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- Instructions for preparing for transplantation EN
A reminder before the operation
It is necessary to EXCLUDE:
- On the day before the operation and on the day of the operation, drink caffeinated beverages (coffee, energy drinks, etc.)
- 2-3 days before the transplant, do intensive training
- 3 days before the procedure, use of medicinal shampoos
- 3 days before the procedure, eating spicy, fatty, fried and smoked food
- 3 days before the procedure, taking blood-thinning drugs (NSAIDs, non-narcotic analgesics, anticoagulants and antiplatelet agents). You can resume taking medications 2 days after the hair transplant
- 3 days before the procedure, take vitamins and various dietary supplements (especially B vitamins, vitamin E, vitamin C, and omega-3-6 fatty acids)
- 14 days before the procedure, avoid drinking alcohol
- 14 days before the procedure, avoid smoking, including hookah
- 14 days before the procedure, avoid massaging your scalp
- 14 days before the transplant, cut your hair (come to us with the hairstyle you usually wear or with long hair)
- 1 month before the procedure, stop taking drugs and antidepressants
- 1 month before the procedure, stop using topical growth stimulants (including minoxidil) and other hair lotions
- 1 month before the procedure, stop using 5a-reductase blockers (Dutasteride, Finasteride) and testosterone supplements
! When transplanting hair on the face (mustache, beard), it is necessary to have 3-day stubble
!! When transplanting hair on the beard and eyebrows, it is recommended to make an approximate layout with a specialist, taking into account the proportions of the face
* If you are from another city, we strongly recommend that you arrive 1 day in advance and get a good night's sleep. After the hair transplant, it is advisable to rest, spend the night in a hotel, regain your strength, and come for a check-up in the morning. You can safely return home on the second or third day after the transplant.
Memo on the day of the operation
- Be sure to get enough sleep and be rested the day before
- IT is STRICTLY FORBIDDEN to drink alcoholic beverages and smoke 2 days before surgery and on the day of surgery (anesthesia will not work properly, blood pressure spikes, rapid pulse are possible - in this case, postponement of surgery is possible)
- At the time of surgery, the patient should be healthy, without signs of acute respiratory viral infections.
- In the morning it is NECESSARY to have breakfast (light breakfast)
- You can NOT drink coffee and green tea in the morning (such patients have high blood pressure, there is a possibility of postponement of surgery)
- Since driving is not recommended after a transplant, you should NOT arrive at the clinic in your own vehicle
- The night before the operation or on the morning of the operation, you should take a shower at home and wash your hair with your usual shampoo
- You should not apply hairspray, gel, or other hair products
Analyzes
• IT IS NECESSARY TO TAKE THE TESTS ON AN EMPTY STOMACH!
• The test results must be written: Patient's name, doctor's signature and seal (VALIDITY OF TESTS UP TO 1 MONTH)
• If you are taking the tests under the compulsory medical insurance, then provide the policy data (not all tests under the compulsory medical insurance are signed)
• RESULTS MUST BE SENT NO LATER THAN 5 DAYS BEFORE THE OPERATION
Send your tests to the doctor directly via WhatsApp: +7 926 998-56-65
If there are panic attacks in the medical history, then it is mandatory to get a conclusion from a neurologist, that there are no contraindications to hair transplantation
List of analyses:
• Syphilis (test for syphilis antibodies (IgG and IgM)(quality)| no more than 1 month | EXPRESS TEST IS NOT APPROVED)
• A general blood test, preferably with a leukocyte formula (no more than 14 days)
• Blood glucose and glycated hemoglobin (no more than 14 days)
A glycated hemoglobin test is given if the glucose test is elevated, to exclude concomitant diseases in which hair transplantation is a contraindication) if desired, you can take both tests at once
• Coagulogram (prothrombin, aclt, fibrinogen, thrombin time I no more than 7 days)
• Hepatitis B (HBsAg | no more than 1 month)
• Hepatitis C (anti-hcv sums | no more than 1 month)
• HIV (AT K HIV 1/2 I AG P24 | no more than 1 month)
• ALLERGIC TESTS FOR ANESTHETICS (IgE, IFA: lidocaine - allergen c82; articaine/ultracaine - allergen c68)
It is necessary to take blood for anesthetics in a laboratory (for example: HELIX, LAB QUEST, CITILAB, CMD). These tests take 3-7 days to complete, so this test should be taken first.
• DERMATOLOGIST'S REPORT (the scalp is clean, and there are no contraindications for hair transplantation)
Inform the dermatologist at your appointment that you are planning to undergo hair transplantation and that it is important for the scalp to be clean. The doctor should confirm that there are no contraindications for hair transplantation. If there are any active skin conditions (such as acne, inflammatory spots, scabs, or flaking), the surgery may be postponed until the affected areas are treated.
