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fred523

10 months 2 weeks, had terrible shock loss and I'm getting worried

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10 months and 2 weeks ago I had a hair transplant with an IARHS surgeon. My crown was full thickness except for the blue circle. I said I just wanted the blue circle area done because I dont want any permanent shock loss of thick hair,, but my surgeon suggested transplanting 1000 grafts (3000 hairs) over the entire crown (red circle is the transplant area) to combat any future hair loss as he said I could end up otherwise with an island, and he said that shock loss isn't permanent. After the surgery, about 95% of the native hair in the transplant region fell out, and this is my 10 month 2 week result. I've asked his assistant for the photos multiple times for a week now so I can fairly compare what I had before to what I have now, but his assistant keeps telling me that the surgeon is busy and they will be sent when the surgeon has time.

At the moment the entire transplant area is thinner than before the surgery (even the areas that appear ok in the photos). Also the outer border of the transplant zone seems to be worse off than the rest of the transplant region, there is a very thin, almost bald border around the transplant region. When I examine my crown area in the mirror I do see short 1-2mm long hairs (which suggests new growth) in some areas of the crown. I had a pimple (ingrowing hair) a week ago. This gives me hope that it will eventually all return - is this realistic? If this is the final result I'm going to be extremely upset because my hair loss is 5x worse than my father's at this point, but if it's only temporary and it's going to eventually return then I don't care, but if I gave him 3000 just to destroy 35,000+ hairs then I'm going to cry

I'm going to see him again in a few days for which his assistant quoted me €3,500 for a beard transplant and to fix thin areas on the crown and to have 2 thin temples done. This time I will absolutely insist that any thick hair is not touched. My concern is that if I let my surgeon touch the crown at this point, he can't see any hair that hasn't returned yet, which makes me could I could get mass transection of hair, which will hopefully be as thick as what I used to have before the surgery, because he can't avoid transecting with his scalpel what he can't see. Is this a valid concern? Should I refuse to let him touch the crown until 18 months?

dry1.jpg

10 months 2 weeks

dry2.jpg

10 months 2 weeks

dry3.jpg

10 months 2 weeks

wet.jpg

10 months 2 weeks

Edited by fred523

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Please consult your surgeon and do update the results. it looks like the implant was not done properly because as per my surgeon 10 months is a good time for hairs to show up.

i am wondering why your implant looks so not dense. will wait for your update

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Fred,

with respect, the IAHRS doesn’t mean much around here. It’s ran by one guy named Spencer Kobren and he sometimes adds hair restoration physicians to his list that we would never recommend.  However, some of the surgeons in his list are recommended on the Hair Transplant Network and/or members of the Coalition. If you don’t mind my asking who was your surgeon?  And those photos show your scalp how long after your procedure?  

I agree that you should express your concerns to your hair restoration surgeon ASAP and let us know what he or she says.  

Best wishes,

Bill


I am the managing publisher of the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog and this Hair Loss Forum. I am also a 4 time hair transplant patient. View my patient hair loss website to view my entire hair restoration journey with photos.

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.

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With all respect: If the first pic is before and the rest is after, your crown was not at "full thickness". And the "blue zone" might not even be the worst part.

To give a better advice, we need clear marked before, intra and post pics.

 

Edited by Gasthoerer

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1 minute ago, Gasthoerer said:

With all respect: If the first pic is before and the rest is after, your crown was not at "full thickness". And the "blue zone" might not even be the worst part.

To give a better advice, we need clear marked before, intra and post pics.

All the pictures are 10 months 2 weeks after surgery. Before the surgery the entire red area was thick, but the blue area was thin.

 

I've asked his assistant for the photos multiple times for a week now so I can fairly compare what I had before to what I have now, but his assistant keeps telling me that the surgeon is busy and they will be sent when the surgeon has time.

 

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It appears u had more collateral damage , n lost native hair .. if ur crown was thick n with only a small patch of crown loss .. it’s never advised to work on the crown just yet .. it’s very possible u got shockloss of the surrounding hairs ,, that’s why it does seem like u have a ring of loss hairs .. if those hairs were thick hopefully it will grow back .. 

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6 hours ago, fred523 said:

All the pictures are 10 months 2 weeks after surgery. Before the surgery the entire red area was thick, but the blue area was thin.

 

 

 

No this is false.

"I've asked his assistant for the photos multiple times for a week now so I can fairly compare what I had before to what I have now,"

You admit here you have no idea what it looked like and the crown isn't a place you're regularly looking at anyway from a closeup angle so how can you know it was thick prior to the surgery?  The reality is that no one thins so specifically as in that blue area, you likely had full thinning throughout the crown as it appears now and just weren't aware. This isn't a maybe, if that blue area was thin, so was the red area. 

 

"At the moment the entire transplant area is thinner than before the surgery (even the areas that appear ok in the photos). Also the outer border of the transplant zone seems to be worse off than the rest of the transplant region, there is a very thin, almost bald border around the transplant region."

You have HAIRLOSS, you are suffering from BALDING/ANDROGENIC ALOPECIA, of course you have less hair in the crown area than you did 12 months ago. 1000 grafts isn't even enough to cover 1/3rd of that area with full density so even if every graft grew you'd lose more hair from the progressive nature of hairloss than a transplant can give. You probably lost more than 1000 grafts worth of hair from progressive balding over the 12 months.

 

A few things 100% sure though, you're better off getting on finasteride than getting a transplant, and secondly you should cancel your second hair transplant date with this surgeon because he isn't competent. No ethical or competent surgeon is going to spread only 1000 grafts across an area with that extensive thinning first of all because the risk of shockloss outweighs the potential benefits of growth, and secondly you would end off in a worse position anyway considering you're not on finasteride. The last thing on earth you should allow is this clown to butcher your face with a beard transplant. Don't be reckless, cancel the procedure and do some more research here.

Edited by JeanLDD

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Any further procedure with this surgeon may result in similar or worse yield.  You do not want uneccessary scar tissue formation when the same friggen surgeon works on the same zone.  The more you let that surgeon damage that soil, the more you will not have a successful repair elsewhere.  You do not want to go through a resection or scar tissue removal procedure because of this.  I would definitely avoid and see if you can go to a dedicated crown specialist for this type of work.  

Definitely see if you can be prescribed meds or tolerate finasteride and rogaine.

It is complete BS what you are going through.  I know a few bad cases from IAHRS surgeons.  Folks I know are trying to get repaired or have been repaired or refunded.  I am not sure if that organization will try to help you if you file a complaint with them, so instead it may be better to file a complaint with them, then take that copy and also attach a complaint with local med board, then take both copies and file complaint with FTC.  Maybe include the IAHRS page of the surgeon that did this as well.  It may help?

Sorry you have to go through this.  I hate when folks go through this type of bullshit.  

Hopefully, you will get this sorted out.  Definitely ask for a refund at least because i have no idea what the objective of this hair transplant was and the surgeons own expectations must have been something else.  Who knows?  But you definitely deserved better.

Edited by Sean
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Fred, did you get any update from the surgeon?  Hope things are progressing for you.  Best of luck.

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