Sean

Different growth phases will be with different hair sources at a given time. Chest hair no good, beard may be ok depending caliber and recipient location of scalp. Nape hair, forget bout it. Back hair- it’s usually similar to chest and obviously no good. The directional angles on scalp do not look same and if they even yield 5%, they may look unnatural. You may do a procedure of couple thousand grafts but maybe only 10% visibly yield with density issues in between. now if you are using such hairs for scar repair or attempts to fill in scars, maybe a very tiny area may cover something to reduce it. im talking from experience myself. looks fake as ever and ruins the scalp. Just be careful. If you want perfection and for it to look at least 50% better, or a distinct change, then do not look into it. If your scalp is a lost cause and you want some stragglers on the head with density concerns, and you got money, then it could be an option. But for something like that, it may cost a fortune unless you cut a deal with a surgeon of some sort. Bottom line, you will be chasing procedures every few years. These alternative hairs will still not give you the type of scalp that scalp donor will give you. Melvin, nailed it above. i am going through a tough time due to this bless those those that tell the truth

Avoid hair dyes for a bit. Some chemicals can be really harsh on grafts. I know another person going through same thing with that hairgx. They use another dye now with no effects. You never know if you are allergic to the ingredients. Have you reached out to a dermatologist? May be good to get it looked at. Best of luck

It is hard to tell. May have slight miniaturization, but the only way to know for sure is to visit s dermatologist to check. Based on pics the outdoor one shows miniaturization, but the indoor ones do not.

Filling up quite a bit from the initial photos. Distinct noticeable change forming. Nice!

It varies by physiology but .8mm should extract most and is optimal to reduce dot scarring. The thicker the hair the greater the punch . .7mm may be too small to get out hairs with multiple groupings

Dr Hasson seems to do fantastic work. He is a good choice. Dr Wong and him make a great team overall. You should be in good hands with them. Ethics matter and proper surgical protocols matter. Best wishes to you

Race should not be a factor in choosing surgeon. Asian hair/Southeast Asian hair can be complex. A good surgeon can handle it. Certain surgical tools Or approaches may be different. Someone with thick curly hair may survive high speed extractions but in others the extraction may need to be manual and slow and steady. It is different for various ethnicities based on skin characteristics/elasticity and hair textures to hair caliber to existing or no preexisting scarring. Any good surgeon should be able to overcome such obstacles with ease. if 5-8 doctors give you similar advice then, youd rather go for majority opinion. Definitely get more consults to get different views and approaches.

You are in your mid 30s which is good. You’d be ok with higher hairline for sake of having higher density in smaller area due to limited harvest— this is good. your existing hairs in that front zone are weak. If you experience shockloss, your native existing hairs may not grow back if they are weak. If that is the case and you lose existing native hair due to surgical trauma, long term you may need close to 3000 grafts for that entire frontal zone when time progresses. It will also depends on the grafts they extract, whether they are 1 hair, 2 hair, 3 hair, 4 hair in size. The higher the hairs in a graft, the better the coverage. yes, you should worry about limited harvest. No one can say not to worry or its because they are better than others. That is a misleading gaurantee or assurance to persuade. What happens if things dont go as planned after that? How is it rectified? i would get multiple consults and see what other doctors tell you as well. Here are some more names- Dr Cooley, Konior, Lupanzula, Feriduni, Mwamba, Col, Ferreira, Baubac, Keser,

Also, it may be wise list your goal, full expectations, from this surgery here on this thread. This is so the surgeons know you publicly stated what your desire is and was prior to any surgery. They can give guarantee and assurances now, but should own up later. example lines of what goals and expectations can be: i want a dense front , in order to stick up my hair up for for easy styling. I want to be able to style my hair without having a see through front that doesnt visibly match my native hair density in terms of illusion. Id like to have lateral slit to have a more natural hairline illusion. I do not want patchy donor and defined extraction shapes in square or rectangular patterns. You can keep going on exactly what you desire as an expectation. This is just a small random sample/example etc.

Javier, i just saw your pics. You must approach really carefully. I do not agree with some assessments you are given. Your hair is definitely on the finer side/silky caliber texture. Your donor has a degree of density variation that is noticeable even with a short fade style cut. first things first, you have like a norwood 3 formation. Those hairs in front seem they will shed over time. likely, some of those native hairs will be shocked when new hair is planted. I would not have a procedure greater than 1500 grafts to see how hairs will yield considering your hair type. A manual punch used for extraction may be a safer bet due to your donor area and smaller size punches at that, also considering your hair texture and hair fragility. Since you lack dense density in donor, you will be more prone to dot scarring from larger punches. If they are to extract, they may need to have extractions spread out widely in donor. They should also make sure to screen your donor for diffuse hairloss. second, it may be safer to do 2 smaller procedures to maximize graft survival during extractions and when your extracted hairs are in a petri dish. The longer your hair is out of body, the longer the air and etc can diminish its survival (especially if it is not really thick) . are you on any medication currently? Have you tried any?

