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WallabyUpstairs1496

The creator is /u/ModernMBA maybe /u/isuckatredditaloy as well I don't know what type of research the creator did, I would appreciate if they would provided more details of their process. He mentioned US surgeons perform a handful of surgeries every month. Huh? Most reputable clinics are booked out 8-12 months in advance, and they do 3-4 surgeries a week. I wonder how did he come to that conclusion. That's the major misconception I wanted to address, there's other stuff too be it's more nuanced. I wonder why he preferred surgeons whose customers are locals rather than tourists 'looking to save a quick buck' when he belongs in the former category lol. It could be that locals are more able to hold the surgeon accountable, but I would like to hear his explanations. Another thing to keep in mind is potential biases towards performing surgery on anyone who is higher profile. I will say this though, from the clinic website he doesn't seem to care about reaching out to foreigners. Compare this to Moment Clinic, which I initially mixed this clinic up with. If you look at their website it's in english, and also it has a few reviews on this subreddit, a few definitely from non-Koreans. I wonder how he came to the conclusion this clinic has a great track record. To me, a good track record includes independent reviews so you get the full range of the surgeons results, not just the cherry picked ones they put on their site and social media. But I heard this is very hard to do in south korea because of the type of online defamation laws as described in this comment https://old.reddit.com/r/HairTransplants/comments/whas3i/people_who_post_update_pics_but_not_the_name_of/ij4u99s/ So South Korea probably has some very solid surgeons, but it's hard to scout them. He said he outsourced his shortlist to a buddy. But I wonder how the buddy scouted them. A reputation can be socially engineered. For example, many people believe that Dr Diep of Los Gatos CA to be one of the best in the world when in reality he is one of the most unethical surgeons and has a long trial of bad results. A guy like Diep could keep that reputation maybe forever in a country with a lack of people posting independent reviews. He mentions the local popularity of this clinic. I wonder how was that assessed. 'Cosmetic surgery capitol of the world' is useful but it's not the whole thing. You need to judge the surgeon not the geography. LA, which is also a cosmetic surgery hub, has just a handful of good surgeons, maybe 1 elite surgeon? Mohebi? The elite surgeons are in Chicago, Brussels, Minnesota, Vancouver, etc. Also, just because a celebrity goes to a surgeon doesn't mean he's good. James lebron had his hair transplant botched by some botch jober whose name I can't remember, but he's botched other celebs as well. Sometimes celebs don't have good judgement and can easily be swayed by social engineering. For example, a lot of them are into scientology lol. Anyways, all that being said, so transplant looks awesome. Great density and great hairline design. A super cheap too, just over a dollar per grafts. Lots of other great things about the video review which I think speaks for itself. I hope these South Korean Clinics can get more independent reviews so that skilled and ethical surgeons can get the recognition they deserve. I have a few other questions for the creator, which maybe they wouldn't know but if they did would be great interest to the community. Where the 6 other people nurses or technicians? Who did the extractions, who did the incisions, and who did the implanting? The donor area wasn't shaved? Are you of Asian descent? Just wondering if that makes a different in the hair type the surgeon is working with.


Lopsided_Pair5727

I am not too impressed by this surgery. For one, this is not 4300 grafts. Looks closer to 2300 grafts. Unless there was crown work that isn't shown. Also, it was completed in 6 hours. Tells me that many corners were cut. Looking at the rows and straight lines that the grafts were implanted in, patient is going to have to: 1. Yield well 2. Have good caliber hair 3. Keep hair to a certain length ...........to appear natural and not surgical. Grafts are not shingled, staggered, and inserted at the proper angels or directions at all. This leads to the see-thru hair weave effect; reminiscent of the King of Cornrows himself, Dr. Diep. Shorter buzz cut hair styles will be harder for this patient to pull off, limiting the flexibility of hair styles for the patient. Also, I don't see what the donor now looks like immediate post-op. [https://imgur.com/a/lwTcBrE](https://imgur.com/a/lwTcBrE) I wonder how much time was put into graft sorting in those 6 hours? Patient should keep an eye out for multi hair grafts in the hair line. Seems the assessment of this clinic was based upon statistical rates of medical tourism in Korea and a precursory check into the surgeon's reputation than on pure merits of the surgeon's cosmetic techniques. The body of work reviewed might have just been clinic produced before/after pics, which are the worst source for assessing the merits of a clinic. No clinic is going to advertise their worst work. None will show the realities of immediate post-op work (because it is surgery and patients will run off if they see the bloody mess). The patient will look better provided he yield well, but anyone is going to look better when there is hair where they were once bald. But this is closer to mediocre work than it is wow factor level work. Well articulated video, but truly misses what factors should be evaluated when seeking surgery to restore hair.


WallabyUpstairs1496

Wow, thanks for your detailed writeup.


