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Consumers face potential of serious risk when unlicensed personnel perform hair restoration surgery


The International Society of Hair Restoration Surgery (ISHRS) issued a consumer alert with a warning that increasing numbers of unlicensed personnel worldwide are performing substantial medical aspects of hair restoration surgery and, in doing so, are putting patients at risk.


Increasing numbers of patients are now seeking help from physician members of ISHRS, asking them to correct the mistakes of procedures done by those not properly trained to perform hair transplants. The ISHRS warns that patient safety and treatment outcomes are being jeopardized, and encourages consumers to be aware of the following:


  • Even minimally invasive hair restoration procedures are, in fact, surgery requiring medical expertise. Important clinical decisions requiring expert clinical knowledge must be made during procedures. For example, diagnostic decisions are being made and full thickness incisions into the skin are occurring. With respect to follicular unit hair transplantation, hundreds to thousands of tiny incisions are made. This includes hair transplant procedures using strip-FUT (follicular unit transplantation) and FUE (follicular unit extraction) methods of donor harvesting. Appropriate dosing of anesthetic medication is critical to patient safety and patients must be medically monitored.


  • Properly trained and licensed physicians (and where allowed by law in the United States, physician assistants and nurse practitioners who practice within the scope of their licenses), should be the only professionals performing certain aspects of hair restoration surgery. This includes:
    • Preoperative diagnostic evaluation and consultation
    • Surgery planning and surgery execution (including donor hair harvesting, hairline design, and recipient site creation)
    • Management of medical issues and possible adverse reactions



  • When unlicensed personnel perform highly skilled aspects of hair restoration surgery, patients risk misdiagnosis or performance of unnecessary or ill-advised surgery, as well as failure to have the personnel identify that a hair disorder may be related to underlying systemic diseases which, if not properly diagnosed, can lead to major medical problems.




We are seeing an increasing number of patients seeking help from our physician members, asking them to correct the mistakes of individuals who are not properly licensed or trained to perform surgical hair transplantation. If you are considering hair restoration surgery, it is important to find a qualified surgeon who has proper training, experience and certifications.


When performed properly by trained physicians, today’s hair restoration surgery safely and effectively creates natural-looking, permanent results that are virtually undetectable. However, major complications – even life-threatening ones – can occur during surgeries by an unlicensed technician.




There is no such thing as “scarless surgery” in hair transplantation.


The ISHRS is concerned about false and exaggerated advertising claims related to hair restoration surgery such as “scarless surgery” or the claim that the surgery can be completely performed by a machine. The fact is that any incision whether by machine or hand that enters the skin beyond the most superficial of depths causes a scar to form, and there is currently no machine capable of automatically performing all the aspects of the hair restoration surgery. Available technology can only assist trained surgeons performing hair restoration surgery.

For more questions you should ask during your consultation visit:



“Find a Physician” services are also available by calling the ISHRS consumer inquiry line at 1-800-444-2737 (U.S. Toll-free) or +1-630-262-5399.

Be your own best advocate. Protect yourself.

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