Hairguy350

3 month photos description included in album. https://www.hairrestorationnetwork.com/Hairguy350/albums/2717

These are 2 week post op photos. I apologize for the quality, but this is the best I have from that time. Image codes: photo Image codes: 4photo

@tacolinwest, That first pic is roughly six months post-op. @greatjob, I had had attempted laser therapy, and it had jumpstarted the catagen / telogen phase of the very front of the frontal grafts. This picture was taken prior to the area being cleaned up by another doctor’s staff. This was the same staff that found a number of hairs stuck in my forehead upside down. I had not lost any grafts at this point yet though to laser or extraction. The second picture is of me the day of my first graft extraction surgery. That is why you see the angle of the temple points annotated with the marker and the forehead line measured at 5 cm. In this photo you can see where most of the very frontal grafts have been put into the resting telogen phase. However, they all regrew within 6-8 weeks. That is why I mentioned in a previous post that laser is not a viable option. I don’t want someone to waste time with laser as I have. The only sure way to repair seems to be graft extraction. @fueonly, you are correct the nurse gives the medications in a cup while they direct you to change. I asked her what all these pills were and she said it was just antibiotics, and pills to make me relax. They did much more to me though, as I have detailed in my previous posts. It was only after ingesting these pills, changing, and waiting in the operating room for some time that Dr. Umar showed up and the staff began to give me the IM shots. The medications took over and I quickly became impaired, and soon passed out. Therefore, his claims on this website that I was not under the influence of any medications prior to seeing him are unequivocally false. I did not wish to discuss my mental health on this forum because I do not believe it is related. I have responded to the concerns, and I finally relented only in order to continue this dialogue. However, Dr. Umar attempted in my mind to create speculation by how he phrased things in his response. I was actually at the VA today where I met with the VA psychologist where we talk about specific combat incidents that have happened over my career, and when I told her what Dr. Umar had made me do she said that it was reprehensible. She is actually a licensed mental health professional qualified to give her expert opinion on mental health matters unlike Dr. Umar who wanted to maliciously attack my credibility because he does not want to have to engage in the true conversation regarding improper use of medications. Today I contacted the California Medical Board with a formal complaint. I have also found multiple precedence cases and statutes that enable me to circumvent MICRA and any arbitration agreement that was signed. Therefore, even though Dr. Umar sends me private emails passively accusing me of defamation of which I do not meet the criteria I am not afraid. @Magnumpi, exactly! Depression caused by having to look and live with such a horrible appearance now sounds pretty normal to me. Over a decade in combat where I experienced death in very dramatic ways would lead to probably needing to talk to someone about that so pretty reasonable to do so. Civil servants like cops and firefighters have to talk to someone to get cleared from time to time too. I have passed multiple psychological tests for work. I mean you have to do that when your carrying weapons like machine guns and you’re within a few feet of diplomats, heads of state, etc… I still have a security clearance, and an honorable discharge from the military twice. @curious, I waited and hoped for so long, even though I have no recollection of agreeing to what Dr. Umar did in the O.R. I just hoped it would work out for the best. I did not want to take action such as this or talk about this, but I am doing so in good faith, and only to reputable sources. I feel I have a duty to convey this information. @wylie, I agree that someone frame of mine as you have said should be considered, but would a physician who had been given the authorization not explain the two conditions he mentioned? He fought so hard to get the authorization, why did he not say what the two conditions were? Why write it in such a speculative matter where the reader can misinterpret it so easily. In my eyes that is manipulating the reader. @Mickey85, first picture roughly 6 months. No, there had not been any grafts extracted in the first photo. Reference my first reply in this post for more details. If you need more post again. @Atticus also adbner, No amount of grafts would ever change a five centimeter forehead with such a straight hairline. There was no point in continuing the waiting game. When I spoke with Dr. Fisher his recommendation to deal with the hair transplant was to cut out the entire grafted area leaving me with a huge scar. You can reference the link I previously posted that says something like revision of hair transplant. That doctor wrote it, and the major errors he cites have pretty much been committed here. @notakebacks, I will post more photos for all to see as you have requested. @greatjob, I will post photos tomorrow. @blackamish, I have received several stern emails from Dr.Umar meant to intimidate me. I can copy and paste if requested. @shampoo, to imply that a doctor medicated then sought additional consents is not a personal attack, it is a matter of professionalism. Since the physician engages in said occupation he is subject to scrutiny, and abiding by medical ethics and regulations. @everyone, almost everyone will experience some sort of depression in their lifetime. PTSD is a very subjective condition. For some it can be severe, for others it is not so bad. Some people just need to talk about some things that have happened. I think to take the time to seek treatment shows a greater resolve and mental competency than to just suck it up @heliboy, I am glad you had good result with Dr. Umar and did not have issues with the medications. I wish my case had been the same; it has not though. There are no other doctors involved in my posting, and no one is directing me to do this. I am doing this as a measure of good faith. You are correct that some doctors put people on forums I believe. I believe atticus who is also known as abner may be one of those people. Who knows you may be too since you have just recently come back as you’ve said. @blackamish, I think there needs to be industry wide reform. Hairlines and their placement should be drawn and agreed to prior to any medications ever being given. Tomorrow, I will get the pictures that have been requested.

