Black Market Clinics, Doctors, and Procedures

These are comments taken from a group of doctors who are concerned about patients who are sucked into ‘Black Market’ clinics or Black Market treatment.

“Black Market Hair Transplant” is companies making deceiving marketing such that the customer is offered a service/product that does not offer the benefits that are claimed.

Examples are: technicians doing surgery when it is marketed as the doctor doing it, artificial hair fibres that may have devastating complications which the patient is not made aware of, an FUE robot that claims to not have the disadvantage of human error while doing a much worse job than the average surgeon, LLT that claims to treat male pattern hair loss, PRP that claims to treat male pattern hair loss, PRP that claims to improve surgical results, the manual FUE punch marketed as less damaging to the tissue, FUE marketed as a scarless procedure, an FUE punch marketed as offering zero transections, an FUE machine marketed as the best option while the patient not being aware that the technicians are going to do the job etc.

Since regulations and even ethical standards vary significantly across the globe, it is okay to market anything that is legal within its region, provided that the customer knows what they are getting. If the patient knows for the price he is paying, he can only have technicians doing the surgery and this is what he wants then it is fine. On the other hand, if the patient is told the doctor will do the procedure and the patient is sedated during the surgery so he doesn’t see that the work is done by techs, then this is not okay.

If the patient is told that PRP is not an alternative to the traditional treatment of androgenic alopecia and that there may be some temporary benefits, then it is okay. However, if he is told that he doesn’t need to take medication and he can get his problem treated in a natural way, then this is not okay.

If the clinic says that the doctor prefers the manual punch then this is okay. On the contrary, if they tell the patient that they use a manual punch to prevent the damage that occurs with the micromotor, then this is not okay.


2019-02-20 06:48:30Black Market Clinics, Doctors, and Procedures

Birth Control Pills Causing Hair Loss?

Hi! I’m 21 years old and female. In feb 2004 I started taking birth control pills, and 3 months after starting them, i started losing hair. Then after 7 months of using them i stopped, because my hair was falling out in clumps. No I have been off more than a year and i still dont see any improvement. Doctors have made bloodtests, and they were OK! Hair loss is diffuse all over and they have a little white tip at the end. In my family no one has hair problems, not even my two grandfathers or my father! Is it normal to lose hair for such a long time ? i truly believe i am going to bald soon 🙁
Thank you for your time!

Please see my previous post about Depo-Provera which answers the question about birth control pills and hair loss. Unfortunately, some women with hormone changes can precipitate female genetic hair loss and once it has started, it may not be reversed ‘if it was to be in her cards’. About 30% of women over 50 are affected by this genetic process. Although we can reasonably accept hair loss as normal in men, women have a unique type of suffering because it is another ‘attack’ on their feminity in a society that is heavily hair conscious and weighted to beauty and youth. When a young women get genetic hair loss prematurely (I fully realize that it is always premature for a woman of any age), then it is the worst type of insult that flaunts aging very painfully. What the male and female genetic hair loss is, is the ‘miniaturization’ of the hair (the thin hair that becomes even thinner as the process advances), but the location of this miniaturization is different in women than in men. Men have it develop in patterns (front to back) while women generally have it all over the head: front, top, back and sides. Some women will retain the frontal 1/2 inch of hair as healthy, even with the process of miniaturization everywhere else.

When you discussed that your tests are completely normal, I would raise the issues of Thyroid and pituitary function, as well as the absence of circulating angrogens, amongst other causes. Some doctors talk about chronic effluviums or the presence of diffuse alopecia areata (you need to have a dermatologist evaluate this).

Minoxidil does work on some women, often better than men. Some men have a diffuse patterned hair loss like women (about 1-2% of men) but some of these men are helped by Propecia (about half) while that drug has not been determined to be safe for women and even when experimentally given to women by a handful of doctors, few if any benefits were observed.

Do Birth Control Pills Cause Hair Loss?

Birth control pills are high on the list as a cause for female hair loss. When one pill doesn’t work, switching to another brand under control of your OB/GYN doctor who will address the hair loss issue is the route you should take


2019-03-24 11:02:10Do Birth Control Pills Cause Hair Loss?

Biotin

Hi Dr. How much biotin should I take a day for hair loss???

