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  1. Hi Everyone, I would like to share my hair transplant experience that I had in May 2020 with Dr. Bisanga and his team in Brussels. Before I decided to have a hair transplant procedure I was taking finasteride(1mg/day) and using minoxidil 5%(twice a day) for almost three years. Medications stopped the balding process and improved the quality of existing hair but I didn’t experience much regrowth so I started considering hair transplant. Due to the pandemic restrictions it was a bit harder than usual to get to Brussels but I made it and began my hair transplant journey. From the very beginning I found Dr. Bisanga and his team very professional, ethical and helpful. Despite the obstacles caused by restrictions, that didn’t depend on us, I always felt that they put my well-being at first place and they really care. It made the whole process a lot easier and less stressful. Since my first contact with the clinic I was in touch with Ian, my patient advisor. He was extremely helpful throughout the process, answered all of my questions and gave me lots of advice to make sure that everything goes as smooth as possible and that I’m doing fine. Before the procedure I didn’t expect that this role is so important, but then I found out that it’s great to have a person, who is always there for you and can clarify all your doubts and concerns. It really gave me peace of mind before and after the procedure. On my way to the clinic I was a little bit stressed, but right after I met Dr. Bisanga and started talking with him, all stress went away cause suddenly I felt that I’m in great hands and there is no need to worry. The pre-surgery consultation started, Dr. examined my donor and then we agreed on the design of my new hairline. I described my expectations and Dr. Bisanga drew a hairline exactly as I imagined. Next we moved to the surgery room and started preparations for the procedure. After reading a lot of patients' stories, I was a bit afraid of anesthesia injections, but surprisingly it went really easy and was almost painless. I know it’s a very individual matter, but basically the whole procedure was relatively painless. If I would have to rate it from 0 to 10, where 0 is completely painless and 10 is extremely painful, I would give it 2.(As a reference, dental visit is 3 for me). Dr. Bisanga started the punching and after he finished, his team did the extractions. After that I had a break for a very tasty lunch and technicians examined the grafts. Dr. Bisanga made the incisions and technicians started placing the grafts. In the meantime I was watching a movie and falling asleep from time to time. No pain or discomfort during this process. After all grafts were placed, I had a conversation with Dr. Bisanga, who discussed the procedure with me (everything went as expected) and explained the aftercare. I was given all needed medicines and went back to my apartment. I didn’t feel much pain afterwards, so I didn’t take any painkillers. I stayed in Brussels for 10 days to heal and relax before my return journey. I followed post-op instructions and after these 10 days my head healed very nicely. I returned home and the waiting game started. 10 months later here I am - happy with hair on my head. Summarizing – I’m super happy that I decided to get a hair transplant done and I choose Dr. Bisanga’s clinic. Both he and his team are world-class professionals and I can honestly recommend them to everyone. I’m very pleased with the results, my hair has a really nice density and the donor area looks untouched even with a short haircut, but I believe that photos can show this better than description. It’s a great feeling to be able to style hair again. Many thanks to Dr. Bisanga and his team! Please feel free to ask any questions. Grafts breakdown: 1 Follicular Unit: 545 grafts 2 Follicular Unit: 1035 grafts 3 Follicular Unit: 1430 grafts 4 Follicular Unit: 493 grafts
  2. FUE 0 - 8 MONTHS (18 MONTH UPDATE) 31 at the time of surgery. No regimen of medication pre surgery and therefore FINASTERIDE was recommended & prescribed post surgery.GRAFT BREAKDOWN -1s 660 - 660 hairs2s 1314 - 2628 hairs3s 724 - 2172 hairs4s 302 - 1208 hairsTOTAL 3000 GRAFTS - 6668 HAIRS AVERAGE HAIRS PER FOLLICLE - 2.2The patient wanted to address the frontal third thinning and re-create his temple points. His friend had surgery with us previously and obtained a great result which then influenced the patient to select Dr. Bisanga as his performing doctor.PATIENT QUOTE AT 8 MONTHS -"The growth has come along really well. See attached some progress photos and do let me know your thoughts. I guess there will still be a little left to grow, but I presume I am mostly there. I am very pleased with the results. " The patient´s donor was good density in areas, but as can be seen, above the ears was lower density and thus we were mindful of such data throughout the harvesting process. PRE-SURGERY DESIGN PLACEMENT RESULT @ 8 MONTHS UPDATE!!! PATIENT QUOTE AT 18 MONTHS - "I think the biggest compliment I could pay it is that I don’t even think about my hair any more. Before I was always anxious with the receding hairline, and now it’s not even on my mind which is great. Thanks!"