Responses to first set of questions prior to thread being locked. More to come soon. @ Blackamish111, thank you for your response, and I agree that part of the problem in this situation is the lack of sufficient pre-design consultation / collaboration. This is something that should be addressed industry wide. Furthermore, asking a patient to collaborate and make decisions while they are impaired due to sedatives is a gross error. “Furthermore, in the morning of your surgery, in our pre-surgery discussions and planning, I gave you a pencil and a mirror and had you indicate on your forehead where you wanted your hairline positioned so I understand your understanding of aggressive hairline positioning (Dr. Umar, email July 21, 2013).” This statement substantiates my previous claim that while in the operating room, under the influence of sedatives given to me by Dr. Umars’ dermhairclinic, he asked me to make cognitive decisions related to the hair transplant design. Drugs such as diazepam and lorazepam are schedule IV controlled substances that fall into the following classes benzodiazepine, anxiolytic, and hypnotic. The Tylenol with codeine is a schedule II substance that falls into the following classes analgesic, opiate, and antidiarrheal. The attached video below shows a patient who has taken Valium, which is a brand name for diazepam. http://www.youtube.com/watch?v=4OiMl1RW5cg Would you ask this patient to make decisions and collaborate in the operating room for a hair transplant procedure? Would you trust their judgment under the influence of this medication? Would you make the decision as a physician to give these medications then ask your patient to make decisions? Attached here is a video of another patient under the influence on Lorazepam. Notice at the 1:26 mark that the video-taper asks the person under the influence if she remembers something she just did? In addition here is a video that explains some of the side effects of Lorazepam such as drowsiness, dizziness, loss of coordination, blurred vision, memory impairment, and confusion. http://www.youtube.com/watch?v=4GiAYbI1whE @ Spanker, I will be uploading pictures asap. @ Mickey85, in my opinion, I cannot recommend Dr. Sanusi Umar. @ MAGNUMpi, I agree that Dr. Umar has performed repair work in the past where patients were satisfied with the results, and he is known for getting high yields on body hair. However, in my opinion his hairlines are poor. Therefore, he may be the doctor of choice for repairs that need body or beard hair. @ Shampoo, You are correct it is very difficult to locate negative reviews about Dr. Umar. Throughout the hair transplant community forums, and relevant review websites the negative comments are sparse or non-existent. If you look hard enough you will see people mention that they do not like his hairlines, that his results are unimpressive, or they did not think he was professional. I suspect the lack of negative reviews may be by design, however, it is possible that I am a rare dissatisfied customer who was a casualty of Murphy’s Law, or something like that. The reason I have my suspicions is because the hair transplant industry is a moneymaking industry, and not just in the surgeries itself. There are substantial sums of money that can be made from products, advertising, and websites. Therefore, it is possible that negative reviews or comments are mitigated in favor of continuing the streams of income to people who stand to benefit. While I am not saying this is a fact, I am saying that it is possible, but I digress. Lastly, I had originally scheduled my flight to arrive the day prior, but had to change my flights at the last minute. This put me in a position to re-coordinate the appointment, and flights. Several options were considered by the clinic and I, but were not viable. My flight landed at 10am the day of surgery and upon collecting my bags and baggage claim I took a taxi directly to the dermhairclinic. In hindsight this was an unnecessary constraint that seems to have created duress and carelessness that was part of the problem. So in my opinion if a similar situation arises in the future the patient, doctor, or both should err on the side of caution and not rush or change the plan. @Bill, I will be posting pictures asap for the community to make their objective assessment. In regards to your question about the discrepancies about getting to ask the final questions, and why I decided to proceed here are my answers. Dr. Umar requires that the entire surgery be paid in full one-month prior and all paperwork be filled out. I had placed my trust in him and his office, and filled out all the paperwork even if I was unsure on some things because there is supposed to be time to answer final questions later, and because I was working in Iraq with poor Internet. I did not have the best communication methods available to me to nor did I have a great amount of free time to stress on the details. If I had stressed on the details and not paid