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If you ever wanted to know what's really going on in one of today’s countless, tunkey, pop-up hair transplant practices this TBT undercover tech segment should be enlightening. Before you consider having surgery make sure your surgeon has the proper experience, credentials and is actually taking part in your surgery.

While The Turkish Society of Plastic Reconstructive and Aesthetic Surgeons and The International Alliance of Hair Restorations Surgeons (IAHRS) have both issued warnings to hair transplant consumers about the countless illegal hair transplant mills popping up in Turkey, many young hair loss patients are still willing to risk their health and their looks on the promise of an inexpensive hair loss fix. IAHRS accepted member Marc Dauer, M.D. discusses his impressions after meeting three young men who have just undergone surgery at one these Turkish hair transplant mills.

IAHRS accepted member, Baubac Hayatdavoudi, M.D., discusses the the reality of being a young hair transplant patient and the importance of these young hair loss sufferers understanding the very real limitations of the procedure in those experiencing early onset male pattern baldness.

Spencer Kobren speaks with IAHRS accepted member Paul Rose, M.D. about finally having the ability to share real data on the efficacy of PRP systems so consumers can avoid wasting their time and their money on ineffective procedures.

The truth is, if you are not having your hair transplant surgery performed in a dedicated hair transplant facility, with a well credentialed physician and an accountable in-house staff, it is likely that you not only will end up with less than optimal results, it’s very possible that you are not receiving what you are paying for. Welcome to the “new normal” of the turnkey, product manufacturers driven hair transplant industry.

You can’t have a hair transplant without local anesthetic, and of course the numbing agent of choice is lidocaine. While generally believed to be an innocuous, safe agent that works by blocking nerve signals to your body, unless it is administered correctly and precisely, tailored to an individual's medical history and physiology, severe side effects can occur, including death. The hair transplant industry is seeing more lidocaine toxicity than ever before and many believe it’s because of the use of unlicensed personel to administer, and monitor patients (besides performing the procedure) during the hair transplant surgery. Listen to IAHRS accepted member Daniel Danyo, M.D. discuss the real danger of lidocaine toxicity from the perspective of a former pain management specialist with an intimate understanding on how these medications interact with the body as well as other medications patients are taking during the time of surgery.

We’ve been preaching for years that not all PRP is created equal, and in fact most of what is being promoted both in the hair loss world and more recently in the mainstream cosmetic surgery space is completely worthless. IAHRS founding member, Miami hair transplant surgeon and hair loss expert, Paul T. Rose M.D., J.D. discusses his latest findings and exposes the unfortunate reality that many being treated for various conditions in the aesthetic space are simply throwing their hard earned money and hope down the drain.

Having the ability to correct punch misalignment, on the fly, which would overcome angulation issues during the dissection of hair grafts, would be an incredible advancement in the field of surgical hair restoration. Essentially "dummy proofing" the dissection and extraction process, allowing practitioners to remove intact, non-transected or damaged hair hair follicles every time would be a game changer. IAHRS accepted member Sanusi Umar, M.D. discusses his new FUE punch and how he believes it will help to overcome many of the issues being seen with more traditional punches.

IAHRS accepted member Paul Rose. MD, JD has the quiet reputation for being one of the most talented and ethical hair transplant surgeons and a true patient advocate in the field. In this segment he discusses his take away from Spencer Kobren’s lecture on "The Patient’s Perspective.”

While device manufactures are trying to convince physicians as well as customers that they are producing the most state of the art devices to to perform modern day hair transplant surgery, the truth is that not all tools work well on all patients and in all practices. A true state of the art hair transplant has less to do with the tools being used and more to do with those who are using the tools.

The extremely competitive, sadly commoditized, entrepreneurial environment of cosmetic surgery has not only made it more difficult for skilled and ethical hair transplant surgeons to practice their craft, but has made the field a much more dangerous place for hair transplant consumers. Sadly things are only getting worse. Spencer Kobren and IAHRS accepted member Sanusi Umar, MD, FAAD, FASDS discuss the competitive nature of this field and what can be done to improve the current environment in order to make it a safer place for consumers.