  3. 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.....
  4. First off - this website/network is genius, whoever thought of this "hats off to you" ...you are a savior. So many helpful people and the moderators are truly top notch. About Me: 31 YO, first started noticing hair loss at 22 and have been on Fin (every other day) and Minox(2X a day) since then. Balding runs on my dad's side and my dad is a norwood 6/7. I am looking to get a hair transplant this year and have started to do some research(for the past 1 month) - I previously just googled "top hair transplant in X" and would get hits that looked pretty sketchy. I currently have narrowed down to the following( of course this is not my final list ...hence this post). The following I have reached out to, some have gotten back to me & we are actively chatting....some have not yet(so hoping they will). 1. Long Hair Center Dr. Ahmet - I read some good reviews about him on Reddit & on here ...but then suddenly read threads calling places like the Long Hair Center(cheap price) "hair mills" - so this makes me very unsure. Of course, I am no tech millionaire/movie star but I don't mind spending the $$ once and getting a good HT. They have said I need 400-4500. 2. Dr. Jae Pak, LA Also seems to have good online reviews and trained by the same Dr. who trained Dr.Diep apparently.....he classified me as a 3A or 4A and said that I need 2000 grafts. This number is drastically different to the one I shared above. Also, he is pretty pricey. 3. Dr. Bisanga Just shared my pics w/ him via online portal. 4.Dr.Cinik Haven't reached out to him yet - but read threads here saying that his clinic is a "hair mill" 5. Dr.Bicer Based on my research this Dr. seems to me to be the most legit. I have reached out to her and am waiting(somewhat anxiously) to hear back. 6.Hair Centre Mexico Shared pics and am waiting to hear back. 7. Dr.Diep Seems to be a very good Dr. But the threads here are quite a bit polarizing and he isn't cheap(this isn't much of a factor if its worth it) Since a lot of you here have had success & also fairly knowledgeable on the subject ...would be great if you could help a newbie out.
  5. Thank you! Great pointers for me to further dig into. Reached out to Dr.Bisanga - will keep you updated once I get a consult. Will reach out to Eugenix & Hattingen as well....I am really hoping to get it this year so maybe Eugenix is looking slim.
  6. Dear Community, this forum helped me a great deal in my decision making process but also in making myself knowledgeable around the whole topic of HT. Therefore I wanted to give something back an let you participant in my journey, starting from the procedure I underwent at Dr. B's clinic end of January. About myself 31 years old Hair loss started at around 20 I would say and progressed really slow towards the status you now see on my pre-op pics Never took any medication, but have now started with Minox 5mg daily Graft breakdown 1 FU: 402 2 FUs: 1,298 3 FUs: 1,200 4 FUs: 77 Total: 2,977 at avg. 2.32 hair / graft I'm not going into detail w.r.t. the day of the procedure and the procedure itself as I thing this is pretty well know by now. Having said that, I'm of course very happy to answer any questions should you have any! What else to say? I'm obviously very happy and excited with this step and am looking forward to the coming months. In terms of healing and first days post-OP, I can say that I never had any pain (didn't even need the painkillers the clinic gave me with the after care package). 90% of the scrabs came off at day 9. My donor healed up quite nicely and looked pretty much back to normal at around day 7 I wanna say. Below you will find my pre-OP pics
  7. The following case presents a patient with advanced loss with some areas of the donor evidently weaker in points. The plan was a conservative approach to address as much area as possible without exhausting the donor and tapping into the beard area to supplement also as a further donor region. Thank you to the patient who kept excellent record of healing and through to 12 months stage and you can see the progression and final outcome. The patient is very happy with this transformation and we can also utilise further scalp and beard donor for future coverage. PATIENT QUOTE:- "Exactly one year ago since I’ve been at your clinic with Dr. Bisanga and you...I can’t say it enough, thank you for everything you did to me! From the beginning till now, you and the whole team have been incredible and I am more than thankful and grateful to be with you! 💛🙏🏻" AGE: 30 (At time of surgery) MEDICATION: 1mg FIN GRAFT BREAKDOWN:- 1s = 738/738 hairs 2s = 1966/3932 hairs 3s = 1269/3807 hairs 4s = 27/108 hairs TOTAL SCALP: = 4000/7885 = 1.97 average BEARD TOTAL: = 468 TOTAL SURGERY COUNT: 4468 PRE-SURGERY PLACEMENT DAY 1 PLACEMENT DAY 2 AT FOUR MONTHS AT FIVE MONTHS AT 9 MONTHS AT 12 MONTHS COMPARISON AT 12 MONTHS
  8. That’s not a fair or true statement, while I agree Reddy is very skilled. Only a handful maybe even less have as many patient reviews that are successful as Dr. Bisanga. He has over a decades worth of high quality work.
