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Raphael84

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Raphael84 last won the day on May 31

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Basic Information

  • Gender
    Male
  • Country
    United Kingdom
  • State
    AL

Hair Loss Treatments

  • Have you ever had a hair transplant?
    Yes
  • Hair Transplant Surgeon
    Dr. Christian Bisanga
  • Current Non-Surgical Treatment Regime
    Propecia (Finasteride)

Representative Information

  • Name
    Ian
  • Doctor Representative For
    Dr. Christian Bisanga

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  1. In this episode of "Bitesize with Bisanga", Dr. Bisanga discusses frontal fibrosing alopecia. Frontal fibrosing alopecia is an inflammatory hair disorder causing the loss of frontal hairline and eyebrows, and in this video, Dr. Bisanga discussed the need for realistic expectations and what concerns may be in place.
  2. UPDATE!!! Further update at 13 months. Here is a perfect example of continued evolution and improvement later in the growth timeline. This patient´s result just keeps on getting better. Thank you as always to the patient for sharing.
  3. DHI stands for direct hair implantation. It is different to an implanter pen as the site being made and the graft being placed occurs within the same process. Implanter pens are used to place into pre-made recipient sites. DHI is FUE surgery, but simply utilising a different tool. Just like with any tool in FUE and the debate of manual or motorised, the most important element is the controller, ie. the surgeon. Whilst some respected doctors may prefer to use DHI, it is also very prominent in low cost technician led clinics whose goal is to perform surgery more quickly, and with more patients each day as DHI essentially "cuts out" the independent process of placing. When the desire for speed becomes a factor, quality of surgery will also suffer. The risk of cobblestoning, tenting, low density, extensive popping of grafts are just a few of many concerns with DHI. I have known patients and have read reviews on this very forum, from guys who have completed a 4500 graft surgery within 4 hours. Wow. It would take Dr. Bisanga and his team twice as long to complete half of that. The irony is that these cheaper clinics as a result, charge more in terms of an hourly rate than higher end clinics. In general, clinics who use tools to sell their services over their surgeons experience, patient results, patient reviews, stellar reputation etc. do so for a reason. If their unique and strongest "selling point" is the tools that they use, this really presents more questions than it does answers. It is important to correctly match the equipment and procedure to the patient. No two patients are exactly alike so it is important to have a selection of tools and a variety of methods to succeed in ALL patients. Every aspect of any procedure has to be individualised to the patients needs.
  4. In this episode of "Bitesize with Bisanga", Dr. Bisanga discusses the current trend of marketing gimmicks such as DHI and Sapphire and how some clinics use them as a mere marketing strategy to attract patients by selling "superior techniques". Dr. Bisanga shares why every single hair follicle matters as a finite resource that must be respected and he details his preferred approach in terms of order of proceedings on surgery day.
  5. @Melvin- Moderator This instagram was actually requested and set up by Dr. Sethi and so was never aired in its entirety on our platforms. There was some great content and so we wanted to be able to share the most interesting and valuable segments and share them via our Bitesize series.
  6. We are pleased to present our latest blog post regarding FUE surgery and what happens when things may go wrong. With the demand for repair surgery at an all time high, we encourage all prospective patients to really do their homework and conduct thorough research. With limited donor availability, patients don’t get many bites at the cherry, so choose wisely as this may be the only real opportunity to avoid issue. --- What happens when FUE surgery goes wrong? You don’t get many bites at the cherry, so choose wisely as this may be your last chance for redemption! We live in a world of expectations, there are ones others or society puts on us, or even more harshly, the ones we put on ourselves when we survey the modern world in which we live today. Society is more interested in beauty than morality, that seems strong language, but I can prove it, we can see this in our spending habits. While we will spend thousands to look better, we won’t spend pennies to be better. I am not saying it is wrong, but this is the world we live in and it ain’t gonna change anytime soon, if anything it will intensify. The world is about equality, equality at work, socially and now in beauty! Men are rapidly closing in on females and and we are seeing that to look your best is not taboo now, be it from body to facial and not least, you guessed it, hair! In fact hair transplantation has gone from a pluggy doll’s look and all of the associated shame, to undetectable and something to be proud of in the space of two decades and of course only in the right hands! The ones you notice when you are out and about and draw your attention are the ones that have not gone well, you do however walk past many hair transplant patients without even knowing it! Thankfully, and for a host of reasons, hair loss and hair transplantation and treatments are becoming less of a taboo and especially as more celebs and influencers also undergo hair transplant surgery. FUE is becoming a term that even the TV are aware of, when it was prior just for the target