Jump to content

Top Members

Popular Content

Showing content with the highest reputation since 07/26/2021 in all areas

  1. In my own journey throughout the years and long before I was in my current role as patient advisor for Dr. Bisanga, I have spent many hours and found incredible value in this very forum. Being able to share frequent patient results from Dr. Bisanga is always a pleasure of mine and knowing that in doing so, it really adds to the essence of the community and can help to show what can be achieved. With that being said, I am very happy to be able to present my own case and give back on a personal level. In all honesty I did not intend to present my surgery photos until 12 months post op when I would have been nearer to my “final result”. This was because as many of you will know this was not my first surgery. I had previous strip surgery in 2012 (not with Dr. Bisanga) and was satisfied with my results at that time, however due to progressive hair loss, this meant that this surgery required "revisiting" the same area which was therefore not virgin scalp in the frontal half. Non virgin scalp means that quality of skin will be less due to making of previous recipient sites and subsequent scarring and this can have an impact on yield, and growth can oftentimes take longer to develop in repair surgery. I knew that I may have to be patient, but fortunately that has not been the case. I had FUE surgery with Dr. Bisanga 5 months ago with the following objectives - *Rebuild my hairline and increase density through the frontal third *Strengthen my temple points (as conservatively as possible) *Reinforce my mid scalp and crown *Place beard grafts into my previous strip scar (if possible) This was a lot to ask in one surgery, especially considering my quality of candidacy. In essence, any patient who is a candidate for hair restoration surgery does not have a “perfect” head of hair, but there are different levels to candidacy from excellent through to borderline and then obviously non candidate. We often seen “hollywood” hairlines achieved on patients with focused loss and what would appear to be a great donor. That certainly isn’t my case and isn the case for many. Challenges of surgery were - *Larger pattern of loss/decline *Retrograde alopecia (Dr. Bisanga explained that it is likely emphasised by my strip closure pulling my nape “higher”) *Average/below donor density *Below average hair groupings *Fine hair *Previous strip scarring Surgery was always going to be challenging in terms of achieving the necessary graft numbers but I was well aware of this and understood that we may not have been able to have achieve all of my objectives. This really highlights how realistic expectations are key. As is my intention with all patients who I have the pleasure to communicate with, education is fundamental. My surgery was scheduled over 2 days and I arrived in Brussels the days prior to my procedure for a thorough consultation using the state of the art equipment and software to allow Dr. Bisanga to assess the current status of my hair and scalp and discuss his approach. Due to using oral minoxidil and finasteride, I was very pleased to hear that my donor was stable and without any signs of miniaturisation throughout. I discontinued meds several years back and lost quite a lot of ground at that time. At 38 years of age, I wasn’t looking to lower my hairline at all despite it sitting high at over 8.5cm+ from the glabella. I really wanted to proceed as conservatively as possible in order to preserve as many grafts and achieve as much coverage as possible with an appropriate hairline as I age and inline with the shape of my face and considering my hair characteristics and donor specifics. One concern that Dr. Bisanga did have was some potential scarring on my scalp. Dr. Bisanga wanted to rule out any possible concerns such as scarring alopecia and decided to take a “punch” biopsy to remove a small tissue sample to be sent to the lab for testing. This then required a few stitches which were removed several days later. You can see the stitches in the post operative images and actually as this area did not receive any grafts to allow and encourage optimal healing, you can actually make out a weaker area in my recent photographs. Fortunately my biopsy result came back without concern and without the presence of inflammation or scarring alopecia. Surgery days went very smoothly as expected and after assisting many patients over the last years throughout their journey, it felt great to be taking my place in the chair. Dr. Bisanga explained that I had tough skin and I was burning through anaesthetic which meant the need for more numbing, but he reported easy harvesting despite my follicles sitting quite deep in my donor. We didn’t want to push too heavily or aggressively on my donor as my hair is fine and we didn’t want to further expose my strip, and as with all of us, loss is progressive and being conscious of this it was agreed that we would harvest approximately 2400 from the scalp with further supplementation from my beard using it to great effect in placing into my mid scalp and crown. As expected, all of my beard grafts represented single hairs and due to this being my