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Bad Results and Still Not Healed
I received a FUT hair transplant from Dr. Rose at Natural Transplants in March of 2024 (just over 17 months ago). Below are some of the things I wish I could have read in a review when I was making my decision on hair transplant doctor/clinic. Unfortunately, I missed a very similar review to mine that was left two months after my surgery :(
1: Volume
a: After taking the time to go to an in-office consultation with Dr. Rose, I was contacted by David Kuzman (patient advisor) and given a quote for 9,000 hairs for $15,000 using their special HUE method for high volume transplants. I then received an official quote mentioning that the HUE procedure can deliver up to 10,000 hairs (shown below). Dr. Rose told me I had fine hair which wouldn’t show density as well but never indicated that she would be unable to treat the whole area I wanted to cover or that the number of transplanted hairs would be significantly less than the 9k-10k mentioned to me. This changed immediately post surgery (I hadn't even left the office), and she told me I would have to come back to complete treatment of the whole area. Based on the medical notes from Dr. Rose, Dr. Huebner claims that I received about 5,000 hairs. However, when I estimate the area covered (from photos) and the density (using the widow's peaks which were bare pre-transplant), I get an estimate closer to 3,000 (more on this in the “Patient Care” section). When I asked Dr. Huebner about this discrepancy in an email, he responded by saying that everyone is different and that the 10,000 hairs mentioned in the quote has only been achieved 2 times in 11+ years of practice (shown below). Why wasn't the email explanation given at the time of the quote?
b: Unfortunately, this quote was the main reason I decided to go with Natural Transplants and an FUT transplant (with a permanent scar) vs FUE transplant. I talked to a medical malpractice attorney about this, and he said that medical law is fundamentally different from personal injury or other types of law. In particular, he said all Dr. Rose would have to claim is that once she was in the surgery, she deemed it was unsafe to harvest the full number of hairs we had discussed. There really is no legal recourse, so understand that in the vast majority of cases you can’t hold your doctor accountable for misleading you. In case this is helpful, here are the steps the attorney outlined to pursue a lawsuit that is related to a medical service:1. Collect all relevant documents2. Pay a qualified doctor (who charges $750-$1,000 an hour) to review the documents and determine if medical malpractice has occurred3. Assuming 2 checks out, you have to give the doctor you want to sue 90 days to respond4. If the doctor chooses to not settle during the 90 day window, you have to go to court which currently is back logged to the point that you would be scheduling your trial about 2.5 years in the future5. Even if you are willing to pursue this, you have to convince an attorney that it is worth it for them to invest their time/money in your case which is almost certainly not going to happen for a $15,000 hair transplant
2: Patient Care
a: I disclosed to Dr. Rose both pre and post surgery that I had been in a skiing accident several years prior and had gotten staples put in at an emergency room. Even so, she made a low incision line and cut right through the prior injury. This possibly resulted in the excess bleeding which she noted in my medical records (shown below). When I went 2 weeks post surgery to get the sutures removed, the area began bleeding again, and she said it was nothing to be concerned about and that I should take 3 weeks off (instead of 2) before resuming strenuous activity. Then when I told Dr. Huebner my head still hadn’t healed after several months, he wanted me to simply keep waiting without evaluating me. Finally about 12 months post surgery I told them that I really needed to be evaluated, and that’s when Dr. Huebner finally evaluated me. Note that many clinics include post surgery treatment in their transplant packages up front. In contrast, Dr. Rose and Natural Transplants sent me out the door bleeding with no intention to follow up. I also wonder if this is why Dr. Rose claims to have placed far more hairs than I have observed. Maybe several of the hairs died due to no after care.
b: Both Dr. Huebner and another doctor I got a second opinion from (call him Dr. X) confirmed that I have a lot of tension in the scar area. This is conjecture, but Dr. X postulated that this excessive tension that is still persisting 17 months post surgery is possibly because Dr. Rose was overly aggressive on the amount of skin she removed to harvest donor follicles. Basically, the HUE method appears to be nothing more than an FUT transplant. Dr. Rose never discussed my hair density or how that would affect the number of hairs she could harvest. Since I don’t have high density, the only way she could try to get extra follicles is by increasing the area that she harvested from, and it’s possible that she pushed beyond the safe range in order to get more. I also have “stretch marks” which are patches of skin near the scar with permanent hair loss due to the excessive tension.
