Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.

Putting This Behind Me

UPDATED FROM You're.A.Star
11 months post

Six Months Post Op

You're.A.Star
his will be my final update.
There has been no real change since I posted last month. I am still pretty thin around the scar. The hair that did grow in is growing longer but like I said in earlier posts, the density just isn't there! I'm pleased with the scar.
I have decided on to hold off on getting a transplant. I need to see what is going to happen as far as the recent hair loss is concerned. I will wait until the end of the year to see if it grows back. If it doesn't i'll get a biopsy and go from there. If it does grow back I will definitely reschedule my transplant for early next year. I just don't see the point in doing anything right now.
In the meantime i've decided to focus on other things! I was able to book a sleeve gastrectomy next month (self pay) since i'm not getting the transplant. Once I hit my goal weight I want to do some facial surgery & dental work (veneers). I just can't keep putting stuff off. If my hair never gets right I think I will be at peace with wearing glueless lace wigs from now on.
So all in all if I had to do this again I wouldn't. I've seen some very nice hair transplant results (even from just one round) and I wish I would've gone that route.
I'm sure there are people that have had amazing results from this procedure. There are no guarantees in life and I understand that. I just have to put this behind me.

You're.A.Star's provider

Jeffrey Epstein, MD, FACS

Jeffrey Epstein, MD, FACS

Hair Restoration Surgeon, Board Certified in Facial Plastic Surgery

Replies (5)

October 6, 2017
I agree I think you should wait about a year and then consider HT. You do want your hard earned money going down the drain! And it'll give your scalp time to heal for optimal results.
January 4, 2018
I know exactly what you mean. I had this same procedure done with Dr. Epstein, and it's been the biggest regret of my life. I have lost so much hair density, and he didn't round out my hairline. I still feel self conscious about pulling back my bangs for these reasons. Also, I got other bad side effects. Unfortunately, there is no going back.
August 12, 2018
What are your other side effects? I'm having some that I wasn't expecting.
March 22, 2019
It's called shock loss it's unavoidable
User Avatar
May 29, 2020
Do you have pictures? I'm considering him as my surgeon.
March 22, 2021
Hey @msandreagrace did you end up going with dr Epstein?
UPDATED FROM You're.A.Star
10 months post

So i'm not quite sure what's going on here

You're.A.Star
Some hair in the area that was expanded it is short and sparse. This area has never been completey bald but I just noticed this tonight as I was preparing to wash my hair.
I think maybe the area has been gradually thinning and it just got thin enough for me to notice. The opposite side of this is fine. The unstretched parts of my scalp (back and sides) are still in great shape as they were last year before surgery.
I am scheduled for a hair transplant next month so if this area doesn't start filling in I will see if the doctor thinks I should have hair transplanted there. Hopefully it fills in within the next month but I won't hold my breath.
I seriously regret this.
***On a positive note, the scar looks pretty good!

Replies (5)

User Avatar
September 17, 2017
I'm so sorry that this happened to you. It looks like your hair is long enough to cover it up, and that it only occurred on one side? This actually happened to me, but it happened in the ENTIRE area of where the scalp was moved forward. I don't even have hair to cover it up. Unfortunately for me, it never grew back, but I read that in some cases it will grow back in 9 to 12 months. Hair loss is a very real side effect of this surgery and some doctor minimize the fact that it could happen :(
I believe that you could get a scalp biopsy to check the health of the hair follicles -- but ask your doctor. I tried to get hair transplants but I was told that they may reject because the blood supply was affected, and he would not go through with the procedure.
September 17, 2017
Thank you! I am just crossing my fingers that the rest of the stretched areas do not end up like this. Yes, it's only the left side. I have a pic of the right side posted.
User Avatar
September 17, 2017
I also wanted to add that I found another (new) review in which someone lost their hair b/c of this surgery https://www.realself.com/review/united-states-forehead-reduction-hair-shockloss#comment-5142795 It makes me so angry that doctors minimizes the fact that it could happen, or call it "shock loss", but for many people, it ends up being permanent. If you goggle dangerous hair loss procedures to avoid, this type of surgery is listed, but under a different name. Some of the side effects are "Absence of hair behind the newly created frontal hairline." and "Permanent shock loss (loss of some or much of existing hair caused by the trauma of the procedure) and extreme scarring in the donor area".
September 17, 2017
Yeah, I don't feel like it was worth it for me. I traded in one issue for another worse one.
September 17, 2017
I'm a little confused. Are you relaxing and the hair is falling out or you're saying that the forehead advancement is causing balding in areas? Did you also have endotines placed under the scalp to reduce tension? Normally you can feel them but they do dissolve after about 6 months to 1 year.
September 17, 2017
Yes, I relax my hair 3-4 times a year, although I have only relaxed my hair once this year (June 3rd). I know it is not due to my relaxer.