  9. Age 26, Norwood ~3V + retrograde + diffuse thinning (including donor) Medication: dutasteride 0.5mg/day, foam minoxidil 1-2mL/night Hair characteristics: high contrast with skin, fine, straight Cost: 2.15 euros/graft which is a discount from 2.25 euros/graft because I agreed to provide them anonymized photo updates for their own use. Posting this thread is my own choice. Though, I wish clinics would offer discounts for patients to post threads from start to finish. I see nothing wrong with that. Also, I think the price has gone up recently. Hair loss timeline: 18 - Looking back at old pictures, I had signs of thinning at the hairline 20 - Barber mentioned uneven nape, now I know it was the beginning of retrograde. Started noticing loss at the hairline/crown, found out about finasteride and tried to get on it but my awful dermatologist wouldn't prescribe it to me saying my loss wasn't bad enough 22 - Went back to the dermatologist, still wouldn't prescribe finasteride to me (I think because of side effects? don't remember). He instead prescribed topical minoxidil (requires a prescription in Canada) but he didn't make it sound like it was worth it (annoying to apply, need to use it for life), so I never went through with it 24 - Hair was looking awful, finally decided to do something about it - did my own research, went to a different doctor who was not a moron, and got a 5mg finasteride prescription. Quartered that for 6 months. Also started 1mL liquid minoxidil at the same time 25 - Didn't notice any changes after 6 months, seemed to have maintained. Switched from finasteride to dutasteride to keep as much hair as possible. Got a microscope and analyzed my donor, saw greater than average thinning 26 - Seem to have continued to maintain. Switched to foam minoxidil because liquid takes forever to dry Moral of the story - Many doctors are crap. Take medical matters into your own hands and leave nothing to chance. I carried those learnings over to my HT research. Choice of surgeon: I sent the following clinics (in no particular order) pictures/videos of my hair/recipient/donor. The main point of contention between their opinions was regarding the microscopic videos/images of my donor. Hasson - "Dr. Hasson felt there was more miniaturization than the typical 10-15% and therefore a procedure would involve a bit more risk." Wong - "Dr. Wong on the other hand did not believe there was any signs of dupa and would have no reservations performing a procedure." Bhatti - He was concerned, felt that my donor density was quite low and wanted me to get evaluated in person Bloxham - Wasn't concerned, was more interested in if I noticed any changes in my hair, and said a proper in person examination would be in order Konior - Not concerned, said my donor area was about average Bisanga - More miniaturization in the donor than they would like to see for someone my age, and suggested an in-person consultation Ferreira - Said my donor isn't great, but that I'm far from DUPA, and that my prognosis is good Lorenzo - Said I didn't have DUPA but didn't go into any more details. I feel like they may not have seen the microscopic videos. Wish they would have at least acknowledged my weak donor. Tried following up multiple times to get clarity, but they never responded Diep - saw him in person since I was nearby, he said I had 10k+ grafts available in my donor. 'nuff said. Rassman/Bernstein - said I have more thinning than average but not yet DUPA, suggested I wait a few years, but said I could get a small HT Hattingen - said they would not operate on me, suggested I send them yearly updates of my hair loss situation to see if their opinion changes HLC - didn't want to say anything regarding my microscopic videos, said I would need an in-person dermascopy evaluation, but didn't seem too concerned Pekiner - noted the miniaturization but said my donor was good enough and that they select the highest quality grafts At some point, I decided I was mostly interested in clinics where the surgeon does most, if not all the work. I understand the benefit of technicians doing parts of the procedure like extracting/implanting grafts, but I just feel more comfortable knowing that the surgeon is doing all the important aspects of the procedure themselves, and that I can hold them fully accountable. This left me with a few options at the time: