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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. Would appreciate if people can share who in their opinion are the top 5 BHT clinics/doctors out there ? I have seen good results from eugenix, konior, bisanga and others, but interested to get other opinions too Thanks
  3. Firstly, thank you to the patient for providing the photos and for his permission to use his case and share his experience pictorially.The patient had previous surgeries and wanted to add density and more symmetry to the hairline whilst slightly lowering it.Dr. Bisanga was able to achieve these objectives with 1800 grafts, being able to lower and blend and work back through the previous work.The patient has experienced very fast and impressive growth so far and kindly provided photos at 7.5 months. We will continue to post as the result develops through to the 12 month period. Graft/Hair Breakdown:- 1s = 285 = 285 Hairs 2s = 479 = 952 Hairs 3s = 760 = 2280 Hairs 4s = 276 = 1104 Hairs Total - 1800 grafts / 4621 Hairs / 2.5 Average PRE-SURGERY PLACEMENT 3 Months Quote "Looking great already, gaps are closing and hair line is looking good" 5 Months Quote "DR.B work is really becoming noticeable now, the gaps filling and hair line lowering" 7 Months Quote "Assymetry had been put right and the gaps are improving all the time. Excellent work I feel". 7.5 Months Close up wet at 7.5 months "Straight out of the pool" Comparison 7.5 Months
  4. Hello everyone, I've received so much information from this site that I feel compelled to give back. About me: I'm 50, Asian American/Belgian male and have been thinking about doing a hair transplant for years. I remember my father in his earlier years of hair loss and how discouraged and powerless he felt. Today, I'm fortunate to be in a position (financially and emotionally) where I can do something about my own hair loss. I have a confirmed procedure with Dr. Bisanga in Brussels for the 25th of November, 2020. My airplane ticket has been purchased (from SFO-BRU) and apartment reserved on AirBnb. Will keep this page updated.....
  5. Also Dr. Bisanga, "If you can keep your hair transplant good for 10 years you should be happy". And Dr. Wong, "Hair transplants absolutely do thin." I think thinning transplanted hair can happen even if the patient's donor region is healthy or if the patient is on fin, though it may be less likely. Long term planning should account for this possibility.
  6. Dear All, I would like to share my experience at the BHR Clinic Brussels. Below my details & caracteristics: - Male- 29 yo- Norwood 3- Treatment Minoxidil (pills) & Saw Palmetto- Density of the donor area - 80/85 cm²- Estimation of the donor capacity 8000 I live in Belgium hence I only had physical consultations with Dr. Lupanzula, Dr. Feriduni & Dr. Bisanga. The 3 of them are in my opinion talented and gifted surgeons. I opted for Dr. B as I had a pretty good feeling with him, we were completely in line with the approach and strategy. A big plus, the clinic is literally 2 kms away from my home. We agreed on recreating the hairline and filling the tempels with an estimation of 1800-2200 grafts. Seen the current circumstances and the fact that I have to work from home this was the ideal time to have the surgery. He had some open slots left still this year so I opted for the 23/11/20. The day of surgery It has already been well explained on the forum how professional Dr B and his crew are, I will quickly go through it. So we had a quick review of the design, we than fully shaved the head and went to the operating room. The injections were the most painful part of the exercise but only lasted for about 5-10 minutes. Dr. B perfoms all the punching and the technicians do the extractions. Secondly Dr B takes care of all the incisions and the technicians the implementation of the grafts. At the end of the surgery I had a little surprise, all the incisions were not filled so we started over and he extracted an additional 150 grafts. I have to say he was a real gentleman on that as those grafts were free of charge. Then finally we went over the rules/recommandations and products I should be using to have an optimal recovery Below the breakdown of the grafts:- 1 FU = 435- 2 FU = 779- 3 FU = 843- 4 FU = 293 . Enjoy the reading, Babou
