Regular Member greyG Posted November 26, 2016 Regular Member Share Posted November 26, 2016 Hi, does anyone have an idea why some HTs fail?.. what would be the cause? Surgeons's technique?.. dodnr hair sensitivity to DHT?.. Is it something to do with process? Link to comment Share on other sites More sharing options...
Senior Member Dutchie Posted November 26, 2016 Senior Member Share Posted November 26, 2016 I don't think anybody really knows the answer to that question. But I am convinced all the clinics know that some of their hair transplants are going to fail, and they don't really know what to do about it, or how to prevent it Link to comment Share on other sites More sharing options...
Senior Member BaldPatient2 Posted November 26, 2016 Senior Member Share Posted November 26, 2016 I think the most common scenario of failed HT is the lack of density. There are fewer cases of wrong direction of transplanted hairs and pluggy look, but the main complaint is related to density issue. What causes the lack of density ? Link to comment Share on other sites More sharing options...
Senior Member Mikey1970 Posted November 26, 2016 Senior Member Share Posted November 26, 2016 The biggest HT fail imho is the patient that loses more in shock loss, than they gain with new grafts. Link to comment Share on other sites More sharing options...
Senior Member hsrp10 Posted November 27, 2016 Senior Member Share Posted November 27, 2016 (edited) The are a lot of risks and various factors involved, these are the ones that come to mind as the major reasons. Feel free to add others I'm missing. Patient side: - physiology including health problems, scalp issues, being a poor/slow grower, scarring from previous surgery or past injury - not following the key important postoperative instructions - injury or damage to the grafts accidentally - choosing the wrong surgeon without doing proper due diligence and research Doctor Poor technique - transection of existing hair follicles - placing an overly excessive graft count in the recipient area compromising blood supply - removing the grafts for extended periods of time outside of the body (most say 8 hours is the upper limit, but the longer left outside the body the lower survival rate) - harvesting outside the safe zone - poor FUE extraction technique damaging follicular structure - poor incision method or graft placement technique - placing the incisions too far spaced apart leaving gaps or holes in the density - using the wrong hair direction and hair angle as it leaves the scalp Administrative - not hiring qualified techs to work at the clinic - not having a clean and sanitized surgical area (leading to infection etc.) - not using modern equipment or tools, or conversely over relying on robotic techniques Technicians: - mishandling the follicular structure after it is removed from the scalp - using the wrong storage method/solution during graft storage phase - tech graft placement error, such as choosing multiple hair units for the hairline and temple points [*edited this one based on feedback] Edited November 27, 2016 by hsrp10 go dense or go home Unbiased advice and opinions based on 25 plus years of researching and actual experience with hair loss, hair restoration via both FUT & FUE, SMP, scalp issues including scalp eczema & seborrheic dermatitis and many others HSRP10's favorite FUT surgeons: *Dr. Konior, *Dr Hasson, Dr. Rahal HSRP10's favorite FUE surgeons: *Dr. Konior, *Dr. Bisanga, Dr. Erdogan, Dr. Couto (*indicates actual experience with doctor) Link to comment Share on other sites More sharing options...
Senior Member KO Posted November 27, 2016 Senior Member Share Posted November 27, 2016 On the topic of "not following post-op instructions". The problem with this argument is that there are so many different post op regimes and they all differ from doctor to doctor. If post-op care was an exact science, then there wouldn't so much diversity of opinion. A few things seem common though - don't dislodge grafts and avoid sun. Obviously, one should follow their doctor's instructions, but I'm highly skeptical of not following post-op procedure as a reason for a failed result. 3382 FUE Lupanzula http://www.hairrestorationnetwork.com/eve/185463-3382-grafts-lupanzula.html Link to comment Share on other sites More sharing options...
Senior Member hsrp10 Posted November 27, 2016 Senior Member Share Posted November 27, 2016 Sure we could add the disclaimer "not following the important key postoperative instructions," but that was not the point of my post. Wanted to list all the possible reasons I have seen and heard over the many years, and that one is indeed a real cause. There are no guarantees in this field, and we are all made to sign a disclaimer agreement before proceeding, so the best one could do is to have a test procedure of a few hundred grafts at a respected and elite surgeon then if successful go ahead with a larger procedure at the same surgeon. Though in most cases this is not always possible for logistic and economic reasons etc. Btw I had a failed procedure at Bosley in the early 90's so I've been on both sides of this situation. go dense or go home Unbiased advice and opinions based on 25 plus years of researching and actual experience with hair loss, hair restoration via both FUT & FUE, SMP, scalp issues including scalp eczema & seborrheic dermatitis and many others HSRP10's favorite FUT surgeons: *Dr. Konior, *Dr Hasson, Dr. Rahal HSRP10's favorite FUE surgeons: *Dr. Konior, *Dr. Bisanga, Dr. Erdogan, Dr. Couto (*indicates actual experience with doctor) Link to comment Share on other sites More sharing options...
