BHRClinic

Dear Erik,

Are you using finasteride or minoxidil? How is the hair loss in your family?

Calibre and average hairs/FU are factors to consider in terms of the number of FU to use, but looking at the hairline you drew, something around 2000+ could be enough to treat that area.

It is always important to keep FU thinking of mid/long term.

Kind regards,

Dear Smokeball101,

Thank you very much for sharing your experience on behalf of Dr. Bisanga and BHR staff. Everything looks alright after the 1st days. The recipient area looks very neat.

As we spoke all the transplanted hair will probably fall down within the next weeks, but that is part of the process. In case you see some redness on the recipient area, that’s normal too.

Please do not hesitate to contact us for anything you may need at any moment.

Kind regards,

Hi mikeey,

Pictures were provided by the patient. We will try to get new ones in the next months.

Kind regards,

Hi,

Thank you very much for your comments.

@ Thisguy1, the initial idea with the side by side pictures was to use the "before" pictures since patient had longer hair, but the quality of the pre-surgery images and its angulations were better.

Kind regards,

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.

The goal of this surgery was to rebuild the whole frontal third of this patient.

Before

Pre-post surgery

2,5 Months

6,5 Months

10 Months

0-10 Months

Dear swayzedo,

First of all, thank you very much for your update after 20 months. Hairline looks very good and natural, and we are glad that you are happy with your result. If any touch up would be required we will take care of it, for sure as our commitment to patients.

Kind regards,

Hi Mikeey,

The goal of a surgery is to reinforce a thin area, but that does not stop future loss since baldness can progress in other zones. Sides can drop, crowns can open, so that’s why medication is important in order to prevent future hair loss and help native hair.

Kind regards,

Hi,

@ Mosd, I already asked to the clinic about the cm. distance between the eyebrows and hairline to be more accurate, so I hope to comment about that soon.

About donor left, ideally we would have to check his laxity related to a possible new strip procedure so I could be wrong, but taking as a reference similar cases, we could be thinking about another 2000+ Strip.

By FUE, his donor density is below average, and having already a FUT procedure, maybe we could be talking around 2000-2500 extra FU as well.

Nevertheless we have to take into account that after each FUT/FUE surgery donor capital decreases, and it's always advisable to recheck the area after each procedure.

@ Indi9, no, although he was advised about it, patient is not using meds. In previous pictures patient had wet hair, so maybe that can give that impression.

Kind regards,

Hi,

Thanks for the last comments.

- Related to result pictures, they were provided by the patient himself. Hopefully we can get new ones to show the hairline in detail.

- The use of medication is very important in our opinion for most of surgeries in order to preserve native hair. This patient was explained about it. That said Dr. Bisanga advised for a quite conservative approach keeping a very high hairline and temples thinking of mid-long term. That means patient has still resources on his donor (FUT and FUE ) when he may need another procedure, and can use also a combination of the two techniques to maximize his donor.

Kind regards,

Thank you for your comments, Bill.

Hair account -together with the calibre of the hair- is an important figure in order to understand the result of a procedure as well. It has a direct effect in the result in terms of density and coverage.

Kind regards,

Dear BaldingBogger / home1212 / David,

Thank you for your comments.

Related to crown, 1200-1400 grafts were used aprox.: goal there was not to put the biggest density but getting a better coverage. It is always advised to not be aggressive in crown areas searching for coverage rather than density.

In terms of filling the temples it was not his goal at this stage, but it may be a possibility if donor allows it. Anyway we have to take into account that patient is still young and potential hair loss in the future must be considered.

The fact that he had a strip procedure means that he has still the possibility of FUE as well.

Kind regards,

BHR Clinic

Dr. Christian BISANGA

Age: 28

Technique: Strip

Medication: No

Donor density: 67 FUs/cm2

Hair Caliber: Medium Fine

Total FU used:- 3813

* FU breakdown:-

1s 665

2s 1566

3s 1082

4s 500

That means 3813 FU = 7916 Hairs. Average = 2,08 hairs/FU.

The goal of this surgery was to rebuild hairline and temples plus giving more coverage to crown area.

Pre Op - hairline design

Pre Op - donor

Pre Op - crown

Placement

Suture

14 months

Dr. Bisanga - BHR Clinic. Washington DC, Consultations 2-3rd January 2016.

Doctor Bisanga will be in Washington D.C. to hold consultations on 2-3rd January, 2016. They are free of charge and without obligation and an opportunity to get donor density, laxity, design etc looked at or a check-up for previous patients.

Please contact Daniel (erinshore@bhrclinic.com) for further information regarding this event and venue details.

Dear esrec, thatoldchestnut, Pete,

Thank you very much for your comments. They're very appreciated.

Thanks also to the patient for providing good quality pictures.

Kind regards.

BHR Clinic

Dr. Christian BISANGA

Age: 38

Technique: FUE

Medication: Finasteride + Minoxidil

Donor densities: 60-70-80 FUs/cm2

Hair Caliber: Medium Fine

Total FU used:- 2509

* FU breakdown:-

1s 553

2s 740

3s 980

4s 236

TOTAL: 2509

That means 2509 FU = 5917 Hairs. Average = 2,35 hairs/FU.

The goal of this surgery was to rebuild hairline and temples. Patient asked for a conservative design since he was looking for a subtle change improving the frame of his face.

Pre-post surgery

6 Months

0-7 Months

11 Months

14 Months

0-19 Months

Hi,

This patient had 2701 FUE with Dr. Bisanga and BHR Staff in order to address frontal area. Pictures show evolution from 0-6 months.

Patient has a very short haircut at the moment.

Here the data:

* Age: 42

* Technique: FUE

* Medication: No

* Donor density: 80-70-100 FU/cm2

* Medium-coarse hair

Breakdown:

1 hair : 535

2 hairs: 1214

3 hairs : 844

4 hairs : 108

TOTAL: 2701

That is 2701 FU = 5927 Hairs. Average 2,19 Hairs/FU.

Before

Placemente

Donor area after procedure

6 Months

Hi RichFrog,

SL is on sabbatical due to personal issues, so we would be now dealing with the community of HTN.

Warm regards,

Very good result. Congratulations to Dr. Hasson and patient.

Thanks for your comments "thatoldchestnut" and "stinger99".

We hope the result improves even in the following months although it looks very natural and patient is pleased.

Best regards,

Thank you for the nice comments. We hope to continue sharing the progression of buzzcut13 in the next months until the end of the process.

Best regards.