  7. Background:37 years old & have been suffering MPB gradually since around 25years old.I have spent the last 2 years religiously reading various forums to gain an insight into hair restoration.I was initially hesitant to have a procedure in the UK as I have read so many posts advising that the UK just isn’t on a par with Dr’s in Europe.I planned to to Brussels and have the procedure done by Dr Bisanga- consulted with him and his assistant, Hilde, who were fantastic and very helpful.....Then Borris told us all we couldn’t leave the UK!I was keen to have the work done during lockdown.2 as it’s easier to hide away during the recovery stage- however this would not compromise my priority of quality. Price was never a deciding factor for me.Neither were ‘celebrity’ endorsed clinics or clinics with fancy Instagram accounts and clever marketingI then started to read and see numerous positive results and feedback for the Hair Dr on various forums.These were real people posting on forums, not pictures posted on social media adverts. So I thank all that have posted on here and other forums. (This is why I’ve decided to post myself, hopefully it will help someone else)I booked an initial call to get a feel for them and was impressed from the start- very informative, and not at all sales driven.This professionalism was consistent with every call and interaction I had - so based on my research, the answers they gave me and a general gut feeling I booked my surgery.Day of Surgery:Arrival 7am, greeted by Adam who made me feel welcome and was a professional in person as he has been on my calls.I met with Dr Arshad and Dr Hamza where we discussed the hairline and result I wanted to achieve.Dr Arshad took his time here and changed the design a few times to ensure it was right for my features. Then I had my hair shaved and went down to surgery.Dr Hamza injected me with the anaesthetic- there is no getting around this, it’s not pleasant and does hurt but the pain soon goes and Dr Hamza was great.Dr Arshad then used a .8 punch to punch the grafts, this was pain free (but a strange experience) and took a few hours.Next the technicians removed the grafts, and separated them.This took a few hours, and I think they were also doing this whilst Dr A was punching.I did take a break for lunch at some point- kindly provided by the clinic.I had initially planned to have 4000 grafts, however Dr Arshad advised that I had a good donor area and managed to get 4,817 grafts.Singles- 971Doubles- 2,531Triples- 1,319Dr Hamza prepared me for the incisions by administering more anaesthetic, again a bit painful but he was great- this was not unexpected and an unavoidable part of the process.Dr Arshad then made all the incisions, adding more anaesthetic when required!No real pain during this process.The technicians then implanted the hairs- this was the longest part of the day- maybe 6/7 hours but was pain free and I simply watched Netflix.They were great and made sure I was ok at all times.Dr Arshad checked in a number of times during this stage, as did Julia (who was also great during the day)Finished up at around 20:30ish when Dr Arshad checked the work to ensure he was happy.He ave me a de-brief and talked me through the meds and after care process.Nice easy to follow instructions on a chart so I can easily keep track.Back to the hotel by 21:30, where I slept surprisingly well!Hotel was recommended by the clinic and even had a discount code provided to me.In summary, my experience has been great right from the initial call.Whilst it’s far too early to judge the outcome of the procedure, so far I have only good things to say about the clinic and all the staff I met throughout the day.I’ve looked at 100’s of results online (as I’m sure many of us do as we obsessively research clinics and results!) and I think things are looking good, but would of course appreciate any feedback from you gentlemen.Pics of pre and post surgery attached
  8. Hey All, I’m based in the UK and looking to get a FUT hair transplant. Following everyone’s review on here of Dr hair clinic, Leeds UK (Dr Arshad), i reached out to the clinic. I have been quoted £5 per graft due to the complexities of hair type (afro) and i will require 2,500 grafts. I have my consultation next week, but I have also reached out to Dr Bisanga. I will update you all next week with photos of my journey. Update: July 8 2021 I had my consultation on Monday with the practice manager at Dr Arshad’s clinic. It was ok, i had terrible signal so we kept getting cut off. I was asked to book a consultation to assess my scalp laxity before getting an answer as to whether i can have the procedure (FUT). I asked for Dr Arshad’s availability and they have not gotten back to me yet. Funnily enough Hilde from Dr Bisanga responded to my query. She was super responsive throughout the week and I received my quote of 2,500 grafts. I have paid my deposit and now the waiting begins. I will update you all with photos when the time comes 😊
  9. So I posted a few months back requesting help on picking a good European surgeon, and through the help of this forum I got into contact with Dr Bisanga of BHR Clinic, and yesterday I had my surgery. During my consultation, Dr Bisanga estimated I'd need somewhere between 2,600 - 2,700 grafts which ended up turning into 3,007 grafts. The goal of surgery was to conceal a previous surgical scar on my forehead and restore a more rounded hairline. Total Grafts: 3,007 Method: FUT Graft breakdown: 1 follicular unit: 706 2 follicular unit: 1175 3 follicular unit: 619 4 follicular unit: 507 It's obviously very early days and I'm only writing this now because I can't sleep! Interested to hear what people think so far though on placement etc? Nervous as to how things will turn out.
