View Full Version : Why is everyone getting a second procedure done?

07-04-2016, 02:18 AM
While many of us manage to stabilize their situation for years and years, it seems everyone is getting a second HT after a few years. Why is that? Does a HT trigger further loss by itself? Is it addictive like tatoos are? Do people lose their discipline with the meds once they are happy with their appearance?

WHTC Clinic
07-04-2016, 04:22 PM
All of the aforementioned reasons can be the case. The effects of hair loss usually continue to be seen, especially when less hair loss is involved. Hair transplants are not going to replace the actual hair loss as they only add the illusion of coverage.

07-04-2016, 07:36 PM
I think that the average is two procedures. I think some pts will have one procedure that goes extremely well and they can be done. Most people have a second procedure to make the first procedure fuller or to fill in the areas not treated the first time. Some doctor's Websites they will tell you how many procedures the patient had in order to get the result shown. Some docs are showing the results of multiple procedures but without saying so expressly it makes you think the patients are really just having one.

07-04-2016, 07:56 PM
These are the reasons one will have a second or third hair transplant.

1. Hair greed. Since the first one worked out so well, why not get another?
2. To "finish the job". Many times one surgery is not enough so a procedure will be performed in one area and a second will be performed to address another. This will usually be one surgery for the front, a second for the crown.
3. Chasing impossible perfection. "It just wasn't dense enough". A lot of times these guys will jump from clinic to clinic in search of perfection that doesn't exist, even when the work they have is technically and artistically stellar.
4. Repair or a "do over/mulligan". When a result has poor growth a second will be performed to fill in where the first should have done the job but failed.
5. Repair of cosmetically unacceptable work. A lot of clinics just don't get it. They don't understand how hair direction should look natural or they place grafts that are too chunky, etc. This can also include repairing wide donor scars from FUSS or trying to deal with bad FUE scarring through use of beard hair, etc.
6. Permanent shock loss. The doctor went into native hair and caused so much transection that even with close to 100% graft growth the result made little cosmetic improvement due to the transplanted hair replacing much of the native hair that was killed.
7. Continued loss even on meds. Meds don't always stop one's loss but only slow it so while one procedure may look great, for many, a second or even a third procedure may be necessary sooner or later.

In my opinion, no one should ever think they're going to have one surgery and they'll be done. Once you're cut, you're cut, and you may need to go under the knife (so to speak) one or more times afterward for any one (or a combination of) the reasons given above.

07-05-2016, 06:07 AM
Everyone here has hair greed.

Rashid Rashid, MD, PhD
07-07-2016, 05:25 AM
Hair transplants do not stop hair loss. Often the people getting second procedures are doing so because they had a small first procedure or did the first procedure early on when the full hair loss has not yet finalized i.e they are ahead of the curve to avoid being bald vs waiting to be bald then doing a procedure.