As Seen on


This is clearly a production line business. The doctor is not particularly important but for the marketing, recruitment and conversion. It is clear from what the interviewer found out, that the doctor does not do the surgery. If not the doctor, who does it?   I know that there have been deaths associated with hair transplants and even dental work in the western world, but at least in the US, Asia and Europe, you have licensed MDs doing the surgery who are trained on how to treat you if something goes wrong.  Everyone going to Turkey should see this (Taken from https// and the brilliant Joe Tillman). Here are the videos:

Joe gave me permission to display the links to his Undercover Videos

Part 1 –
Part 2 –


Your Donor area may be over-harvested reflecting that either the FUEs were taken too close to each other for the density of the area, the punch was too large or just that your donor area could not support the number of FUE grafts you received.  It is possible that the donor area is undergoing a vascular shock loss and if this is the case, it might grow back in 6 months or so.  If the area that is shown reflects the height and extent of your FUE harvest, then your surgeon took it too high and too low.  You might want to get a second opinion.

over-harvested donor 23


Suicide? Whatever is wrong, I can fix. Contact me ( I have often reached out to young me who are thinking about suicide because of hair issues, often caused by a bad hair transplant in an immature male who didn’t do his research. I am aware of two suicides over my career on patients who have called me from out-of-state and had bad hair transplants. On both occasions, I reached out to the parents of these men, established some help for them, and after their son’s ended up and died, they both called me to thank me for reaching out to them. I was not the operating surgeon on these two cases.

I have been thinking of suicide after terrible hair transplant in Turkey (update) from tressless


He actually may be close to bald, but his cover-up, whatever he used, doesn’t show his reality.Screen Shot 2019-01-18 at 9.16.00 AM


This is a great video which shows many photos what to look for in patients, the doctors work and how they do it, the importance of the microscope in every FUE, etc.. The speaker had the worst hair transplant from the 1990s on his own head and had it fixed, but probably put the hairline a tad bit too high.  He missed two important nuances of the FUE which is (1) the trimming off of the skin when the FUE grafts is trimmed on under the microscope. By trimming off most of the skin, the cobbling of the skin, something called cobblestonning (like the old streets which used bricks instead of pavement) produces small elevations of the graft at the point where the skin enters the scalp. (2) placing the grafts always flush with the skin so that bumps never appear at the point where the grafts enter the scalp.   Nevertheless, this is one of the best videos I have seen for evaluating a doctor.


I feel I must comment on your experiment. Yes, doctors do inject fat into the scalp and yes doctors do inject platelet rich plasm (PRP) into the scalp. But no, there is absolutely no evidence that either of these work to grow hair and applying it to your scalp will not get it inside of the scalp because the epidermis (a 1/2 mm thick tough element of the skin) protects the scalp largely from outside influences. So, although I wish you luck on your experiment which I hope to see results here on Reddit in the future, I am not optimistic about it.

Lard Experiment – I will massage Lard into my scalp once per week for 6 months to see if I can grow hair in temples from tressless


This is an important article because it explains why I probably have never seen a case of post-finasteride syndrome in the thousands of patients who were prescribed the drug by me over the past almost 2 decades. When someone complains of ED, I either reduce the dose until the symptoms go away, or discontinue the drug.  According to this article, it takes years on the drug to get PFS, so since I am responsive to recommending withdrawing the drug, the incidence in my practice is non-existant. The article itself has limitations in its methodology and as a definitive statement about the existence of post-finasteride syndrome or a disclosure of the risks about it, must be taken with a grain of salt.



I am 38 years old and in the early stages of male pattern baldness. Currently I am probably type 2 but it could evovle into type 4. I have been using coconut oil for the past 1-2 months and I do notice some growth (maybe 5pct). However, I was looking into getting a minor hair transplant (FUE). I just had a few questions. If you could shed some light, I would be grateful. Thanks!

  1. I have a short haircut in general with buzzed sides and long on top. Do I have to shave my head completely for the procedure?

  2. If I get a minor transplant, and somehow it gets worse in the future, would I be able to get another one? Why do some people say you can only get a few transplants throughout your lifetime? Assuming you have enough donor hair.

  3. Do I have to be on medication after getting a transplant? I am looking into this because I did not want to be on propecia or monoxidil from the side affects.

  4. How often do you have to come back for checkup and what does the entire procedure entail?

  5. Is there usually a minimum number of grafts that a doctor requires?

1- You only need to shave the back of your head short and within a week it will look normally short haired.
2- There are lifetime limits to FUE and hair transplants in general. If you exceed these limits, then you can become bald in the back of your head. Read here:
3- I would like to see pictures of you and if you were my patient I would do a HAIRCHECK test to find out what is hiding that the eye can’t see from planning purposes. Send me photos:
4- Once it is done, other than a final sign-off with the doctor when it is grown out, unless you lose more hair there is no real maintenance for it required.
5- There is an activation cost for the surgery room, the staff and the set-up which we embed into our fees. Generally there is a $3500-4000 minimum cost but that would include about 600 grafts if it is not FUE
I look forward to hearing more from you after reviewing photos.


It is very difficult to tell from this photos if you are receding or developing a maturing hairline. The best way to determine this is to lift your eyebrows so that your forehead wrinkles and the hairline should be no higher than one finger breath above the highest wrinkle. If this is the case, maybe you are just maturing your hairline.

am i losing hair


This is a 60 year old male who is a patient of mine who I had not seen for 5 years.  Over the past 5 years, his neck hair has significantly been reduced as shown in the attached photo. I have told most of my patients never to harvest the neck hair for two reasons: (1) it does not last their lifetime as regular scalp hair and (2) it leaves terrible scars. Too many doctors in a rush to get more grafts so that they can charge more money in performing a hair transplant, will harvest the neck hair and get these two problems as a person ages.

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