in full I would not have been able to book the surgery within my allotted time-off from work. Therefore, the combination of my unique work situation, and the institutional norms that Dr. Umar has in place did not work in my favor it seems. As far as my understanding of everything the best way I can explain it is that it is a little like going to combat. When we are all kids, or young adults we have an idea of what we think combat is, and all the things associated with it. So we sign up, and go. However, once you go to combat you realize that what you thought combat is is actually something different entirely. Therefore, as a layman I was and am not able to fully comprehend all the true nature of everything associated with it. You asked, “At any point did you say, "Before we proceed with surgery, I need you to answer these questions?” I previously stated that I had written my final questions down, and that we were supposed to collaborate on the design. However, I never saw the doctor until I was already given sedatives to knock me out for the day. At that time I was under the influence of these sedatives, and not able to fully comprehend or understand what exactly was going on. I passed out shortly after Dr. Umar entered the room. I have no recollection of asking any questions, getting any answers, or collaborating, or agreeing to what was designed. If I had had my normal capacity to critically think, and articulate I would have. That is why in my opinion it is so important to not be under the influence of medications that can impair cognition. You asked why I did not wait the full 12 months to see the full final result. The problem does not lie as much with the grafts per se, but with the placement. The overall design of the hairline is too low, too straight, and the temple point angles were pretty drastic. Therefore, it didn’t matter how much hair was there or not, or even if it had to be retouched later. http://www.hairrestorationnetwork.com/eve/137035-age-appropriate-whats-2.html . However, the use of two, three, and five hair grafts in the front of the hairline did not give it a good look either. When I was at the repair clinic some of the techs even found some hairs that had been placed upside down with the bulb sticking out! Furthermore, you will see a posted microscopic photo of five hair grafts used in the front of the hairline. Furthermore, I fully understand your need to vet my claims and bring Dr. Umar into the equation on this thread, and I welcome both opportunities. I know you have said you have heard similar stories before, and if you ever spoke to any of my primary care or other physicians they would most likely tell you I endeavor to be an informed patient. While I may have made some mistakes I am also a layperson. I am not a doctor whose practice is built on marketing and executing hair transplants. I will be posting pictures in a separate thread once I respond to all these questions. I will also contact the dermhairclinic to provide the authorization to respond without releasing my face, name, or identifying information, as I do want to protect my identity to some degree. @Curious, you will see pictures of the 5cm forehead. I actually have a photo where the repair surgery measured and marked it in a photo. @fueonly, I will take your advice under consideration. I think that contacting media outlets may be a viable option. Doctors should not give medications that confuse, or impair judgment or memory. I know that when I had my first graft extraction surgery that only topical numbing injections were used, and motrin afterwards, and that was all I needed, and I was able to make competent decisions because of the professional use of medications. @talcolinowest, It is a bittersweet thing to have had fue. I do have a lot of scarring on the back and sides of my head, but I do not have a large fut scar. Time will tell if the grafts that are removed in the front, and the subsequent laser treatments will ever normalize my forehead and frontal scalp. I do not think it is 100% reversible though. I will likely have to live with some level of facial and scalp scarring for the rest of my life, and be less a great deal of money, and time. It is impossible to go on a job interview, or take advantage of the graduate school scholarships I have at my disposal. 