• Ekg with a cardiologist's conclusion (for people over 40 years old)
Patients over 40 years old should definitely do an ECG and consult a cardiologist or a general practitioner to interpret the results. The doctor needs to say that during the operation we use 2 ampoules of adrenaline and approximately 10 ampoules of lidocaine. It is necessary that the doctor prescribe that
there are no contraindications to hair transplantation/there are no contraindications to surgical interventions. If there are heart diseases, then a visit to a cardiologist
MUST. If you are not 40 years old, but have ever had heart problems
or if there are cardiological diseases (for example: arterial hypertension, heart defects, arrhythmias, etc.), then ECG is also MUST with the conclusion of a cardiologist
Medical preparations
• Do not use shampoos containing minoxidil for 5-7 days before the procedure.
• Stop taking blood-thinning medications 5 days before the transplant.
• Avoid alcohol, drugs, and smoking a hookah 7 days before the procedure.
Have a good meal before the procedure at the appointed time.
Clothes
Bring a button-down or zip-up shirt that won't come into contact with the transplanted hair. Also, prepare a change of clothes, such as pants or shorts, for added comfort. Just in case, don't forget to bring an umbrella.
Hairstyle
• 5-7 days before the procedure, refrain from using shampoos containing minoxidil
• Also, do not use hairspray, gel and other hair products
If you are planning a hair transplant on the face, make sure to have a 3-day stubble.
Recommendations after the hair transplant procedure
A must-read!
What is prohibited in the coming days?
3 days
Do not lean forward, lift heavy objects, or make active head movements. Avoid drinking coffee.
6 days
You should not sleep in a normal position. For the first 6 days of sleep, you should use a special pillow-headrest that was provided to you at the clinic. This pillow not only prevents the transplanted area from coming into contact with the pillow, but also maintains a specific head position to prevent swelling and injury to the transplanted hair area during sleep. On the first night, you should wrap the pillow-headrest with a disposable diaper, and then, after removing the bandage from the donor area, you should place a clean towel (or a new disposable diaper) under your head every day. It is recommended to sleep on your back, with the head of the bed raised, or using several pillows (raising your head at least 45 degrees).
10 days
It is important to avoid touching or rubbing the area where the hair has been transplanted to prevent damage or dislodging of the grafts. Additionally, it is advisable to be cautious about engaging in sexual activities. Sexual intercourse can lead to increased sweating, which may cause the grafts to shift. Therefore, it is recommended to be cautious and avoid intense physical activity during this period.
14 days
It is not recommended to wear a hat or put clothes over your head. It is also not recommended to drink alcohol or smoke. Drinking alcohol and smoking can negatively affect the healing process and increase the risk of complications. Nicotine can constrict blood vessels and slow down the healing process. It is also recommended to avoid scratching the hair transplant area. Scratching the scalp with your nails can damage the scabs and slow down the healing process. Instead, you can gently rub the area or massage it during and after washing. This will help reduce itching and prevent damage to the transplanted hair.
1 month
It is necessary to limit intense physical activity and avoid visiting saunas, baths, and other high-temperature environments.
3 months
Avoid tanning beds and prolonged exposure to the sun for 3 months. Direct sunlight can damage the scalp and negatively affect healing.
What should you do at home in the days following the transplant?
24 hours after the transplant, you should start washing the transplanted hair area for the first time. This should be done twice a day until the scabs are completely removed (approximately 10-14 days).
If you still have scabs 14 days after the hair transplant, please contact us for further instructions. Once the scabs are removed, you can continue using your regular shampoo without any additives (such as sulfates, menthol, or peppermint).
How to perform:
1) Apply Panthenol foam to the area of the transplanted hair for 30 minutes. It is necessary to wash off the foam by leaning forward a little at an angle of 45 degrees with the help of phys. solution (NaCl). Phys. the solution must first be poured into a spray bottle, setting the "spraying" mode:
2) Then apply baby shampoo foam to the area of the transplanted hair with a layer of about 3 cm and gently pat the surface of the foam with your fingertips for 3 minutes without touching the transplanted grafts. After that, wash off the physical.with a solution, as indicated above in paragraph 1.
The area remains wet, it will dry on its own. No need to use paper towels, hair dryer. If you are concerned about itching, dryness or tightening in the area of the transplanted hair, it is recommended to irrigate the area with phys.using a spray bottle solution.
In the coming days after the hair transplant (3-4 days), puffiness will appear near the area of the transplanted hair. Do not worry, the process is temporary and is not a complication (thanks to medications, all manifestations will disappear in a matter of days).