Konior, Ferreira, HLC, Pekiner. Ferreira - I couldn't travel to Portugal because of COVID and wanted to see more results Konior - I think he is one of the best, but I was disappointed that he didn't acknowledge the miniaturization in my donor. My guess is he did notice it but that he's confident in his skills/work and doesn't want his patients to overthink things. I'll likely still see him in the future for temple point work or if I need any touch up on the hairline HLC - Didn't like not knowing which doctor would work on you, and the fact that you could have multiple throughout your procedure. Also have seen some cases where I felt the graft count was a bit aggressive for the patient's age. Have heard communication is also an issue Pekiner - I liked the technique, the small number of grafts per day (~1000), the fact that he is conservative and honest with his patients. Liked that he had a lot of patient reviews from start to finish (mostly on the Italian forum). Very experienced with hairline work and liked his hairlines and density (especially needed with my fine hair). Communication with his rep Alex has been very good. Aborting was a concern, but they told me that they now inform the patient of any findings but ultimately let them decide whether to proceed. Given he would select the highest quality grafts available, I was not too concerned. Also knowing that the graft count could be adjusted on the day of procedure (say down to 1500), my mind was more or less at ease. In the end, he said my donor was slightly better than expected. Procedure: Each day lasted from around 8am-5pm. On the first day of procedure, I had a discussion with Dr. Pekiner about my hair loss history and goals. We then took the photos, designed the hairline, and shaved the head. Then we moved on to the actual extraction/implantation. The way it works with Dr. Pekiner, similar to HLC, is you have two sessions of extraction/15min break/implantation per day, AM and then PM. In between these sessions, they have a chef who provides a meal for you (bonus points for catering to a vegan diet - the food was delicious). At the end of each day, they wrap your head in a bandage to protect the grafts/donor. On the third morning, they give you a final clean up and provide you with the aftercare kit including saline spray for the recipient and bepanthol lotion for the donor. 1 hair: 249 2 hairs: 682 3 hairs: 710 4 hairs: 164 Average hairs/graft: 2.43 Recovery: Sleeping - I'm normally a side sleeper, and started practicing to sleep on my back a couple months in advance. I don't think this is necessary, I just wanted to learn to sleep on my back anyway. Regardless, you'll need a travel/neck pillow anyway to make sure you don't turn in your sleep, and I think you'll be tired enough to fall asleep on your back even if you're not used to it. Another recommendation I have is to zip your arms inside a sweater, so you don't damage your grafts in your sleep. I've seen this happen enough times on these forums, even over the past few months, that I didn't want to take any risks. At one point I was very tired and fell asleep without zipping up my arms, and I actually caught myself lightly reaching up and tapping my recipient area as I was waking up. Nothing bad happened, but I was much more cautious the next times I went to bed and ensured that I zipped up my arms each time. Swelling - I noticed swelling mostly on days 3-4, but nothing too bad compared to what I saw online. I just let it pass with time. Pain - No pain for the first week really. From days ~6-10 I had some donor pain when I'd lay down on my pillow, so I'd just take paracetamol 20 mins before going to bed. Crusts/scabs - was instructed to start gentle massaging them starting day 6, increasing intensity with each day. By day 9, pretty much all of them were gone. Redness - I started using aloe vera as I've read that it helps. Haven't noticed too much improvement yet by day 30. The donor is still red but it's harder to see as the hair is growing longer. The recipient is still red, and the shedding is making that more visible. Feel free to ask any questions. I can add some recent photos soon. I'll probably update monthly.
  10. Interesting observation. He's definitely a very professional, skilled surgeon. P.S. Thanks Hair Restoration team for the recent insta live with Dr. Bisanga. It was very informative.
