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Dr. Feriduni warns on increase repair hair transplants

Aesthetic doctors alert on ugly consequences of cheap - often foreign - hair transplants: "Half of the time I'm correcting someone else's work"

“Last week I performed five transplants. Three of them were corrections.” Renowned hair specialist Dr. Bijan Feriduni - who receives a lot of regular and well-known people in his clinic in Hasselt - rings the alarm: those who go to cheap places for helmet waving haircuts have an 80 percent chance of returning with problems. Other cosmetic doctors also have to provide a lot of aftercare. What exactly is going wrong?

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A patient after a poorly performed transplant, with holes in the hairline (left). This gives round inlets, the so-called Micky Mouse effect, and the hair falls down in an unnatural way. Right after correction: a filled hairline, where the hairs grow in the right direction.

When it comes to hair transplants, doctor Feriduni is regarded as an authority in Belgium. Not only ordinary people, but also famous people such as De Romeo's singer Gunther Levi come to him with bald spots or receding hairlines. At the moment, there is a waiting time for a consultation until April 2024. Due to the high demand, because since corona time more people than ever want to change their appearance. Figures are difficult to find, because many cosmetic treatments are not reimbursed by the NIHDI. But to give you an idea: at ISAPS, the international association for plastic surgeons, they speak of an annual increase of 20 percent.

So the demand is there, but specialists increasingly also have to correct other people's work, says doctor Feriduni. “It concerns patients who often go to southern countries because it is cheaper there. In my experience, 80 percent of them have problems afterwards.” In his private clinic, Feriduni sees disappointed, almost crying men almost every day, which is why he wants to raise this. “What could go wrong? First: the hairline that has an unnatural shape. Southern men often have a straight hairline, while Caucasian types tend to grow in a V-shape or M-shape. You have to respect that. Sometimes the hairline is also too low, so that the proportions of the face are no longer correct.” Feriduni continues: “Secondly, it is often forgotten that men have temporal peaks on the sides. They lie above the sideburns, it is a piece of hair that grows angularly in the face along the temples. If this is forgotten during a transplant, the hair will grow in round curves along the head, which we call the Mickey Mouse effect.”

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Doktor Feriduni, Hair Surgeon with private clinic in Hasselt (Belgium). Sometimes patients burst out in tears in the office after an bad hair transplant. © Photo News

Basically, all this can still be corrected, at least if there is enough hair capital left. But there, too, the shoe pinches. “In order to transplant hair, it must first be able to be ‘harvested’,” explains Dr. Feriduni. “That often happens at the back of the head, where balding men still have the most growth. This 'harvesting' must be done carefully and with high-quality blades. Preferably, the hair is removed one by one or in small tufts. Unfortunately, in bad clinics this happens with larger 'carpets'. That goes faster and reduces costs, but afterwards it often gives scar tissue, so you can no longer harvest hairs.”

"You can do wonderful things with a hair transplant, but I have to say to 30 percent of the men who visit me: Sorry, you are not a good candidate. Within 10 years you will be left with holes and pickings."
Hair specialist Dr. Bijan Feriduni
In the long run, that is a problem. “People continue to age. Suppose you fill in the hairline of a forty-something, to everyone's satisfaction. But many years later, that man may lose his hair on top. If there is still hair capital, you can fill it nicely with a second transplant. If that capital is gone, that man will have an intact, transplanted hairline for the rest of his life, but with a bald top. I must not tell you: that looks very strange.” How can you avoid such a thing? “The patient must be well informed and the doctor must calculate properly: how much hair is there, and can the problem area be completely filled with it? You can do wonderful things with a transplant, but I have to say to 30 percent of the men who come to me: 'Sorry, you are not a good candidate. Within 10 years you will have holes and pimples.' A good doctor says something like that, but unfortunately there are cowboys on the market. A full transplant at Feriduni, as well as at other reputable doctors, costs an average of 8,000 to 10,000 euros.
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With a correction, the wrong-placed and -directed hairs are first removed one by one. Note how this man had been given a hairline in the front, but the field behind it was underfilled (left). If enough hair capital can still be harvested in the neck, those holes can still be closed. © RV © Photo News

Feriduni: “Abroad they do it for 1,000 to 2,000 euros. People advertise on TikTok with dancing doctors and hopping patients, I don't think that's serious anymore. In the meantime, people are saving on assistants, who are often needed to properly carry out this labour-intensive work. Afterwards, I sometimes have to remove those incorrectly placed hairs one by one, in order to save what I can... I am happy to help, but also with pain in my heart.”
Source: Nadine Van Der Linden for HLN, 06-02-23
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