I had the procedure performed with approximately 1700 grafts in the crown and the hairline. Dr. Siporin was very accommodating and even offered to meet me on the Sunday prior to the procedure but my flight was delayed. He set my expectations from the onset that I may require another procedure to increase the density. It is now 14 months post op and I am really concerned with my hairline, crown area and the scar (He used the trichophytic method to close the wound) . I shared my concerns with Dr. Siporin and he indicated that I may need another 1500 grafts. I also consulted with Dr. Rahal and Dr. Cam Simmons (Recent member of the coalition) and they all averaged 1500 grafts. Dr. Simmons also mentioned that he can also perform scar reduction. I am in the process of scheduling another procedure as I have exhausted all my excuses in the office for wearing a HAT! This second procedure must be perfect as my financing would be exhausted and I would NOT be in a position to afford a third go-around.

I am posting here because I need guidance with regards to my next procedure. I would really appreciate any recommendations and advice from you guys. Dr. Siporin indicated that he is willing to offer a follow up procedure at a reduced cost. His professionalism and attention to detail was outstanding however I did not expect this result. I must also mention that the cost factored (Limited Funds) in the number of grafts I received but I honestly didn't expect this. I am open to any suggestions. Please share your thoughts.
Many thanks... .

Please see link below for photos.....

14 Months Post Op Dr. Siporin

Cole,

I'm sorry to hear and see that the results you received are not what was expected. Did Dr. Siporin provide a reason as to why he thinks you've had less than optimal growth?

I'm pleased that Dr. Siporin is willing to stand behind you and help you meet your goals at a reasonable cost. Ultimately, I would like to see you give him the chance to help you get the results you deserve. However, you are the one who ultimately has to be comfortable with your decision.

If there's anything else I can help you with, don't hestitate to reply here or contact me privately.

Best wishes,

Bill

__________________
Managing Publisher of the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog and the Hair Loss Forum and Social Community

Follow us on Facebook | Twitter | YouTube

Subscribe to our Newsletters | How We Recommend Physicians

-----

To learn about how I restored my hair, view my my hair loss website.

Remember, true beauty radiates from within, not from the skin.

I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are my own.

Cole,
Like Bill said, very disappointed that the result didn't meet your expectations. Rest assured that you did the right thing seeking out a doctor recommended from this site. I think that if you felt comfortable with Dr Siporin, and if you have previously reviewed his positive results on this site, it would be okay to have him do the follow up procedure. In my very, very limited opinion, I think this result had the potential to be dynamite. The hairline was lowered, fairly aggressively plus temporal reconstruction and vertex placement was done. If it would have grown to plan, I think the design and the characteristics of your hair, would have created a nice result. Like Bill said, I would be curious to know if Dr Siporin had a theory about the growth? It appears that you may have suffered a bit of continued loss and some shock loss at the scar, but I don't think either of these factors really account for the poor growth in the hairline. You could always consult with a dermatologist in the meantime to see if there is an underlying condition. Regardless, I think that having a consultation with a recommended surgeon to assess what happened and planing a revision procedure would be a wise choice. If you trust Dr Siporin and he is offering the procedure at a reduced price, I think this is even better. I truly wish you the best of luck!

__________________
Blake (Future_HT_Doc)

Forum Co-Moderator and Editorial Assistant for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum

All opinions are my own and my advice should not constitute as medical advice.

I spoke with Adrian from Dr. Rahal's office and he should be setting up a phone consultation later this week. I have already discussed my condition with Dr. Simmons and he was very thorough and identified what is required to increase the density and reduce the scar. I tried to contact Dr. Siporin late last week however I was unsuccessful and that is due to NO fault of his own but I know that he performs surgeries all over the world and he may not have been not in state at the time. Future_HT_Doc, Dr. Siporin is a recommended surgeon and I have discussed my poor growth with him. He advised that I contact him around 14 months post op. Hopefully I can have that discussion this week. That being said and in addition to Dr. Siporin's initial assessment that I may need another procedure to increase the density, I am terribly disappointed with the results. Hence the reason I am posting here to get opinions and recommendations going forward. If you guys were in my position, what would you do to fix this?

Cole,

I feel that you ARE on the right track consulting with Rahal.
Don't mess around. Rahal's Scars are excellent and the results he consistently achieves are matched by few.

Im really sorry to see you have less than optimal results. I have been in your shoes. I think you first need to determine whether this is physiology or physician. I am not 100% sure how you would go about doing that ,but maybe start with a dermatologist. I would hazzard a guess that a result of this magnitude may be a future predictor of proceeding surgeries if it is indeed physiology.

2nd I dont know much about Dr. Siporin, but from what I've seen of his work is steller so if he is indeed offering a discounted or free repair your financial situation might lean you that way. I MUST STRESS though that you should never let finances or location determine which surgeon you choose. Good luck Cole!!

Doing another surgery at a reduced cost is not what I call standing behind the client. I think that is a poor way of standing behind ones work. I think either Dr. Siporin should do it free or give a 100% refund of the money. This is the modern age of service and there is much competition.

Cole, my first transplant was a screw up, and I had Dr. Hasson fix it up successfully....

You may want to consider Hasson and Wong for your repair job. I am sorry what has happened to you and I understand too well how you feel. I hope whatever you do, you have a successful outcome

Cole,

I'm sorry to say that you received a horrible result. Your before pictures look MUCH better than your 14 month post-op pics. You deserve nothing less than a full refund. It's a shame you spent thousands of dollars to look worse off.

Look at Coalition Clinics for this repair. Not just recommended docs. Docs like Rahal and Simmons are a great start. But also look into Shapiro Medical Group, Hasson & Wong, and Feller.

Sometimes there is a bit of grey area as to whether one needs a finishing job or a repair job. You need a repair job, especially in the donor region .

__________________
2008 Dr. G – presumably 1,000 grafts / 2,142 hairs
2009 Dr. Paul Shapiro – 2,348 grafts / 4,258 hairs
2011 Dr. Paul Shapiro – 1,999 grafts / 3,624 hairs

My Hair Transplant Journey with Shapiro Medical Group

1700 graft distributed through the hairline and crown is not enough considering your hairline looks to be lowered 3/4 of an inch. You would never get the density need to be esthetically pleasing. I think this was reckless planning on your doctor's part. I would def not go back to this doc. if you can get your money back go with someone else such as Hasson and Wong or Rahal