  11. Background: 28 years old with a NW2 type recession and very mild thinning in the crown. Family history: Mother’s side has great hair genetics (her father and brother had a full head of hair well into their late years), MPB present with my father and his late father, however, slow and gradual loss, my father is 65 and has more so thinned throughout the top rather than lost hair. I don’t have siblings, and my first cousin who I share my grandfather with from dad’s side, is 36 years old and shows no signs of thinning. * Important to note - I believe that looking at family history could be relevant to some extent, but should not be relied on. If you have experienced hair loss, 95% chance it is from MPB. It's due to genetic variations, your genetics are complex and unique, and MPB is progressive. It is wishful and naive thinking to believe you may “stabilize” one day or try to determine your final form so to say. Prevention: Propecia - Currently 1mg/ED (every day) - Started January 1, 2020 at low dosages, and worked up to 1mg a day. Experimented with 0.25mg EOD (every other day) and gradually increased the dose as I felt comfortable. - More time is necessary to judge entirely how efficacious finasteride has been for me, but I believe it is maintaining my hair. My hope and goal at the core is prevention, any added density or regrowth would be a blessing. Minoxidil - Rogaine 5% Foam 1x per night ED - Started about 1.5 years ago - Love/hate relationship, does occasionally irritate my scalp and other times its fine. The application itself is not a hassle as it takes a couple of minutes to apply, however, I'm not a fan of how it leaves my hair feeling clumped and greasy. - Hoping for the minoxidil sulfate test to come out asap to determine whether or not topical minoxidil is ultimately effective for me. (Might switch to oral) Microneedling - 1.5mm 1x a week, no topicals for 24 hours after session. - I use Dr. Pen microneedling device - Apply it all over my scalp other than my recipient area for the time being. - Takes me around 10 minutes, and I rather enjoy it oddly enough its therapeutic for me Shampoos - Nizarol 2% ketoconazole, Regenpure DR 1% Ketoconazole, Selsun Blue 2.5% (extra strength). - I alternate the use of these. I aim to use nizarol only once a week at most as it drys my scalp, Might use Regenpure once a week on a different day, and will only use Selsun Blue when my scalp feels irritated/itchy, I find this shampoo to be the best at clearing up dandruff and dermatitis. - Otherwise I use some mild organic shampoo without sulfates, that includes all the fancy ingredients like biotin, nettle, tea tree, etc etc & currently using Herbal Glo EOD. Hair Mask - - Occasionally I put on a hair mask, not for prevention towards MPB (will not do anything to address androgenetic activity), but to moisturize my dry scalp. - I use coconut oil, castor oil, pumpkin seed oil, peppermint oil, tea tree oil & I use 1 egg yolk that helps bind all the ingredients together so it's not dripping all over the place. Supplements - - Not super important in my opinion, as I have tested my blood levels for deficiencies for many years even before I realized I had hair loss. My Iron, B12, folate etc levels have always been intact. - Still I recommend anyone to test for any deficiencies as they could be hindering healthy hair growth. - I take Vitamin D, MSM, a collagen powder that contains biotin ED. - Cleaned up the diet and started exercising more consistently Considering: Oral Minoxidil - 1 - 2.5mg ED - Still searching for a doctor willing to prescribe it to me Dutasteride - Topical or Oral - 1x a week added to my finasteride regimine CB-03-01 - Topical Anti-Androgen to address remaining androgens in the scalp including testosterone & DHT Restoration - 2,401 FUE with Dr. Rahal on September 9, 2020 My search for a surgeon was narrowed down to Dr. Hasson, Dr. Bisanga & Dr. Rahal. I told myself I would be comfortable going to any of the three as each were very capable doctors for dense hairline work and had over 25+ years of specialization in the industry. Ultimately I made a decision to go with Dr. Rahal as the pandemic offered a unique opportunity for me in terms of timing to get my hair transplant. Being in lockdown meant that I would have the luxury to recover at home for at least the first 4 months, and likely further to 6 or 7 months as well. Dr. Rahal’s clinic offered a date in September that really worked for me, and being the first surgery after a long holiday period that meant 5 days of rest for him and his staff, while also being the only patient they operated on that day were big bonuses for me. Day