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Post-Hair Transplant Folliculitis &What to Do


Folliculitis is an infection of the hair follicles caused by the bacteria Staphylococcus aureus, causing inflammation and turning the follicles into small pus-filled pimples. Follicles are pits in the scalp out of which hairs grow. 

In severe cases, it can cause permanent hair loss, but in milder forms, it causes irritation and is uncomfortable.

When the follicles are damaged they can become infected and can become blocked by the sebum which is secreted by the gland just above each hair follicle. Follicles can be damaged by:

  • Friction from shaving or tight clothing
  • Excessive perspiration
  • Inflammatory skin conditions, including dermatitis and acne
  • Injuries to your skin, such as abrasions or surgical wounds
  • Exposure to coal tar, pitch, or creosote – common among roofers, mechanics, and oil workers

Post-Hair Transplant Folliculitis: What To Do

 As seen on, inflamed hair follicles, or folliculitis, especially of the hair, is considered normal in many patients and may be seen a few days after hair transplant surgery. In some cases, folliculitis may reoccur for as long as a few months after surgery as well.

Antibiotics do not need to be taken unless the lesions do not get better on their own, or if cellulitis (infection and inflammation of the tissues beneath the skin), or skin redness and swelling become evident due to infection. This is considered rare on the scalp but still notable.

Also, another sticking point is that folliculitis does not pose an issue to the growth of transplanted hair and, in most cases, does not require any special treatment. 

The lesions usually open on their own but if they persist for more than two to three weeks, it is suggested that the person revisit their hair transplant surgeon and have him open and drain the lesions.

If it is only a mild case it may clear up on its own in 7-10 days although using a moisturiser containing an antibacterial agent may help to clear it up. Topical antibiotics or antiseptic treatments may also help.

If it is just localised using an antibiotic cream should be enough, but in more severe cases antibiotic tablets may be needed instead.

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