Are Pimples on Scalp After Transplant a Good Sign?

3.5 Weeks after a Hair Transplant, Is it normal to see pimples in the head so early on? I have maybe 3 or 4, one at the hairline and the rest in between my grafted area… I hear pimples on the head is a good sign that hair is trying to break through the surface, at almost 1 month post-op, is it possible to start hair regrowth? I do have fairly thick hair and my hair does grow fast elsewhere, just thinned in the front. I would be a 3 on the scale… Thanks!

Pimples are never a good sign. They do happen for a number of reasons after a hair transplant:

1. Small cysts form from sebum build-up in the sebaceous gland that remains after the hair has shed.
2. Small bits of remaining hair shaft are below the skin and are shed. Hair is a foreign body and as such is rejected through small cysts that come to the surface. These remnants of hair follicles or sebaceous glands may get infected and require antibiotics. Generally, they can be successfully treated with warm soaks. Be sure that these do not turn into folliculitis by visiting your doctor and establishing a good dialogue with him/her.
3. In less than a good surgeon’s hands, cysts may reflect ‘piggybacking’ of one graft placed on top of another.