Noticable Rectangular At Donor Zone After Operation

John2017

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We received your letter of July 2, 2017 and understand the seriousness of the complaint you are making. While the International Society of Hair Restoration Surgery (ISHRS) promotes both doctor and patient education in the specialty of hair restoration surgery, it is not a regulatory body and therefore, cannot mediate these kinds of matters. We have no mechanism for investigating complaints made by the public about specific physicians. We can, however, recommend the following course of action for all such matters. In every instance a patient should make the effort to consult with the physician involved to try to resolve the matter. If this has not resulted in satisfaction, you may wish to consider contacting your local regulatory authority to see what your legal options may be (this may be a health board or ministry of health, or in the U.S. a state medical board).



If a local governmental regulatory authority has taken action against the medical license of a member of the ISHRS, members are required to report this. If a regulatory authority has formally sanctioned an ISHRS member, other disciplinary action can occur as determined by the society’s ethics committee. If you are aware of a restriction or loss of medical license on Dr. Uryupina, please advise us.
 

buckthorn

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I called my doctor. She said

here's your problem. NEVER trust a woman to do a hair transplant on a man. they should NOT be allowed to operate on men period.
 

resu

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Yeah there are already bad male docs imagine being done by a female who doesn't quite understand male aesthetics. I don't see anything wrong with your haircut, just do a temp SMP and save some money for the next FUE to try and diffuse the donor area.

I would just do a military haircut or go the opposite and use the #3 or #4 comb on the back and be done.
 

John2017

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30 days from getting haircut. The halo seems to be much less visible now and is going to disappear completly in 2 weeks +-
The front line is not so good also (hair is different, rigid and a bit darker), but not terrible so far. I hope it will improve. As I have read 4 month from operation is to early to make any conclusions.

Also I have some gaps at right temple, the grafts had fallen out on the 10-14 day after operation and even earlier with crusts of blood. Seemed like intensive bleeding was the case. But also to early to make any conclusions. Hope it will get better.

I signed for an appointment with another doctor to get an expert opinion. May be I will suit her. What are my options?
 

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John2017

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Is there any point to transplant some grafts from intact donor zone to impacted one to make it more even?
 

JeanLucBB

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We received your letter of July 2, 2017 and understand the seriousness of the complaint you are making. While the International Society of Hair Restoration Surgery (ISHRS) promotes both doctor and patient education in the specialty of hair restoration surgery, it is not a regulatory body and therefore, cannot mediate these kinds of matters. We have no mechanism for investigating complaints made by the public about specific physicians. We can, however, recommend the following course of action for all such matters. In every instance a patient should make the effort to consult with the physician involved to try to resolve the matter. If this has not resulted in satisfaction, you may wish to consider contacting your local regulatory authority to see what your legal options may be (this may be a health board or ministry of health, or in the U.S. a state medical board).



If a local governmental regulatory authority has taken action against the medical license of a member of the ISHRS, members are required to report this. If a regulatory authority has formally sanctioned an ISHRS member, other disciplinary action can occur as determined by the society’s ethics committee. If you are aware of a restriction or loss of medical license on Dr. Uryupina, please advise us.

This is why the ISHRS is a joke and not a serious hair transplant organisation. They are a marketing group for surgeons to stamp next to their name and nothing more. Someone gets butchered by an ISHRS surgeon? Not their problem.
 

SeanFUE

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30 days from getting haircut. The halo seems to be much less visible now and is going to disappear completly in 2 weeks +-
The front line is not so good also (hair is different, rigid and a bit darker), but not terrible so far. I hope it will improve. As I have read 4 month from operation is to early to make any conclusions.

Also I have some gaps at right temple, the grafts had fallen out on the 10-14 day after operation and even earlier with crusts of blood. Seemed like intensive bleeding was the case. But also to early to make any conclusions. Hope it will get better.

I signed for an appointment with another doctor to get an expert opinion. May be I will suit her. What are my options?


If it doesn't return in 6 months, it may not return. Med boards + ftc filings may be an option if there is no amicable resolution. For legal, you would probably have more standing when a complaint is filed. Request your medical records though and have a copy in hand. Continue to post the donor pics so folks can guage progress. I really hope it works out for you. I thought ISHRS takes patient complaints seriously, didn't I hear something like that on one of the radio shows? Best of luck to you though. Hope you get through this and it gets better.
 

John2017

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I had visited one of top clinics for an independent opinion. The surgeon told that there is no reason for worrying. I should wait at least for 6th months. There is more than enough hair in the donor zone now, the density is good, offcourse its less then around but still very good. He admitted that hair should be taken more random and didnt want to comment much on this very strange desision (medical ethics i think). He also made a right guess that I had been operated by woman :)... He recommended to diffuse the area during the next FUE (which will be probably needed in few years due to hairline moving back).
He also did not recomment to use minoxidil (I am using it for 3 month so far), since I am not so dissiplined to use it on regular bases.

He also said that there is no drama at all, the quality of operation is satisfactory and I can expect a major improvement of donor and recipient areas in 2 month. The rigid grafts will likely become softer in time. There are some 3-hair grafts at hairline which is definitely not good, but not a disaster either. He did not recommend to retransplant it but to add some 1-hair grafts around to mask it.
 
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John2017

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I have some improvement with donor zone, I have recently made a haircut (10-15mm+- at donor zone), and the rectangular is barely visible, one can never tell there was a surgery at 20mm. Still it was a strange and unprofessional decicion from doctor, luckily I have a good donor zone...

I had a really quick hair growth at left side, seems like all the hair on the left side of my head had grown between 3-4 month which is really quick and not typical (mostly people say they have growth at 6+- month). I have not seen any new hairs coming at this side, even no new "dots" since end of 4 month (now I am at 5 month).