  10. 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.
  11. Hi everybody. He is my story. I am 35 years - never taken medicin for hairloss. I Think i am norvood 3/4 a. My Crown is uneffected. I have been seaching for the rigtig surgeon for a long time. I finally picked bisanga and had my first ever HT today. My goal was to have a conservative hairline and a god dense. Bisanga told me that i have thin/medium hair. Good colour to skin. About 75-80-75 in donor, with High sides so about 8000 grafts in the bank. He only took from one side and form the back so i still have on side Virgin scalp👍🏻 Today i Got: 3251 grafts, with an average of 2,12 - 506 - 1821 - 924 density about 60 in the first Lines - Then 50 and Then 45 grafts pr cm2. The Day took about 10 hours and whent perfect. Bisanga draw the hairline, and donor zone for me. Then he punched alle the grafts and som techs took Them out and but Them in number. Afterwards bisanga maked alle the recipient sites, and the the techs made the placing. Here are som pictures Before pictures and Then from today. Feel free to ask or comment.
  12. 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.
  13. Patient wanted to address his frontal third and in particular have a nice dense and natural hair line and also to re-inforce the temple points. This was achieved with 3267 grafts and here we see a very fast progression at the 6 month stage whereby the goals are well on the way to being met and still there is plenty of time for surgery evolution. The patient had a density average of 70 FU/cm2. Thank you to the patient for allowing us to share his case. GRAFT BREAKDOWN 1s - 801/801 hairs 2s - 1856/3712 hairs 3s - 610/1830 hairs Total:- 3267/6343 hairs Average is 1.94 Hairs per FU PRE-SURGERY PLACEMENT AT 6 MONTHS
  14. This patient wanted to restore his frontal loss with a broader and straighter hairline design that was deemed appropriate considering his facial dimensions. Dr. Bisanga made recipient sites following the natural direction of the patient´s native hair, which as can be seen from the “in the op room” image, presented quite a unique cowlick that in this instance changed the direction of the hair placement toward the left as it approached the frontal hairline. Suffice to say that the patient is extremely happy with his transformation at the current 10 month stage and upon sharing his most recent update and comparison images, he quoted - “I didn’t know it was that bad before!!! What a difference!! Couldn’t be more pleased🙏🏻” Dr. Christian BISANGA Age: 28 Technique: FUE Donor density: 80/80 FUs/cm2 Hair Caliber: Medium Fine 2494 Graft Follicular Unit breakdown:- 1s - 455 2s - 1247 3s - 792 TOTAL: 2494 2494 FU = 5325 Hairs Average = 2,13 hairs/FU PRE-SURGERY PLACEMENT COMPLEX FRONTAL SWIRL RE-CREATED AT 6 MONTHS AT 10 MONTHS AT 10 MONTH COMPARISON
  15. Hi All, Having gained a lot of information and knowledge from the forum, i thought i owed it to post my experience and journey. Many thanks to all the folks prior to me who have shared their experience, it really is a wealth of information. Background I'm 39 years old and I started losing my hair about 12 years ago. For the past 8 years i have been clean shaven and whilst accepting of it, i never was fully confident or comfortable with the slick look. It was also a pain in the you know what having to shave every three days and also hated the occasional ribbing I'd get from my mates. Having seen the great results on this forum and growing acceptance of hair transplants i finally picked up the courage to do something about it earlier this year. I had narrowed my choice of Doctor it down to Dr Bisanga, Dr Lupanzula and Dr Feriduni . Off course Covid then struck but thankfully i was still able to have online consultations with Dr Bisanga and Dr Lupanzula (I never got a reply from my enquiry to Dr Feriduni). I don't have any particular reason for choosing Dr Bisanga over Dr Lupanzula other than maybe coming across more similar cases to myself that Dr Bisanga had handled. From the online consultations they both agreed that i would need approx. 3000 graphs to restore the frontal hairline. Going solely on an online consultation is difficult but I reckoned I owed it to myself to try and do something about my hair loss. My goal was to at least reduce the NW number and anything after that is a bonus, If this goes well, I plan on a second procedure to target the crown using my abundant beard donor and possibly chest hair if required. In the main I plan on keeping the hair short until I get the second procedure, if all goes well I may then grow it out. The Procedure Not the wisest choice to pick a November date during the pandemic as cases soared all over Europe but with other things going on, it was the earliest I could have got it done and I really didn't want to wait until next year so ahead with it i went. Having thankfully got a negative PCR test three days prior to the procedure I was able to get my flight (I'm in Ireland). I arrived in Brussels the day before the procedure. I had