On the 3rd day in the evening / on the 4th day in the morning
It is necessary to remove the bandage on your own on the 3rd day in the evening or on the 4th day in the morning (later removal if you are planning to travel by train/plane). First, remove the fabric patch, then remove the gauze pads by soaking them in chlorhexidine. You can touch the area, but use clean hands. After removing the bandage, you will need the following items (available at the clinic):
• 0.05% chlorhexidine solution
• Ointment/cream d-panthenol (dexpanthenol
• Sterile gauze napkins
Before starting the manipulation, it is required to wash your hands. Next, soak the napkin with chlorhexidine, treat the entire wound surface, let it dry for 5 minutes, apply d-panthenol in a thin layer, do not wash.
Actions repeat 2-3 times a day, 10-14 days.
On the 4th day
Until this day, washing was limited only to the area of the transplanted grafts, now it is necessary to add to the daily manipulations washing the head completely (that is, including the donor area) and they can be combined into one procedure. It is required to first perform the application of panthenol to the graft area, wash off after 20-30 min, then apply a baby shampoo-foam to the entire head (including the recipient and donor), after 1-2 min rinse thoroughly. After washing the head, pat all areas except the recipient area with a clean towel (or disposable paper towel). Treat the dry donor area with chlorhexidine, then apply d-panthenol. Do not rinse.
It is recommended to wash the donor area daily, twice a day, until the 10th day. This can be done in conjunction with washing the transplanted hair or separately.
On days 5-7
Removal of restrictions on the use of a special pillow for sleeping (you can sleep on your own pillow, on your side and back).
From the 8th-9th day
It is necessary to start taking dietary supplements (vitamins) according to the instructions on the package. Biotin is allowed to be taken up to 6 months, the recommended dosage is 5000 mcg / day.
10-14 day
Treatment of the donor area with chlorhexidine and application of Levomethil is no longer required. In addition to washing the transplanted hair, it is necessary to perform a light massage of the scalp with the tips of your fingers or with your palm in the direction of hair growth (there should be no circular movements). The massage should be performed during each washing of the transplanted hair area (twice a day) until the scabs completely fall off on their own. During this period, you will notice that you are losing the transplanted hair along with the scabs, and the process of shock hair loss is gradually beginning.
During this period, you will see your initial results!
Washing the transplanted hair area with panthenol should be stopped when the scabs have completely fallen off, and you can switch to regular shampooing with your own shampoo, either from day 15 (depending on the presence or absence of scabs).
From day 15
It is necessary to switch to your shampoo. We recommend choosing shampoos without sulfates, with ph 5.5, without menthol, peppermint and by type of scalp. For example, hair vital, synergetic and others. If there is a tendency to dandruff, preference should be given to specialized shampoos.
It is also allowed to wear hats. The exception is the wearing of helmets and hard hats (allowed 1 month after the transplant).
After 1 month
After hair transplantation, a light massage during washing the head is replaced by the usual movements of you with pressing with fingertips, chaotic in all directions, stroking should not be. During this period, the process of shock shedding is the most active. This is a physiological process of renewal and stress hair loss, which is called "shock (reactive) shedding". It does not affect the transplanted follicles (in other words, there is a breakage of the hair along the length). Also, this process may not affect all the hair in the planting area and may even be present in the donor area. New hair from the transplanted follicles begins to grow after a "rest period" of at least 2-5 months after the transplant.
When do the hair on the top of your head grow back?
When hair is transplanted on the top of the head, the transplanted hair grows later than usual. This is due to the weaker blood supply (circulation) and denser tissue.
Hair growth in this area can be expected to begin around 4-8 months and to reach its full potential around 14-18 months.
How fast do transplanted hair grow?
3 months — 10%
4 months — 15–20%
5 months — 35%
6 months — 50%
7 months — 60%
8 months — 75%
9 months — 80%
10 months — 90%
11 months — 95%
12 months — 98%
14 months — 100%
Redness of the scalp, and then a slight pink tint in the donor and recipient areas, will gradually disappear, and will normally last up to 2-4 months.
It is allowed to use regenerative drugs (Tsikaplast B5, Bepanten cream, La-cri cream, aloe gel, and similar).
There will be a slight numbness in the area of the transplanted hair when touching the skin, which is completely normal and will last up to 6-8 months before it resolves on its own.
When and how can you cut your hair?
It is allowed to cut only with scissors in the near future:
• The donor area (the back of the head) within 1 month after the transplant
• The area of the transplanted hair for 6 months
After this period, you can cut in any way
What could be bothering you?