2013 for me has been my worst year on record, and I have experienced some real hellholes in Iraq, and Afghanistan. I would gladly have spent a year back in one of those places taking fire than going through this nightmare. @fueonly, There is an abundance of paperwork required by Dr, Umars office. I will post a copy of all of it if so desired. It is about 38 pages. I do believe it may be designed to absolve him and his clinic from any responsibility no matter how large or small. @BlackAmish111, I am here to talk about my experience and share my opinion. I am not here to bash but to present facts. I think positive and negative reviews should be equally regulated because it is known that doctors hire people to advocate and sell patients on treatment. @Atticus / Abner (realself.com), I do not believe anyone on here has been or is being unreasonable, but like us you are entitled to your opinion and expressing it whether it is positive or negative. Based on your experience in your hair transplant and eyebrow surgery you seem to be happy, and I think that is awesome, and Dr. Umar seems to have done well if you are both satisfied. Were you sedated for either of your procedures? However, your procedures are low graft counts of 600 hair grafts to reshape your widow’s peak and whatever the eyebrow surgery required. I had almost four times the amount of grafts, and you had very little hairloss to begin with, therefore, it would seem your case was probably not that difficult to begin with. Dr. Umar will get his opportunity to share his side of the story, and based on his take of events I hope this community is able to take our truths and find that actuality of the situation. Lastly, your last sentence can be interpreted as a veiled threat, and I believe that has no place in these forums. Alluding to legal action for expressing our first amendment rights within a hairloss / hair transplant community forum is reprehensible. This should be a place of safety and reason to converse like civil adults based on our mutual interests and experiences. Some of these will be positive, some of them will be negative, but as long as we present evidence and facts with our opinions then the moderators such as Bill will regulate the forums. If there is any place to talk about cases such as mine it is here. You are an advocate for Dr. Umar on multiple websites and that is perfectly fine, but it is very easy to decipher the meaning of Res ipsa loquitur. http://en.wikipedia.org/wiki/Res_ipsa_loquitur. You may even work in the legal field and be certified to make such claims, but I do not believe this is the place, at least not this thread. This is meant to broach a specific case and debate the merits of the associated content. You do not see me using my military skillset to intimidate anyone. Rather I want to talk amongst the community, and aggregate data and opinions of people from this community. Correcting Widow's Peak With A FUE Hair Restoration Procedure @Scar5, Is it true that Dr. Umar pays to post on this website? How can this be an objective forum or community if this is the case? @Wylie, it seems you have based my credibility on your subjective experience. While you may have had a great experience with Dr. Umar and I commend you that does not mean that every experience is the same. You have actually committed a logical fallacy, which is called a hasty generalization. Hasty Generalization: This is a conclusion based on insufficient or biased evidence. In other words, you are rushing to a conclusion before you have all the relevant facts. This is the beginning of this discussion. In the near future Dr. Umar will be presenting his side of the story, and I will be posting photos. Are you a medical professional? Are you a pharmacist? Are you an anesthesiologist? If you are not then your opinions are just that, and there is a lack of credibility in your statements related to sedation. Furthermore, everyone is affected by medications differently. That is why some people can have penicillin and some people cannot. Some people can take something like Paxil and have their depression symptoms mitigated, whereas someone else may take it and become worse. Therefore, you may not have the profound effect the medications had on me, but it is not unreasonable or impossible that I had the experience I had. Benzodiazepines are sedatives that can produce amnesia. Did you take the exact same medications that I did, and are you willing to post a redacted copy of your medical record to substantiate your claim? I had issue with the lowness of the hairline from day one, and did my best to adjust and rationalize that it was ok. The gravity of the situation takes time to adjust to, so naturally giving ones psyche time to adjust to a new look that develops over months after being placed, falling out, and then regrowing over several months does not bode well for immediate decision making even when they are left with just red scalp. That is why I am here now telling my story and not months ago. This is a process and you must know as a four-time patient. There is still no excuse for the use of the sedatives that were used, and I was knocked out for the procedure. You are once again committing a logical fallacy though. This time it is the straw man, but there is not need to continue with addressing these issues. The issue at hand is the case in point. I am not here to lie; I am here to start a dialogue. I apologize that I will not be able to give a perfect account; I am a mere fallible human. It is my intent to present the truth, along with photos, and Dr. Umars side and opinions. I would caution against 100% trusting your spidey sense though, and I encourage