c: I visited Natural Transplants multiple times to get my head evaluated which still hasn't healed. On my last visit Dr. Huebner gave me a full sales pitch for another transplant. Let me reiterate this: I was a patient in the office to be evaluated because I still hadn’t recovered from my first surgery and the doctor started asking me about performing another surgery. This was the last straw for me, and when I got a second opinion from Dr. X, he said he wouldn’t perform a surgery on me in my current state even if I tried to pay him to do it. More than anything else, this shows me that Natural Transplants is far more concerned about money than patient care. Even recently I have had periods of pain, and Dr. X offered to prescribe me Neurontin, but I'm trying to stay off medication.
3: Results & Final Thoughts:
a. My hairline is asymmetrical and many of the transplanted hairs have visible bruise marks that make it look unnatural. Some clinics advertise that the head doctor places every single hair. In my case, Dr. Rose wasn’t even in the room when a team of assistants were placing my hairs. I wonder if this has anything to do with the dramatically different results on the two sides of my head. I am now self conscious both about the thinness of my hair and the unnatural look.
b. Unfortunately there is a lot more I could say but this review is already too long. When I first talked to Dr. Huebner, I said I wouldn’t leave a review until we had a chance to resolve these issues. I have been to the Natural Transplants office multiple times in addition to calls with Dr. Huebner and David. No meaningful solution has been offered by Natural Transplants, and so it’s time for me to leave a review and move on. By the way, watch out for too many positive reviews. Look at other sites like RealSelf.com which paint a less flattering picture of Dr. Rose and Natural Transplants compared to Google where Natural Transplants has sponsored ads. I really regret choosing Dr. Rose and Natural Transplants, and I hope this review helps you find a good doctor who will put your well-being first and give you an honest consultation. I sincerely wish you the best on your hair journey and hope you are able to get hair that you love!
1: Volume
a: After taking the time to go to an in-office consultation with Dr. Rose, I was contacted by David Kuzman (patient advisor) and given a quote for 9,000 hairs for $15,000 using their special HUE method for high volume transplants. I then received an official quote mentioning that the HUE procedure can deliver up to 10,000 hairs (shown below). Dr. Rose told me I had fine hair which wouldn’t show density as well but never indicated that she would be unable to treat the whole area I wanted to cover or that the number of transplanted hairs would be significantly less than the 9k-10k mentioned to me. This changed immediately post surgery (I hadn't even left the office), and she told me I would have to come back to complete treatment of the whole area. Based on the medical notes from Dr. Rose, Dr. Huebner claims that I received about 5,000 hairs. However, when I estimate the area covered (from photos) and the density (using the widow's peaks which were bare pre-transplant), I get an estimate closer to 3,000 (more on this in the “Patient Care” section). When I asked Dr. Huebner about this discrepancy in an email, he responded by saying that everyone is different and that the 10,000 hairs mentioned in the quote has only been achieved 2 times in 11+ years of practice (shown below). Why wasn't the email explanation given at the time of the quote?
