Hair transplantation is a minimally invasive surgical procedure in which healthy follicular units are moved from the donor area to regions affected by hair loss. Once transplanted, these follicles retain their genetic resistance to androgenetic alopecia and continue to grow permanently.
Using the FUE and DHI techniques, Dr. Espinosa Custodio performs hair transplantation without leaving the linear scars associated with older surgical methods. However, it is completely normal for small scabs to form in both the donor and recipient areas during the healing process.
Why do scabs form?
The tiny scabs that appear after surgery are a natural part of wound healing.
Each follicular unit is extracted and implanted through microscopic incisions. As these small wounds heal, a thin protective crust develops over each site.
These scabs are most noticeable during the first few days after surgery and gradually disappear as the skin heals.
Caring for the recipient area
The recipient area—typically the hairline, frontal scalp, or crown—requires special care during the first days after surgery.
Newly transplanted follicles need time to become securely established within the scalp. During this period, patients should:
- Avoid touching or scratching the transplanted area.
- Do not rub the scalp while washing.
- Follow the postoperative washing instructions provided by the clinic.
- Allow the scabs to detach naturally.
In many cases, any remaining scabs are gently removed during a scheduled postoperative visit to the clinic.
Caring for the donor area
The donor area generally heals more quickly than the recipient area.
Following the washing routine recommended by Dr. Espinosa Custodio and his team helps remove dried blood and scabs while promoting rapid healing. As the surrounding hair continues to grow, the donor area typically returns to its normal appearance within a relatively short period.
Following all postoperative instructions carefully is essential to ensure proper healing and achieve the best possible surgical outcome.
Frequently Asked Questions
How should I care for the treated areas?
The donor and recipient areas require different postoperative care. Before leaving the clinic, you will receive detailed instructions on washing, drying, and protecting your scalp. Dr. Espinosa Custodio and his team will demonstrate the correct technique for your first postoperative wash.
Is itching normal after a hair transplant?
Yes. Mild itching is common during the healing process and is usually a normal sign of skin recovery. However, itching can occasionally indicate other conditions, such as contact dermatitis or infection. If itching becomes severe or is accompanied by redness, swelling, discharge, or increasing pain, patients should contact the clinic so that the medical team can assess the situation.
Can I remove the scabs myself?
No. Scabs should never be picked or forcibly removed. In the donor area, they typically fall away naturally during the recommended washing routine. In the recipient area, scratching or rubbing may dislodge newly transplanted grafts before they have fully anchored. Remaining scabs will either detach naturally or, if necessary, be safely removed during a follow-up appointment at the clinic.
Dr. Espinosa Custodio works at Instituto Médico del Prado, his hair clinic in Madrid, and performs hair transplants in Mexico, twice a year. If you would like to make an appointment, you can contact us on +34 912 468 664, on WhatsApp +34 627 396 322 or on the contact page of our website. From Mexico you can contact us at +52 55 4590 9909.


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