you to read a correlative story presented by NBC news conducted by Florida State researchers about high-place phenomenon That weird urge to jump off a bridge, explained - NBC News.com. If more people trusted their spidey sense in this case there would be a higher rate of suicides simply because they did not question it. I am sure you can see my point. The brain is not perfect it is an evolving organ that sometimes creates links and pathways that are illogical and unnecessary in its attempts to rationalize reality. That is why common sense is not an actual thing. There is reasoned sense, which is based on our experiences that help shape our subjective realties. These subjective realities are not perfect or one stop shops that can be applied to all situations. I look forward to the presentation of all information from all sides of this discussion in the future. @Northwest-Hairline, I did not arrive out of the blue and expect them to accommodate a late arrival. There were last minute issues, and I contacted the office immediately to attempt to problem solve with them for a solution. Initially other days were booked, and then unbooked then it was decided that the appointments would be kept with a later start time. The office was involved from the start and collaborated. Again your situation is different than mine because you had time to converse with Dr. Umar in pre-op. Was this prior to the start of your procedure? Was this prior to ingesting sedatives? Were you given the same cocktail of pills? Are you wiling to post a copy of your medical records showing the pills administered name redacted of course? I am glad you had a good experience and positive outcome. I commend you and Dr. Umar in your case. I am not the only person to have a negative opinion of Dr. Umar, and I admit it may be wrong as I have had very little personal contact with the man and almost all of our communication has been via email. As it stands right now that is my opinion, and others share it too. Dr. Sanusi Umar - Redondo Beach, CA Dermatologist - 22 doctor reviews | RateMDs.com

Gentlemen, I will make time to answer all your new questions when I get the opportunity later tonight.

How is the use of five hair grafts in a frontal hairline acceptable? Look at the 5 cm hairline.

Why has my previous post not been approved by the moderator?

On January 10, 2013, prior to ever seeing Dr. Umar his nurse gave me a cocktail of pre-operative pills that unknown to me at the time contained the diazepam, and Tylenol with codeine along with all the other medications transcribed from my medical record from my first post. These were given prior to surgery, in fact prior to ever entering the operating room, and are what impaired my judgment in the operating room. Therefore, when Dr. Umars supposed conversation happened I was under the influence of sedatives as previously stated. Furthermore, I have already detailed the details of the supposed conversation that transpired, and it can hardly be called a conversation, but I will gladly detail it again if you would like. Although I can only talk about what happened before I passed out from the medications prior to Dr. Umar drawing his surgical design on my head, after which he claims I gave consent to while impaired on the medications him and his staff administered in oral and IM forms. I have no recollection of ever giving consent to what he drew due to the medications though. I had an issue with the lowness and straightness of the hairline from day one when I saw it in the mirror. However, I was not quick to rush to judgment or action because I am a methodical person, and hair transplants take time to come to fruition. Therefore, I tried to make the best of it and convince myself everything was ok even though everyone echoed the same issues I noticed with the hairline. Over time as I realized how wrong the things were that had transpired were. I have found cases in California that have set a precedence for medical battery and professional negligence, of which this case meets the same criteria along with the violation of California Civil Code section 3333.2 "Professional negligence" means a negligent act or omission to act by a health care provider in the rendering of professional services, which act or omission is the proximate cause of a personal injury or wrongful death, provided that such services are within the scope of services for which the provider is licensed and which are not within any restriction imposed by the licensing agency or licensed hospital. I was diagnosed with depression, which was brought on by my unsightly appearance that does not make me crazy that makes me normal. It is normal to not be happy with your appearance when you look like my attached photos. Would you be happy? Furthermore, I sought treatment at the VA for my multiple tours of duty in Africa, Iraq, and Afghanistan from 2002-2013. PTSD is an unrelated psychological condition, but it is a subjective disorder with varying symptoms that cannot be quantified by inexperienced dermatologists. Dr. Umars implication is that I am crazy. I am very much competent and sane. I still possess a government security clearance, and have scholarship offers for graduate school. Dr. Umars implications are nothing more than a passive-aggressive ad hominem logical fallacy. The issue here is the improper use of medications, lack of consent due to impairment from medications, and the overall poor design. It would have done no good to wait any longer because no amount of hair can growing or regrafting can change a straight 5cm hairline. http://postimg.org/image/j4u9gdzkz/3594aca1/http://postimg.org/image/ipykb1tif/696844e5/