As they say, there is a sucker born every minute and in the new world of device driven hair transplant surgery, many of those suckers are the naïve cosmetic surgeons who invest in what they believe are turkey solutions to enter the extremely lucrative world of hair restoration surgery. Whether you are a potential hair transplant patient doing their research or a plastic or cosmetic surgeon interested in learning the discipline, this is a segment you'll want watch.

IAHRS accepted member Dr. Baubac, explains the importance of patients having a full understanding of the hair transplant process as well as their particular needs before even considering undergoing hair transplant surgery. If you don’t know at least as much as the consultant, you have not conducted enough research. Do your homework

Spencer Kobren speaks with TBT’s undercover doc about the dark underbelly of the hair transplant industry.  Is your hair transplant “surgeon” breaking the law and putting patients at risk? Apparently that is a matter up for interpretation according to many cosmetic surgeons now offering hair transplant surgery in their practices.  

Spencer Kobren speaks with IAHRS accepted member Michael Vories, MD, about the dumbing down of the hair transplant field and the extreme risks that patients are taking if they don’t do their due diligence by thoroughly researching their hair transplant surgeon.  Bottom line: In today’s environment, it seems that many of the technicians in the field know more about hair transplant surgery than the “surgeons” patients are entrusting your care to. 

Spencer Kobren Speaks with ABHRS Diplomate Dr. Ken Williams about the current dangers facing today’s  hair transplant patient and the total lack of effectiveness in  establishing a straight forward message that articulates the minimal standard of care and education patients should expect and demand from their hair transplant providers. Caveat Emptor, “Let the buyer beware.”

Spencer Kobren Speaks with IAHRS accepted member, Dr. Baubac Hayatdavoudi concerning his philosophy on why graft dissection and extraction plays a much more vital role in the final result of hair transplant surgery than many physicians and hair transplant device makers want you to believe.

IAHRS accepted member Baubac Hayatdavoudi, M.D. discusses his own struggles with hair loss and the difficulties hair transplant consumers have making informed decisions in today's vast online snake oil environment.

How Doctors Do Their Personal Hair Transplant Research. IAHRS accepted member Baubac Hayatdavoudi, M.D. explains  how he was able to effectively research his hair transplant options and what resources helped him avoid becoming one of the “walking wounded” of the hair transplant industry. If you are considering hair transplant surgery and are currently trying to do your research, this is a segment you want to watch.

IAHRS member Sanusi Umar, M.D. discusses what it takes to become a skilled FUE hair transplant surgeon. While the field is becoming more exciting due to advancing technology, it's more dangerous than its been in more than two decades.

Spencer Kobren speaks with IAHRS accepted member Para Mohebi, M.D. about the decline in overall acceptable FUE hair transplant surgery outcomes, and why the field  is taking such an ugly turn. If you are considering hair transplant surgery, remember, if your doctor doesn’t know at least as much about the procedure as their techs, you might want to consider doing more research.

Spencer Kobren speaks with IAHRS founding member Paul Rose, M.D. live from The Advance FUE Los Angeles workshop in Redondo Beach, CA. about some of the devastating outcomes being produced by untrained physicians and clinics who are simply purchasing heavily marketed hair transplant devices and who are not even comming close to providing the minimal standard of care to unsuspecting patients.

IAHRS accepted member, Atlanta hair transplant surgeon Daniel Danyo, MD, speaks with spencer Kobren about conventional strip surgery and its relevance in today’s standard of care, even though he chooses to perform FUE exclusively in his practice.

Los Angeles hair transplant surgeon, Dr. Sansui Umar, calls the show to discuss the possible advantages of the use of ultrasonic energy to help score the skin and extract grafts in FUE hair transplant surgery.

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The International Alliance of Hair Restoration Surgeons is a consumer organization that selectively screens skilled and ethical hair transplant surgeons. The IAHRS does not offer an open membership policy to doctors practicing hair transplatation, and is the only group that recognizes that all surgeons are not equal in their skill and technique. Its elite membership seeks to represent the best in the discipline, the true leaders in the field of surgical hair restoration.