BHRClinic

Dear All, 

This poster asked the forum with the concern of shock loss. We advised him this was the case and the photos he himself posted show a very well spread extraction pattern with 50 grafts taken over an area of approx 10cm2. If these had been plucked then you would see no deficit in density. The clinic assured him of this and further more we would put any grafts needed in the small chance he had any ongoing shock. He was assured of this also. 

Despite this, and at 4 weeks he posted to the forum. The photos were looked at and he was advised by approx 8 different people on this forum that this is shock and to wait it out, the moderator also said same and provided a video on this. 

That for most people would have probably underlined it but sadly here it was not the case. The attack grows with character assassination and clear hatred being spewed. The irony is the clinic who caused him ridges, over-harvesting and an extremely pluggy hair line is not once mentioned and also now he says the hair line is perfectly good. No anger, no mention of who they are but we are attacked relentlessly for shock loss at 4 weeks. 

The photo clearly shows there has been no over-harvesting and that the donor has scars from previous work, with no extraction pattern at all, but that is all okay, we are the bad people. If you see any case on this forum with less concentrated FUE then please share. 

Furthermore on his post there was no mention of over double the grafts given that he alluded to and the fact that our consultation, phone calls, whatsapp messages have not once failed to reply to his concerns. The consultation advised of ridging, need for SMP and possible shock loss. 

If this patient’s sole concern was shock then this would have been abated but no, it is ramped up to even now attack and name calling and insult on other platforms. 

This is not the action of someone who has concern for shock loss, there is something else at play here. As said, it is a shame he does not have any of this against the people who put him in the repair position. 

We were not given permission to address his post, we have right to reply on the things he mentioned and our forum rep did reply. This was clear and without any ambiguity or attack and this was met with more insult to us and more accusation.  

Then permission was half given it with no permission for photos, despite the fact the patient was able to use what he wanted with donor hair pulled apart when it suits and nicely combed up when he wants to portray his narrative, and after 3 days the thread was pulled. 

If taking 50 grafts from one side and 100 from the other means he has been over harvested then and warrants the attacks on us, then clearly he is not a candidate for any surgery. Any sane person can clearly see the photo he provided shows the contrary. 

We cannot go back and forth and be subject to this for temporary shock loss and it does make us re-consider our repair work. Sadly there are few who do it and who open their op room for the low price we did. So, we will unfortunately need as significant change in policy if this is deemed okay to subject a clinic to.

We will inform our legal team of this ongoing subject as we said, has really nothing to do with shock loss, that is abundantly clear.

We have really nothing more to add and can see the poster craves the attention and there is no reason to debate shock loss at 4 weeks and more so in the light of the donor photos. The poster is not clearly interested in hearing he has shock loss and so resorts to inflammatory language now against us.

We have no option but to pass to our legal team from here on and will not be entering into more debate.

Kind regards

BHR Clinic
 

BHR Clinic

Dr. Christian BISANGA

Age: 37

Technique: FUE

Medication: No

Donor densities: 70 FUs/cm2

Hair Caliber: Medium Fine

Total FU used:- 2000

* FU breakdown:-             

1s 438

2s 817

3s 700

4s 45

TOTAL: 2000

That means 2000 FU = 4352 Hairs. Average = 2,17 hairs/FU.

The goal of this lady was to recreate a new hair line: she did not suffer from baldness a such but her forehead was quite wide, so her goal was to lower the hair line. Pictures show the process till 8^th month, so we expect more evolution. 

All the pictures, except the ones from the surgery, have been provided by the patient. 

Pre-Post surgery 

2 Months 

5 Months 

6 Months 1 Week 

8 Months 

Comparison 0-8 Months 

BHR Clinic

Dr. Christian BISANGA

Age: 37

Technique: FUE

Medication: Minoxidil

Donor densities: 80-80 FUs/cm2

Hair Caliber: Fine

Total FU used:- 2405

* FU breakdown:-             

1s 399

2s 1461

3s 545

TOTAL: 2405

That means 2405 FU = 4956 Hairs. Average = 2,06 hairs/FU.