I strongly believe this is due to the advancement. My hair in the areas that were not advanced is the same as it has always been . As far as endotines go I'm not sure if they were used.
September 18, 2017
I had some thinning also but I noticed it was right above the areas where I had the endotines placed. It was very itchy and there was a lot of inflammation, I received a hair transplant in June and the hair is growing very nicely in that area now. When you did your consult for the ht did they suggest you wait until a year after your hairline advancement? That may be something to think about if circulation is being compromised. Just a thought.
September 26, 2017
No. I told him I had surgery in April and he did not suggest I wait a year. I will be six months post op when I have the procedure done.
User Avatar
September 17, 2017
Hello, Please keep in mind that it could still grow back. Not every case is permanent. I believe the time frame is 6 to 9 months. I've seen dr's on this website answer patient questions about hair loss after this procedure, and they were told to wait and see if it will grow back.
September 26, 2017
Thanks! I am keeping my fingers crossed. If it is not back by this time next year then unfortunately i'll have to get a second transplant.
September 22, 2017
I have a similar issue going on too. I have 2 bald spots near the incision on the sides. I'm trying to be patient here but I feel like I will need a hair transplant. What doctors did you look into for the hair transplant?
September 26, 2017
Yeah I figured you had some sort of issue from you procedure since you never updated your review.

I'm going to Dr. Siegel.
UPDATED FROM You're.A.Star
8 months post

Things to ask your surgeon when getting an expander

You're.A.Star

I have some tips that may be helpful to anyone that needs an expander!

BEFORE THE EXPANDER IS PLACED:

If you have a virtual consult you need to have another consult in person and go over your goals again before the expander is placed. Have the doctor draw out the shape of your hairline at this time. If you are getting other procedures like a brow lift please make sure you are both clear on your expectations. If your issue is wrinkles on the forehead or furrows make sure AGAIN that it can be corrected. Time passes between the virtual consult and the time the expander comes out and things are forgotten so you have to be sure about your procedures before you are stuck.

Ask your doctor exactly where the expander will be placed. I mean they actually need to show you. Ask exactly what parts of your scalp will be stretched and whether or not any of your scalp will be removed during the lowering.

Make sure you have a contact person that you communicate with that is responsible for keeping track of your expander. If you are like me you have no idea how big the expander is supposed to get. If no one contacts you regarding your expander just send pictures every week. Even if your expander looks the same size. ***I suggest going somewhere that actually keeps track of the amount you inject and checks in with you every week to tell you how you are coming along. It removes a lot of the guesswork for you as a patient and keeps you from overstretching your scalp or having it in longer than necessary.***

EXPANDER REMOVAL/HAIRLINE LOWERING DAY:

Please go over your expectations again. Yes, you are pretty much stuck a this point, but you need to talk to the surgeon about everything you went over. If you want a widow's peak- remind them. If you want your browlift done a certain way- remind them. Go into every plastic surgery assuming that the doctor did not read your consult notes. They are only human and have a lot of patients other than you. It won't hurt to remind them of something if they don't mention it.

MOST IMPORTANTLY TRUST YOUR GUT!!!!!

If your surgery consultant comes off more like a salesman and less like a facilitator- RUN AWAY FAST!

If you see consistently bad reviews- RUN EVEN FASTER! Even if the reviews aren't about your particular procedure but about the same doctor. EVERYBODY can't be crazy, lying, or unrealistic in their expectations.

Do not take reviews without pictures seriously. Good or bad.

Replies (2)

July 22, 2017
My update posted incorrectly. It will be edited soon.
February 9, 2018
...Which brings me back to...where are your pictures!? Although your comments have been helpful...