Because my story requires a great attention to detail in order to present the correct factual story and the opinion of my experience to date with Dr. Sanusi Umar and the dermhairclinic I ask that everyone who has commented of this post give me some time to respond to all the questions and statements that have been made. I will attach photos, and respond as soon as I am able. I will also give Dr. Umar the appropriate authorization to respond by presenting his narrative of this situation with the exception of revealing my identity in the near future. Until that time please be patient as I formulate honest, congruent answers.

In January of 2013, I had a hair transplant surgery with Dr. Sanusi Umar. The online photo consultation was utilized and all communication was conducted between Dr. Umar and myself via email in part to geographical constraints. Dr. Umar seems to be a man of few words, but in my opinion he is very terse, which is a conclusion I did not come to until afterwards. He advertises that he was a victim of a bad hair transplant in the past; therefore, I did not analyze his terse email replies in depth because in my opinion a person who advertises having been a victim of a bad hair transplant would never wish the same fate on another. Dr. Umar recommended the use of 3000 grafts to restore my hairline aggressively. We did not discuss exactly what this meant during our emails though. I was under the impression that the use of a high number of grafts would create a denser, natural looking hairline. I was required to sign a plethora of legal documents including an arbitration agreement that requires each party to select arbitrators and then select a third party arbitrator to prevent malpractice lawsuits. However, in California a patient’s ability to find representation for anything medical malpractice related is virtually impossible due to the Medical Injury Compensation Reform Act (MICRA). Under this law non-economic damages are capped at 250,000 USD, thus making a medical malpractice suit not financially worth it for attorneys to pursue. This coupled with the great difficulty of prosecuting medical malpractice cases, and the abundance of hours required of arbitrators, a patient in California seems to be at a disadvantage, and possibly financial loss if arbitration is pursued. Therefore, I am of the opinion that if someone wants to have elective or other medical procedures performed they should not do so in California. Due to time constraints I was not able to arrive in the morning of my day of surgery which the surgical staff had said was still acceptable, but arrived somewhere around lunchtime. I was rushed by the techs to re-sign more paperwork, and take photos in preparation for surgery. Upon changing out of my clothes I was given a small cup of pills, These pills were the following: Cephalexin 500mg x 2, Diazepam 10mg x 1, Mephyton 5mg x 2, Prednisone 10 mg, Triazolam 0,025 x 1 mg, and Tylenol with codeine x2. Additionally, I was given shots of Diphenhydramine, Midazolam, Butorphanol, and Lorazepam. Previously, I had been told that I would be awake for the procedure and only receive local numbing agents in the areas that are operated on. The use of the aforementioned medicines was not made known to me until right before the surgery. After ingesting the medications and waiting in the operating room while techs scurried around, Dr. Umar arrived. This was the first time I had ever seen him in person. I had been instructed by a tech to write down my final questions for Dr. Umar and that we would discuss these prior to starting the surgery, that never happened though. Yes, I wrote them down, and they are included in my medical record, but we never conversed about them like I was promised by the techs. He introduced himself, and asked me to draw where I thought I would want my hairline with a marker and a mirror. At this time my head was swimming from the medications and my recollection is drawing a line at my existing hairline. He said I was not much of an artist and instructed me to lay my head back, and that is the last thing that I remember, and that was the only time we ever spoke in person. 