booked an Airbnb close to the clinic, I thought an Airbnb was best as i wanted to keep my contacts as low as possible and I was able to do a shop on the day i arrived meaning the only place i left the apartment for was the clinic before flying home four days later. At the BHR clinic Dr Bisanga, examined my donor and drew a hairline which i was happy with. It is conservative but it sort has to be considering the area that has to be covered. Also my donor is not the best as over the years whilst being shaved i had progressed to a NW6 and I am patchy behind my ears. The hair measured 70 microns on the sides and 80 microns at the back. Thankfully I have a good beard donor which will be required. The pre procedure photos show 1 month growth, the longest I had let it grow since i started shaving the head. The procedure was carried out over two days, day 1 was the scalp, day 2 was the beard. The injections were a killer in the scalp but the pain is only momentary, i did not find the beard ones as bad except maybe around the front of my chin. Another thing, I have a really low heart rate, so i didn't get a valium to help me relax, the alarm on the pulse reader kept going off all through the 2 days. I am very bad with names so can't remember the lovely ladies who done the extractions and graft placements. Dr Bisanga did the punching and cut the channels for the grafts. Dr Costa was also there but mostly just supervised ( he did punch 50 grafts on my beard). Post op I was a little sore and did take the pain killers going to bed each night but apart from that just had a little tenderness of the donor. I did have swelling around the eyes but again it wasn't too bad and subsided in about 3 days. Travelling back was straight forward, I had my bandanna on and security and passpaort control were happy for me to keep it on. I guess they are used to seeing them at this stage. My numbers: Head Ones - 558 Twos - 1287 Threes - 917 Fours - 237 Beard Ones - 644 Twos - 452 Threes - 109 I am now at day 11 and everything is going well. Photos to follow. My beard healed really fast and you couldn't tell it was touched after 3 - 4 days. I have decided to also take finasteride to give this the best chance i can. When I started losing my hair I didn't take anything as we were just starting a family and didn't want any chemicals in my system. Since then on occasions I thought about it but was afraid of the sides, I have been encouraged to try it due to the evidence that micro dosing likely reduces the chances of them. I'm also taking Biotin and MSM (thanks to Zoomster). For 6 months prior to the procedure I was taking Saw Palmetto but did not see any benefit.
  16. Guys, I just wanted to share my story with you all and hope it will help you in your respective journeys. I want to say a big thank you to Mustang who inspired my transformation when I honestly thought all hope was lost. For me it started at the beginning of 2020. I was going through a stressful period of my life (in my mid-30s) and began to notice my hair was thinner than usual. It has always (well, since 21 or so) been in the classic ‘widows peak’ shape at the front and that never really bothered me. Gradually it was receding but not to a worrying degree for me. What got to me was my crown area was starting to more noticeably thin out and just made feel way older and self-conscious. I started out by trying PRP to try to spark some life into the follicles. Alas, results were not noticeable. The doctor who gave the treatments suggested a HTP might fix my woes. He made it sound like a routine procedure. Honestly, I hold my hands up here. I am pretty naïve when it comes to things like this and didn’t even really research a HTP and the prospective damage that could be done. I just dived in head first and was assured that a ‘jungle of hair’ would mean I wouldn’t notice the missing hair at the back. Stupidly, I bought into this schpiel and went with this Doctor’s word. Bad decision. He pushed me into a procedure with Dr Pisano of Marbella. An incompetent buffoon. I was assured the guy had even educated the respected Marbella HTP Dr Panno who was his protegee (a self-touted ‘master’). In hindsight, total bullshit. It was a 5.000 euro procedure and I went ahead blasé, as due to the lockdown protocols, I knew I would be hidden away for months. The guy must have examined my hair for about 30 seconds and agreed that I could come in the following day to get it done. How foolish! I am a Brit and have pretty weak hair at best. Not everyone is a good candidate for a HTP and it is a fallacy that your donor area never weakens. Actually the hairs in the donor area, like everywhere else on the scalp, wither with time. For some people (like me) more so than others. A good, ethical doctor would NOT have touched me. I wasn’t even that bald. But just trying to polish my locks up before it was too late. What ended up happening was actually much worse. We didn’t even discuss how many grafts would be taken. Again, another mistake on my part. Poor planning when it comes