How Do I Know I Didn’t Get Cheated on the Grafts I Paid For?

Hello Doc,

I had my first hair transplant 6 months ago in Texas and I received 1613 hair follicles in the frontal region (That’s what my Doctor claims 1500 + courtesy grafts). I lost all the transplanted follicles within first 2 months and I see few hair follicles growing in the sides.

From the day one I had doubt that I didn’t receive the number of follicles I paid for (1500). I felt I received only 1000-1100 grafts, My buddy did count the number of incisions made 2 days after the surgery. I also went to a hair transplant surgeon to get a second opinion but the surgeon refused to do the counting as he felt it was unethical thing to do. However he convinced me that I would have received the number of Grafts I paid for. He also told me the incisions are microscopic and I cannot count it accurately. As the days went by scabs started to form and I did my research by comparing the photos of people who received same number of grafts as me in the frontal region.

After all the research I’m still convinced that I didn’t receive what I paid for and I feel cheated. It took me great pain and sacrifice to get that surgery and I feel its not even worth it. I have decided to wait for few more months to see, how may hair follicles will grow and how far it covers my bald spot.

My question to you is

1) Is it normal to feel what i’m going through
2) Can someone count the number of incision/grafts accurately after the hair transplant ?
3) Lets say if I get a HT from you, How Am I insured that I receive what I paid for ?
4) Do HT surgeons really cheat ? or Am I just being paranoid ?
5) Lastly In case im really cheated , What Can I do ??

I don’t mean disrespect you or the HT surgeons community But I’m very disappointed with my situation. Please answer all my questions and relieve me from this confusion.

Thanks in advance.

I don’t know if it’s “normal” to necessarily worry about getting cheated, but I suppose that depends on your level of trust with the doctor.

On occasion, I have been requested to count the grafts for someone that wasn’t my surgical patient. I had one of my patients feel that he was cheated and took a professional photograph of his head the very next day. He had a large photo printed and placed pins in the wounds that he could see (in the photo, of course) and found that only 50% of the wounds were pinned after the analysis was done. So I managed it by showing him: (a) the count sheets of the 5 individual technicians who did the cutting of the grafts from the strip and we added them up together, (b) I had him come in to watch a surgery on his second day to see if he could identify the wounds in all lighting conditions with good photographs (he could not), and yet he watched us place the grafts to know that the counting process is intricate. He saw that there were two counts that were done simultaneously — one by me audited by an assistant working next to me as the sites were made, and one by the staff cutting up the hairs and grafts from the strip. I invested a great deal of time to address his concerns. I am not sure, to this day, if all of my efforts were successful.

In three people that came to see me to count their hairs and grafts on the 3rd-6th day after surgery, in two of them I found that the counts did not match up. One was off by over half of the amount claimed, one had 90% of what was paid for… and the third was on target.

On another patient, I counted the grafts and the hairs that grew 8+ months after the surgery (the man was relatively bald in the front and top where the grafts were placed) and found that many of the grafts did not grow to the numbers transplanted (about 2000 grafts out of 7600 graft he paid for), and the hairs in each graft had low hair counts. This was done under the assumption that everything on his head in the transplanted area were grafts. I had inside information on this last patient from one of the doctor’s technicians who claimed that this was far more common in that particular doctor’s practice than he could stomach, so he quit working for there.

There is little recourse for the patient if he feels that something improper has occurred, as an investigation would be difficult. I think that most doctors are honest and try to do their best when they deliver a service like a hair transplant or, for that matter, any cosmetic procedure. This, of course as I have said many times before, is a buyer beware issue, and each and every prospective patient should do their research before making a final doctor selection.

What Percentage of Men Get to Norwood Class 6?

