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Thanks GB for the write up and for sharing your case. It looks excellent and the hair very illustrious, dark and shiny! Very happy for you. You don't need any more work but it the day comes that you do then we are here for you also. Thank you from Dr.B and all for sharing your journey! 

Here is another consultation and again it highlights the importance aside from being technically able to perform surgery, also the need to use magnification and also appreciate facial landmarks, rules etc.

Here, Dr.Bisanga goes over Hairline design, features, rules, magnification, not a one size fits all design and taking into account angles and NOT using large grafts on the hairline.
 

No problem..keep in touch and ask me also anything at any time..

Hi Hairsome

Redness is part of the healing and as there is neo-vascularity post surgery, new blood vessels connect to the newly grafted follicles and could lead to redness and inflammation which is a normal healing process. The post surgery document will cover this but if you need anything further then please contact your advisor who will be happy to respond to specific questions and I believe there has been correspondence on this so far on this since the surgery.

Usually post surgery there are the initial patient generated questions that are normal and we respond to and then for us minimally 3,6,9,12 months we will contact the patient if they have not been in contact with us. Nothing much usually happens till then aside from healing and repair cases can also follow a different time-line due to the inherent nature of them and the challenges that are present such as scar tissue etc.

Let your advisor know anything needed and you will of course have a timely reply and as said we also do keep in contact periodically also aside from that.

Heal well.

Yes, very good idea to do...fly on the wall type thing is very interesting.

Someone on our youtube channel asked today..if BHR replaced the grafts to the donor then why does he not have enough? The answer is that poor clinics will have a high transection rate, i.e they can punch 4,000 to get 2,000 good ones..and also this is compounded by the fact that the growth was sparse, so not only in the harvesting are the grafts killed but also in the handling and placing..so from loads punched out and the donor severely over-harvested, you then only have a few hundred to punch out from the recipient and re-place into the donor.

Had he come to a good clinic initially then the donor extractions would have been spread, using the sides and above ears and not just hammering the rich occipital area, the transection rate is low and the growth good. So essentially the patient is in a good place for more surgery and also medication makes sense in synergy to retain as much as possible and have the donor for multiple sessions.

As is with a lot of the donor gone, you can understand why the patient now, with the front punched out and looks natural with no problem of scars in the recipient that we worked on, is then tempted to say, okay I am very limited now with regards to what my donor will give and will call it quits with meds and let nature take its course. It is now a different scenario and the goal now is just to look natural and not have a full head of hair.

I hear so often patients say to me ..if it goes wrong, I will just shave it off..this is really far from reality and patients really do need to go beyond the very limited research they do and the low price options because as this case shows, there really is so much that can go wrong and money will not bring it back.

Thank you Ian for posting this and to the patient also..I am happy he has found peace and can move on but it is for me also tinged with sadness that he had to go through this journey... 

Being seen in person and under magnification can also give a good indication of any miniaturisation, (a pre-cursor to loss), that you won't always see from longer hair or photos. So while no one has a crystal ball, an in-depth personal consultation can highlight some likely scenarios and areas of early signs of thinning and the need for early intervention such as medication. Also family history of hairloss should be taken into account when thinking of possible loss patterns. 

All the best. 

Hi DriveByShooter

Not sure of your age but from this photo alone you have a lot of miniaturisation and loss potential and medication is really a good protocol to have and not be chasing loss. We look at age, loss potential, donor limitations etc all need to be taken into account. I don't know the advisor you are in contact with so do not know any personal details but from the photo as said medication would be wise to get on and at least stabilise the loss.

For sure it is not an easy nor instant fix but advice given in good faith and we do not make money from saying the above so the motives are what is best for the patient longterm and also from 2 decades of experience of how hair loss is progressive and so not rushing into surgery.

Others may have a different take and of course you can as said here consult others who may offer you surgery for tomorrow.

You are thinning in a fairly large area and not just the hairline so this should not be ignored or downgraded but make sure you understand the pros and cons of any approach. 

Of course, wishing you the best in any decision you make.

