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Hi Arekk

Thank you for posting the case so far.

I hope you are healing well and look forward to the updates.

Thanks for updating, coming on nicely so far. Happy Birthday and look forward to speaking soon.

This patient has kindly kept in touch with us and here is a quote that he just sent a few years post surgery.

"My FUE reversal continues to improve. The skin just gets better and better I think.

Please tell Dr. Bisanga again how increadibly happy I am with the work!

I honestly believe that my skin as gotten better in the last 12 months. That is, 2 years after the operation there has been slight improvement.

There is absolutely no pigmentation changes in the skin! Zero, absolutely none. Truly remarkable. Perhaps a combination of Dr. Bisanga's great hands and my good healing characteristics.

We hope to get some good photos when we see him next in his home country.

Nice result Dr.Mwamba.

Patient in early 40's and first noticed hair loss in his 30's. Had a Strip procedure around 1999 of approx 1000 grafts and resulting in a scar of 15cm x 0.5cm.

BHR rebuilt the frontal third and hair line with 3028 grafts and the patient is very happy with the result that enables him to style differently and colour as he wishes.

All post op pictures taken by the patient.

I agree, like the shorter hair style does look good.

Looking very good so far. Will continue to see some more growth but also as said the maturing of the hair is important and often over looked and it will cycle in time and get better and better.

Heal well Dave and sure it will give even more improvement for you.

Hi Spanker

Miniaturised hair will be easier to pull out with less effort or pain, whereas healthier is usually harder and a little bit of a sting to pulling it if in the growth phase.

This test is not overly scientific but ease of pulling may give an indication and I recall in my early loss stages was the case when I compared healthy to weaker hairs. There will be a general percentage that will pull easy due to being in the resting phase and comb out for example so as said not overly definitive but may give an indication. Certainly pulling my chest hair really hurts so they are very healthy.

As said flying the next day is okay but need to be careful not to bang your head. The flight can exacerbate the swelling but will not cause a problem per se for the grafts.

If you don't go the day after then maybe wait a few days for the swelling to subside as it can be at its worse day 3/4 post surgery then go down so some just feel more human travelling when that has happened.

In any event try to get a window seat away from corridor where you could be knocked and remember to be extra careful when getting up to go to the toilet etc as many do bang their heads so really need to be extra careful.

I think the earlier photos showed the occipital area better to be honest and the latter display more of the thinning over the ears and down to nape.

Photos do not show the whole picture and one can look good in some and bad in others due to lighting and angles but from what I see personally would not say surgery is wise as there are signs of thinning in the donor and not only lower down only but seemingly from areas that should be the richer parts.

A good doctor can see you in the flesh and easily measure percentages of miniaturisation and look under magnification also but I think these photos do help to say certainly think twice about any surgery. As said probably worth getting checked out personally by a doctor who can best advise once they see you and measure accurately.

Hi Sheraz

From the photos would say you are not a good candidate for surgery with your donor thinning in the manner in which it is and you are thinning all over it and higher up also and not just raising up as in traditional retrograde alopecia so definitely worth monitoring and not opting for surgery.

Some do suffer from DUPA (Diffuse Unpatterned Alopecia) that does render them non-candidates and is a thinning in the donor area also that for most is the safe area to take from.

You could see a specialist to get diagnosed and measure miniaturisation in the donor area under magnification.

Patient in late 40s. Never used any medications.

Patient's donor would have allowed for a larger Strip to be harvested but he asked for a smaller session and to come back for more surgery at a later date to address mid scalp and crown.

Graft breakdown was:-

1 hair - 537

2 hair - 1169

3 hair - 866

4 hair - 292

Design

Placement

Suture

2 Years post op

Some patients get occipital nerve pain post FUE.

I've had it once in all my surgeries only, it comes around day 5/6 post op and is worse at night. I found painkillers, massaging cold aloe vera to the donor helps and took vitamin b tablets. It is a type of neuralgia and usually passes in a week.

Punch size for me was always 0.75mm to 0.8mm manual, but maybe the injections more than punching that causes it. As said I only had it once in over 7,000 scalp FUE and never had it on my beard, it really does emanate from the occipital area outwards usually and when I describe it to patients they usually say it is exactly as I describe and all of the above help.

Best wishes.

Good question and as said by hairthere often a scar can be removed and the doctor will gain new grafts also in the process, assuming in the correct position and wise to revise.

The previous surgery will effect laxity so there needs to be laxity enough to remove the first scar and revise it if possible and as a bonus get more surface area with those needed grafts for a second surgery.

A caveat is also that a bad Strip surgery can cause miniaturisation around the scar area so that also needs to be checked as it is from there that the new grafts will come also.

Bad surgery not only effects the donor but also the recipient may also have abnormalities and scar tissue, so the doctor needs to assess the whole scalp and see what is possible in both areas and take the necessary precautions/actions. Often an in person consultation is advisable if the photos do not give the clarity needed.

All the best for anything you decide to do.

Nice transformation!

Hi Dub

Thank you for posting.

You can really afford to wash and massage well now with fingertips and with wet scalp to get rid of the crusts in the coming days. Twice a day if you can would be great and speed things up for you now.

Happy healing and if you need anything let me know.

Hi Steve

All the best for your progression.

You may tolerate the foam well but wise to start applying only once a day and not two to test it and see how things go if you do decide to use it. It can induce an initial shedding but once a day may limit this.

Hi Jessop

The patient put them in his profile and not live on the thread as such.

Thank you for the comments.

Please note the photos do not show the result of the last surgery but were pre-surgery so the growth from July will still be yet to come and near to 3,000 grafts including beard count.

The patient has the graft breakdowns and I am sure will be happy to share them.

Scalp hair will give better hair to graft breakdowns than beard so it will not average yours to be honest with that factored in, your breakdown is very high and more than average so should really give a nice result.

As you say for a NW6 it is about coverage at a reasonable density and not native or one would put well over 20k grafts and a lot more considering the patient's actual surface area to cover that was considerably larger than my own surgery for example and I was also a NW6.

NW6 is a loose term and a way of grouping a patient into a loss category but there are many variables that means some will be candidates and other not as at the end of the day the donor needs to be able to give enough and often through a variety of techniques for advances loss sufferers and as the patient here we used Strip/FUE and body hair.

I am certainly looking forward to seeing the difference the last surgery made but it will like any surgery take time to come in but the patient will update.

Hi

Here is one that we did as a repair case that utilised beard and chest but am sure there are a good few from several clinics to look at but hope this helps as a start:-

http://www.hairrestorationnetwork.com/eve/169814-body-hair-fue-nw6-patient-after-chemo-therapy-bhr-clinic-dr-bisanga.html

Okay, apologies, I misunderstood.

You are certainly an open character as most of my surgeries I worked in an office and never told a soul. I was shaved before and after so actually never looked much different to the untrained eye in many respects so probably far less obvious also.

Anyway, many thanks for updating.

Many thanks for updating and you are very brave to discuss at work and sure they are intrigued. I can't understand why people would want to give abuse and sorry you suffered that but sadly is a reality of how people see surgery and especially in a group setting.

Heal well and thanks for updating.

Hair line and lateral rebuild showing 0 - 9 Months. All post op photos provided by patient.

Hair per graft breakdowns:-

1 692

2 960

3 391

4 23

Total 2066 FUE

Design stage

Placement

Donor Extraction

Up to 3 weeks Post op

5 Months

9 Months

Hi Chris

Thanks for updating as usual and a great comment also from a customer and must have made you smile for sure. Things like this that really does help boost confidence in how you look as totally unsolicited.

Looking forward to more coming in for you in next months.