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sl

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sl last won the day on December 16 2019

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About sl

  • Rank
    Senior Member

Representative Information

  • Name
    Steve
  • Doctor Representative For
    Dr. Christian Bisanga
  • Location
    England
  • Years in Hair Transplant Profession
    > 10 Years
  • Email Address
    stephen@bhrclinic.com

About the Representative

  • Have you Ever Had a Hair Transplant?
    Yes

Recent Profile Visitors

2,578 profile views
  1. In short, as you say it is a very important factor and the biggest giveaway in terms of design and implementation is if this is not right then people will talk to your hair line and not your face. Most people who say a transplant never looks natural is because they have not recognised the good ones that pass them and are undetectable. Here is an example of a hair line that Dr.Bisanga re-constructed and let me know if you would look twice if you were to see him pass you in the street. This was a patient from 2015 and I think the industry in some ways has gone backwards in some aspects in that there is a huge influx of new clinics that do not seem to follow or master this aspect and we see some very bad ones now and even on celebrities, but in the right hands it should be natural and not attract unwanted attention. Link here also:-
  2. No problem you did the hard work...maybe you can make it into a video also...
  3. I would add caution on concealer also, I appreciate this is not exhaustive as a list so other things wont make the top 5. All valid points mentioned however, well done.
  4. For us after FUE, then the patient is usually back in the gym at 14 days and they break back into it so probably less heavy or intense than the usual routine but they are in the swing of things soon after. Cardio not a problem at 14 days. Just be careful with weights not to bang your head on any iron and especially with things like laying down pull-overs etc where the weight is passing back and forth over the scalp...
  5. If the previous work was good then you should have no problem to add density and indeed my second ever surgery was that exact scenario.
  6. Sorry you suffer from this condition and I am sure it can bring some anxiety, but you are fine with sweating and going back at the gym at two weeks also is fine if you have FUE. All the best!
  7. Good question. Placing among hair be it native or transplanted is not an issue for a skilled surgeon. That said if there is scarring then yes it can be an issue as there can be less vascularity and other challenges, so it really depends on the scarring, pitting, ridging etc that is present. Best to have a really good analysis on high quality photos/video that show any issues and also if you can be seen in person. Hopefully the work can be achieved okay but for repair patients there are challenges that are not present on virgin scalps as such. Try to detail as much of the issues that you are aware of also for the surgeon to know about but they should see it well also.
  8. I have known patients on Proscar and cutting it in to 4 or 5 parts with a pill cutter and no issues for years and then go to generic tablets and have sides, even if they claim to be 99.9 percent the same and even people in this field I have spoken to have had issues when changing, so I do believe it is a genuine problem for some. Maybe not many have issues but it is there none the less.
  9. Depends really if the issue is fungal, if so then to alternate both is not a bad idea as they work differently so it is an approach that dermatologists often use for fungus, and in the case I know this was the exact approach and to take for 4 to 6 weeks as such with a little bit of one one day and the other the next etc...the Selsun will smell a little more and make sure to shake it well before you use that.
  10. We all have fungus on the skin, just some are more prone to overgrowth and it can be due to oils applied, sun, diet etc...A doctor/dermatologist should be able to tell if you can see them and if it is a superficial growth then one line of action is the antifungal shampoo route...Nizoral is fine but Selsun blue will make you smell of sulphur for a good while! If it is confirmed as fungal then look also at diet and avoid wine/beer etc and things that can contribute to its growth. Shampoo will help if so but as said the white patches will take time to get pigmentation back again. I am saying this as I have seen this condition and patches very similar to yours before so hopefully it is a simple issue and they may say be careful with the sun as I have seen this be a trigger also.
  11. Worth seeing your doctor/healthcare provider to see if this is fungal, and if so they may say to use Nizoral or Selsun blue shampoo for a few weeks, (I just read that you are on Nizoral). If it is fungal then this will help but patches can take a while to go. This can appear more so after getting sun on the scalp. Do you have it elsewhere as in forehead etc and any darker patches aside from the white ones? Let us know what a doctor says but I would not be suprised if it is were to be a superficial fungal issue on the skin from the patches and pattern of it. Take care and try not to worry and I am sure it can be cleared up..
  12. Speechless to be honest....be interesting to see what the patient's goals were....
  13. Great opportunity to be seen and I have a fairly long list already so I expect this to be very well attended...
  14. Yes laxity will return but you need to be careful in the first few months in what you do while the scar will not have full tensile strength, so usually a clinic will say be careful for the first few months in strenuous activity, but the sensation of tightness will pass. The position of the scar and other factors also come into to play in regards to how and if it will stretch. Take care.
  15. Hi HTHOPE, great question and good to see people are looking at donor extractions also now. This patient had 2400 FU, and a good density of 80 FU per cm2, so even with a nicely spaced extraction pattern and well spread as the photos show, we did not need to go over the whole donor of circa 180cm2. We harvest from one side (I see many FUE results only and exclusively harvesting from the rear however), and spread as needed to get the graft numbers and units needed. So, we start from temple and above ear and work round keeping in mind a good spread for the grafts. To extend it to the other ear for the amount of grafts needed and with this patient's density would have meant spreading more, more injections and not needed in that we have not had to over harvest at all to obtain what was needed. So, this is not uncommon. As said over the years I have seen a lot of results from clinics with higher amounts and not spreading more than the occipital area, so very concentrated extractions, but that said we spread as needed but there is no need to go over all the donor from ear to ear for the sake of it if we can harvest the numbers safely without having to extend and as said is common also and we take into account the amount needed and the donor density to give. Dr.B uses a motorised punch and 0.75 to 0.8mm for the most part unless afro hair type etc. Hope helps.
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