Thank you for the tag. Dr.Kostis, although Greek, is fully part of our Brussels clinic and with his own patients. He has been with us for approximately 3 years and has been trained exclusively and worked alongside Dr.Bisanga from his inception and proficient with all of the BHR Clinic protocols that Dr.Bisanga has developed. Patients can have either doctor or even a shared surgery option. He does not perform surgery in Athens but exclusively in Brussels. 

Here is the link to his profile that will give some more information:-

https://bhrclinic.com/dr-konstantinos-lampropoulos/

If anyone would like for a consultation with him then please contact us at info@bhrclinic.com for a timely reply or contact @Raphael84 who will be able to assist you. 

I have asked the patient to update and he will..he is also very happy with the transformation that is life changing for him and has inspired him to hit the gym also to get buff how he used to be! This often happens and he will update for sure asap. 

Looking excellent and especially considering the time frame. Really happy for you and thanks for sharing so far.

This is not aimed at him nor a clandestine snipe at any clinic per se and this patient never went to him but a reality of punching out 5 and 4 haired grafts from a hairline when a clinic prefers to use their naked eyes and places multiple grafts into it. This is the fact of this case as the video shows and that is the thrust of the video. Be aware that some will place large groups into your hair line.

Our videos are about education and reality and to warn people of what they can experience aside from what social media shows.

Sorry to hear you had this also and glad you were able to fix it! It really is beyond me how this is even possible today..

Thanks Mel..sad we need to do this but it just shows how this industry is and so important to research to avoid these disasters and look beyond the glossy insta videos.

Jeg er enig!  Jag håller med! 

Incredible, natural and dense already ...looks really nice at six months so you can only imagine the future...thank you for sharing this.

Thanks for posting this Ian..and a big thank you to the patient for allowing us to also..For sure Dr.B will get him to where he needs to go..

Yes, it is sad that this kind of marketing is allowed and believed...

A patient asked me if this rice soap was for real in what it claimed.  I noticed the growth they present would have been really super fast seeing the usual time-line that even healthy hair grows.. actually a few years growth in weeks. Also one of the showcases to my eye looked like a hair transplant and when I happened to come across the exact patient in a hair transplant video it confirmed my original analysis..

Question what you see....

No problem..

Sure, I will see with the advisor who deals with this nationality and am sure we will have an update in photos and or video and will post once confirmed. At iresearch, for repair work we usually ask for photos and then probably a consultation in person so we are all on the same page and an accurate assessment can then be given with the approach needed, how many sessions and what we would to to limit scarring. Traditionally patients heal very well from this work but being seen would be a good start and then you can have a very detailed analysis of what to expect. 

I will see what we have on this patient and if he was okay and consents  to further sharing and if so then we can update and Ian will be able to post the material once all is confirmed. 

I don't think for most blood is an issue and especially on virgin skin and placing strategically and as good use of multiple haired units etc to give more the illusion needed.

One issue can be popping and raising up of grafts as you place and collagen and skin elasticity come into play, how wounds heal or  when placing at higher density, or at the angles needed as others can pop up but we don't go ourselves for a multiple pass approach on virgin skin as such. Second passes are usually but not exclusively from poor growth the first time and then by definition it is not a virgin scalp and then other challenges are there. It is important as said above to give time for firstly the growth from the initial surgery and all the healing time needed and not to rush into anything. 

Think of parking cars in parallel and as close and you can to not knock the car next to you as an analogy. The more parallel the closer you can get. So, if you have grafts at poor angles then by cutting sites  at totally different angles and next to them then you can transect what is nearby, so there is skill in understanding this and angle changes etc throughout the scalp and knowing the give and takes on repair work. If you have gone to a good repair doctor. (Dr.Mwamba is) then you should have little to worry about and I am sure they can discuss the plans they had. For the clinic they cannot match poor angles but need to take into account the previous work and not to transect it if it is staying in situ and density and other factors also will play a part.  I would not worry unduly but trust the clinic who did the repair. Risk of transection is not only for repair but also working around native hair and why matching hair angles, magnification and shaving short can help in all this.