**13. Pruritus**

**8. Crusting**

288 Hair and Scalp Disorders

**9. Graft dislodgement**

**10. Hiccups**

Crusting occurs on dry to superficial epidermis of the surrounding graft and bleeding after

The crusts do not affect the graft survival or the healing process unless they persist for a long period. A first washing is recommended after 48 h to dissolve early crusts. Applying a moisturizer or an emollient is recommended before 30–45 min of washing for softening of crusts. If

Graft dislodgement usually occurs in the initial 3 days after hair transplant operation. Direct trauma is the main cause of graft dislodgement. Grafts do not survive long time in the external environment. When trauma or similar reasons occur, graft dislodgement should be replaced as quickly as possible. Patients can store graft dislodgement for a short period in lens solution,

Hiccups are an uncommon complication of hair transplantation. The reported incidence of hiccups in hair transplantations is 4.11%. Hiccups are found intraoperatively or shortly after the operation. Usually, it lasts for 2–3 days in the absence of treatment. They can also result from excessive air aspiration consequent to the stimulation of diaphragmatic muscle move-

Postoperative effluvium of preexisting recipient area hair occurs after near transplant, but significant effluvium is far less common. Postoperative effluvium causes recipient site creation, vascular disruption, or edema. It usually presents 2–4 weeks after surgery. However, the majority of the affected hairs begin to regrow after 2–3 months. To reduce postoperative effluvium, protection of existing hair during the recipient site creation should be noted, limiting recipient site size and density to prevent excessive vascular disruption and reducing postoperative edema. Postoperative minoxidil may reduce the incidence of this problem [8].

Hair effluvium is a relatively common occurrence in recipients, especially in females, whereas in donors, it is significantly less common. It usually presents within 6 weeks of surgery as

crusts are still present after postoperative 9–10 days, wet compress or vapor is applied.

24–48 h of hair transplant. Crusting disappears after an average of 7–10 days.

saline, or brackish liquid, thereby preventing drying of grafts.

ments by very excited or vocal patients [7].

**12. Donor hair effluvium**

**11. Postoperative effluvium/shock loss**

Pruritus can be seen after hair transplantation in the donor and the recipient areas. Wound healing process may be the cause. Other reasons may be the use of minoxidil after hair transplantation. Scalp irritation can be caused depending on the frequency of use and the concentration of minoxidil. Topical steroids or and antihistamines are recommended for the treatment of many patients.
