Two days training and some clinics in China unleash people to do FUE on people like you

https://www.sixthtone.com/news/1004217/report-exposes-chinas-unlicensed-hair-transplant-industry

This is similar to many clinics in Turkey where almost 500 clinics have FUE surgery performed by minimally trained personal. I believe that these people can learn how to do it as they practice more and more on patients, but the problem is what happens when there is a side effect from anesthesia, or a cardiac arrhythmia? Then the patient has a risk of death, something that has been reported in countries from around the world. These ‘on-the-job’ trained people certainly can’t respond properly to any emergency. In the 16,000 surgeries we have done in our practice, we have seen such events almost every year, but we NEVER had a problem addressing the problem when it appeared because we are skilled in Emergency treatments and we are physicians who know this as a result of years of speciality training.

Hair transplant market in China reached US$1.4 billion in 2017 (In comparison, US hair transplant market accounts for US$1.74 billion in 2017, per Global Market Insight Inc. https://www.gminsights.com/industry-analysis/hair-transplant-market)
Undercover reporter took a 3 day course with 3 other trainee (a breast specialty doctor from Xinjiang, a salon owner, and a freelancer) trained by a non-physician instructor and practiced hands-on on a live patient. It is easy to find 3 day training course online: one center charges around US$1,000 and will not provide a certificate, but said such certificate can be easily purchased for about US$10 online. Another center charges around US$1,200 and will provide a hair transplant professional certificate, which is the course the undercover reporter attended. The 3 day training course only took two days to complete.
Hair transplant price in China depends on the client, the instructor recommended charging between US$0.75 to $6 per hair based on the client’s income. $6 per hair for rich client, $1.5 to $1.8 per hair for middle class client. The instructor, who originally studied psychology, never worked in a hospital, learned hair transplant from others, claimed she had trained more than 100 students and told them they can tell their clients that the saline used as graft holding solution is a special culturing fluid and charge an extra US$300-450. The undercover reporter later went through training to “work” as an online sales consultant for a hair loss center that was a Chinese Medicine Hospital several years ago. Her commission based job was to lure clients in by first earning their trust with knowledge in treatment protocols and impressive results from the treatments, then giving the clients a preliminary diagnosis but acting as if she is not very certain so that she can refer them to the hair loss center.

Two Class 7 patients treated with hair transplants and SMP

What is important to note, is that the top patient had wonderful medium weight hair and had a good shape and body to it while the bottom patient had super fine hair. We solve the see-through look with Scalp Micropigmentation

 


2020-09-02 13:39:19Two Class 7 patients treated with hair transplants and SMP

Two Cases of Significant Sperm Count Reduction While on Propecia

See Propecia-induced spermatogenic failure: A report of two cases. by Liu KE, Binsaleh S, Lo KC, Jarvi K.

The conclusion of the article states:
Two cases of infertile patients with azoospermia or severe oligospermia who showed significant improvements in sperm concentrations 6 months after the discontinuation of finasteride. In one case, improvement in semen parameters prevented the need for testicular biopsy and corrected the azoospermia. Stopping finasteride in the infertility population may improve semen parameters, and may allow for less invasive fertility treatments.

We have already heard about similar, more frequent side effects with Avodart (dutasteride). While I am not completely surprised, I suspect the frequency is very low. I’ve written about sperm count and Propecia in the past:


2008-01-03 09:55:05Two Cases of Significant Sperm Count Reduction While on Propecia

Twelve Cancers High In Smokers

 

JAMA Internal Medicine study estimates that the number of deaths attributable to cigarette smoking for 12 smoking-related cancers and found that continued progress in reducing cancer mortality requires more comprehensive tobacco control (in other words, best if you stop smoking). These cancers include cancers of the: Lung, Esophagus, larynx, kidneys, liver and bile ducts, leukemia, mouth and pharynx, stomach, bladder, and uterine cervix.

cancer

Turkish technicians opened clinics in Germany

The report I got said:

A Turkish doctor called from Germany and said that approximately 16 clinics in Germany and the Netherlands where Turkish technicians perform hair transplants have been inspected by health authorities, and many of them have been temporarily closed; the equipment used was said to be not CE Compliant or nut sufficiently sterilized. Some technicians were also deported as they were on Visas that didn’t allow them to work.