The goal of this surgery was to rebuild the frontal third of this patient, keeping the same hair line design that he still kept to a degree. The procedure was performed 4 months ago, but the patient is experiencing an early yield. Nevertheless we expect more evolution within the following months.
 

Before

Pre-Post surgery

10 Days

4 Months

Comparison 0-4 Months

Hi Afrohead,

Please feel free to contact info@bhrclinic.com if you have any doubt or question.

Dr. Bisanga could assess your case.

Kind regards,

BHR Clinic

Dr. Christian BISANGA

Age: 39

Technique: FUE

Medication: No

Donor densities: 50-50 FUs/cm2

Hair Type: Afro-Coarse

Total FU used:- 2001

* FU breakdown:-             

1s 220

2s 1475

3s 294

4s 12

TOTAL: 2001

That means 2509 FU = 4075 Hairs. Average = 2,03 hairs/FU.

The goal of this surgery was to rebuild the hairline due to traction alopecia, searching to improve the frame of her face. 

Pre-Post surgery 

1 Month 

8 Months 

Comparison 0-8 Months 

BHR Clinic

Dr. Christian BISANGA

Age: 29

Technique: FUE

Medication: Finasteride

Donor densities: 70-80 FUs/cm2

Hair Caliber: Fine

Total FU used:- 2500

* FU breakdown:-             

1s 564

2s 983

3s 953

TOTAL: 2509

That means 2500 FU = 5389 Hairs. Average = 2,15 hairs/FU. 

The goal of this surgery was to rebuild hairline and temples.  

Pre-Post Surgery

8,5 Months 

Wet Hair 

Comparison 0-8,5 Months 

Hi jj51702,

We usually implant an average density around 50-60 FUs/cm2 on the 1st mm. of the hair line, using single hairs. Then density drops gradually but we used FUs of 2-3-4 hairs.

Density is important, for sure, but from our point of view calibre / thickness and average of hairs per FU are more important in order to achieve a natural result.

Kind regards,

Dear BOW32,

Looking very good considering last pictures were taken around 5,5 months post-op.

If you need anything from us don't hesitate to let us know.

Kind regards,

Hi,

This is a new case done by Dr. Bisanga. The patient wish to restored frontal 1/3 area.

Here the data:

BHR Clinic

Dr. Christian BISANGA

Age: 36

Technique: FUE

Medication: Finasteride + Minoxidil

Donor densities: 80-80-90 FUs/cm2

Hair Caliber: Medium Coarse

Total FU used:- 3344

* FU breakdown:-             

1s 562

2s 1677

3s 998

4s 107

TOTAL: 3344

 That means 3344 FU = 7338 Hairs. Average = 2,19 hairs/FU. 

All pictures, except the surgery ones, were provided by the patient.

Before 

Pre-post surgery 

2,5 Months 

6,5 Months 

10 Months 

0-10 Months 

Thank you all.

Hi,

This patient just sent us new pictures after 9,5 months from his surgery with Dr. Bisanga in Brussels.

Kind regards,

Thanks for the comments, Raphael 😊.

BHR Clinic

Dr. Christian BISANGA

Age: 30

Technique: Strip

Medication: None

Donor densities: 70-70-80 FUs/cm2

Hair Caliber: Medium Fine

Previous procedures: Yes, Strip one in the past. Low yield on recipient

Total FU used:- 3150

* FU breakdown:-             

1s 611

2s 1323

3s 814

4s 402

TOTAL: 3153

That means 3153 FU = 7013 Hairs. Average = 2,32 hairs/FU.

This patient had a strip procedure in the past to restore his temples, but the result achieved was not the expected one. Dr. Bisanga proposed to rebuild the whole hair line and current temples in order to give him a more natural look and density. 

Patient was proposed to do a FUE procedure but he preferred a new strip done removing the previous scar, since he did not wish to shave donor area. 

Here the pictures at 6 months, so we expect more yield to come in the next months. 

