The Dangers of Medical Tourism: What It Is and How It Can Impact You – Hair Loss Information – Balding Blog

The following post is by UK-based physician Dr. Bessam Farjo:


Written by:
Dr Bessam Farjo, United Kingdom
Dr Bessam Farjo
United Kingdom

I recently came across a poll on newbeauty.com, which reveals that one in four Americans would consider having surgery if it wasn’t so costly. With this in mind, it’s not surprising that people seek a lower cost option and consequently consider having surgery in a country where it’s cheaper. While the discounted price tag may be very appealing, there are some important things to bear in mind when it comes to having surgery abroad.

The same website outlines some of the dangers associated with medical tourism. It describes how it can be difficult to check if a foreign physician’s credentials are genuine, suggesting that the International Society for Aesthetic Plastic Surgery is a good place to start. It also flags up that you may not be covered by your travel insurance if something goes wrong in another country. Another issue concerns recovery, which can sometimes take longer than expected after surgery and there can also be a danger of clotting if travelling by plane.

Similar considerations apply to our own field of hair transplant surgery. The website of the International Society of Hair Restoration Surgery provides a list of members as a reference not necessarily recommending anyone in particular. It is down to the individual patient to do their due diligence whether online or in person.

There are clinics that try to take advantage of potential patients who consider surgery at home too. We’ve seen a growing number of men come to us after opting for surgery via an offer on a discount website such as Groupon or KGB deals. These ‘deals’ are usually limited to 1,000 grafts which is only around 2,000 – 2,500 hairs. To anyone with a significant amount of hair loss this would be nowhere near enough to provide a suitable result.

The small print in these offers often dictates that only one discount is available per person, meaning that anyone requiring further treatment would have to pay the full cost or more likely, above the odds.

There certainly are some serious dangers involved with having surgery both abroad and at home and I would strongly recommend considering these should patients be tempted by low-cost surgery options. As always, I must stress the importance of thorough planning and research when contemplating any type of surgery, make your decisions based on what’s right for you, not on the price it costs.

Learn more about the author of this article, Dr. Bessam Farjo, on his BaldingBlog profile or at his website.

Dr. William Rassman’s Comments:

    I can speak to having surgery in the United States, Canada or Europe. The issue of recourse comes up. What recourse do you have if the doctor misrepresented himself (or herself)? Or if there is medical malpractice involved in the delivery of the surgery? Or if the “doctor” really isn’t a doctor?

    I know the laws in California are made to protect the patient at all times, and California lawyers are waiting enthusiastically to represent those who are harmed. The legal recourse in many foreign countries may not be there, which means that if you become a victim of the surgeon, there is little you can do about it. This, to me, is a good reason to have the surgeries in the United States, Canada or European countries that have strict laws that control doctors’ licenses and the way they use their licenses.

In the News – Transplants Using Leg Hair – Hair Loss Information – Balding Blog

Snippet from the article:

A new report highlights a novel way for doctors to replace thinning hairlines: transplanting leg hair.

The report, a study of two cases published in The Archives of Dermatology, describes a new procedure in which receding hairlines were restored by taking hair follicles from patients’ legs and grafting them to the head. Men’s leg hair had successfully been transplanted before to the back of the head, but these are believed to be the first documented cases of leg hair being used to restore the hairline.

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Leg hairRead the rest at the NY Times — A New Approach to Treating Hair Loss

The article is about Dr. Sanusi Umar’s amazing work as a pioneer in body hair transplants (BHT). He has privately reported procedures of 10,000 grafts in one sitting using body hair. These procedures are done through very long sessions at times, reported to run in the wee hours of the morning.

Body hair is not the same quality of head hair for use in hair transplants, so I don’t think that this technique will catch on. Although body hair seems to change and grow longer when placed into the head, its value is not equal to donor hair taken from the back and sides of the scalp.

Hair Loss InformationWhy Can’t I See the Tiny Recipient Holes After My 3rd Transplant? – Hair Loss Information – Balding Blog

I am 1 month post-op on my 3rd transplant. Just curious why I can’t see the tiny holes where the grafts were placed as compared to the first transplant. I recall this from my 2nd also. The scabs have healed. I look for the incisions but can’t see them. Is it because existing hairs make it hard to see or because the incisions have healed and the grafts are beneath the skin?

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I can only guess. Maybe the surgeon used a smaller instrument making smaller holes, or maybe the holes are not there because there were no hairs transplanted on the area you are looking at. Could the holes have healed so that you can’t see them? That will depend on how long it has been since your surgery.

You should at least see some scabs, unless they were there and it have fallen out. It usually takes one to two weeks for scabs to heal and fall out. Then it takes another few weeks for the hairs to fall out, unless the transplanted hairs were shaved. The main point here is that I have no way to know for sure via email, and it is all a guessing game. The best person to ask is your surgeon.

Hair Loss InformationThin Hairs in My Transplant Area, But Shampoo is Causing Them to Fall Out – Hair Loss Information – Balding Blog

Hi,
i had a hair transplant done 3 months ago. now i am seeing some thin hairs on the transplanted area. but when i apply shampoo or oil, the hairs are falling out. is this a problem?

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Perhaps what you are seeing is the old transplanted hair shafts that never fell out. Maybe you are seeing your existing native hair falling out. Or maybe you mistook your bottle of shampoo for a bottle of hair remover. It could be that there are other unknown issues going on. Make an appointment and see your doctor. Have an open line of communication with your surgeon and see him/her for a follow-up to see how your transplanted hairs are doing.

