Tag Archives: hair transplant botched

Warning Against Medical Tourism and Black-Market Clinics

black market clinics
As a specialist in botched and corrective hair transplants, Dr. Amir Yazdan of Modena Hair Institute has noticed a troubling trend of hair transplant patients who are traveling to countries like Turkey and Bulgaria for ‘low priced’ surgeries. Just this year the International Society of Hair Restoration Surgery (IAHRS) – of which Dr. Yazdan is a dedicated member – has authored an official statement warning against medical tourism and black-market clinics.
“Hair transplant patients are being lured to black market pirate clinics across the world, at an alarming rate. They are promised low prices and guaranteed results. Unfortunately, these ‘clinics’, where surgeries are performed by non-doctors with little or no training, are causing irreparable harm.” – Official IAHRS Statement
The ISHRS found that nearly 80% of its distinguished members have seen a sharp rise in the number of patients coming to their clinics, seeking help after their surgery has gone wrong in the hands of a rogue and often illegal clinic.
Lack of Expertise
In black-market clinics, the surgeries are rarely, if ever, carried out by a qualified specialist. Most often it is a technician with minimal training who will be performing the operation and administering the anesthesia, with zero direct oversight by a certified surgeon. This allows the clinic to offer cheaper prices than if they were using trained and licensed hair transplant surgeons, but, of course, makes it far more dangerous. There have been reports of completely unqualified practitioners carrying out these highly intricate and skilled procedures in places like Turkey, Eygpt, Bulgaria, Brazil and Iran, but there exists such clinics in the West as well.
Lack of Proper Diagnosis
At Modena Hair Institute in California and Las Vegas, we consider the initial consultation process to be the most important part of all of our treatments, as this is where we will be able to work out the best options for our patients. It may be that surgery wouldn’t be suitable for them, in which case we would suggest alternative treatments. However, black market clinics have no interest in providing clinical advice to patients on whether or not they’d be a good candidate for the surgery – as long as they can pay, they will be accepted for a hair transplant. This means that people who aren’t suitable candidates will be wasting money on an operation that won’t actually yield desired results.
Lack of Medical Technique
The quality of the transplants, unsurprisingly, is likely to be extremely poor. Scarring and infections are common, as is ‘over-harvesting’, where too much donor hair is removed, meaning that there won’t be enough hair to use for future surgeries. Worse still, the donor at the back may look like it has chunks missing. Unnatural, disfiguring hairlines and hair growing in the wrong direction as a result of follicles being placed poorly are also common results. The clinics often tend to offer a large number of grafts – usually between 2,000 – 4,000 graft extractions per session – but with no consideration for the patient’s degree of hair loss.
Identifying which clinics overseas and domestically are illegitimate and unethical is difficult to do with a simple internet search. These clinics often fake reviews and testimonies, and pay large marketing sums to promote their services on Google and other prominent platforms. Some key things you can do to verify the legitimacy of a clinic are:

  • An extensive background check on the clinic through review sites like RealSelf
  • An inquiry into the propriety of their certification
  • An inquiry into the level of specialization, experience and results of the clinic

Dr. Amir Yazdan, MD, is an internationally renowned hair transplant surgeon, expert guest on Dr. Phil and The Doctors, creator of the GroMD hair restoration product line, ISHRS member, accredited member of the IAHRS and a visceral advocate for patient care. Learn more about Dr. Yazdan or read rave reviews from his patients.

Help! I got a hair transplant and my hair looks worse than it did before!

This is a common complaint we hear on the message boards and from patients seeking a revision or reparative hair transplant. This is an unfortunate outcome of hair transplantation and not one that we expect to see after a successful surgery. Many things could cause your hair to look worse off after surgery than it did before. Below, I break down some of those causes.
Failed or botched surgery. A failed or botched surgery could result in your scalp and hair looking much worse than it did before surgery. This could be the result of an infection, necrosis, folliculitis, graft death, damage to grafts during extraction/placement, over-extraction, over-excision, and the list goes on. Unfortunately, there’s not much that can be done after a failed surgery, except wait until the scalp heals and seek out an experienced surgeon who specializes in repair hair transplants. If you are concerned about infection of swelling you should meet with a doctor. If you no longer trust your original hair surgeon, you should meet with other surgeons in your area to get 2nd and 3rd opinions.
Shock loss. This is a hair loss condition that effects the native hairs in the area surrounding the extraction and recipient zones. Sometimes, the trauma induced by hair transplant surgery can cause the surrounding hairs to go into a state of shock and fall out. This condition can be temporary or permanent. It is likely to be permanent if the hairs were on their way out, meaning they were likely to fall out in the coming years as a result of your progressive hair loss. Shock loss can be prevented with the use of medical management and expert technique by the surgeon so as to limit the trauma to the surrounding hairs.
Graft shedding. This is the best case scenario to explain your post-surgery look. Graft shedding is a normal part of the hair transplant process, in which the newly transplanted grafts shed the current hairs, and allow for the new hairs to grow in once they cycle through their growth phase. This process can take some time, thus why we recommend waiting 6 months – 1 year to determine the full results of hair transplantation.
If you’re concerned about the results of your hair transplant and would like to get a 2nd or 3rd opinion on your case, give us a call today. Here at Modena, our doctor’s specialize in medical management of hair loss, complicated hair transplant cases, and reparative hair surgeries.

Help! My transplanted grafts are falling out. Is this normal?

Many individuals feel great alarm in the time after their hair transplant surgery when they see that their transplanted hairs are falling out. Is this natural? Is this a sign that surgery was unsuccessful? Below we address what is normal and what is not, and when you should actually be alarmed.
It is important to note that there is a difference between graft shedding and grafts falling out. It can be hard to tell the difference between the two, but graft shedding is when the newly transplanted hairs fall out naturally within a few days to a few weeks post-surgery. Grafts falling out is when the entire hair follicle has fallen out of its place. The former is a natural, healthy process of hair transplantation, while the latter is right to spark some concern.
In successful surgeries, we do not expect to see the entire graft fall out. A skilled and experienced surgeon is versed in the secure placement of grafts, so ideally, grafts should be snugly in place. Sometimes, if the patient is not careful with their scalp following surgery, and bumps it or is rough with it, this can cause the grafts to fall out. This is why we urge the utmost caution after surgery, especially in traveling, sleeping, washing, and changing.
Because it is so hard for the untrained eye to tell the difference between normal graft shedding and grafts falling out, most times we are not able to determine the success of the surgery until 6 months – 1 year post-op. This is because hair grows in cycles, and it can take some time for the new hairs to adapt and fall into line. After 1 year, you will know for sure whether or not the grafts survived and were successful. While most patients are not happy to hear this timeline, it is the most effective way to determine success of hair transplantation.
If you’re concerned about the success of your surgery, and would like a second or third opinion, give us a call today.