2350 Grafts were then subsequently placed. Since then in emails between the doctor and I, he has claimed that in the operating room that I collaborated and agreed to the hairline he designed in the operating room. However, as I have said before I was given a multitude of oral and intra muscular medications, which are listed above and transcribed from my medical record. Did I sign multiple pages of documents previously? Yes. Did I fully understand them? No. I was really anxious to ask my final questions in person because electronic communication can be misinterpreted, but never had the opportunity. In my opinion I was in no condition to collaborate on a surgical design in the operating room as Dr. Umar has said transpired due to the aforementioned medications. I did not realize the gravity of what had transpired until several months later when the transplanted hair grew in, and around the six-month mark I felt something was wrong. While this can be early in the twelve-month timeline for a hair transplant the other people who I have spoken with say you have a pretty good idea of what you’re going to end up with around this time frame. However, the greater issue for me was not the hair but the design itself. To me the transplant and hairline was pluggy, too low, and too straight. In my emails with Dr. Umar he echoed his sentiment that I would likely need another procedure to fill in some gaps where the hair was sparse, but insisted I keep waiting, even though I said I thought the hairline was too low. I then consulted another hair transplant surgeon. His opinion was that the hairline was too low and too straight, and recommended excising my forehead and scalp skin which would leave me with a large hairline / forehead scar. Other surgeons recommended a series of laser hair removal and laser resurfacing options. However, I have blonde hair, and there is no guarantee of hair removal for blondes. Laser hair removal is marketed as permanent hair reduction. In my opinion this is a marketing ploy. Yes, laser hair removal can remove some unwanted hair in some people, but it is not an exact science, and does not work on blonde hair. Essentially, what it does is attack the melanin in the follicle and damages the hair follicle, which may destroy its hair growing capacity. However, in my opinion what is more likely is that the hair in anagen (growing cycle) will be forced into telogen (resting cycle). This resting phase typically last anywhere from 2-4 months, but a safe bet from my research is 100 days on average. After that you can expect regrowth if not sooner. Therefore, unless you are committed to enduring laser hair treatments for the rest of your life there is nothing permanent about laser hair removal, that’s why the FDA forbids laser hair removal to be marketed as permanent hair removal. Eventually, I consulted a reputable surgeon. Once again his opinion was that the hairline was too low, too straight, temple point angles were incorrect, hair type used was incorrect, and it did look pluggy. One lady said I had been butchered! Interestingly enough there was another of Dr. Umars previous patients present that day consulting about getting repair work too. When my forehead was measured it was discovered that the hairline that had been artificially designed left a 5 cm forehead The average adult male hairline is typically 6-8 cm. Luckily, this surgeon is skilled in hair transplant repair and has begun the removal of the grafts to help me one day return to a normal life. He then went on to say, and this was again echoed from his staff that the two and three hair grafts that were placed in the frontal hairline and temples were inappropriate for the areas they were placed in. A staff member who is also a native Nigerian initially defended Dr. Umar by saying, “Sometimes people have a bad day,” only to come to the aforementioned conclusion that the wrong types of hair had been implanted in the hairline. The most egregious statement I heard from the hair transplant physician was the opinion that my hair transplant performed by Dr. Umar was reminiscent of a 1990’s hair transplant, and that with the state of the industry today there was no excuse for poor work like this in his opinion. I look forward to completing the graft removals, and to never having to wear a hat again. While I was not really self-conscious about my hair before the transplant I was inspired to have better hair, and to not go bald because a friend had experienced such great results from a surgeon on the East coast. I wish I had, had the same experience as he did, but that has not been my fate in my opinion. I have asked Dr. Umar for a refund, and he has never specifically responded to this request. I have asked Dr. Umar to contact my current physician, and he has refused to do so via his emails. I have consulted every attorney imaginable in California to no avail. In my opinion Dr. Umar is a pompous arrogant man, the consultation was insufficient, and the use of medications in the operating room were erroneous. Revision of unfavorable Hair Restoration: Hair Restoration: State of the Art: Revision of the Unfavorable Result in Hair Transplantation