The thing I am worrying now is my right temple, it is really patchy, growth is like 30-40% of the left one with huge gaps. On the other hand I see some hairs start growing (saw them first time on 3.5 month as small dots). The problem is I dont see any new dots appearing for the last passed month. I know that 5 month is to early to tell smth. May I expect right side to catch up despite I dont see any new grafts (dots) showing up?
I am also wondering is it possible that one dont see the hair at all (even no black dot) before it starts growing at 6-7 month?
It looks quite strange that scatter is so big, 3.5 month vs 5 month.
My right side was operated by an assistant and she looked quite unprofessional, left was operated by doctor. Another reason could be that I had stronger boldness at right side and the skin was also thicker there (because exposed).
 
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shookwun

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It's to early. Give it until six months post operation. However, I never let a women touch my hair. Worst barbers ever:eek:


Grafts ate not synchronous, they all have different schedules depending on there growth and sleep phase within the cell. Which is why grafts start to grow at two months, the more at four, and the remainder growing between six. By eight months you can expect all grafts to have sprout.


As for the donor, it doesn't look good but I believe it will get better as time goes on. What size punch was used?


Email your concerns and question to dr rassman over at balding blog. He will address your concerns in an ethical manner
 

John2017

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Any update?
Yep, I will post some photoes soon. The rectangular area problem does not bother me so much now, I just use a bit longer haircut, with 15+- mm haircut its almost impossible to spot it. I will also make second surgery in 3-4 month from now and difuse the donor zone. I do NOT adivce to use the help of Mrs. Urupina. And the problem is my right temple is made poorly. There are spots with zero hair growth, this does not seems so awfull cas I have quite good natural hair remaining and covering the operation zone and I am also lucky to have such a small operation - not much damage done.
The last time I visited her she was talking some s**t, first she said that smth went wrong but its still Okay, then she changed her mind and said that it is completely normal she just transplanted less hair for some reason, like 50 graft less (her assistant made the right temple) and all grafts survived. then she tried to get rid of me as fast as possible, ant promised to cover this gaps for free, but what is the point to do more damage? And from my point of view its bullshit because after the operation I saw planted grafts and my right side. But overall I had an impression that all "strong" grafts were planted at left side and all "weak" and thin ones placed at right, that was strange, may be it is related with the sequence the grafts were gathered and prepared. I think additional 200 grafts would be needed to cover the blanks. And may be I will add some more for thickess.

Anyway now I want to punish her for her attitude, money is not a question, I just think she needs more practice and education and may be a better assistants before she can operate, so halting her license would be nice. Not sure if I can do smth in court.
 
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whatintheworld

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Man I would be pretty shocked if I saw that in the mirror, but it's good that you are handling it well, and hopefully it will continue to improve.

Cases like these are certainly valuable to see for anyone considering a hair transplant.
 

John2017

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Absolutely terrible and butchered. I haven't even seen the results for the front but the donor area itself is wrecked.
Thanks for you support buddy. Please kindly highlight the resault of her work if its possible, I will do the same. Such doctors should not operate for any means and the reason for that not only that she perfororms badly, she also cannot admit her mistakes and should be punished for her attitude (trying to get rid of me while simple human to human talk and admitting mistakes could soften the situation very much). Like you said very unprofessional in her response. First of all I would like to show overall resault in this post (8 month had passed).
Still its not so bad... at least I can easely mask all consequences with long enough hair.
The rectangular area is really not visible at 15 mm length+- which isquite short (I had much impovement on 5th month, I think that was sort of shock loss that recovered). The right temple could be covered with long hair (my natural one), even my girlfriend does not see it (sometimes she stares ... but keeps silent xD).

The things I notice:
1. Top of right temple growth is like 20-30% of its surface
2. Left temple is different in structure from surrounding hair, I think the reason is she had planted A LOT of 3 and 4 haired grafts in front line.
3. Left temple is MUCH thicker, the hairs are thicker, the density is much higher. I think there was some mess with grafts. Graft that should had go to the back line of right temple had went to the frontline of left temple for some reason.
4. The left temple would be OK but.... It is so obvious that smth was done with it. I dont know if the reason is the 2-3-4 grafts are at frontline, or robust structure of hair (right temple grafts are softer), or color, or density (definetely much lower then my natural, at least I had got luck with my natural density) or all together.

Whats next:
1. I am not for money and going for Urupina Elena is a BIG mistake. Should have went to good doctor in Moscow (may be someone can advice a good doctor). Now I want only justice, money is nothing. Not sure if I can do it from legal point of view. I dont want money, I want her to be punished first of all for her attitude and secont for butchery. May be taking the license away is possible.
2. I would like to fix the consecuences. Dont know If it is possible to move 2-3-4 grafts away from frontline or should I do it if it is possible.
May be I should just plant some 1-graft hairs around the frontline. I think moving transplanted graphs is no good.
3. I will difuse the donor area.
 

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John2017

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1-4 right temple
5-6 left temple (better one)
Do I have any chances of punishing her?
 

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spring15

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Man, you've been royally done in the a-nuck by this surgeon. Luckily your current hair loss is minimal & you're over 30. You still got a nice head of hair. Maybe look into repair from a Turky
 

John2017

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Man, you've been royally done in the a-nuck by this surgeon. Luckily your current hair loss is minimal & you're over 30. You still got a nice head of hair. Maybe look into repair from a Turky
Could you advice some surgeon or clinic?
 

JeanLucBB

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Could you advice some surgeon or clinic?

Cinik and Acar for cheap but very competent and consistent options, Keser or Erdogan for top options. Erdogan still 2.5 euro a graft which is cheap globally.
 
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