Many unknowns with covid at this time. One year out and they are still discovering things and most folks gave varying symptoms with varying changes. Permanent hairloss hasn’t been really reported yet. https://www.aad.org/public/diseases/hair-loss/causes/covid-19 https://www.nbcnews.com/news/us-news/after-covid-19-some-survivors-experience-heart-wrenching-hair-loss-n1244158 stress/high fever may send cycles off to telogen effluvium. But it is usually temporary. once you are in 8-9 month cycles, you may be able to see it better when it is grown out more best wishes

Javier, i am unable to see the pics. Please approach this with caution. This is a high risk surgery. Please look at all reviews. I think Asian hair is sensitive to FUE vs other ethnicities. BUT Depends on many factors. How extractions are done, what size punches, the entire surgical protocol. I remember when a doc told me his FUE was the same as his FUT yield. There are always hopeful gaurantees. But when something goes wrong, you will need tons more money to fix and it will be a puzzle. It happened to me and I am Still suffering. Do not believe any hype or gaurantee. Take it with grain of salt. Ask hardcore questions to surgeons in writing and get responses in writing. Ask for consent forms to review before paying any deposit. If I can see your pics, I can give you some feedback on what to look out for. best of luck!

This is absolute key. I believe this is one of the elements that made my situation a little tough and not favorable. It is also a failure that some surgeons do not disclose this information. The same tool is not the same for everybody. It varies if you are Asian, White, Black, Indian, Mid Eastern, Mediterranean, European, Russian, etc etc etc. A high speed drill may jeopardize someone with medium to lower caliber straight asian hairs, where, it may be for for folks with much thicker caliber hairs. Same goes for devices with suction with saline involved or curved extraction angles or shapes to extract African American/Curly hair where it may be detrimental to other straighter hair types and less tough skin tissue. Same may be for devices that utilize blunt punches. Same may be for devices that utilize slow speeds that may be less harmful for less then thick hair types. Lion or similar implanter pens may be better for one ethnicity and softer skin and etc. Manual punches may be safer for most folks depending on size of punches used. If one device or extraction method is used for one patient and works, it can be detrimental for another patient and must be modified to suit that patients needs and own physiology. Lower extractions counts during surgery may also help with graft death due to longer out of body exposure. Regardless, if air is hitting it or some solution to preserve grafts as human tissue has no replacement. Excessive saline injections or freezing of scalp in recipient zone due to longer surgery is also detrimental to scalp graft health overall. I believe these and tool element is just one of the many points that has screwed me in my first surgery and repairs. Other known physicians and experts that have seen the situation agreed so far. Glad this surgeon has explained that each method tool is not equal and varies and that Dr Bisanga can shift the technique/tool to suit the individual. It is different from some other surgeons who mostly utilize one tool for all. Some surgeons use one tool for all as they know it gets them more extracted grafts then it would if they do it another way. Sometimes, harder and slower work is better for a patient. Its not about how much $$$ you want to maximize, it is about patient safety and ethics as well. In the long run, if a poor result happens, a doctor can blame themselves if they used a method that may have been less then ideal for one patient vs another. This surgery is risky as is, why put another outlier of added risk to a patient and lower their chances of success? Glad he has informed folks of the method/tool scenario vs the patient physiology , where some surgeons fail to inform of this. This was very important.

Raphael, this is good to know. If a person actually has a blood pressure problem, it can help control it and at the same time, it does not make someone barred from future surgery. Now regarding topical finasteride, do we still need to be mindful when we have children (2 year olds climbing over us if we have it applied) and if we have a pregnant wife? If applied topically, is it still dangerous for birth defects for others? also, what is the spiro stuff mentioned, how effective has that been. I find this QA to be helpful and more direct with a doctor and staff, especially when doctors are willing to answer pretty solid questions!

One thing interesting from the video was the oral minoxidil tablets and the spiro treatment. I wonder if oral minoxdil can be taken if you are going in for another procedure? I always though minoxidil was only applied topically. if oral minoxidil, spiro treatments are viable solutions, i think it is definitely worth looking into.