Edema
Swelling occurs in most patients, and the most severe swelling occurs on the 3rd or 4th day and can spread to the forehead and temples. During severe swelling, it is important to drink plenty of fluids, sleep on a proper pillow, and take recommended medications.
Soreness
It is caused by tissue healing as a result of trauma. We recommend taking painkillers (such as Nimesil or Ketorol) according to the instructions, at least on the evening of the second day. It is also recommended to add healing agents (see below).
Dry scalp and discomfort
The products we recommend will help relieve tightness, moisturize the skin, accelerate healing, and maintain skin immunity.
For the area of transplanted hair:
• Neotanin spray, Time to grow, or Healthy styling — apply 3-4 times a day (allowed from day 1)
• From day 15, you can use Cicaplast B5, Bepanten cream, D-panthenol, or panthenol 3-4 times a day
For the donor area (after removing the bandage):
• Cicaplast B5, Bepanten cream, D-panthenol, panthenol, Traumeel, aloe gel, ozonized oils 3-4 times
Itchy scalp
In case of unbearable itching, you can take antihistamines (suprastin). Itching is also caused by tightness and dryness of the scalp (add the regenerative drugs mentioned above).
Dandruff
During the first 1-3 months after the operation, you may experience flaking or dandruff. If the flaking is very intense, you can use anti-dandruff/seborrheic products (such as the Med Plant line, Sulsena Forte paste, and shampoo), as well as ketoconazole-based shampoos (such as Nizoral and Sebozol), following the instructions provided.
Folliculitis
Pimples appear as a result of active hair growth, and can be found both on the donor (first 2 months) and recipient (3-5 months) areas. It is necessary to treat the elements with Betadine ointment, applying it directly to the affected areas up to 3 times a day, and to wash your hair daily. It is also recommended to use chlorhexidine, also up to 3 times a day.
If you notice a large number of pimples and experience itching, it is important to consult a healthcare professional.
Greasiness of the scalp
After the transplant, the skin adapts, sebum production increases, and you need to wash your hair more often.
From day 15, if your hair becomes greasy, we recommend using any shampoo for oily hair, such as Hair Vital for oily hair (daily), Ducray Argeal (daily), Vichy Dercos Shampoo-Peeling (3 times a week), Time to Grow Deep Cleansing Pre-Shampoo Mask (2-3 times a week), and others.
Instructions for taking medications
Read the instructions and follow them!
1 day
Evening (after surgery)
Before meals (30 minutes):
• Omeprazole 1 capsule
After meals:
• Ciprofloxacin 1 tablet
• ThromboASS 1 tablet
• Ketorolac 1 tablet at night (if there is pain)
2 day
Morning (before 11.00)
Before meals (30 minutes):
• Omeprazole 1 capsule
After meals:
• Dexamethasone 1 tablet
• ThromboASS 1 tablet
Evening (after surgery)
Before meals (30 minutes):
• Omeprazole 1 capsule
After meals:
• Ciprofloxacin 1 tablet
3 day
Morning (before 11.00)
Before meals (30 minutes):
• Omeprazole 1 capsule
After meals:
• Dexamethasone 1 tablet
• ThromboASS 1 tablet
Evening (after surgery)
Before meals (30 minutes):
• Omeprazole 1 capsule
After meals:
• Ciprofloxacin 1 tablet
4 day
Morning (before 11.00)
Before meals (30 minutes):
• Omeprazole 1 capsule
After meals:
• Dexamethasone 1 tablet
• ThromboASS 1 tablet
Evening (after surgery)
Before meals (30 minutes):
• Omeprazole 1 capsule
After meals:
• Ciprofloxacin 1 tablet
5 day
Morning (before 11.00)
Before meals (30 minutes):
• Omeprazole 1 capsule
After meals:
• Dexamethasone 1/2 tablet (!)
• ThromboASS 1 tablet
Evening (after surgery)
Before meals (30 minutes):
• Omeprazole 1 capsule
After meals:
• Ciprofloxacin 1 tablet
6 day
Morning (before 11.00)
Before meals (30 minutes):
• Omeprazole 1 capsule
After meals:
• Dexamethasone 1/2 tablet (!)
• ThromboASS 1 tablet
Evening (after surgery)
Before meals (30 minutes):
• Omeprazole 1 capsule
After meals:
• Ciprofloxacin 1 tablet
7 day
Morning (before 11.00)
Before meals (30 minutes):
• Omeprazole 1 capsule
After meals:
• ThromboASS 1 tablet
Evening (after surgery)
Before meals (30 minutes):
• Omeprazole 1 capsule
After meals:
• Ciprofloxacin 1 tablet
What is necessary to stimulate hair growth?
