ISHRS 2021 CME Webinar

Complications and Overharvesting

Registration Fees Per Webinar:

  • ISHRS Physician Member, $50.00 USD
  • ISHRS Physician Pending-Member, $75.00 USD
  • Physician Non Member, $100.00 USD

Program Description

The recorded program will be available for viewing on demand until Dec. 31, 2022.

This 2-hour program is intended for physicians who perform hair transplantation surgery utilizing either strip or FUE graft harvest methods. This webinar is being conducted to provide physicians knowledge on surgical complications and over harvesting within the donor region. As a result of this activity, learners will be able to discuss factors to consider when approaching the designated recipient area during the hair transplantation plan keeping in mind the limitations the donor region may present with. The online live component will include presentations, panel discussion, panel discussion, and audience participation via verbal questions and discussion, typed chat Q&A and polling.

Professional Practice Gap

The donor region is a limited supply which does not regrow once hairs are removed posing potential long-term complications such as over harvesting. The area may be left rather thin or patchy in some cases making the donor site less than desirable. Proper management of the donor region needs to be taken into consideration when planning a hair transplantation procedure in order to avoid such complications and long-term effects.


Unger W., Unger R. Estimating the Number of Lifetime Follicular Units: A Survey and Comments of Experienced Hair Transplant Surgeons. Dermatol Surg May 2013; 39(5), 755-760.

Unger W., Donor Area Boundaries. In: Hair Transplantation 3rd edition, Unger W, ed., Marcel Dekker Inc., New York, 1995, 183-187.

Shapiro R., Implications of a limited total donor supply. In: Hair Transplantation 4th edition, Unger W, Shapiro R, eds., Marcel Dekker Inc., New York, 2004, 439-440.

Educational Need

A hair transplant surgeon needs to set the tone and plan for a successful hair transplantation procedure. The donor region is a limited supply and necessary assessment of the area needs to be done in order to set expectations as well as avoiding complications. Overharvesting is one complication of a FUE procedure as well as failure to evaluate a thinning donor region with a FUT procedure exposing a traditional horizontal scar over time. Both FUE and FUT procedures should be set forth in an appropriate and well educated manner to the patient so they can understand risk and reward.

A hair transplantation can provide valuable outcomes including increase self-esteem and confidence but complications such as multiple FUE attempts and/or visible scarring can lead to increased self-awareness and doubt. The hair transplant physician should be able to successfully evaluate all of their patients and discuss all potential risks with honesty and integrity.

Target Audience and Prerequisites

This webinar is taught at the physician level. It is geared toward intermediate- to advanced-level hair restoration surgeons. 

Learning Objectives

As a result of participating in this activity, the learners should be able to:

  • Recognize donor region limitations.
  • Describe multiple factors when considering a plan for hair transplantation procedure.
  • Identify factors that lead to complications from overharvesting .


Internet/online, via computer or mobile device. 

Official Language

The official language of the webinar is English. Simultaneous interpretation is not provided for this webinar.

Disclosures of Relevant Financial Relationships of Planners, Faculty, and Others

The following individuals have no relevant financial relationships with ineligible companies to disclose:

Conradin von Albertini, MD, FISHRS – Planner
Timothy P. Carman, MD, FISHRS – COI Reviewer
Victoria Ceh, MPA – Planner & Manager
Márcio Crisóstomo, MD, FISHRS
Shady El-Maghraby, MD, MSc, FISHRS – Faculty
Steven P. Gabel, MD, FISHRS – Planner
Alba Gómez-Zubiaur, MD – Faculty
Navdeep Goyal, MBBS, DNB – Faculty
Rita Kaufman – Planner & Manager
Robert T. Leonard, Jr., DO, FISHRS – Faculty
Matthew Lopresti, MD – Planner
Paul J. McAndrews, MD, FISHRS – COI Reviewer
Masahisa Nagai, MD – Planner
Ratchathorn Panchaprateep, MD, PhD, FISHRS – Planner
William R. Rassman, MD – Faculty
Paul T. Rose, MD, JD, FISHRS | USA
Melanie Stancampiano – Planner & Manager
Mark Waldman, MD – Planner
Ken L. Williams, Jr., DO, FISHRS – Faculty
Bradley R. Wolf, MD, FISHRS – Faculty

The following individuals have relevant financial relationships:

Robert S. Haber, MD, FISHRS – Planner
Ellis Instruments, Inc: Royalty, patent or other IP
Transdermal Cap Inc: Consultant/Advisory Board

James A. Harris, MD, FISHRS – Planner
Restoration Robotics: Consultant/Advisory Board

All of the relevant financial relationships listed for these individuals have been mitigated.

Commercial Support



The webinar content has been made available by the ISHRS for educational purposes only. The content is not intended to represent the only, nor necessarily the best, method or procedure appropriate for the medical situations discussed, but rather is intended to present views, statements, and opinions that may be of interest to others. The views expressed herein are those of the individual authors and not necessarily those of the ISHRS. The ISHRS assumes no responsibility or liability in connection with your use or misuse of the webinar content or any materials or techniques described in the content, and it makes no warranty or representation as to the validity or sufficiency of any information provided. 

Questions: Learners may contact the ISHRS Headquarters with questions about this activity at phone +1-800-444-2737 or +1-630-262-5399, or fax +1-630-262-1520, or email: [email protected]