of Procedure - The surgery went better than I could have hoped for, we started at 6:00 am and finished around 1pm, time seemed to fly by with some conversation with Dr. Rahal and his staff who were all friendly, and I felt little to no pain. Initially I was booked for 2,500 grafts, after drawing up a hairline and doing measurements, they determined they would aim closer to 2,200 grafts. They extracted 2,200 grafts and during the incision process, Dr. Rahal determined I would benefit with 200 more grafts added in for density, they flipped me over and extracted again; to total 2,401 grafts. I was returned the difference as I originally paid for 2,500. Dr. Rahal had two main techs who extracted and implanted the grafts, and I believe I counted 4 other female techs who were under microscopes sorting and analyzing the grafts. The team worked very efficiently and one of the women came over to tell me that “my grafts looked very good”, which was nice for me to hear at that moment and hopefully it wasn’t just something she was saying to make me happy. Dr. Rahal checked into the room once in between extraction and placement, and it seemed he had a lot of trust in his staff. Dr. Rahal’s demeanour is calm and soft spoken, and also gets straight to business. I spent the night at their guesthouse, and my family and I expected to find accommodation at a hotel in Ottawa the following day as I didn’t know what to expect in terms of recovery, however, to my surprise I felt nearly no pain and we left immediately after the post-op the following day (4.5 hour drive back to Toronto from Ottawa). Fun fact, their clinic in Toronto is a total 7 min drive from my home, but the date they had available in Ottawa that week worked much better so we made the trip instead, which we rather enjoyed anyway. Everything considered, I was very happy with my experience on the merits of the work and attention I felt I was getting, minimal pain & swelling, and overall the immediate recipient area looked clean and dense and the donor looked good and healed quickly. My recovery was standard, I took a high level of precaution for the first two weeks, followed their instructions to the T and the post-op rep was always available to answer my questions. Why I chose FUE - For a few reasons. Every doctor I consulted with, including Diep, Zarev, H&W (consultant), Pradeep Sethi, Bisanga and of course Rahal told me I was a great candidate for FUE. I was told my donor had a fairly high capacity that I could tap into in case there was some more recession even on medication. The extracting tech ended up telling me he suspected I could achieve approximately up to another 6k, so in total 8k grafts. The other reason is that ever since I started getting haircuts as a kid on my own, I always kept my sides very short, I’ve always faded my hair and there may not have been a time since I was like 13 that my sides were longer than a 3 or 4 guard. So it was important to me to have this option. Lastly, I felt that FUE may offer a greater exit strategy if down the road things didn’t go according to plan and the Norwood Reaper wins the battle. It might be easier to shave down having done an FUE vs FUT, however, I don’t believe it would be easy with either. Surgery Details: Total grafts: 2,401 Total hairs: 5,458 Average hair per graft: 2.27 Graft break down: Singles - 407 Twos - 1,034 Threes - 857 Fours - 103 Recipient area size: 43cm^2 Recipient graft density: 55.8cm^2 Photo Dump: Clinic Photos: Day 3: Day 10 Day 14 1 Month 2 Months Month 3 This forum helped me get through this process and I'm grateful for it & I wanted to play it forward. I'll try to update month to month, any feedback is appreciated and welcomed. Special thank you to @Melvin-Moderator & @Raphael84 who were very helpful answering the many questions I had.
  12. Great video. What is Dr. Bisanga's thoughts regarding Oral Minoxidil causing collagen breakdown of the skin? As well as dark circles around the eyes? Is this seen in clinical practice? Thanks
  13. @aaron1234 Thanks for your question. I remember following some of your crown restorations back in the day so great to see you active again and doing well. Dr. Bisanga recommends and prescribes 5mg oral minoxidil. Hypertrichosis can be a "side effect" of the medication with increased hair growth in other body areas. Whilst I haven't heard of too many examples of an increase in eye brow hair, I personally feel that I have experienced this but in a positive way as mine were thinner. Some patients use topical minoxidil and apply that to the beard with some success and so the mechanism of the medication would suggest that this is logical.
