Author: Dr. William Rassman

Hi,

A friend of my fathers has recently had a hair transplant to cure his baldness and it got me thinking of a possible solution to a problem I have. I have a cowlick at the front of my hairline and I was wondering if it would be possible for me to have this removed by laser treatment and then replaced by hair transplant. Is this a viable option?

Yes, this is a viable option. Many people with these ‘licks’ complain about them to me. Of course, I only see those people who are not happy with them. I happen to like the look, as one of my sons has a cowlick and I think it makes him look handsome.

Hello Dr. Rassman,
I was considering eyebrow transplant surgery after many years of overplucking and abuse to my once bushy brows. I have read that as a side effect the hairs may be “raised” or grow in awkward directions. I was wondering in your experience how often does this occur? Say in 150-200 grafts how many may grow this way? And can they be “trained” over time to grow correctly? Thanks

Eyebrow transplantation is a delicate art and even for skilled medical groups it is never perfect. As you correctly state, the eyebrows can grow slightly raised and grow in slightly different directions, regardless of how precisely you pay attention to detail. And since the focus is right above your eye, the eyebrow transplant subtleties are not as forgiving as with hairs transplanted on the scalp.

I can’t give you a generalization of what to expect, as each and every person is different. It depends on hair texture, curl, shaft diameter, follicle length, orientation around its central axis, how it lays down, etc. I can say that male eyebrow transplants are more forgiving, as men have bushier eyebrows. My eyebrows seem to be admired by many men who request eyebrow transplants, as mine are the spitting image of Albert Einstein (see right).

I can also say that if you don’t like a certain eyebrow hair in the mix, just pluck it out! Often times patients usually have at least two eyebrow transplants to get it just right.

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I’m going to rant for a moment, even though I know I’m running the risk of repeating myself. I’m disheartened by the amount of emails I get from people that are upset about the “bargain” hair transplant they got at various clinics around the globe. Of course, we realize that usually it’s the negative results that are the subject of such communications and we do not often hear from those patients with great results, but I felt I needed to post this as a reminder to the regular readers and hopefully something fresh for new visitors.

I believe that finding a good hair transplant doctor is like locating a good heart surgeon. Yes, heart surgery is more important than a cosmetic surgery… but I’m referring to the process of selecting a doctor. There are many qualified surgeons, but only a handful are capable of producing consistent, high quality results. In the heart field (I started out as a cardiac surgeon), you simply die when you select the wrong surgeon or get the wrong surgical team.

I’m sure I’ve mentioned it before on this site, but I remember a patient who came to see me (with his two kids) for a consultation. He then selected another doctor just a couple of miles from my office to have a transplant at the low, low price of $1.75/graft. When costs are too cheap, the quality of care tends to be low and corners are cut. That patient died during the transplant. It was the only death from a hair transplant that I’ve heard of. Granted, this was an extreme case of a hair transplant gone wrong. The usual result from a hair transplant that does not go perfectly will be with you for the rest of your life, and if the process is done without a focus on details and the art of the transplant, you will end up advertising your poor decision to everyone you meet. So please, please read this easy how-to guide on selecting your transplant doctor — here.

Some of the public is misinformed when it comes to doctors who offer hair transplantation. Just because a doctor is offering it, it doesn’t mean he can actually do what he’s selling you. The results from a hair transplant takes 6-8 months to grow, so by the time the results are evident, the patient’s check has cleared the doctor’s bank account and as many patients find out, there is little recourse to getting their money back from a failed hair transplant. Or worse, the results are clearly unnatural and detectable. Remember to research, meet patients, and be a smart shopper. I know the economy isn’t great for a lot of people right now, but don’t forget that this surgery is forever.

Further reading on this topic can be found here:

• Could I Die During a Hair Transplant Procedure?
• Why Is Surgery So Expensive?
• Even Today, The Quality of Hair Transplant Work Can Be Less Than Marginal (with Photos)

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