All of our recommended hair growth stimulation methods used in combination have the following effects:
• Improved prognosis for hair transplantation
• Increased blood supply to the hair follicles (improved nutrition and, consequently, increased graft survival rate)
• Prolonged anagen phase (hair growth phase)
• Stopped hair loss
• Improved hair structure quality
• Normalized sebum production
• Restored normal skin microbiota
• Activated proliferative processes
We recommend:
• PRP-therapy (plasmapheresis)
• External hair growth stimulants
• Scalp massage
• Mesoroller
• Darsonval
• Taking biological supplements
PRP-therapy (plasma therapy)
This procedure is an effective method of stimulating hair follicles. It accelerates hair growth, awakens dormant follicles, improves the survival rate of transplanted hair, and improves the quality of hair, making it denser, stronger, and more resilient.
Plasma therapy should be started 3 weeks after hair transplantation (the first procedure is free for our patients).
The course consists of 7-10 procedures, with an interval of 2-3 weeks.
Scalp massage
Massage should be started 1 month after hair transplantation. After applying a hair growth serum or during shampooing, perform circular massage movements for 5-10 minutes over the entire scalp. This will stimulate blood circulation in the area.
Mesoroller
It is allowed to use a mesoroller 3-4 months after hair transplantation on the entire scalp. Any company you like is suitable, the length of the needles 0.5-0.7 is optimal. It is recommended to use it together with external growth stimulants, before their application once a week, until blood dew and pain. Do not forget to treat the needles with an antiseptic after each use.
Darsonval
It is a physiotherapy device that affects the scalp with pulsed high-frequency current. Due to the high frequency, blood flow improves, leading to an increase in oxygen and nutrients in the hair follicle.
It should be used 2-3 times a week when there is no redness in the transplant area for 2-4 months after hair transplantation.
Taking biological supplements
In addition to biotin, it is recommended to take zinc, selenium, copper, vitamin D, and omega 3 (daily doses are indicated on the product labels). Complexes such as Nourkrin/Pantovigar and similar products are also recommended. Instructions are provided on the product labels. It is necessary to undergo tests to determine if there is a deficiency.
External hair Growth Stimulators
Minoxidil 5% solution for men, and Minoxidil 2% for women. We recommend pharmacy forms (Regaine, Alerana, Generolon), or similar drugs purchased in trusted places.
Application should be started 3 months after hair transplantation. Apply 1 ml externally to the alopecia area (including the transplanted hair area), daily, in the morning or evening after washing the head. It is also allowed to apply 2 times a day, in case of good tolerance of the drug. Use for a long time, at least 1 year. After the drug is discontinued, the transplanted hair does not fall out, only
slows down in growth.
If you need to stop using the drug, you should do it gradually(!): apply it every other day for 2 weeks, every 2 days for 2 weeks, etc.
*It is important to understand that the process of hair loss due to androgenetic alopecia is long-term and requires constant (!) therapy.
In addition to minoxidil, it is allowed to use any growth stimulants, also after 3 months, but their effectiveness will be lower. Minoxidil is the first-line drug in the treatment of male androgenetic alopecia.
We accept applications around the clock
Our managers will answer you during business hours
from 08:00 to 18:00 Moscow time.
Daily 8:00-18:00
+7 (923) 554-02-29
Moscow, 8 Naprudnoy Lane, Building 1, Rizhskaya Metro Station
Daily 8:00-18:00
+7 (923) 554-02-29
Moscow, 8 Naprudnoy Lane, Building 1, Rizhskaya Metro Station
License №Л041-01137-77/00313948
OGRN: 1057746096924
INN: 7728536872
© 2026 ACC HELP LLC.
All rights reserved
© 2026 ACC HELP LLC.
All rights reserved
OGRN: 1057746096924
INN: 7728536872
License №Л041-01137-77/00313948
Medical care is provided based on standards and clinical guidelines, which are available on the official legal information portal www.pravo.gov.ru and the official website of the Ministry of Health of the Russian Federation https://minzdrav.gov.ru/, where a catalog of clinical guidelines is available.
This website is for informational purposes only and is intended for educational purposes. Visitors of the website should not use the materials on the website as medical advice. ACC HELP LLC is not responsible for any consequences resulting from the use of the information on the website. The materials and prices on the website are not a public offer as defined by Article 437 of the Civil Code of the Russian Federation. Services are provided under a medical services agreement. Please check with the clinic's responsible staff for pricing before receiving services.
THERE ARE CONTRAINDICATIONS AND SPECIALIST CONSULTATION IS REQUIRED