One of the problems in trying to make sense of the industry - the damage can take years to become apparent. For example, a guy might be happy with his first two procedures. Years go by. What could happen next :
- As he loses more hair, it becomes more obvious that his transplanted hair doesn't look natural unless mixed in with "original" hair. But that hair is going, or gone.
- He looks into getting his third procedure - "sorry, you have limited donor hair to work with". The first two procedures weren't efficient, and his precious donor supply was wasted. He didn't know.
- He doesn't have the same laxity in his donor area any more, and his next strip procedure results in a bad scar
- Hair from FUE grafts harvested outside the "safe zone" might fall out eventually.
- The doctors did a bad job of planning, and put the hairline too low. As he gets older, the hairline doesn't fit.
- Bad planning of graft usage in relation to the patient's pattern of hair loss (lots of donor supply used on a dense hairline, not enough conserved for the mid scalp, not even to mention the crown)
I don't know about "rip offs" - those words mean something specific to me (false promises, etc) which certainly happens - it's happened to me. That's a very specific issue. However, in more general terms, regarding long term satisfaction, I'd guess only 20% of patients would get a hair transplant again, if you asked them 10 years later. There are no long-term satisfaction surveys regarding hair transplants, and there never will be, IMO, because nobody wants to know the answer. The doctors certainly don't.