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Lovely outcome Ian, thanks for posting and for the patient for sharing the video..he really has got a 3D hair line coming out of the screen at you and at 8 months is very impressive. As one patient said, he looks adolescent now..Very nice result for the patient Ian..

Looking at age, family loss, and even aside from density, what is the real safe area that a clinic can harvest from on you? From photos and age, loss potential and donor capabilities I think you really need to think twice before you have any surgery as some experienced voices here have said also...Keep on medication and see how things go but I would really not have surgery if I were you and with the knowledge and experience of the industry I have also in my mid 50s...Apologies it is not what you want to hear but I am being truthful on that I see but wish you all the best in any choice.

I used clippers after 2 weeks...with a guard on so essentially was a number 1 and 3mm. Agree with all the above but would add just be aware of any spots post surgery. I used on both donor and recipient with zero problems ever. You should also make sure your scalp is free from any scabs/crusts by the time you use a clipper.

Sounded like a clapper board from Bruce lee....they can put it to bed easily, just show the contact ...simple..end of ..it would kill all opinions...just show it..should not be hard with all the cameras from every imaginable angle..

Has anyone got a clear photo or footage of the hand actually landing? I guess they have more cameras than the pentagon and with all the phones there also...should be there for the world to see for the most famous slap in history.

You are visible and genuine from A to Z...they have totally different motives and always hidden.

Well done Melvin, it is mostly shills. It is sad that people have to resort to this rather than letting a volume of work or educational posts and videos be tools to promote and also give back to the forum and users. They are more obsessed with attacking others because by default they have none of the above so this is the only option. Very easy to spot and well done for doing it. Nothing new under the sun, as Solomon said..

Nice video and also to see you talking ..always good to put an accent to a face as I say! Hope you heal well and have super good growth.

Dr.Bisanga and Dr.Kostis will often punch from one side for the finer grafts, they can be kept in situ also while the recipient sites are cut and then removed and placed from hair line backwards, fine singles and then the larger units. So, in essence the first out are also first placed also. You may need to punch more if needed as you work back and as said by Dr.T above, cut some more sites if needed for the result. At Ryan, sorry to hear of your hair line issue. This is sadly a common problem and you may have the option of removing or if not too low then to camouflage with singles etc. Feel free to send us photos if you would like an assessment from Dr.Bisanga.

Yes very valid and a good way it can work in synergy with the finalising of the result. Many thanks for your comment.

Thank you ..it's a 5 minute entertaining read but can give some insight to those who are a bit lost in the terminology and the practicalities of the different approaches.

Very good!

Yes the donor will want to shed old skin also...very common to itch as it heals. Massage and moisturising will help it.

Thanks for the update and the itching is the old skin that you want to shed now that makes you itch, so really start to massage well now and shower and it will all come off in the next few days as you do so. Don't worry about also the transplanted hair shedding. All looks to be healing very well.

Hi Johnhphillip, just to clarify the above, after we have photos and more so for extensive loss or if there are any donor concerns, Dr.Bisanga will ask for an in-person consultation after an initial pictorial assessment. Often the patient's goals are full restoration and photos or videos, although will give an idea of loss, it will not give any empirical data on the donor, i.e actual real measurements of density, miniaturisation or follicular unit make up, to name a few. So, this is an important step and although often inconvenient to attend or be seen, but it is as said an important step prior to committing to surgery and making sure your goals can be met or even if surgery is a good idea and if so, what compromises there will need to be, design etc. We have produced blogs, videos and also forum posts on this and this should also have been ideally referenced to in your email reply, so apologies for the brevity of it from our clinic. In order that you can further understand the necessity or the advantage of being seen, I link some references below. Our consultations are very in-depth and with Fotofinder equipment and very thorough compared to most clinics and why for us more so it is a needed step for some patients who we feel would be better having all the relevant data before committing to surgery. We would not wish to book a patient for surgery on photos and then once we finally see them, discover there are unseen issues or we simply cannot achieve their goals. Some helpful links to post from Ian aka Raphael on this:- Link to BHR Blog:- https://bhrclinic.com/2021/12/30/dont-under-estimate-the-need-for-a-consultation/ Hope this is helpful. If you would like to be seen then please do not hesitate to contact the advisor you were dealing with and they can further assist. In any event, all the best in your research.

Love the music..my era....dreams can fade, memories stay..

Thanks Mel, I know he enjoyed meeting you as did Dr.Bisanga. Yes he is really working hard and the sowing is paying off and has taken on and downloaded from Dr.B a lot of experience and knowledge that you can't get from a textbook. He has the perfect foundation from the past few years and that is what makes the rest of the building good.

Well done on your surgery.. Dr.Ron is a very nice guy and has a great team there with Janna also.. Looking forwards to seeing the result.

A good question and for sure it can be frustrating for a patient to be told wait or no or to get onto medication etc but a clinic may have two decades of experience, while the patient is at times barely older. So, for the clinic who have assessed many thousands of patients and given surgery to also a good few thousand, has a great deal of knowledge and experience that the patient simply won't have. The patient for sure at times can be desperate, wanting to just replace what has been lost, with little thought to future loss or as you mention, miniaturisation or donor limits etc. Some clinics will be yes clinics, and to have the patient in the chair is for them the end goal, with no real thought to if the surgery is right or what will it be like in 5 or less years for the patient. They would even join up their eyebrows if it means revenue and the conversation and goals are controlled by the well meaning patient, but who is often ignorant of the challenges then they will face. A good clinic will give an in-depth assessment and really seek to do what is best for the patient and not a quick fix and we see in our repair work a very high volume of patients who deeply regret their decisions and not doing as some day their due diligence in research. Ourselves, aside from age or loss potential, if patient has high miniaturisation then we would not wish to take money off them because if the result is poor, and there is a chance it will be, then the patient will not then a year later appreciate that the surgery was done with such issues, even if they have insisted on it. It is important a doctor is only willing to put also his/her name to surgery they believe in and not just what will get someone in the chair, and we have turned down of recommended the patient does not proceed to surgery based on the data from assessments, while others have given the green light and at times played on the insecurities of the patient with no real care or concern for the future. For the clinic, they have seen it all before, for the patient it is new and with so much conflicting advice and information it is easy to be drawn into the wrong decision. I used to say to such patients, we are not saying no because we have too much money or too many patients, but because we believe it is not in the best interest of the patient and we seek also to put a high and consistent volume of educational articles, posts and videos out in the public domain to help those who are seeking. Thankfully we are not alone and patients are getting more hair educated and seeing the future and not just the immediate, but I do also appreciate for some, this is also frustrating.

Yes exactly, you flew a long way...5 days..wow ...I did three first time ever and that was long! Well done..

Good luck with that Gatsby..We have seen body hair to donor scars bring about more blood, change in colour and warmth come back even when placed at low density..it is a good primer for more work..

Nice result came in here and already good at 5 months which is never a bad sign. Donor extractions as expected, small punches, well spread and we took nice soft parts for the hair line as per usual signature tune...thanks for sharing and for the patient to allow us to use the photos.

Great topic with nice light humour also yet some good advice..

Looking very nice so far!