There are several ways to do a hair transplant on an African American. One is to do a strip procedure. I've not done one of these on an African American patient in since 2003. When we initially began offering FUE, in 2002 we began to see some African American patients. The initial procedures were fairly straight forward and simple. Then we saw a few with higher transection rates or follicle injury rates. As a result we began to insist on a test procedure with African American patients to insure that these individuals were good candidates for FUE. A test consisted of up to 100 grafts. If the test goes well, meaning the transection rate is quite low, we might do more at the time of this procedure.
In other words, your story does not match what we do. Furthermore, there is no such thing as a specialist who does FUE on African American patients. If there were such a physician who has excellent results in FUE with African American patients, then I would be the first person to suggest you see that person for a hair transplant.
The degree and amount of curl in an African American patient is highly variable. Sometimes it takes a great deal of time to do a hair transplant on an African American patient. Because of the difficulties in extracting grafts in African American patients, we NEVER guarantee growth to these individuals. Again, your story does not match the way I practice medicine.
Curly hair can exhibit large degrees of splay. It is not like African American patients in any other way. Curly hair can be challenging to extract, but not really all that difficult if you have the means and tools to adjust to the challenges. No physician has documented their transection rates as much as I have over the years. No physician who offers FUE has as many options available to adjust to the difficulties you might see with FUE. No physician has ever reported a transection rate average that is lower than mine.
Many African American patients who have had strip procedures, desire to perform work that conceals their strip scars. Other African American patients simply want to avoid a strip procedure. In general my growth is very good in all patients including African American patients. On rare occasions growth may not meet expectations of either the physician or the doctor. This is why we NEVER guarantee growth. Only God can guarantee anything with regard to a medical procedure. There are many reasons for poor growth. One is prior poor work that leaves the scalp very scarred. In such situations, I always tell patients in advance that the grafts may not grow. Another reason for poor growth is a prior history of a transplant that had poor growth. Another reason is someone who wears a hair piece following a procedure. I've had only a very few patients who had poor growth without prior scarring, prior poor hair transplant results, or someone who wore a hair piece. In these instances, the patients almost always have some sort of underlying skin disorder that prohibits growth of grafts. In other words, some medical conditions can prohibit graft growth.
Some physicians transect follicles on purpose because you can get growth from transected follicles. Sometimes you can get two hairs to grow from one trisected follicle. I've never done this simply because the yield will be less when you transect follicles even though some of the hair will grow. Thus, when we transect a follicle by accident, we always transplant it and up to 60% of them grow. Still, the growth will be better from an intact follicle so this is why I work very hard to keep my transection rate under 3%.
If someone has growth that does not meet their expectations, we encourage them to come back so we can determine the cause.
I also know of a physician in Redondo Beach. I do quite a bit of hair line refinement for his patients and some corrective work on his patients. He has a very poor aesthetic sense in my opinion.