to something as serious as this is going to cost you dearly. On the day of the procedure he ended up taking a whopping 2700 grafts. About 6000 hairs total. The results were pretty awful. The lion’s share went into the crown area, the remainder on the frontal peaks. The grafts on the peaks took fairly well, but on one side, they didn’t even properly join up to the rest of my hairline. The crown improved slightly, but eventually the grafts fell right back out. Only a few stayed! I honestly think around 300-400 of the ‘2700’ grafts took. Maybe I am being generous there. The price though, besides the wasted money, a completely bodged donor area. A much heavier cost. I prayed it would be shock loss, went through the usual desperate hope phase, and of course, 5-6 months later, realized I had just been stitched up like a kipper. I couldn’t grow my hair to a grade 1 without it looking awful. Obviously left a ton of scarring, but the sides of donor area were now filled with huge gaps. Growing it out was embarrassing and it couldn’t be covered. It left huge holes. I honestly was resigned to life behind a hat and the prospect of seeing friends and family was terrifying. I eventually got SMP– and it did help. It was actually very well done (by Vinci clinic in Malaga – Dayana there is top level). The thing is, the only ‘look’ I could sport was the classic HTP look. 0-0.5 grade on the back and sides (talking 3-5 days growth tops) before having to shave it down to a 0 again. So the longish hair on top, nothing on back and sides. Just wasn’t a look I was happy with, especially with the constant maintenance. In my desperation leading up to all of this, wondering how I could ever contemplate a semi-normal head of hair again, I searched forums and the net like a mad man and eventually came across Mustang’s thread. I found it hard to believe BHT would work at first, but given I had a thick chest full of hair, I thought it might be a viable option. I knew it was experimental at best and given my luck in life, fully anticipated it would fail. I initially reached out to Spain’s top dog (Dr Lorenzo) but he didn’t fancy his chances much with my donor and had a huge waiting list. I then tried Bisanga as his clinic looked super pro, but they were strongly recommending SMP (this was before I did mine). I knew that SMP alone wouldn’t be enough for me. So that kind of put me off them. I then reached out to Dr Mwamba, vindicated by Mustang’s thread, who (after some persistence – he doesn’t always answer first time) was confident enough to take me on. My only hesitation with Dr Mwamba was that their website was not very professionally designed and I couldn’t find much in the way of reviews and actual photos of his patients online. Don’t let this put you off though. I took the chance with MyWHTC in Belgium, and it was one of the best decisions I have ever made. Him and his staff were successfully able to extract around 1200 grafts from my chest over the course of a 3-day period. It was quite gruelling I must say but very much worth it. Mwamba and his team are extremely patient, welcoming and fit everything in according to your needs. During the surgery, he even re-arranged my bodged peak and moved some of the grafts back to blend in with my core hairline. He cleans up the mess your last surgeon left behind, in a nutshell. It was reasonably expensive (6 eur per graft), but then BHT with one of the world’s top doctors should be! Mwamba is the real deal. Not only is he a funny guy – he is also a consummate professional. It was probably one of my top 5 lifetime investments. I obviously regret having diced with the world of HTPs from the start, but Mwamba is going to give you a second (or third) chance if you are messed up! I am now at around 4 and a half months and am seeing really good growth back in the donor area. BHT does blend in (and grow within scar tissue) and gives you back some density. The fit farming method pioneered by Mwamba is no joke! I can’t believe it isn’t talked about more often. I think as Mustang has mentioned, most of the top docs have so much work on their hands, they don’t want to deal with the messy cases. Mwamba used my nape hair and replaced (the fallen) grafts from the last bodge job. Seems to have worked really well. I do still apply Toppik to the upper parts of the sides of my hair as it’s still not very dense, but I can now face the world much more confidently. It really is a noticeable and massive improvement. I actually plan to go back in August for about 1000 more (I have a mega hairy chest!). You do notice the scarring on your chest (or marks it leaves) initially for about a month, but then as the wounds heal and your hair grows out, you can barely even notice. In fact, I prefer how the chest looks with less hair! It is not even really noticeable. Couldn’t tell the difference. I will be posting photos to reflect my story soon so stay tuned to this thread.
  17. 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.
  18. 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.