first beard session, it was decided not to push far beyond 1000 grafts to allow a good distribution in terms of extraction sites and ensure optimal healing. With this being the approach, I was always going to fall slightly short in terms of placing grafts throughout my entire previous strip scar, and so therefore it was decided that we would commit to one side of the scar (approximately 260 - 300 grafts) which was still a bonus. Not the standard approach but in my case, it presented a great opportunity to be able to see yield throughout my scar tissue and at a later date, be able to return for further surgery, shave down and really understand and present what beard into strip scars can achieve by comparing both sides. Healing was very straightforward. I am obviously well versed in our post op care but instructions are simple and all products are provided in the post operative kit and despite a few initial “uncomfortable nights” as expected, recovery was generally quite quick. In fact, I was working and responded to patients in the evening on my surgery days. Being completely transparent, I was in no way expecting such early growth. Especially as despite a significant graft count, hair count with beard was lower and this was placed over a larger surface area, therefore I was/am extremely pleased to see density come in so quickly. Even now, improvement continues and I have several months to go. I am absolutely thrilled and not having to think twice about your hair when you wake in the morning really does have an impact on your day to day life and not having to worry regarding product and styling etc is a game changer. A big thank you to Dr. B and his team of amazing technicians and a shout out to all my colleagues at BHR who have shown their support. It is a special clinic and one that I am very proud to be part of. On a personal level, I genuinely get great satisfaction from supporting patients on their journeys and am thrilled to see their response and how their confidence grows and impacts many facets of their lives. I can honestly say that it has been a hugely positive experience and my results at this early stage speak for themselves and I couldn’t be happier. Many other patients have taken similar steps in their own hair restoration surgery and I remember the first forum case that I read some 15+ years ago. It was overwhelming, daunting, interesting and very exciting to see that there is hope, and there will be individuals who are reading cases today for the first time. Such communities are integral in the journey of many patients, it certainly was mine and I felt it important to continue to pay it forward and support the community. — BHR Clinic Dr. Christian BISANGA Technique: FUE Donor density: 70/70 FUs/cm2 Breakdown of grafts:- 2366 Scalp Grafts + 1100 Beard Grafts (Single hair) 1s - 1714 2s - 1341 3s - 411 Total Grafts :- 3466 Total Hairs :-5629 Average Follicular Unit (Scalp) = 1,91 hairs Average Follicular Unit (Scalp + beard) :- 1.62 hairs PRE SURGERY FRONT TOP ELEVATION PRE SURGERY RIGHT PRE SURGERY LEFT PRE SURGERY REAR PLACING LEFT VIEW PLACING RIGHT VIEW PLACING WITH BIOPSY DONOR REAR DONOR LEFT DONOR BEARD ] 5 MONTHS POST SURGERY LEFT 5 MONTHS RIGHT 5 MONTHS TOP 5 MONTHS REAR DONOR COMPARISON 5 MONTHS
    7 points
  2. Thank you for your interest and support guys. I didn't really consider a second strip and based on my scalp laxity and the fact that the closure had pulled and exacerbated the appearance of retrograde and also caused some changes if angles to surrounding follicles, a further FUT would only "intensify" this. Not at all. The intention was never to have a biopsy. This actually added an extra "concern" at the time and resulted in having to skirt around the area of the biopsy when placing so was more of an inconvenience. Dr. Bisanga wanted to rule out scarring/cicatricial alopecia due to some scarring that he could see under magnification. Scarring alopecia is where the hair follicle is targeted in a destructive inflammatory process which essentially kills the hair follicle. In terms of graft survival in non virgin cases, this is very case specific. Dr. Bisanga is able to achieve very successful yield in many of his repair patients, but the physiology of the skin is different than it was before any surgery and therefore it can and does respond differently. Obviously there are many "levels" to repair surgery and potentially compromised skin and scarring and so the extent of the damage to the skin can be relative to what may be expected in terms of yield. Generally if scarring alopecia is present then the patient would be referred to a specialist dermatologist for further investigation and to see if treatment may be able to help or be effective. The concern with scarring alopecia is that it is not curable and surgery itself can trigger the condition further, so this must be well understood by the patient and knowing that it could occur again at any time. Oftentimes due to when weighing up the risk/reward ratio, most individuals with such a type of hair loss would not be good candidates for surgery. Thanks so much Melvin. When I arrive at the 12 month stage, I intend to put together a more detailed presentation of my personal journey from pre any HT.