group it attracted. When things go well it is truly life changing, yes, you heard that right, it changes every aspect from looking in the mirror to doing the shopping and not the least, work, social events and romance, from the mundane to the insane, it is with you, you take it everywhere and it is on display 24/7. This is exciting and it should be, especially when we think in centuries past, even the world’s most powerful had no chance to change their hair as we do or to deal with hair loss in any positive way. The social and mental impact of it was there and it struck without discrimination. Julius Caesar wore a laurel leaf, others wear hats, but today you can wear your own natural hair, and wear it well, if it all goes to plan! What was unimaginable now is possible and we have many success stories. Hair is not just for protection and to keep you warm, it is part of your vigour and identity, it gives you confidence and a semblance of youth. No-wonder it is sought after, that elixir that makes us attractive, both to self and to others and often self- confidence is a priceless positive side effect. Many hair transplant clinics however will play on this, their adverts will be emotion based and it is tailored to the “click now” approach to secure your new future, without any real pedigree or track record in the hair transplant industry, with come and go salesmen for unknown FUE doctors and hair-mill clinics. The dark side, like all industries, exists. Attracted by the glossy photos and polished reviews and the celeb endorsements, many fall victim to hair-mill type FUE clinics, your dreams can be achieved at a click of a button and for a low cost, fully endorsed and guaranteed for life! So, why pay more and why wait more? Your passport to happiness is here, so come on in and enjoy the ride. It is a trap that many fall into and is surrounded by a wall of silence, the previous victims will not warn the next and so the conveyor belt is fired up and the rotation continues on, for what essentially is a life changing decision, in the good and in the not so, you will be changed. Here in this video, Dr.Bisanga shows beyond the click and into the op-room some of the real technical aspects needed to repair poorly thought out and executed hair transplants and address when FUE goes wrong for the hair transplant patient, who rather than becoming the poster boy they dreamed of, are often a shadow of what they were before. Looking unnatural is worse than looking bald, you may get attention but not the type you want, and the end product is confidence is eroded not grown and mundane things become challenges. The hope is, that most are not beyond repair, but the approach will be different and an ethical and highly skilled surgeon will be needed. Well I have said enough, over to Dr.Bisanga, click and see the approach and the more technical aspect in the video description. Take home message, research well, don’t go for cost alone and don’t become another hair transplant victim! Now has never been an easier time to research, and remember, you may not get a second chance! Written by stephen@bhrclinic.com Copied from - https://bhrclinic.com/2021/07/17/what-happens-when-fue-surgery-goes-wrong/
  7. In this episode of "Bitesize with Bisanga", Dr. Bisanga discusses the importance and necessity of using magnification and state of the art hardware and software, FotoFinder TrichoLab to thoroughly assess and attain empirical data in his consultation in Brussels. Amongst other influential data points, miniaturisation and the percentage of miniaturised hair that may be present in the donor is calculated to determine patient candidacy.
  8. @Bailey99 Congratulations on your recent surgery and thank you as always for your updates and honest and clear photographs. At one month post surgery, more shedding may yet occur but based on the above photos and comparing them to pre and surgery, you are doing great. I look forward to your further updates.
  9. Thanks for your questions and thanks Stephen for filling in for me. If I begin by addressing your original question - Not at all. This is exactly the "model" that BHR Clinic strictly oppose. Pricing for surgery with a BHR doctor is not inline with pricing for surgery performed by Dr. Bisanga and all such details are very transparent on all booking documentation. The process of pictorial assessment and the subsequent graft recommendation summary based on any enquiry present clear details who will be performing each process such as punching grafts and making recipient sites. A full pricing breakdown will be provided based on the preference requested. The majority of our enquiries are submitted/received via our www.bhrclinic.com website which is representative of Dr. Bisanga in Brussels and all pictorial assessment and graft recommendations are provided by Dr. Bisanga and pricing provided based on Dr. Bisanga punching all grafts and making all recipient sites. If an enquiry is received via the website of another location (i.e. Athens or Israel for example), then recommendations and pricing would be provided by the performing doctor of that clinic and presented by the relevant BHR patient advisor. I couldn't agree more and couldn't have put it better myself. Dr. Bisanga has been an industry leader and elite surgeon for 20 years. Many doctors have dedicated their entire careers to hair restoration surgery without being able to achieve the same surgical quality and/or consistent results as Dr. Bisanga, therefore attempting to match the quality, artistic ability and technique of Dr. Bisanga without having his experience is not possible, and this is something that we are very transparent about. Dr. Bisanga has personally trained all of his staff including his team of doctors