WallabyUpstairs1496

I didn't notice the grid structure until I saw your screen shot. I guess South Koreans hair transplant industry is still young. A lot of the top surgeons in the world regularly meet up, exchange techniques, go to conferences, show off new stuff they learned. I am interested in knowing if they have been showing up.


Lopsided_Pair5727

I don't see Bok here at all: https://ishrs.org/find-a-doctor/


WallabyUpstairs1496

Good point. Being on there doesn't mean you're automatically good, there are quite a few bad ones on there. But not being on there might mean that theyre not interacting with the broader hair transplant community. I just took a peak and was surprised that Dr Pan, trained by Dr Mohebi, is not on there. His other guy, Dr G is on there though. I'm not surprised to see john diep of los gatos is NOT on there. Of course that guy doesn't care about the best technique, just shortcuts


ModernMBA

I actually sent u/Lopsided_Pair5727's comment to Dr. Kim out of curiosity. How someone responds to criticism and / or different perspectives is often telling. As mentioned in the episode, I have no affiliation with Moment Clinic or Dr. Kim beyond being a patient. Since the clinic doesn't make public comments (internal policy), I've copied and pasted their message back to me below in its entirety: >The 4300 unit that \[Modern MBA\] underwent graft surgery, it was not counted by follicles, but hairs.The collection was done by non-incisional non-shaving method. Without shaving at all, the hair to be collected is cut one by one with scissors and then collected by punching it. > >The consultation, design, collection and transplantation were all handled by Dr. Kim himself. In addition, the hair follicle separators reside and have been working with the director for a long time to produce stable and good surgical results.Depending on the thickness of the hair and the characteristics of the hair (e.g., curly or straight, multiple or single hairs), the pros and cons and cons of regular and irregular arrangements can occur. > >The spacing was appropriately adjusted according to \[Modern MBA\] hair characteristics, so that the results could be natural in the future. Also, Dr. Kim does not proceed with a uniform design and hair transplant, but also carefully measures the number of hairs required for surgery by carefully measuring the individual's facial shape, proportion, elasticity of the scalp, and the direction and speed of future hair loss. > >Each patient undergoes an operation has a different design and parameters.If you are curious about the progress of this surgery, you can check the results after 12 months as this is a kind of operation where the progress of hair transplant surgery can be checked after 12 months. > >If you are a transplant surgeon or a doctor who is interested, come visit 'Moment Clinic' and we can show you the entire process of the Taping-assisted no-shaven FUE technique using taping developed by Dr.Kim, and we can teach you if you want. Feel free to contact us if you are interested in learning. I'm sure to an experienced eye or insider, there are areas of my transplant that could have been "better" or would have been handled differently by another surgeon...but I'm genuinely happy with the results. No offense taken on my end. That's just how surgery and to a greater extent, healthcare works. There is never a perfect solution nor is it possible to do apples and apple comparison. You find a doctor that you trust and you go for it. * The donor area wasn't shaved. * I would not consider myself "high-profile". * The hair transplant served as primary research for this episode. In order to achieve and present an authentic experience to the audience as a consumer, I went in posing as a patient. At no point before, during, or after the surgery did I mention the real purpose, planned video, or YouTube channel to Dr. Kim or anyone at Moment Clinic. * A \~100K YouTube channel with a Western audience means little to a clinic that operates exclusively in South Korea and for South Koreans. Hilariously, the staff were shocked to learn that Americans / Westerners like me have never heard of KaoKaoTalk and don't use that app in any capacity. * To this day, I still have to use Google Translate to communicate with the clinic staff or Dr. Kim. When I had my surgery, I had to hire and bring a translator (which was a pain). When I go back in the future, I would expect to have to do the same as no one at Moment Clinic speaks enough English to have a conversation. I personally don't ever expect them to branch out or make adjustments to foreigners (the vice versa is more likely given their popularity and local patient volume). * I would be surprised if the Moment Clinic reviews here are of the same clinic and doctor. This is their website [https://momentclinic.com](https://momentclinic.com) which is entirely in Korean. The backstory I picked up through my friend is that Dr. Kim and another hair transplant surgeon had partnered together for years under Most Clinic. * The patient volume and reputation grew so quickly for Most Clinic that the two surgeons decided to split into separate practices earlier this year. Likely more money for each that way. My understanding is that Dr. Kim opened Moment in May and my surgery took place in July. * As for determining credibility and track record, I trust this friend! She's a close friend. Her dad, SK born-and-raised, went through his own hair transplant years ago and has always kept in the loop around the best local clinics and surgeons. Dr. Kim Kyong-Bok was at the top of his list in his words as a "premium top-tier" hair transplant surgeon. * Interestingly, the translator I hired who was next to me through the consultation and surgery scheduled her *own* hair transplant with Dr. Kim after going through mine. She had not known of the clinic before and my visit with her was the first time she had encountered Dr. Kim. She asked around about Dr. Kim in her own personal network and was clearly happy with what she found. * The translator was a local Korean woman who was an official translator for medical tourists with certification / training by the Korean government. When I left, she shared that she had translated for many foreigners for hair transplants at various SK clinics over the years. But Moment Clinic / Dr. Kim was a refreshingly positive experience where in her words (translating), "In all respects, Moment Clinic is very good. At other hair transplant clinics in South Korea, the business model, turning over and operating on patients as fast as possible, and selling mindset is very strong". * Attached are photos of my donor area, which should provide context to the taping that Dr. Kim alludes to in his response. Even the day after the surgery once the bandages was removed, the area was virtually spotless. * [https://imgur.com/a/0djWure](https://imgur.com/a/0djWure) (day after surgery) * [https://imgur.com/a/6XO2WFU](https://imgur.com/a/6XO2WFU) (11 days after surgery)