    5 points
  3. Month 9 Update (7/29/21) I am absolutely loving my new hair style and feel more confident by the day I am at family camp and some people I haven’t seen in over a year looked at me and were asking what I changed about my look. They couldn’t quite pinpoint it but said I was looking great. The clay gel helps volumize and give my hair a fuller appearance which is fantastic. I’m thrilled with the difference and cannot wait to see my one year mark. Only three months away!
    5 points
  4. Lots of results here from Eugenix, most of them tend to be excellent. Off the top of my head, check out threads from @Zoomster @paddyirishman @juanjs84 @Looking for HT @harin @BlackPanther @rishibostonian @MNIK @rubberduck@Wandererind @Jarvis@forest Really, the best thing to do is search 'Eugenix' and just scroll through each post to see the progression of each of the forum members' journey. If you indicate where you are on the Norwood scale, we might be able to point you to cases that have a similar hair loss pattern. Hope this helps!
    5 points
  5. @Raphael84 If this was a 12 month result we'd all be congratulating you - at just 5 months it is simply stellar! Great detailed write-up (I learned a few things from it) and happy to see someone who gives so much to the community enjoy a fantastic result. Bravo Dr. Bisanga and congrats! 👏
    4 points
  6. You should definitely consult with @DrTBarghouthi. He consistently puts out amazing work and is very helpful and ethical.
    4 points
  7. When I think of repairs I think BHR @sl@Raphael84(Dr Bisanga), HDC @Doron Harati, HLC, Dr Mwamba and Vertex @DrTBarghouthi as just a few examples!
    4 points
  8. almost 7 months and i am happy with the crown! i never wanted a great coverage there. just expected my total bald area which was totally gone to be covered decently! and the hairline, it has made a huge difference to my looks as i mentioned already! i really hope no one identifies me with "oh!that bald guy" tag anymore😂
    4 points
  9. There seems to be a lot of misinformation going around the forum. So I thought I'd give you guys a pop quiz. Let's see some answers. The best answer will get featured in this week's newsletter. Hair Transplant Density Vs. Coverage What's The Difference?
    4 points
  10. Hi Everyone, 24th of July was 8 months. Overall happy, still hoping for a bit more density in the crown area, under certain lighting it is not ideal - but concealer does help if needed. Please see below pictures: As always, happy to answer any questions, but I think Ill next post at the one year mark. Cheers.
    4 points
  11. You should go with a doctor you trust and will be the best fit for you. Money shouldn't be the main deciding factor as you could end up with a result you hate and then half to get repair work done. Hair transplants have been around decades here in the US and there is a lot of competition, so much in fact that you'll see the term "hair mill" used globally since it's such a big business. The strip method or FUT is extremely effective and many top doctors use it to this day. I myself have had 2 FUT procedures with excellent results. There's pros and cons to both FUT and FUE which should be evaluated with whomever you choose to go to. FUT has been around before FUE but that doesn't make it outdated. If you want to see outdated, search Juris Flap and you'll see an outdated method.
    3 points
  12. Wow what a transformation! I’m very excited for you and appreciate everything you do for the forum and for your patients. 2 quick questions. What would you say would be a realistic goal percentage for graft survival in a non-virgin scalp when revisiting an area? If you had had scarring alopecia, could the surgery have commenced as planned? If so, what would the challenges and expectations have been? Again, thanks for all you do. I’m very excited for you. You look amazing at just 5 months.
    3 points
  13. Let me first say that I consider Dr. Bisanga one of the best surgeons in the world of hair transplants, congratulations to you for the excellent writing, as well as the result that you have already obtained at only 5 months. @Raphael84 I want to ask you, did I read that Doctor Bisanga visited your scalp and did a biopsy as well, but he does it with all patients, or did he only do it with you because you are one of his consultants?