b: Unfortunately, this quote was the main reason I decided to go with Natural Transplants and an FUT transplant (with a permanent scar) vs FUE transplant. I talked to a medical malpractice attorney about this, and he said that medical law is fundamentally different from personal injury or other types of law. In particular, he said all Dr. Rose would have to claim is that once she was in the surgery, she deemed it was unsafe to harvest the full number of hairs we had discussed. There really is no legal recourse, so understand that in the vast majority of cases you can’t hold your doctor accountable for misleading you. In case this is helpful, here are the steps the attorney outlined to pursue a lawsuit that is related to a medical service:1. Collect all relevant documents2. Pay a qualified doctor (who charges $750-$1,000 an hour) to review the documents and determine if medical malpractice has occurred3. Assuming 2 checks out, you have to give the doctor you want to sue 90 days to respond4. If the doctor chooses to not settle during the 90 day window, you have to go to court which currently is back logged to the point that you would be scheduling your trial about 2.5 years in the future5. Even if you are willing to pursue this, you have to convince an attorney that it is worth it for them to invest their time/money in your case which is almost certainly not going to happen for a $15,000 hair transplant
2: Patient Care
a: I disclosed to Dr. Rose both pre and post surgery that I had been in a skiing accident several years prior and had gotten staples put in at an emergency room. Even so, she made a low incision line and cut right through the prior injury. This possibly resulted in the excess bleeding which she noted in my medical records (shown below). When I went 2 weeks post surgery to get the sutures removed, the area began bleeding again, and she said it was nothing to be concerned about and that I should take 3 weeks off (instead of 2) before resuming strenuous activity. Then when I told Dr. Huebner my head still hadn’t healed after several months, he wanted me to simply keep waiting without evaluating me. Finally about 12 months post surgery I told them that I really needed to be evaluated, and that’s when Dr. Huebner finally evaluated me. Note that many clinics include post surgery treatment in their transplant packages up front. In contrast, Dr. Rose and Natural Transplants sent me out the door bleeding with no intention to follow up. I also wonder if this is why Dr. Rose claims to have placed far more hairs than I have observed. Maybe several of the hairs died due to no after care.
b: Both Dr. Huebner and another doctor I got a second opinion from (call him Dr. X) confirmed that I have a lot of tension in the scar area. This is conjecture, but Dr. X postulated that this excessive tension that is still persisting 17 months post surgery is possibly because Dr. Rose was overly aggressive on the amount of skin she removed to harvest donor follicles. Basically, the HUE method appears to be nothing more than an FUT transplant. Dr. Rose never discussed my hair density or how that would affect the number of hairs she could harvest. Since I don’t have high density, the only way she could try to get extra follicles is by increasing the area that she harvested from, and it’s possible that she pushed beyond the safe range in order to get more. I also have “stretch marks” which are patches of skin near the scar with permanent hair loss due to the excessive tension.
c: I visited Natural Transplants multiple times to get my head evaluated which still hasn't healed. On my last visit Dr. Huebner gave me a full sales pitch for another transplant. Let me reiterate this: I was a patient in the office to be evaluated because I still hadn’t recovered from my first surgery and the doctor started asking me about performing another surgery. This was the last straw for me, and when I got a second opinion from Dr. X, he said he wouldn’t perform a surgery on me in my current state even if I tried to pay him to do it. More than anything else, this shows me that Natural Transplants is far more concerned about money than patient care. Even recently I have had periods of pain, and Dr. X offered to prescribe me Neurontin, but I'm trying to stay off medication.
3: Results & Final Thoughts:
a. My hairline is asymmetrical and many of the transplanted hairs have visible bruise marks that make it look unnatural. Some clinics advertise that the head doctor places every single hair. In my case, Dr. Rose wasn’t even in the room when a team of assistants were placing my hairs. I wonder if this has anything to do with the dramatically different results on the two sides of my head. I am now self conscious both about the thinness of my hair and the unnatural look.
b. Unfortunately there is a lot more I could say but this review is already too long. When I first talked to Dr. Huebner, I said I wouldn’t leave a review until we had a chance to resolve these issues. I have been to the Natural Transplants office multiple times in addition to calls with Dr. Huebner and David. No meaningful solution has been offered by Natural Transplants, and so it’s time for me to leave a review and move on. By the way, watch out for too many positive reviews. Look at other sites like RealSelf.com which paint a less flattering picture of Dr. Rose and Natural Transplants compared to Google where Natural Transplants has sponsored ads. I really regret choosing Dr. Rose and Natural Transplants, and I hope this review helps you find a good doctor who will put your well-being first and give you an honest consultation. I sincerely wish you the best on your hair journey and hope you are able to get hair that you love!
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