The greatest myth in hair transplant surgery is that anybody and everybody can perform it in any setting without any risk.
enough hair transplantation surgery is one of the safest cosmetic surgeries
that there is and to date and to the best of my knowledge there has been no
hair transplant surgery that has directly contributed to the death and yet
sadly enough there has been 3 mortalities in India, that we know off, the most
recent one being in Mumbai.
we started doing hair transplant surgery and teaching it (2003) patients had a
great deal of respect for the procedure and eth entire procedure was done by
the doctors. Next besides many non-traditional doctors started entering the
field along with the induction of technicians to assist. The next big change
was the harvest technique from an FUT( strip technique) to an FUE (follicle
extraction). This is when it first started getting ugly and technicians started
taking larger and larger roles and business community ( with no experience)
started hiring doctors and technicians to perform the procedures, in some cases
the procedure entirely carried out by technicians along with ghost surgery.
as important is the surgical facilities- sterilization at its best, clean
environment, the latest in monitoring devices, a crash cart with emergency
drugs and qualified personnel. While hair transplant surgery for the most part
is a safe procedure thing can go wrong- excessive bleeding, allergic reactions,
irregular heartbeats and even heart attacks. Doctors must be trained in ACLS
which is an advanced form of CPR. Drills must be conducted on a regular basis
to test the competency of the staff / team / sop’s in place for transfer of a
patient to a medical facility in the fastest way possible if required.
of this comes at a price and this is where the price conscious patients looking
for a bargain get something they did not bargain for- a disaster. At this
present time the hair transplant field is a rat race with each one trying to
beat the other either in price or number of grafts performed.
embarking for a hair transplant procedure should follow the check list-
1. The doctor in
question- is he well trained and qualified- attached to a major hospital (adds
to their credibility). You should be examined to see whether you are good
candidate for surgery or medical treatment. A battery of preoperative testing
and clearance from an MD physician if there are any underlying medical
2. You must visit the
surgical facility a few times so that all your queries are answered and you get
to inspect the conditions under which you will be treated and their level of
preparedness for an emergency. A surgical facility is not a room with a bed or
chair, some lights, stools for people to sit on and people walking around
looking competent complete with OR clothes, caps and loupes (magnifying
3. What is also less
known is that if 1000 grafts are done then there will be 1000 points of entry
into the scalp in the donor area and another 1000 where the grafts are placed.
In case the instruments are unsterile and / or poor facility, the risk of
infection that the patient is subjected to is many folds.
4. The 3 parts of a
surgical procedure- pre operative evaluation, intraoperative monitoring (with
the latest equipment- almost fail safe) and post-operative surveillance and
discharge with instructions and an emergency number is paramount for a
safe and successful surgical outcome.
5. Would you like to
have hair transplant done for 1 rupee for a hair? How ludicrous is that? Can
only be done with taking short cuts and compromised care.
transplantation remains one of the safest procedures when performed by
experienced and qualified doctors in a very well-equipped surgical facility as
it is a minefield out there with lots of ghost surgeons.