I’ve seen that you say only 7% of balding men will hit stage seven on the Norwood Scale. What about stage six? Theoretical if there were no treatments would most men (93%) be destined for stage six on the Norwood Scale? And is whether or not you reach seven on the Norwood scale genetic?
Thanks

This is not an easy question to answer because of judgment problems in those that wrote the original charts. The best statistics I could find indicate that the Class 6 and 7 patterns in men over 50 years old are present between 23-30%. Assuming that the Class 7 pattern is 7%, then the Class 6 pattern is twice as common.

How do you find the best hair transplant doctor in North America? (From Reddit)

My boyfriend is balding and does not believe in hair transplant procedures. I’m looking for a top doctor/establishment in North America to have a consultation and hopefully change his mind about undergoing the procedure. Was wondering if anyone has any recommendations since I’m not sure where to start/go looking.

There are websites that rate hair transplant doctors including Yelp and realself.com. I always tell patients to check out the doctor’s experience and rule out doctors who sell their services through salesmen or saleswomen. For example, you can look me up here (resume and cv): http://newhair.com/doctors/rassman/ and you can check out my references on those websites. If you don’t want to travel, then check out the doctors in your area and see how they present themselves.


2019-11-08 08:57:58How do you find the best hair transplant doctor in North America? (From Reddit)

What would happen if i take fin at 17?

Should i just wait until i’m 18? I have a good amount of hair but i can see thin parts when i pull my hair or especially when i get out the shower. And do i take fin for the rest of my life?
I have prescribed finasteride for many 17 year old males. It is safe and contrary to fears of it impacting growth- there is no evidence that it does. Waiting, if you are losing hair now, will just make it worse.


2019-07-11 10:44:43What would happen if i take fin at 17?

How does your hair loss compare to others in your family?

I often tell my young male patients to see who in their family line (mothers fathers or fathers and uncles) and that might help them if they can identify their hair loss history with one of them (uncles, brothers, fathers, grandfathers, etc.. I will almost always do a HAIRCHECK (https://baldingblog.com/haircheck-test-how-it-is-done-video/) test as well to see if I can predict what is going to happen to the young male patient


2021-02-24 09:29:21How does your hair loss compare to others in your family?

When Does Finasteride Regrowth Peak?

Finasteride peaks at about 18 months and then plateaus or hair loss may pick up at a slower rate. This depends upon your age and your genetic hair loss pattern. See an expert physician who specializes in hair loss and get a good Master Plan for your future, as hair loss is progressive in ALL men.


2019-12-05 13:09:29When Does Finasteride Regrowth Peak?

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How much does taking Propecia at exactly the same time each day matter? I try to take it within 10 minutes or so, but occasionally I am 2 to 3 hours late. I know you have said that the half life of the medication is only fours. By the time 24 hours passes, has essentially all the medication left the body so that if you don’t take it again at exactly the same time you are going that extra time without Propecia? Will taking it a few hours late cause a decrease in benefits?

Thank you for keeping up with this blog. It’s a great resource.

It is not critical to take Propecia at the same time each day, but it does make sense. I take my medications in the morning so I develop a routine and do not have to remember if I took them. Maybe it’s my age. As long as you take it daily, you shouldn’t see any decrease in benefits by taking it a few hours later than the day prior.

When Should I Apply Minoxidil After I Take a Shower?

I have thinning hair on the top of my head. Should I apply minoxidil after a shower when the hair is still damp, or wait till it dries? If I apply when it is wet, it seems like more gets to the scalp since less gets absorbed by the hair and is easier to apply in between the hairs. But if the skin is nearly saturated with water, won’t less medicine get absorbed? The instructions don’t cover this.

I would use a towel to dry your hair and then apply minoxidil while the scalp circulation is increased from the warm water.

Where does my hairline belong? (photo)

The hairline belongs about one finger breadth above the highest crease of the furrowed brow. This man will find that his hairline was transplanted unnaturally too high. I believe it belongs about 1 inch lower than the surgeon placed it about where I placed the arrow. In addition, the hairline is lower on the patient’s right side.


2021-03-08 20:00:47Where does my hairline belong? (photo)