  19. During my research, Dr Bisanga name appears alongside the very top surgeons. Looking on the website (https://bhrclinic.com/team/), BHR is in Belgium, UK, Israel and Greece. How does that even work? Do patients turn expecting surgery by the distinguished Dr Bisanga and get the doctor available at that location? Perhaps one for the rep(s) but also interested in recent patients experience.
  20. Hello! I know this forum has been hankering to see more results from Dr Bruno Ferreira so I thought I’d oblige. I’m an interesting test bed as I have a diffuse thinning component but not super diffuse so care needs to be taken around my native hairs which is sure to be a test of the doctors skills. About me: Age: 28 years old at the time of surgery. Balding from early 20's. Hopped onto the finasteride and minox around 24 year olds and it pretty much halted. After much thought I've decided to take the plunge on a hair transplant, though admittedly I get by fine in life as I was. I even experimented being bald and looked good (if I may say so myself). Most people don't comment or notice my hair at all and I have reasonable success with women. This HT was just for my own personal confidence and having greater choice in hair styles. Medication: I am a long time user of finasteride (almost 4 years) and recently around half a year ago began taking dutasteride twice a week Mon/Thu to help strengthen my hair and minimise shock loss during my procedure (this was my own initiative, not because the Dr asked me too). I am suffering no sides so considering switching to Dut full time but will wait for the transplant to mature first so I don't confuse things that could affect my assessment of the outcome. I usually use minox around once a day also before bed or just before I head to the gym (since I will shower after the gym and don't have to worry about residual grease afterwards). Tempted to go off minox, but again, I will wait until my transplant matures a bit before considering dropping it. I want to keep as many factors as constant as possible for now to assess the efficacy of the transplant. The Surgery The doctor classed me as a NW3 with a diffuse component. If you wanted to include the diffuse region as part of my classification he would give me a NW5V he said. Unfortunately, I’m still waiting on the official photos of the day of my hair and pre and post-transplant look from the doctor so you’re going to have to make do with photos taken from my iPhone for now. One of the assistants obliged and took some quality shots with my phone under the stage lights too so hopefully it's not too bad. Will update once I have the full photos and report from the doctor! My surgery experience pretty much echos the experience of @Rolandas. I had a two day surgery of 2882 grafts with the first day (~1500 grafts) focused on my hairline and the second day focusing on the thinning region just behind my forelock. In other words just a frontal-third restoration and a bit of my midscalp. There was the option to tackle all my thinning areas including the crown, midscalp and hairline in one go. I was quoted 3500-4000 grafts for this and I received a similar quote of 3400 from Dr Bisanga when I asked him. However, I was in two minds about on whether to commit so much grafts in one go knowing I am a difficult case and may want to bank some grafts for the future. Especially since south asians like myself seem to generally have a smaller donor supply which needs to be used sparingly. Also my crown doesn’t actually bother me that much (probably because I can’t see it and i'm quite tall ) I’m only concerned by the thinning in the frontal half and hairline. However, upon seeing me in person the Doctor decided it would be better for me to do it in two as it was his opinion we would get a better results from smaller and more frequent surgeries by doing around two-thirds of the work now and a second later. After hearing my crown does not bother me it was decided to blend in the grafts to my native density in the back just in case I was satisfied enough with my first surgery that I didn’t want to come back for a second because I’m not bothered by the crown. It was good that he was not trying to force a design that would require me to come back for a second surgery for sure. Gives me some flexibility! He also mentioned my donor density is good and I have around 8000 viable grafts which is much more than I expected. So I have plenty to play with as I enter my old age should my medication regime suddenly stop working (I hope it doesn’t). Okay! I’ve rambled long enough, now the pictures! Hair Before Before the transplant (what I sent to the Doctor). Unfortunately the lighting is not very clear here but my hairline is very thin and the temples quite recessed. I should have taken some in outdoors light before the surgery. The Doctor has some good pre-surgery photos which he will pass on to me later and I will upload here down the line. Wet Photo Donor area On The day Took this snap on the day too but the lighting is not so clear, you will have to wait until the doctor sends me the official photos to see my hair properly, but I did also manage to snap this one photo from the screen that was on display during surgery Shaved and with the areas to be transplanted marked! Three regions can be seen here. The hairline region on the bottom where he will thicken it up and attack some of the temple recession. The second