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A gentleman is worried because some of his grafts haven't fallen off and there are still scabs. He wants to know if these are normal after hair transplantation. Dr. Amiya Prasad, a cosmetic surgeon and hair restoration specialist, explains that the first phase of the hair growth cycle is anagen where hairs grow normally and this lasts around 3 to 5 years. The next phase is called catagen which is also called the regressive phase and it takes about 4 weeks. The last phase is telogen which is the shredding phase - this is where the hairs normally fall off. There is also a phase after hair transplantation called shock loss where hairs shut down. Existing hairs around the grafts may also experience this phenomenon. So, within the first few weeks after hair transplantation, one can observe hairs and grafts living side by side. After a few months, there is a fair amount of shedding and after 3 to 6 months, there is growth of new hairs. After hair restoration procedures, patients are afraid of doing anything that might hurt their grafts. The scabs and crusts are basically dead skin cells, mucus and other products of the healing process. They have to be properly scrubbed off and they usually disappear after a couple of weeks. Dr. Prasad advises a proper moisturizer and a good shampoo for the hairs to keep them healthy. In Dr. Prasad's practice, he has had success with a regenerative technology called extracellular matrix (ECM). In the last 3 years of his practice he used this material, originally designed for wound healing, to help with the hair cycle with or without hair transplant. This material helps grafts heal and grow faster. The grafts also have shorter shedding phase. Extracellular matrix is also successful in reversing the hair loss process by activating adult stem cells called progenitor cells which are diminished in balding males. He combines this material with platelet-rich plasma to enhance the reversal of hair thinning and the healing process of the grafts as well as the donor strip area. To see more results on our other clients, go to: http://prasadcosmeticsurgery.com/pras...