Is it necessary to do regular scalp exercises before going to have first hair transplant surgery or second hair transplant surgery?

Yes, it is good for scalp, especially when the scalp is tight, it can be helpful for either the first or the second hair transplant. Remember, however, that the scalp will naturally stretch between hair transplant surgeries, so that if the exercises were not required for the first procedure, they will usually not be desired for the second. 

In most of the cases, surgeons generally wait one year between hair restoration sessions so that they can observe the full cosmetic impact of the first hair transplant surgery and leave the scalp on its own so, that the hair will return to its normal condition.

In addition, there is a possibility that active scalp massage after the first hair transplant surgery may extend the donor scar. Therefore, considering to have a scalp massage before the second hair transplant procedure, you have to make sure that enough time has passed between procedures so, that scalp stretching of the scars will not be a problem for the patient.

As you all know that the scalp normally take one for complete relax and then, it will back to its normal state so, the patient should wait at least a year before considering the next hair transplant session. If massage is considered, it should be started one year after the previous procedure. This massage will give the scalp a chance to loosen naturally, but, you will make sure that the massage will not stretch the donor scar on the scalp.