Hair Loss InformationMy Psoriasis Transferred with My Transplanted Hair – Hair Loss Information – Balding Blog

I just underwent a transplant 2 weeks ago. Regarding your post on Psoriasis i would have to respectfully disagree. I get have really bad psoriasis in the back of my head (donor area) and it definitely transferred to the recipient area, even so much as to go a little bit on my upper forehead just below where the grafts were placed. On day 7 post op i took a normal shower and with my fingertips rubs all the scabs off. Should i be worried that I could have harmed my potential new grafts? Also please let me know how you would treat this?

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If you transferred psoriasis, you would be the first patient I heard of that had experienced this. Rubbing scabs off always worries me, but it will not damage the grafts if it was not done roughly. Your psoriasis should be treated by your doctor, not me over the internet.

Best Country for a Hair Transplant? – Hair Loss Information – Balding Blog

Hi, what countries are the best for hair transplant? Trying to debate whether to find HT center in india or go abroad. Cant seem to find one here and its not easy getting centers to let us interract with patients as most patients want their confidentiality.

Also, in your website you mention it may take about 6000 hairs for a class 6 to get coverage. Does this mean full dense coverage?

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I would be biased to say the best hair transplant surgeons are in the United States as a whole, but I am sure there are great doctors spread out all over the world. Look at the patient results and meet patients. Most patients do want confidentiality, but we have open house events every month where past patients come in to meet with and talk to prospective patients… so it’s not impossible to find live examples if the patient is really pleased with the work. With an ‘open door’ policy, that means that anyone can come in, even if there were patients who may not be pleased with their results. In 20 years of doing open house events, there has never been an unhappy patient showing up at our ‘open house’ events.

As for the second question — you will never get a completely full dense coverage with ANY hair transplant. It is mathematically impossible! Hair transplant surgery is basically moving your existing hairs around, so the density will never be full as it once was. For a Norwood 6 patient to get good coverage, about 6000 grafts is what is typically needed. Sometimes more, sometimes less. It also depends on many variables such as your hair texture (fine, medium, coarse), hair character (straight, curly, wavy), length (long, short), color contrast (between hair and skin color). These subtle factors all contribute to the results of a hair transplant. So while we strive to create the illusion of full density, it simply can’t be as full as it once was because those hairs are gone.

Am I Too Old to Try Propecia Again? – Hair Loss Information – Balding Blog

Hi Doc,

I’m 39 and have a Class VI balding pattern. Tried propecia a couple years ago for a few months but stopped due to side effects. Am I too old to try it again or should I give it another shot? Would I need to take it before a HT (to avoid shockloss) and for how long before?

Oh, by the way, why are most HT docs balding?! You would think that if the procedure is so good, they would get it done first! I mean, just look at Dr. Farjo!!!

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There is no specific age limit to when you should or should not take Propecia. Your doctor can give you a better assessment based on YOUR specific goals and issues. You do not need to take the medication in order to have a hair transplant, but it is often recommended. You could take it temporarily if you have shock loss concerns.

As for why some hair transplant doctors are bald, we’ve answered this before here. Some doctors, such as my good friend Dr. Bernstein (who is a great hair transplant surgeon), are bald. For some it may be a personal preference, for others it could be that they simply weren’t candidates for surgery.

Hair Loss InformationWhy Would Celebrities Wear Toupees? – Hair Loss Information – Balding Blog

Why would Elton John and William Shatner wear toupees when hair restoration is easily available?

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Elton JohnSurgery is a personal decision, so I can’t speak for everyone… but I can make an educated guess. Hair restoration or hair transplant surgery is in essence about moving your existing hairs around. If you don’t have lots to move around you cannot cover a huge area of balding or achieve the look of a 16 year old fullness.

Moreover, many older celebrities with their financial success have had a hair transplant surgery 10, 20, 30 years ago when hair transplant surgery results were not the best. So with their fortune they depleted their donor hair supply and do not have enough donor to fix the problem. As a result, their only option is a wig and or toupee.

Hair Loss InformationHow Long Should I Wait Before Considering Filling In My Strip Scar with FUE Grafts? – Hair Loss Information – Balding Blog

Thanks very much for the informative blog.

Say a strip patient is about 6 months out from FUT surgery and now has buyers regret (please, no reminder about thinking things through first!), and wants to fill in the scar with FUE/beard hair/etc. Is there any advantage to do it at this time or does one need to wait one year. I wonder if scar is more or less vascular when healing. Thanks.

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If the donor scar has healed, you don’t need more surgery, and the scar is narrow, then follicular unit extraction (FUE) to the linear scar is possible. FUE does not fill in wide scars well, though. Scalp MicroPigmentation (SMP), on the other hand, may be a better approach. Explore it all.

Why Don’t Doctors Make it More Clear That Eyebrow Transplants Grow Fast – Balding Blog

For people undergoing eyebrow transplants, the biggest problem is the increase rate of growth of the transplanted hair, which requires the candidates to make frequent visits to the parlor (weekly!) or perform some sort DIY at home. My questions are:

Why don’t surgeons “STRESS” this and its implications? Most surgeons who I have personally consulted have stated this very casually, and some even neglected it. It was only after I spoke to a few women who had had eyebrow transplant that I understood how much of a severe problem this is, which, if not treated weekly, can result in severe social embarrassment.

We’ve written about the need to trim transplanted eyebrows more frequently due to the more rapid growth rate than the rest of the eyebrow hairs. I can assure you that not all surgeons try to hide this. Maybe you saw the wrong surgeons. Generally, you should consider trimming the new eyebrow hair three times a week, as the transplanted hair will grow at a rate of 1/2 inch per month.

I often write “buyer beware” about the many hair products we’re asked about. It also applies to the doctors.




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