A hair transplant surgeon believes ‘someone is going to die’ if the industry does not become more regulated.
Dr Manish Mittal, who runs his own hair transplant clinic in London, is worried about the ‘sustained increase’ in men coming to him for help.
People who end up ‘looking electrocuted’ after paying thousands for the procedure are getting their ‘lives ruined’, he said.
One of his clients, Phil Whitehouse, told Metro.co.uk about how his two hair transplants in the UK left him worse-off.
The 43-year-old, from Telford, Shropshire, started to notice his hair was receding when he was just 18 and had his first hair transplant at the age of 23, in 2003.
But he was left with a thick scar on the back of his lower head.
Meanwhile, hair moved to the front of his hairline stuck up ‘like a toothbrush’.
In desperation, he flew to New York to try and get the transplant fixed in 2008 but he ended up being left with a second strip scar under the first one.
He also suffered shock loss, meaning the original hair surrounding the transplant fell out because of stress.
After complaining about the results, the clinic offered to remedy the issues for free, by trying to disguise one of the scars better.
But Phil experienced shock loss again and was left with a one-inch gap between the transplant and his original hair.
‘My own hair would flop down but the transplants would stick up,’ he said.
Now, more than a decade later, Phil still can’t leave the house without covering his head.
He said: ‘It made me feel really depressed. I would only go out in a cap and couldn’t go to nightclubs. It ruined my life for a couple of years, but I’ve got used to it.
‘I’ve tried different styles and growing my hair long. The transplanted hair goes upwards when it grows long, and looks like a cow’s lick. It’s just a mess.
‘I don’t know what to do. I’m thinning every month and the transplants are looking more noticeable.’
Dr Manish believes Phil was ‘probably too young for a transplant’ and should have been put on medication for two years before even being considered for a procedure.
‘If Phil had been taking hair-loss stabalising medication at the time of his first hair transplant, his shock loss could have been minimised,’ he said.
Dr Manish has spoken out about his clients because he thinks his industry is dangerously unregulated.
He told Metro.co.uk about how he had to tell a 49-year-old he was ‘too far gone’ for any repair work.
The man, from Bedford, had already spent more than £10,000 on three procedures – one in Turkey and two in New York.
He did not take hair loss stabalising medication after the surgeries and this meant he continued to go bald.
Dr Manish said: ‘Just to put it into perspective the kind of emotional turmoil it’s had on him: He’s lost his job, he’s lost his wife, he doesn’t see his kids.
‘He stays at home all day every day literally. That’s his quality of life now. He’s so depressed it’s unbelievable.
‘He was losing hair aggressviely, he should have been advised to take hair loss stablising medication.’
Dr Manish says many clinics are taking in too many patients and then leaving technicians to perform the actual incisions during a surgery instead of a doctor.
He said: ‘When you go to budget clinics here, there’s a reason why they charge you £2,000.
‘It’s because you’re going to be one of six, seven, eight, nine, 10, however many patients, so that means that the doctor’s attention is going to be divided.
‘Technicians, who are not medically trained, are performing the vast bulk of the surgery.
‘They’re making holes in the back of the head to take these graphs out, making holes into the front of the head to put the graphs back in. It’s really quite a dangerous situation to be in.’
Advice for looking for a hair transplant clinic:
- Be wary of hair transplant clinic websites that don’t list who the doctors are, what are their qualifications, and what is their hair transplant surgery experience.
- Never allow a non-doctor (patient advisor/clinic manager) to make definitive surgical planning decisions eg hair transplant design, number of follicular unit grafts/hair follicles required, transplant design.
- Ask at the consultation who will be doing the surgical steps of the hair transplant procedure including making FUE (Follicular Unit Excision) incisions in the skin and ensure it will be the doctor. At the time of surgery make sure you know who is doing the FUE incisions and it is who you gave consent to.
- All clinics in England that offer hair transplant surgery must be Care Quality Commission (CQC) registered. In addition, all locations/facilities in England where hair transplant surgery is performed must also be CQC registered.
Source: BAHRS
Dr Greg Williams, the vice-president of the British Association of Hair Restoration Surgery (BAHRS), has raised the same concerns.
He said: ‘A lot of doctors in the UK and around the world will say to paitents: “It is okay for me to delegate this part of the surgery.
‘They may say it’s not illegal to do so, they may say it’s not really surgery, they may even say that the technician is better than the doctor and that therefore it is actually in your interest for the technician to it.
‘That’s shocking for a doctor to say but these are the reasons that might be given to a patient, or the patient may not be told at all.
‘Do not let a non-doctor make incisions in your skin. At your initial consultation, ask who will be making incisions in your skin and make sure it’s that person on the day of your surgery.
‘Many clinics have layperson advisors – and that’s not bad thing, the advisor can give information that you would find on a clinic’s website or brochure or leaflet – but they should not be making hairtransplant planning decisions.’
BAHRS has written to the General Medical Council to raise its worries about non-doctors performing incisions.
The public body responded: ‘In our core guidance, Good medical practice, we say that all doctors must make the care of the patient their first concern; provide a good standard of practice and care and work with colleagues in ways that best serve patients’ interests.
‘Doctors are able to delegate aspects of patients’ care to other members of the team, but only when they are satisfied that the person providing care has the appropriate qualifications, skills and experience to provide safe care for the patient; or that the person will be adequately supervised.
‘Doctors are accountable for decisions to transfer care to others, and the steps they take to ensure that patient safety is not compromised. Whenever a doctor delegates care they remain responsible for the overall management of the patient.’
Other issues Dr Mani raised include clients being overpromised results which are ‘simply just not possible’.
He thinks this is because ‘most people are speaking to a sales consultant without even seeing a doctor until the day they arrive for surgery’.
‘These are truly vulnerable people being exploited,’ Dr Manish said.
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