    3 points
  14. Looks incredible Ian, it’s my understanding you had surgery over 10 years ago with Dr. Rahal, what did you look like before any surgery?
    3 points
  15. Just stunning. And possibly the most detailed account of a transplant i have ever seen ! Thanks so much for the excellent write up. A enjoyable read/journey 👍🏼
    3 points
  16. Thanks all for your support. This is right after the first session. There should be a lot more improvement in the second session since I do have diffuse thinning and covering my whole scalp around existing hair. May possibly need a third session too. *Top is before bottom is after*
    3 points
  17. Dear community, This is a 35 year old gentleman who had an FUE procedure done in July 2020 . He is a NW 6 pattern with a family history of the same. His donor area is moderately good with some midline dipping in the back. We did around 3411 grafts for both the frontal and midscalp zones to add definition and density. A planned second stage for the crown was proposed a year after the initial surgery. Photos were taken at around 11 months from surgery. Patient placed on finasteride 1 mg on alternate days. Surgical details: FUE 0.8 mm punch Hairline 407 refined single hairs 3004 multiple grafts Average of 2.6 hairs/graft. Sites made using 0.8 mm and 1.4 mm Sapphire blades. Surgical photos: (11 months from surgery ) Before: Planning/ immediately after: 10 days after 11 months Comparison:
    3 points
  18. Thought I’d leave this here what a difference 🙌🏼
    3 points
  19. Wow you look at least 10 years younger without seeing your face. incredible transformation 👏🏼👏🏼
    3 points
  20. Hey guys Hope all is good. I am excited to share this update as I feel that some kind of magic has happened in past 2 weeks 😄 What are your thoughts? Feel like its improving. Thank you everyone for all your support ☺
    3 points
  21. Glorioushair/10, Jealous/10, FML/10
    3 points
  22. Yep everything is as expected in your case - not a single thing I can see that points to anything out of the ordinary or unusual.....rather the opposite I see top class work from a top class surgeon. Yes the slight opening of FUT wound in the back is not ideal but it looks no more than an inch or so........the wound either side of it looks absolutely stellar already you'll have tiny tiny linear scare. The natural constituency of the hair transplant patient is to be somewhat obsessive/anyatlical/OCD......its these very traits that get people focused on their hair loss and then ultimately give them the drive to go to the doctor and then get into the chair. Its hard to 'let go' when your scrutinizing led you to pull the trigger on the operation but the way I handled it is that ultimately you went and did something about the issue bugging you but now you need to park the scrutinizing as it plays no positive role moving forward. It had its uses in getting you to address the problem all it will do now is increase stress/anxiety which is a minor net negative for your future result. The best scientific approach for the benefit of your result is to forget about it and go for walk every-time you wanna spend an hour analyzing zoomed in photos
    3 points
  23. Quick take on this - is you want a feathered look.......less dense at the hairline gradually moving back into thicker 'wall' of hair behind What your describing above is exactly how a natural hairline would look.........you want the density disparity.....you want the existing hairs behind your new hairline to be beefed up with way more grafts such that your hair INCREASES in perceived density as it moves back into the mid-scalp. I would also say that at the Day 5 it is very possible some of the grafts implanted have shed their hair shaft leaving only the root behind under the skin where you cant see it. Predicting what your final result will be from photos taken in your bathroom mirror is, as any prior HT patient will tell you, a fruitless and pointless exercise. Its frankly a waste of your time.......dont waste the next few months looking in the mirror for hours & looking at photos on your phone............everything is baked in the cake right now.......you'll see your final results in the next 12 - 18 months. You picked IMO one of the best surgeons in the world and used an appropriate amount of grafts for the area. My expectation for you is a killer natural result My suggestion in terms of monitoring - is pick a day each month where you stand in the same place and take a few pics in the same light (& of course share your pics here)......and do your best to forget about it for the rest of the time
    3 points
  24. From looking at this picture it was clear you would need a minimum of 6,000 grafts and that is for coverage, even more for density What’s the difference between coverage and density? Well, density is the number of grafts per cm2, and coverage is the area that is transplanted. The number will vary depending on the surface area and shape. That is why no two people are the same, and why one person may look a certain way with 4,000 grafts and another completely different. Me and you have nearly the same hair loss, I’ve had 5,300 grafts and my crown is all but bald. I have a small head, so I peg myself at requiring another 1,500-2000 grafts. For you, your head looks bigger. So I’d imagine you’d need another 1,000 more than me. Stop listening to people who have no clue about surgery. What you see is what people want you to see. Hair Transplants are not perfect and as a high Norwood this is something you have to accept. Lastly, there are two schools of thought on how to approach large Norwoods. One is to work densely in a small area, namely the hairline, the other is to cover more area with less density and then add more hair in subsequent sessions. Neither method is wrong. It depends on the patient. If you had all the grafts on your hairline, you’d be complaining that the crown is still bald. Take a look at the thread below, coming from someone who’s been in your shoes three times and has your level of hair loss.