and has the highest standards and demands of all of his team. Does surgery at a BHR Clinic with another doctor at a lower price point guarantee the same quality of result as Dr. Bisanga? No. If that was the case then there would really be no demand for Dr. Bisanga. Dr Bisanga is the president of ECAMS, a member of the ISHRS and the IAHRS whilst also being recommended by the American hair loss association. His patient first approach has earned him an unparalleled reputation as one of the very leading surgeons in the field. He has worked extremely hard over the past 20 years to build such a reputation for consistent quality results and the very best in patient care. The hair restoration industry has changed significantly in the last decade due to the prevalence of FUE surgery. Many patients consider low cost markets, where the quality of surgery is generally poor and their approach and lack of respect for unique designs and donor management cause many issues for many men and women and the industry as a whole. In an effort to give these individuals a genuine option of being able to afford quality and ethical surgery at a more competitive price, Dr. Bisanga has trained his team of doctors to be able to offer exactly that at their respective international clinics. Dr. Bisanga is an elite coalition member of the hair restoration network and all results that we share here are for surgery performed by Dr. Bisanga. I am personally focused and responsible for surgery with Dr. Bisanga in Brussels which is where he is based and located throughout almost all of the year. At the time of launching other locations, he has offered several weeks of his calendar to assist with surgery and schedule his own patients who may have found those locations more convenient. As the founder of BHR Clinic (Bisanga Hair Restoration), he will continue to visit each clinic at specific times throughout the year and/or when necessary and may be available for surgery when at those locations. Hopefully that offers some clarity and by all means dont hesitate to contact me if you may have any other specific questions.
  10. Hi @ced80 Thank you for sharing your photos and case. You have received some great support and advice already. My recommendation would definitely be to visit your preferred doctor in person before committing to any surgery to allow them to thoroughly examine and evaluate your donor area and your recipient area as a repair surgery revisiting the same non virgin scalp, and to be able to provide real live data in terms of your donor density, hair groupings and also very importantly levels of miniaturisation. As you have explained that transplanted hair from previous surgery has thinned, this may well be likely due to the decline in quality of your donor area in this interim period due to not being able to take medication and your donor not presenting a stable environment. If this is the case, then regardless of your doctor and regardless of your budget, growth and yield may well be influenced as well as the longevity of any potential result from a further surgery. This is well worth an in person consultation in my opinion, regardless of the inconvenience of travel and potential expense, to allow you to be accurately informed on what may be the most appropriate next step for you. I wish you the very best.
  11. #BHR Clinic Newsletter! In this latest edition we cover the following topics - * Super-fast #FUE growth * Hair line design musts * Understanding symmetry Take a look - https://mailchi.mp/23857677b2ad/summer-2021-edition
  12. In this episode of "Bitesize with Bisanga", Dr. Bisanga discusses the dangers of over harvesting and the concerns regarding clinics who support punching from technicians and non-doctors.
  13. Excellent result already at this stage. What a transformation and a huge thank you to @cbc3113for consistently updating with clear and honest photos that really help us to understand your journey and evolution. You hair cut and style really seem to compliment your procedure and you look great. Could not be happier for you.
  14. A very interesting topic and some great points have already been made. It has been performed as has been mentioned, to different levels of success and it really does present quite unique challenges. You may have heard pubic and armpit hair sometimes referred to as "wet" hair. This is due to glands in the localised area such as sweat glands and sebaceous glands. One of the roles of the sweat gland is to remove waste by secreting water, sodium salts etc and the sebaceous gland is to produce and secrete oils/sebum. This would suggest that surgery would present a sweaty and "wet" environment which isn't necessarily ideal during the procedure and can have quite an effect post surgery as due to further sweating and secretions, healing may not be so good in these areas. Due to such factors and the potential discrepancy in hair characteristic/texture, it generally isn't the ideal donor source. The beard and chest in appropriate candidates would normally present a greater and much more reliable source of donor hair that may in some individuals have more favourable hair groupings and so has more logic and would more routinely be considered. Not to mention other potential "uncomfortable" situations such as physiological reactions in the pubic area (it has happened). For more in depth detail regarding body hair, there are some great points in the following video -
  15. Absolutely Melvin. As soon as we have the video cut and edited I will be sure to send it over to you with all relative information. It would be great if you are able to share on HTN platforms to further educate the community. Im looking forward to it.
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