  14. @Raphael84 Has Dr. Bisanga noticed an increase in density of beard and eyebrow hair with patients on oral minoxidil? And at what dosage does he prefer for oral minoxidil? Thanks!
  15. I have a few topics on this forum regarding my hairloss, which started 4 years ago, probably a bit earlier. I live and work in Hong Kong, and no decent surgeons there. I was searching for other options in the region, I came up with a dude in Thailand and one Singapore. Didn't feel comfortable with both of them. The dude in Singapore charges 60$ for an online consultation, which is ridicules. It's not about the money, but about the principle. I work in healthcare myself, and it's easy for me to see which Docs are good... I've been talking with BHR clinic since 2017. Last month I made decision to move ahead, and they had a spot free in May. Flew over last week to lovely (read depressing) Belgium. I'm originally from Belgium, so I could combine this with seeing my family. Ian from BHR guided me through the process, met Dr. Bisanage last Sunday, day before surgery. Everything went perfect, friendly team... We initially planned for 3,600 grafts, which turned into 4,132 grafts. From the pictures you will probably think this is overkill, but my hair was thinning faster than I can swipe right on Tinder... I will post, after surgery pictures tomorrow. I literally just arrived back at the hotel. Pictures before:
  16. Guys, I have to say the last time I spoke to Dr. Bisanga back in February, the hour flew by like it was minutes. I was soaking up all of the knowledge. This time he’s gonna be teamed up with Dr. Kostis. It’s a great chance to listen and learn from Dr. Bisanga, but also meet an up and coming physician like Dr. Kostis. Ask away guys I’ll try and include your questions this Saturday.
  17. What is more effective, PRP or Mesotherapy + Dutasteride?
  18. Patient with the objective to rebuild his hairline and restore his temple recession. Thank you to the patient for his timely updates and always providing such quality images with consistent angles and lighting to allow us to enjoy his evolution. The patient is very happy with his transformation up to this point at 6 months post-surgery and he has explained the value that he found in results posted by previous patients and therefore wanted give back to the community and share his case. AGE: 31 (At time of surgery) MEDICATION: Finasteride + Minoxidil GRAFT BREAKDOWN:- 1s = 420/420 hairs 2s = 1432/2864 hairs 3s = 523/1569 hairs TOTAL: = 2375/4853 = 2.04 average PRE SURGERY DESIGN PLACEMENT DONOR AT 2 MONTHS AT 3 MONTHS AT 4 MONTHS AT 4 MONTHS COMPARISON AT 5 MONTHS AT 6 MONTHS AT 6 MONTHS COMPARISON
  19. If native hair were to "thin faster" due to the trauma of surgery and placing grafts amongst native hair, then this would be an issue for the majority of hair transplant patients. Other than extensive patterns of Norwood where patients have lost essentially all native hair on top, then placing amongst native hair is common practice. Even those patients with just a small amount of frontal loss, when restoring the hairline at density it is necessary to transition into native hair behind to ensure of an undetectable result and consistent visual of density. This is not the case when surgery is performed at a high standard and the making or recipient sites, their angles, direction and depth is harmonised with that of the native hair of the patient which ensures that there is as little "trauma" as possible. The "take away" here is the quality of surgery. This is why Dr. Bisanga will request a complete shave down to be able to have complete visuals of hair direction and angle at the exit points, and will use a punch size that does not require the recipient site to be larger than needed, which creates less "trauma" to the surrounding area and therefore has little to no impact on surrounding grafts. If the patient may have miniaturised hairs throughout the recipient area, then this may present a different situation as the native hair has already begun the process/cycle of thinning and loss and depending on the status/extent of the follicle within that cycle, then shock loss may occur. But this is not an accelerated thinning of healthy hair. This is another reason why medication pre surgery to help to stabilise and strengthen native hair can be a very important factor, especially when transplanting amongst native hair.
  20. Are patients with finer hair candidates for hair restoration surgery?
  21. Hi @TorontoMan Good to hear from you, I hope you are doing well! Dr. Bisanga recommends/prescribes 5mg oral minoxidil. This is based on several important studies from leaders in the regenerative medicine field.
  22. Looking good. Now the journey begins... Who is Dr. Kostis? I thought you went with Dr. Bisanga?
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