Pre-Post surgery 

6 Months 

Comparison 0-6 Months 

Hi Bonkling,

Thank you very much for your comments.

We usually don't advice surgery on patients who are on their early 20's. Normally they have some slight recession on their hair line / temples and we recommend to start on medication and assess in 2-3 years.

On cases like this one exposed, the patient is closer to his 30s. If Dr. Bisanga agrees with a possible surgery, he will always advised a conservative approach in terms of hair line design since the patient is still young. We always advice to be on meds too to keep native hair, but it is up to the patient. But if he refuses it, we would probably do a more conservative approach thinking of mid-long term because hair loss will probably continue.

Kind regards,

Thank you very much for the comments, RecessionProof.

Kind regards,

BHR Clinic

Dr. Christian BISANGA

Age: 28

Technique: FUE

Medication: No

Donor densities: 70-80 FUs/cm2

Hair Caliber: Medium Fine

Total FU used:- 2502

* FU breakdown:-             

1s 400

2s 789

3s 1085

4s 228

TOTAL: 2502

That means 2502 FU = 6145 Hairs. Average = 2,45 hairs/FU.

The goal of this surgery was to rebuild the whole frontal area. The pictures show the result at 7 months so we expect more hair and caliber/volume within the next months.

Pre-Post surgery

3 Weeks

7 Months

Comparison 0-7 Months

Thank you very much for the comments, Upshall.

Kind regards,

2 minutes ago, paddyirishman said:

Thanks BHR Clinic for your reply.

However I am none the wiser.

Regards

..........Paddy........

Hi Paddy,

There was some part of my reply which was missing and I was editing it. I just replied about the figures.

Regards,

Hi Paddy,

Apologies since I forgot to comment your post.

Each can can be different, but after 6000 FUE grafts I'd say that the patient may still have around 500-1000+ grafts, depending also on how well donor area recovers.

A good yield on recipient area is not the only goal of a surgery, but avoiding depletion or trauma on donor as well.

Regards,

Hi all,

Thank you very much for the comments.

As far as I know, the patient did not request to work the temple points. The main goal of the patient was to cover the extensive hair loss, so probably he prefers to keep the available grafts for the future in case the crown drops or similar.

Do not forger that he already used 6000 FUE grafts, so his donor is already limited.

Kind regards,

Thanks a lot for all the comments. We will try to upgrade the final result of this patient.

Kind regards,

Hi paddyirishman / VicTNYC for your comments,

Regarding the density on recipient area, we may use around 40-50 FU/cm2 placing single hairs. Then it decreases to 30-40 but using multiple-hairs grafts. The figures may vary on each case: density is a key factor, but we also give a big importance to calibre and average of hairs per FU.

Kind regards,

BHR Clinic

Dr. Christian BISANGA

Age: 28

Technique: FUE

Medication: Finasteride + Minoxidil

Donor densities: 90-70-60 FUs/cm2

Hair Caliber: Fine

Total FU used:- 3001

* FU breakdown:-             

1s 577

2s 1277

3s 1070

4s 77

TOTAL: 3001

That means 3001 FU = 6649 Hairs. Average = 2,21 hairs/FU.

The goal of this surgery was to rebuild frontal third area. Since the patient is young and he will need another procedure for mid-crown sections, Dr. Bisanga proposed a conservative hair line design.

Pictures show the result at 5,5 Months approx., so we obviously expect more hair hair and caliber/volume within the next months. But the current improvement is already visible. 

Before 

Pre-Post surgery 

3 Months 

5 Months 3 Weeks 

Comparison 0-5 Months 3 Weeks 

Kind regards,

Thank you very much for your comments, really appreciated.

Kind regards,

Thank you very much for the comments.

Patient may come back to reinforce mid-crown section. We will upgrade the result if he decides to do it at the end. 

Kind regards,

Dear kimura50,

Thank you very much for the upgrade of your surgery. It really looks very good and natural.

Hope you are pleased with it.

Anything you may need we are at your disposal.

Kind regards,