    3 points
  25. 2 month update after shedding to almost slick bald in the recipient area, last 2 weeks there has been alot of new hair growth, especially in the middle region of the recipient area. Getting my second iprf injection tomorrow.
    3 points
  26. All, just an update, I have my first session of SMP booked for this Thursday, 7/29. Will keep you posted and will share pics. My 2nd session is slated for next Friday, 8/6. Wish me luck!
    3 points
  27. Hi all, this is my 7.5 months Update. Overall i am very happy with the results so far. However, I hope the crown will fill in a little bit more within the next weeks/ months. Any opinions?! 🙂
    3 points
  28. Just got a haircut. I'm at 8.5 months. Donor looks fine to me. She used a 0.5 size guard around the ear and at bottom of back. This is about as short as I've ever worn it. Kinda like it! Headed to Brussels in 3 weeks to meet Dr. Bisanga to add some density to my crown (untouched) and tweak my temples & hairline.
    3 points
  29. As a guy who has had 2 fue procedures I can tell you that fut is not an outdated technique at all. Go look at any patient in real life who has had 4-5000 or more grafts extracted with fue and you will be able to see a clear visual impact on the donor. Fut results in higher yield, healthier grafts, and more lifetime grafts. my advice is to go to a doctor that performs and excels at both. Fut only or fue only clinics will be biased in their technique. The fact is that each case must be tailored individually per patient needs.
    2 points
  30. With the pinkness fading and it seems all the shedding has taken place I would say your still on track. The next couple of months will be the worse part before you start to see any growth occurring. Most people will have the grafts start growing around month 4. Thanks for the update 🙏
    2 points
  31. Before the update - Ozen did not get back to me about the video call with Dr. Bicer. I assume she simply forgot, but I didn't really need to remind her as she's already answered all of my questions on WhatsApp. If I do have more questions for Dr. Bicer, I'll make sure to contact her again and write here what happened. 1 month update Not much to update in my opinion, I'm just being consistent here. I am not suffering from much more hair loss. My recipient area is still a somewhat pink and numb. I really hope it will go back to normal soon... I still see small white bumps in my recipient area. They're especially visible after I take a shower. Still showering almost every day and washing with baby shampoo. Also, upon close examination, I think I'm seeing some the new hair coming in? But the density is still very low. I think this is considered the worst point in the hair transplant timeline, correct me if I'm wrong. I will now update at half-month intervals.
    2 points
  32. Thanks for following up. I am going to post an update shortly with updated pics, but just haven’t had a chance yet. The follow up went well, tho. Donor is still a little patchy in terms of density so I may just have to wear it a bit longer. It could still continue to improve tho as I’m just now hitting the 4 month mark. The hairline is still a little higher than I’d like as well, but it’s still a considerable improvement. More to come!
