit our website to learn more about ARTAS Robotic Hair Transplants System at or call our office at (817) 473-2120

Please also visit our website to learn more about ARTAS Robotic Hair Transplants System at or call our office at (817) 473-2120