Senior Member JON86 Posted November 27, 2016 Senior Member Share Posted November 27, 2016 As far as grafts not surviving I agree with what hsrp10 has posted. As far as patients not being happy I think unrealistic expectations is the number one thing. There are limits to what a transplant can do. Nobody will get back their hair from their teen years. It's the illusion of coverage that should be the objective. Link to comment Share on other sites More sharing options...
Senior Member BaldPatient2 Posted November 27, 2016 Senior Member Share Posted November 27, 2016 - removing the grafts for extended periods of time outside of the body (most say 8 hours is the upper limit, but the longer left outside the body the lower survival rate) Mega sessions can take 10-12 hours Link to comment Share on other sites More sharing options...
Senior Member BaldPatient2 Posted November 27, 2016 Senior Member Share Posted November 27, 2016 (edited) - using the wrong hair direction and hair angle as it leaves the scalp (*if techs are involved in graft placement phase) I asked a techinician this question when she was implanting the grafts and she told me that directions/angle are determined by the incisions that the doctor makes. So this is not the job of technicians Edited November 27, 2016 by BaldPatient2 Link to comment Share on other sites More sharing options...
Senior Member hsrp10 Posted November 27, 2016 Senior Member Share Posted November 27, 2016 (edited) I asked a techinician this question when he was implanting the grafts and he told me that directions/angle are determined by the incisions that the doctor makes. So this is not the job of technicians That's a valid point in most cases, what I wanted to write is also the hair graft counts, for example techs placing multiple hair grafts in the hairline and temple points (recent case on this forum). I'll edit it a bit. Also the recent temple peak work failure I saw on here was really bad and thought there was no way Dr. Bisanga could have messed up that bad while at the same time the other side was done well. http://www.hairrestorationnetwork.com/eve/185343-temporal-point-looks-very-unnatural-after-fue-advice-needed.html http://www.hairrestorationnetwork.com/eve/attachment.php?attachmentid=100759&d=1479769067 Edited November 27, 2016 by hsrp10 go dense or go home Unbiased advice and opinions based on 25 plus years of researching and actual experience with hair loss, hair restoration via both FUT & FUE, SMP, scalp issues including scalp eczema & seborrheic dermatitis and many others HSRP10's favorite FUT surgeons: *Dr. Konior, *Dr Hasson, Dr. Rahal HSRP10's favorite FUE surgeons: *Dr. Konior, *Dr. Bisanga, Dr. Erdogan, Dr. Couto (*indicates actual experience with doctor) Link to comment Share on other sites More sharing options...
Senior Member Shampoo Posted November 27, 2016 Senior Member Share Posted November 27, 2016 - choosing the wrong surgeon without doing proper due diligence and research Yes Yes Yes! "but I "saved" a bunch of money"......lol Dr. Dow Stough - 1000 Grafts - 1996 Dr. Jerry Wong - 4352 Grafts - August 2012 Dr. Jerry Wong - 2708 Grafts - May 2016 Remember a hair transplant turns back the clock, but it doesn't stop the clock. Link to comment Share on other sites More sharing options...
Senior Member BaldPatient2 Posted November 27, 2016 Senior Member Share Posted November 27, 2016 That's a valid point in most cases, what I wanted to write is also the hair graft counts, for example techs placing multiple hair grafts in the hairline and temple points (recent case on this forum). I'll edit it a bit. During my surgery, I heard the doctor giving directions to technicians "put singles here" , "put larger grafts in mid-scalp". So the doctor is also responsible of supervising the technicians work Link to comment Share on other sites More sharing options...
Senior Member BaldPatient2 Posted November 27, 2016 Senior Member Share Posted November 27, 2016 Yes Yes Yes!"but I "saved" a bunch of money"......lol I paid a lot of money to a local doctor for my first surgery here in Canada almost the same as what top clinics charge and got very poor results. I would have saved money by traveling to third world country and probably got better results Link to comment Share on other sites More sharing options...
Senior Member JON86 Posted November 27, 2016 Senior Member Share Posted November 27, 2016 There have been posts where doctors don't even do the slits for the grafts techs do those too. Most of those were in Turkey if I can remember correctly but I might be wrong. Best tool a potential patient has is research over and over. Link to comment Share on other sites More sharing options...
Senior Member HairCenter Posted November 28, 2016 Senior Member Share Posted November 28, 2016 There have been posts where doctors don't even do the slits for the grafts techs do those too. Most of those were in Turkey if I can remember correctly but I might be wrong. Best tool a potential patient has is research over and over. This is referred to as "stick and place" and it has been in use for decades in North America. Many of the "old guard" in the industry used to utilize this practice and some clinics still do. The doctor removes the donor strip and that is the end of their involvement save for the occasional glance over a technician's shoulder as the technician makes incisions then places a graft immediately afterward. This can and is utilized for FUE as well but has gained much more attention due to the media that has been generated around the Turkish market. I represent Dr. Jerry Cooley online. All opinions are my own and do not necessarily represent those of Dr. Cooley. I am not a doctor. Learn more about Jerry Cooley MD and Hair Center in Charlotte, NC For complimentary consultations with one of the leading hair transplant doctors worldwide please contact us here. Hair Transplant Consultation With Jerry Cooley MD at HairCenter.com Link to comment Share on other sites More sharing options...
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