region just behing the forelock where I have native density already and will require less grafts. Finally there's a little box in the back which he will use to blend in the grafts a bit so I look normal just in case I am satisfied with this first surgery and choose not to come back for the second procedure on the crown and remaining midscalp. You can see more clearly here the temple region he is going to fill in as well as the marked donor region faintly. He really took his time doing this hairline and understanding my concerns and it took around 30mins in total. I've always had a large forehead and slightly recessed temples since I was young which I wanted to mantain because I quite like that feature of mine and wanted to be conservative with the hairline so I can grow in to it in my old age. He somehow knew where my original hairline used to be involving some weird trick where he asked me to raise my eyebrows lol, but he guessed very accurately so I'm not gonna question it. In the end he drew two hairlines one slightly more lower down in the temples and less conservative but I decided to go with the conservative approach in the end because for the most part I am happy with my hairline, just wanted density and the temples ever so slightly filled. The Plan 2 days. Each day the extraction and implantation will happen in around 3/4 mini sessions where he will extract a bit and then implant a bit using the DHI method. Hairline region first day and then the behind the forelock area in the second day. The aim was to have 50FU/cm2 in the hairline region and maybe slightly less around 40-50 ish when combined with my native density behind that. Day 1 of Surgery Total Grafts: 1469 Singles:315 Doubles:350 Triples:691 Quadruples:110 Quintuple!: 1 helluva lot of triples My donor appears to be recovering super quick. In the morning session, he extracted from my nape and the central donor region. In the afternoon he was extracting just to the sides of the central donor region. You can see here the extraction holes from the morning session are already rapidly closing up and healing when compared to the fresh holes on the side! I think it's a testament to the doctors quality work and handling of the donor region, but the assistant also mentioned that I appear to be a crazy fast healer. I had tough skin he said and at some point had to make a few pre-made incision slits near the hairline (i use to microneedle a year ago, maybe that's the cause?) Day 2 of Surgery Unfortunately forgot to take a picture of the graft count, but the ratio was higher aroudn 2.6 as opposed to 2.4, as he was extracting less singles. Still a lot of triples. He ha said if he were to blindly extract I would probably get an average of 2.5 Total grafts:1413 The assistant was very kind and took some shots using my phone under the stage lighting but the Dr's camera is better so I will post those when they arrive too central region looks super healed and clean now (immediately post-op day 2). I just can't get over how clean it looks compared to some other jobs I see coming out of Turkey. Extras Some extra stats you may be interested in (more to come when Dr Ferreira sends his report) Punch size: motorized punch. 0.85mm in back and 0.8mm around the sides of my donor region. He occasionally used a manual punch when it was convenient and easier for him. Use the appropriate tool for the appropriate situtation as they say. Hair thickness: ~55 microns for me which he said was average. Seems to be on the finer end for people of my ethnicity though. I will try to update on the following timescales (maybe more frequently), if I don’t, send me a reminder. 1 day, 1 week, 2 week, 1 month, 3 month, 6 month, 9 month, 12 months, 18months. Apologies if the pictures are big, not sure how to make the size smaller on the post.
  21. Hi Everyone, Long time lurker here. This forum has helped me gain knowledge all things related to hair loss and I just wanted some opinions. I'm 27 years old - my hair started thinning at around the age of 23. I've been on 1mg/day finasteride since March 2020 and Rogain 1/day since March 2019. I'm consistent with my medication and I "think" i've stabilized. Typically i style my hair up in the front, comb the back over and i use some toppik to hide the thinning. I've been wanting to do surgery for a while now but im reluctant because of my age. Ive consulted with many doctors, all of whom said I'd be a good candidate (Dr. Feller, Dr. Diep, Dr. Rahal, Dr. Ferreria, Dr. Bisanga to name a few). My plan for hair transplant is to reinforce my hairline and add density from the front to midcrown. Do you think i'm too young or should i wait a few more years? Ideally, i'd like to have it done before my 30th birthday. Keep up the good fight fellas! Thanks.
  22. Please use the virtual consultation or contact them through their website as it will depend on where you have the surgery. https://www.hairtransplantnetwork.com/physician/Belgium/Christian-Bisanga/667 the 2 reps i included above may give you a better idea.
  23. Thank you @JohnAC71 I really appreciate your suggestion. For BHR/Dr Bisanga, we're talking about around how much please? frankly, I just want to be done with this hair problem. Thank you again!
  24. If your budget allows then you should also consider BHR/Dr Bisanga. Awesome work with the higher Norwood levels too. @sl and @Raphael84
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