gillenator

Do you have some beard donor that could be lightly used in your crown?…only adding a small amount of beard grafts to support some quality SMP…would look great IMHO…and your overall appearance has progressed into an excellent visual result!…and at 6 months, you have more coming, WOW!

VladRojas, the world renowned surgeon based in the Atlanta, GA area is the one who primarily trained both Dr. Mwamba and Dr. Bisanga…his last name rhymes with Pole.

I cannot officially speak for him however my premonition is that he would be spending time in the Atlanta clinic where he was primarily trained by the world renowned dynamic surgeon who’s last name rhymes with Pole.

First things first…you will need an in-person physical examination, possibly some labs, and then a formal diagnosis before a treatment plan is proposed to you.

I completely agree, also get some labs done.

Based on your age it appears like an acute case of TE (Telogen Effluvium) so at this point you need to see a doctor who is knowledgeable and experienced in treating hair loss and the doctor needs to be able to perform a complete and thorough microscopic examination of your entire scalp and possibly lab work because some of the spots of loss may be unpatterned.

Unless that native hair is in an acute state of diffusion, it should grow back in approximately 2-4 months.

What’s in the patients’ best interest is not always possible but you make a good point.

I would not agree that the so-called failure percentage is “much more” than 10% but honestly, who really knows?…and as Shiba correctly stated, “what is the actual factual definition of a procedure failure?”…there are an endless amount of factors that can dissuade the end results and too many variables that can potentially affect the patient’s “perception” and level of satisfaction…and depending on the merits of each case, what one individual may be unhappy with, another individual with a very similar situation may be totally exuberant with…and are the expectations realistic because too many times they are not.

The overall yield is usually best with the most coarse hair quality like beard donor because of the scar tissue…and it’s always a good idea to do small test sessions whenever using various sources of BH.

I agree that reviews should be done on a case by case basis especially as subjective as this area of cosmetic surgery is…and listen my friend, I personally find more help and credibility from newer individuals like yourself Archan because of your obvious honesty, sincerity, and transparency…and wanting to help others who suffer from hair loss.

Excellent post and too many times unfounded claims are made to maintain traffic and interest and the thing that really angers me is the fact that yes some guys will give up and not get a great procedure done.

Because donor sources are limited, restocking becomes a real challenge to put it in perspective…and yes the yields vary so much for a number of reasons: composition of scar tissue, most of the time BH is used which in itself has unreliable yields. The best donor source is hair that is very coarse and why I feel beard donor is the only viable for this type of therapy…and just as a side note, this type of procedure is better clinically termed as DRT (Donor Replacement Therapy) coined by one of the most talented repair surgeons in the world who is based in Georgia. Another approach is known as DST (Donor Shade Therapy) that most clinics miss this concept whereby the grafts are placed between the scars instead of inside them…the hair must grown out to approximately 2 inches and the end result hides the scarring and also produces visual coverage if done correctly and with the right candidate…some donors are too scarred or moth-eaten to experience adequate success with DST procedures.

While it’s true that the majority of cases are not posted online, a 30% failure across the industry would be much more known as there would be far more patients discussing their dissatisfaction and seeking repair…what I have observed in 4.5 decades is more like 10% or less with the top docs that pre-screen their patients correctly, ruling out most physiology issues.

It always gets back to this age old question, “How much density is really needed on a case by case basis to achieve a restored look?”

You bet, please keep us posted on your progress.

Yes you can safely wear sunscreen on the recipient area now and up to 3-4 months post-op…you are making great progress.

In both cases it’s just too early to tell…please update your photos at 6 month mark and hopefully both of you will see significant improvement.

That is some nice improvement in a short period of time and a good sign that you are recovering.

Any reason why you are not also having a consultation with Dr. Mwamba?

Well said my brother!

WOW!…after reading your post, I had to go back and read it again and wondering why you would take a cheap shot at HappyMan like this…totally uncalled for!

I should have also mentioned that I believe Dr. Mwamba attained his M.D. license in the USA and he legally can practice both in the USA and Belgium…however I don’t think Dr. Bisanga attained an M.D. here and is limited to practice in Belgium…his wife however is a licensed physician in the USA and works in Maryland and they also live in Maryland.

Wait a minute here, there are too many generalizations being implied here when there should be some clarifications made…please let me state that yes the ideal protocol is to physically examine each and every patient “prior” to any surgery being considered…however, we all know that many of the top surgeons are located across the globe which presents the challenges being discussed. But let’s put things in perspective…for many years it has been rather commonplace for the patient to meet the doctor via a virtual consultation, email multiple photos and if agreeable, surgery is scheduled contingent on physical examination on the morning of surgery and should there be any issues that would disqualify the patient, the procedure is cancelled…Why was this commonplace for the traveling patient?…because disqualification was rare and currently there are other technologies such as using high powered scopes, FaceTime, during the initial virtual consultation that greatly helps to minimize any surprises…if this was commonplace, there would be lots of complaints being voiced in these online communities. Now obviously this approach does not apply to repair cases or individuals with unique or acute attributes but candidates with virgin scalps or a second procedure rarely run into problems on the day of surgery if the initial virtual consultation is thorough…in all the years that I worked inside the clinics, this was not an issue… in fact if there was a problem, it almost always was an issue of doing less grafts than initially scheduled…however if this approach is an issue, there are other skilled surgeons to choose from and as I already stated, the more complex repair cases would be exempted.

I was not aware that he changes less.