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Ongoing loss of native non-transplanted hair may change overall appearance over time.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Patients needing another session for density or coverage within 1-2 years; higher with advanced or ongoing hair loss."},"scars":"Small dot-like donor marks without a linear scar; usually inconspicuous but may be visible with very short hair. 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Later reviews can be remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask who evaluates hair loss and recommends treatment, including their training, licensure, and experience","scope":"procedure","source":{"url":"https://ishrs.org/medical-tourism-the-good-the-bad-and-the-ugly/","host":"ishrs.org","quote":"What is their education, training, licensure, and experience in treating hair loss?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask who performs each surgical role and their training, licensure, and experience","scope":"procedure","source":{"url":"https://ishrs.org/medical-tourism-the-good-the-bad-and-the-ugly/","host":"ishrs.org","quote":"Who will be involved in performing my surgery, what role will they play, and what is their education, training, licensure, and experience performing hair restoration surgery?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Ask whether anyone other than the doctor makes incisions or harvests grafts, and identify that person’s role and credentials","scope":"procedure","source":{"url":"https://ishrs.org/medical-tourism-the-good-the-bad-and-the-ugly/","host":"ishrs.org","quote":"Will anyone other than the doctor, or not licensed by the state, be making incisions or harvesting grafts during my surgery?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Ask whether everyone involved in surgery has malpractice insurance","scope":"procedure","source":{"url":"https://ishrs.org/medical-tourism-the-good-the-bad-and-the-ugly/","host":"ishrs.org","quote":"Is everyone involved in my surgery covered by malpractice insurance?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Ask how the plan accounts for future hair loss and limited donor hair","scope":"procedure","source":{"url":"https://fightthefight.ishrs.org/who-is-actually-performing-your-hair-transplant-surgery/","host":"fightthefight.ishrs.org","quote":"Ask who will perform the surgery, whether you can consult with that surgeon beforehand, what follow-up is provided, and how the plan accounts for future hair loss and limited donor hair.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Answers about who performs the procedure are vague, evasive, or heavily sales-oriented","scope":"procedure","source":{"url":"https://fightthefight.ishrs.org/black-market-hair-transplant/","host":"fightthefight.ishrs.org","quote":"If the answers are vague, evasive, or heavily sales-oriented, that’s a red flag.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"The consultation is with a sales consultant rather than the surgeon who will operate","scope":"procedure","source":{"url":"https://fightthefight.ishrs.org/who-is-actually-performing-your-hair-transplant-surgery/","host":"fightthefight.ishrs.org","quote":"A consultation should be with the surgeon who will actually operate, rather than only with a sales consultant.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"The clinic markets under a brand name without naming the physician responsible for care","scope":"procedure","source":{"url":"https://fightthefight.ishrs.org/hair-transplant-black-market-red-flags/","host":"fightthefight.ishrs.org","quote":"if a clinic markets under a brand name without naming the physician responsible for your care, ask why.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Yellow pus-like drainage","urgency":"contact_clinic","general":false,"source":{"url":"https://fightthefight.ishrs.org/beware-risks/","host":"fightthefight.ishrs.org","quote":"A good postoperative result should look clean and be without significant yellow pus, drainage or erythema.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Rapidly spreading scalp infection","urgency":"emergency","general":false,"source":{"url":"https://fightthefight.ishrs.org/faqs-hair-transplant-black-market/","host":"fightthefight.ishrs.org","quote":"In one reported instance a rapidly spreading scalp infection caused the loss of a patient’s eye; 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