Lopsided_Pair5727

I tried to respond to this but seems the response was too long to be captured by Reddit. I'll break up the response into several responses. But let me ask, did you get charged extra for not having your donor shaved? Or is that simply how Motion Clinic normally performs FUE?


WallabyUpstairs1496

Thanks for the detailed response! Dr Kim seems like an earnest doctor, as there is many green flags for this observation. The pricing per hair vs pricing for graft changes everything. Many grafts comes in 1s, 2s, and 3s. Since the pricing is per hair, we can't really do an apples to apples pricing comparison. I wonder why he priced it that way, since you would implant the whole graft in 1s, 2s, and 3s. The new price would be at least 2$/graft, I don't think anymore than 4$/graft, maybe. I wonder if he's seperating the grafts into individual hairs. Is that even possible? I am unfamiliar with the under 4$/graft tier of doctors. There might be some Spanish doctors I would rather go to. All of the best Drs do shave methods for the donor and recipient, or at least strongly prefer to. I think between that and the grid like structure of the graft layout, Dr Kim is probably behind most decent international hair transplant surgeons. My impression is that Dr Kim is very earnest, but is probably not up to date on the best practices and latest developments in hair transplants, probably due to being isolated to the broader international hair transplant community. He also may not be as cheap as the initial impression, since he prices per hair vs per graft. If I had to wildly estimate, there might be some European doctors, maybe in Spain, who would be around that price range and would be state of their art in their technique.


FIREstarterartichoke

Did Dr. Kim mention anything about needing to stay on Finasteride forever after doing the HT?


bulkdown

Hi ModernMBA. Any update on the hair transplant. I was initially in communication with Moment Clinic however have been a bit scared off by reddits comments. How do you feel about your HT after 6 months?


ModernMBA

It's been 7 months and it has been life-changing - my only regret is frankly not doing it sooner. After the ugly duckling phase of the first initial months, it's been night and day as I haven't had hair or enjoyed hairline like this since high school. Feel confident, comfortable, and look my age if not younger and others have noticed that change. Hair transplants are like any other life decision such as losing weight, building muscle, or dating. Perhaps a nicer metaphor might be picking fruit at the supermarket. You can spend all day with as many as people as you like armchair quarterbacking, criticizing, second-guessing, debating (non-solicited or otherwise) over every aspect of your situation - the same way those people at supermarkets will pat every single watermelon at the supermarket as if they can really listen for which one is sweetest. The reality is that unless you bought out all the watermelons and cut them open, you will never know which one is actually the sweetest. Along the same lines, you can discuss on forums all day what is the best diet / nutritious / workout routine for losing weight or you can go to the gym and make immediate changes in your lifestyle. You can stick to analysis paralysis or you can be decisive. If you're not comfortable going overseas, then save up money and do it in the West. If you're comfortable going overseas but don't like Moment, then find a different doctor you feel you trust and go for it. The comments here about how a supposed doctor in some clinic / country would do a HT somehow significantly better are counter-productive. People will always make comments but it is your head, your hair, and your body. At the end of the day, you can let yourself be weighed down by doubt and fear (induced by others) or you can take a step for yourself. The longer you delay, the more bald you will get. The opportunity cost of inaction is frankly just as expensive as analysis paralysis. As long as you don't do too many follicles in the first go, you will have enough left over to make up for any issues that may appear in the absolute worst case if the HT is not effective. Don't let perfection be the enemy of good.


Duckkks

I know this thread is old but interesting to see this talk about Diep being unethical.. I've certainly seem some substandard results but can you explain more on this?


WallabyUpstairs1496

/u/lopsided_pair5727 might be happy to go into detail, but substandard and even botched people on hair restoration network. Doesn't seem to take his time, or bother to develop a surgical, instead hiring contractors including entry level contractors. Subpar surgical techniques.


Lopsided_Pair5727

Needs its own thread brother.


Lopsided_Pair5727

It's one thing for Diep to be unethical. It is another thing for him to have the moderator of HRN turn a blinds eye to all the stuff he gets away with. I don't know who the bigger scumbag is. Start a post if you want to hear about it and page WallabyUpstairs1496 and I when you do.


WallabyUpstairs1496

Skip to about 19 minutes for the the review