Another source echoed this story for France and Belgium. I have also been informed that many of the 5000 clinics in Turkey are shutting down for similar reasons and due to a doctor’s absence.

Turkey FUE Surgery is a Real Mass Production Line Operation

There are clear risks here, one technician moves to another patient because the team needs help, instruments are crossed between patients, there is clearly not surgeons for each of these patients. All of this can cause life threatening infections transferred from one patient to another. There is a real question of quality control, who does it. Are all technicians equal (some report that the technicians are hired and join the surgical teams that same week).

This would be outlawed in the US or most major Western countries.

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Turkey experience

This young man went to Turkey 3 months ago for a hair transplant because the fee was much lower than quotes near his home. He had a medium level balding crown and very small frontal corner recession. When he went to the clinic, the building was beautiful. He came in on the first day for the surgery evaluation and they suggested 4200 grafts. The next day he had the surgery and found the entire surgical crew unprofessional, ignoring him, laughing and chatting and not focusing on his surgery. He found out that many of them were hired recently, “just off the street” and they were being trained on his head. That day, he counted more than 20 patients having surgery at that facility. He knows that this was a terrible mistake and I am going to work with him after he gets to the 8 month postoperative date when he sees where he is. I am concerned about his donor site, which he believes has been damaged.

Police closed down Turkey Clinic this week

An Istanbul hair transplant clinic was raided by the police and all of the technicians were arrested. There was no doctor in the clinic. The technicians ran a clinic with 10 surgery rooms. There are hundreds of such clinics in Turkey. I am not sure why this particular one was selected.

Tugging on Hair to Stimulate Growth, Applying Garlic to Nurish the Hair Root

i have evidence that there are methods to reverse hair loss without paying money for chemicals like minoxidil or for surgery. however, because these methods are completely natural and can’t really be bought or sold, there is resistance to publish this information or no incentive to pay for clinical tests to produce results that they work.

examples include:
1) topical application of garlic, onion and olive oil to the scalp to nurish and clean the hair root;
2) using store bought saw palmetto to block dth;
3) stimulating hair by tugging on it gently, etc.

over a duration of 2 months results can be seen because dormant follicles begin sprouting hair again.

How did you unlock these secrets that medical professionals have been hiding for years?! Let’s dissect this…

  1. Garlic can create a unique pheromone, so tell us in another email if it helps with the ladies. It sounds like you’re making a pizza.
  2. Saw palmetto has been shown to slow hair loss in some men, but it is not consistent. Dosages are not controlled by the FDA (it is an herbal), so you never really know what you purchased.
  3. Pulling on the hair in the same place causes hair loss (traction alopecia) in some people depending how often and how hard you pull in it. Any advice on how to pull on your hair? I hope nobody is takes that seriously, because tugging on your hair won’t reverse hair loss.

Congratulations, I have given your message to thousands of readers. Hope it helps someone.


2009-07-10 09:02:49Tugging on Hair to Stimulate Growth, Applying Garlic to Nurish the Hair Root

Tug-of-War between finasteride and genetic hair loss metaphor

If I remember correctly Dr Rassman u/wrassman said that in his experience that people who are younger (under 25) tend to respond way better to finasteride, but obviously thats anecdotal and everyone’s body responds differently

Yes. I have seen young men who were becoming a Class 7 at 19 years of age, and they responded poorly to finasteride but it did slow down their loss rate. I always use the metaphor of a Tug-of-War between 5 alpha reductase blockers and the aggressiveness of the genetics of balding


2020-05-11 09:00:12Tug-of-War between finasteride and genetic hair loss metaphor