Raphael, thanks for the video above. Melvin, wish I could have called, but I was stuck at the job. I see 4 clips above, are there more posted on the page? Thanks again.

This is a key point made. Depends on the hair type and its close proximity to the scalp hair. Based on race/ethnicity, it can be better for one person and damaging to another .

I’ve followed Dr Bisanga’s results for some time and know folks that went to him. Those patients have provided me with some good support and encouragement. From what they mentioned, Dr Bisanga, looks to be an ethical surgeon that cares for the patient and knows what he is doing with regular scalp hair and with other body hairs. If I’m not mistaken, I think I remember a post by a forum member, many years back where that patient came in for repair, Dr Bisanga was concerned at the damaging work done to the patient’s scalp, then called the previous surgeon to ask what they did and why? That shows care. My journey with surgery was done at a time when FUE was very limited to none on forums. It was a surgery with high recipient density placement and left me with some scalp issues. That doctor further attempted repair which created issues and donor complications due to compressed extraction patterns. The next surgeon, seemed confident they can repair that work and gave graft counts on what needed to repair the situation. He used other hairs extracted via ugraft to attempt repair. It seems during this repair, even some of the poorly placed hairs from the first surgeon were shocked from my hairline and the angulations and hairline looked more unnatural. My initial surgeon who was hoping i’d be repaired appeared to be shocked with the repair result, the approach, and expressed his concerns. It seems more ridging and cobblestoning was visible and the area had further loss of density making the hairline area look more unnatural. It’s like none of the nape, nor chest hair grew, with the exception of a few beard hairs elsewhere(crown), even that area didnt attain the yield based on number of grafts placed. My concern is that these alternative hairs shocked existing scalp hair. It was not like i had some 10,000 or 20,000 body hair graft procedure, it was a smaller one like 2500 grafts. Some other well known doctors did say my failed repair can be repaired, but it may take more than one procedure, it may include a possible resection, or FUT, or multiple small procedures with better/safer approaches and etc. A lot of industry experts and doctors thankfully told me it is fixable and provided me some hope. As a result, I’d like to ask Dr. Bisanga regarding beard,chest, nape hairs. 1) Do you use different extraction tools based on different hair types and ethnicities? 2) Do you feel nape hairs are worthy of being used as a viable resource, esp in recipient areas where there has been trauma previously? 3) The repair surgeon who utilized body hairs told me not to take finasteride due to the body hairs. In your approach, do you feel folks that had chest, beard, other hairs are not able to use finasteride? 4)And finally, can you show some existing repair cases where other surgeons have not achieved satisfactory repair, but you were able to repair the situation? Thank You Melvin, it is great seeing you have surgeons be more interactive for Q&A here. Please keep it coming.

Looks very refined and clean. Following for sure. Great angulation and placement. Nice lateral angles.

Id agree with nw2 with little bit of thinning. No intervention via surgery should be made at this time. meds are the way to go for as long as you can. best of luck with everything!

legend, thanks for your honest assessment that maybe 1700-2000 grew vs the 2500 grafts you had ordered. So, it was not the at least 90% growth you had paid for. Hoping you do not need more work later on in life. glad you felt comfortable at the gathering with your family and no one knew you had a hair transplant— this is a big big relief. Mine still looks to the point i cant sit in from of someone without them commenting negatively or questioning. So, i am happy at least you can look natural man.

Definitely no need to worry, you got excellent set of hair with no indication of loss.

Can PRP or anything help with reducing some ridging and raised tissue in frontal hairline scalp area? It is due to many incisions in a smaller area, that cUsed scarred tissue. Or would you recommend resections for such areas? What about cobble-stoning? Is it repairable as well? I am trying to get successfully repaired but the doctor I counted on, clearly failed. Thank You!

For the negative so far. Scalp is harmed and looks unnatural thanks to those I trusted and considered folks looking out for me. Now, i am Waiting for an ethical repair by a surgeon that shows care for the patient and also delivers goals outlined and discussed. If I could only turn back time and go with someone that didn’t give me false promises and hopes and gave me a 100% yield rate guarantee with their fue results like their fut at the time. Each day of my life goes by, I am wasting trying to figure out how to sort this and get out of this situation. How i can get this to look natural at least and cover up the areas. The doctor that did this can breathe and enjoy life while i suffer with the damages done. I thank the folks that have supported me, as this is not an easy at all.

Looks good. It looks natural outdoors as well as inside. That’s when you know it is a success.