    2 points
  33. Wow this is incredible for just 5 month. You are really awesome and helpful guy so I think everyone is happy now hehe
    2 points
  34. @SD1984 This is the second time you make ridiculous claims, first one you made a claim about the number of grafts being wrong when there’s no graft placement pictures, now this. There’s no need to make sensational claims. Zero growth is not true. There’s most definitely growth, perhaps not what you consider satisfactory, but there’s no need to be a jerk about it. Your post was reported.
    2 points
  35. Thanks for the mention. It would be great if OP can share some photos too either here or in private.
    2 points
  36. 2 points
  37. 4th Month Update @Eugenix Hair Science Finally I can see some growth 🙂 After very slow 2-3.5 months things finally started to improve. I was told to forget i even had a transplant till 4 months and that is what i did. In Last 20 days i noticed the transplanted hair get thicker , longer and darker in color. Still a long way to go.. Its still very light growth and I see a lot of gaps Temple areas are far from perfect and will need time.. hopefully will improve by the end. What is 4 months growth? 40 %? Donor area has perfectly healed. I am on cyclical vitamins and 3 times a week finoecia 1 mg. I went to the clinic to get some hi res pics and also took a few pics out under different lights.
    2 points
  38. We're now at 6.5 months, so I thought I'd share some new pictures. My hair is definitely keeping me happy--it's taken on a bit of a wavy curly aspect I never had much of before (despite wearing the "bedhead" look for going on 20 years) if anything I think it just adds more to the illusion of fullness so I'm not complaining. Thought I'd share a hairline photo as well as a downward view into the recipient area, that way there's stuff to really compare against the original photos.
    2 points
  39. Just like I predicted from the very outset... gonna be the dogs boll.x of a HT come Christmas 🎄!!! Z
    2 points
  40. Yes you should be careful to get sun burn on the skin thats recovering the first 2 weeks. But the grafts themselves are very well secure under the surface after the first 7 days. You can protect yourself from getting sun burnt but sweating isn’t going to cause a issue.
    2 points
  41. Your grafts are very safe ! No probs after a week let alone 2 weeks 😎
    2 points
  42. Thank you everybody, I really do appreciate all of the feedback so far. I will continue to post my results over the coming months. Thanks again, this forum is a great place for knowledge
    2 points
  43. @ClassygentlemanI think the takeaway here is that yes you will need to have another ht to improve what’s already been done. Multiple hts for the higher Norwood levels are very common. If you reinforced the hairline and added to the density across the scalp next time I think it will be more than satisfactory. Yes you will get further growth/enhancement over the next 4 months (maybe beyond) but unlikely to have any new grafts suddenly spurt in to life.
    2 points
  44. And for the record, listen to whoever you want to @Classygentleman. You're a grown man so you can make your own decisions of how to use your brain and who to listen to, I don't think you need to be told how to do that. The whole point of your postings here were to get feedback, so not sure why anyone who disagrees with Melvin automatically has no clue about surgery or has some agenda to make you see something rather than just their honest opinion. Either way, I'll be out of this thread now as it gets boring listening to that gibberish, but I hope it comes in a little more for you over the next few months and turns out ok!
    2 points
  45. I have certainly seen cases grow well past the 9th mark, and even past the 12th mark. 7 months vs. 2 1/2 years Arshad patient, one of the best HTs I’ve ever seen to be quite honest. I don’t believe there was ever a doubt that you’d need another HT with your level of hair loss. I’ve had three and still want/need more hair. Anyone who acts like you could’ve achieved everything in one go is being disingenuous. The crown alone takes thousands of grafts.
    2 points
  46. Still amazed by this. That is a huge amount of grafts, even over two surgeries. He went from being almost slick bald in places to having an insane amount of coverage. Wow.
    2 points
  47. Hello all, I just wanted to show how my hair is after almost 4 years of hair transplantation. It has been just improving along the way and I couldn't have desired for a better hair on my head. Also, I've coloured my hair... AGAIN! Hope it helps to see that the transplanted hair do stay for a longer period of time. I do still take Finasteride and hair specific multivitamins. I swear by vitamin E. And also an elixir made by the Gods (kidding). Here are some pictures for you all to view. Naturally curly hair and style: Hairline: Left temple: Right temple:
    2 points
×
×
  • Create New...