Biotin deficiencies can cause hair loss, so many people may include biotin in their vitamin regimen. However in healthy people it is almost impossible to have a deficiency of biotin. A biotin deficiency is therefore extremely rare in the United States. When it does occur, it may be associated with disease conditions of the gastro-intestinal digestive tract. An adequate daily dosage for biotin is 30-100 mcg for the adult male.

Biotin for Hair Growth?

I have heard Biotin can aid in hair growth. Is this true? If so what daily dosage do you recommend?

I do not believe that biotin can aid hair growth, but I’m sure I’ll get plenty of emails or comments from people disagreeing with me. There’s a lot of websites out there that go on and on about the virtues of taking biotin for hair growth, but I’ve yet to see a credible site that isn’t pushing supplements for sale talk up those virtues.


2009-11-10 09:30:27Biotin for Hair Growth?

Biofiber transplants, a horrible experience!

I had a horrible experience with biofiber hair transplants since 2 years and since that say I didn’t have one day without pimples and small abscess , I had traveled 2 times and lost too much money with no benefits. I searched everywhere to find someone Can remove it and even the part inside the scalp. It was a big mistake that I totally regret it, Please assess my condition if there’s any hope.

An experienced doctor may be able to remove each of the fibers as they are either (1) identified on the scalp with an FUE punch, (2) become infected. The general problem is that many times, buried biofibers remain even after individual surgical attempts to find them all is completed. You have to have a good relationship with the doctor who is removing them and realize that this problem may go on for a long time if any of the fibers are not found at the initial time the surgeon attempts to remove them.

This procedure, the use of artificial hair fibers implanted into the scalp, has been banned by most countries. Any doctor trying to do this in the United States could expect to be in trouble with their medical license. I know how good they look for the first few weeks as I have met a few patients that had them many years ago, but then hell pays a visit. You have been there, it seems, and you are still there until these fibers eventually work their way out. The good news is that they will eventually be pushed out by your body but multiple infectious periods may have to be managed, experience after experience by an easily accessible doctor.


2021-04-09 07:06:06Biofiber transplants, a horrible experience!

I had biofiber implants from Italy and now my scalp is inflamed (photo)

A year ago, I got my synthetic hair implant in another country clinic, since they really persuaded me to try out their biofiber synthetic hair implant made from Italy. Now I started having inflammation and redness and itching, I visited a dermatologists who recommended that I get these removed immediately.

I have seen such patients and their entire scalp becomes very infected and scarred, even after the removal of the synthetic implants. This takes a long time and many visits as some of the implants get burried in the scalp. Fortunately, these have been outlawed in the US and many countries, but a few clinics remain in Europe and elsewhere offering it and some people think it is a great idea and may pay heavily for the decision to get them.


2020-02-26 09:52:25I had biofiber implants from Italy and now my scalp is inflamed (photo)

Biofiber (artificial hair – photos)

Biofibers, a type of artificial hair that is inserted deep into the scalp, causes long term infections that are common. These have been banned in most countries in the world. I hope that this reaches people who are considering this type of treatment and learn from this post not to do it.


2020-11-09 17:17:08Biofiber (artificial hair – photos)

Billionaire with Bad Hair Transplant (Reddit)

I have found that many of the rich and famous don’t do their research when it comes to getting a hair transplant, as I have had to fix many of them. Donald Trump is a good example of a botched job (scalp reductions, and now he is stuck with a terrible scar down the middle of his head with balding around it). This man that you referenced should have had his donor supply quantified and a proper plan built. Maybe he was a bad candidate for a hair transplant, but now that he has it, he can do something about it, like possibly another transplant to thicken the frontal leading edge, and getting scalp micropigmentation for the rest of his head, and he might look much better (see https://scalpmicropigmentation.com/bold-shaved-look/). After a bad transplant, he either will learn to live with what he has, or he will find a doctor like myself who specializes in repairs.

A billionaire diamond businessman’s hair transplant from tressless

 


2018-05-22 10:13:26Billionaire with Bad Hair Transplant (Reddit)

Bilateral Varicocele and Propecia

Yes, another Propecia question for you. Sorry 🙂 I am 37 and have a bi-lateral varocele, grade 2 on the left and grade 1 on the right. If I started on propecia, could its side effects be more potent or affect my condition? From what I remember, the Merck studies did not get into the issue of results or drawbacks of people with Varocle.

This is a question you must ask the doctor who is following your problem. There is no obvious answer, other than you cannot just correlate any medical issue with a side effect. I am not a urologist nor do I treat varicoceles, so I am probably not the one to answer the question.