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  1. Hi everyone - I've been silently reading this forum for the last few months and it was instrumental in my decision to take the plunge and get a hair transplant. Here's my experience and journey so far. Statistics: Age: 33 NW: High (IV/V, possibly emerging VI but that's my guess) Caliber: 60 microns Hair / Graft Ratio: 2.04 Total Grafts Transplanted: 5,621 Estimated Donor Capacity: 8,200 Background: Like many of you, I’ve suffered from hair loss for most of my adult life, have tried (and abandoned) various hair regrowth treatments and thought becoming bald was my inevitable fate. I only started thinking about hair transplant options over the past 6 months or so when I randomly came across some articles discussing the latest advancements (and horror stories) in the field and the relative inexpensiveness of operations in Turkey and elsewhere. I began researching the topic seriously and this website was instrumental in my decision to go with Dr. Koray Erdogan. In selecting Dr. Koray, I focused on three things - results, passion for the craft and price. Being a high Norwood with a family history afflicted with MPB, I needed someone who had expertise with large HT cases like my own. I cared about passion for the craft because, I believe, thought-leadership and innovation are indicators of success, and I wanted the best-of-class when it comes to a major cosmetic operation that could either be transformative or a major disappointment. Finally, it had to fit my budget... now; I wasn't interested in taking years to save up $30-$45,000 that some US doctors were quoting me. Before settling on Dr. Koray, I researched and consulted with other hair transplant surgeons. As a Southern California native, I looked into local doctors (Armani, Rassman, Bisanga and others), some of the other big names in hair transplant I was coming across (Couto, Frietas, H&W, etc.), as well as other Turkish doctors (Karadeniz, Civas, Doganjay and some of the low-cost options too, like Cinik and Maral). I had a few in person and online consultations with some of these doctors, which was helpful. Frankly, the North American / European doctors who had impressive results were out of my budget. Dr. Koray was comparably priced to some of the average doctors I was seeing in the United States but had a stellar track record over the years and lauded as one of the best in the world. I thought his results put him among the top FUE surgeons in the world. I also found Dr. Koray’s YouTube videos to be very informative (admittedly much of it was PR, but it worked on me), and I became convinced that manual punch FUE in a mega session with some sort of implanter tool (like the KEEP device that Dr. Koray uses) is what would be best for me. In fact, I feel I may have ended up with Dr. Koray regardless of price. Pre-Op Treatment: I reached out to Asmed in early December 2018 and booked for mid-February 2019. At that time I wasn’t under any sort of medication. After my initial discussions with Sema, I went on 1mg generic fin daily and achieved some actual hair growth in the crown and midline areas. Process / Surgery: Others on this forum have gone into specifics around the airport pick-up, hotel, and clinic procedures in considerable detail, so I won’t repeat that here. But what I will mention is this. The Asmed mothership on the Asian side of Istanbul probably represents the pinnacle of what a modern medical facility should be - impeccably clean, sleek and exceptionally designed to shuttle patients from a pristine operating room, to high-tech hair wash / cut and transplant design areas, to an inviting waiting area (where you are greeted with Turkish hospitality in the form of tea, coffee and pastries and live classical music by a violin-piano duo). Everything was thoughtfully planned and laid out, and the process struck a balance between being highly individualized (Sema being my dedicated coordinator and never leaving my side) but productive (which I welcomed - I wanted to be one of the many patients they have great results for). When other people on these forums talk about how Asmed is a world-class facility, it truly is. When you meet Dr. Koray in person, you soon realize that he is singularly focused on your hairline and achieving optimal results based on a plan that takes into account your donor capacity and anticipated future hair loss. My interaction with him was otherwise limited, as I had expected to be from reading the forums, but I didn’t mind that – hairlines (and mine in the moment) are his obsession, and Dr. Koray spent a good 20-30 minutes (and consulted 18 others – my wife counted them) to ensure that mine was the very best for my face. And in Dr. Koray's staff, I felt care, compassion and dedication to implement Dr. Koray’s vision for the optimal hair transplant for me. Sema, my patient coordinator, was knowledgeable, patient and attentive. Nabiyeh, the nurse who was assigned to me the entire time I was there, was compassionate and genuinely concerned about my wellbeing. The surgical assistants had unfailing endurance and nimble, precise hands – in another era, they may well have been expert craftswomen weaving a great Turkish rug but are instead making a masterpiece out of my head and hair follicles. (I would prefer their hands doing the harvesting and implantations over that of any 50-60 year old man, no matter his years of experiences or the number of degrees he holds). Results: I could go on here… but what will ultimately matter, more than anything else I've written here, are my results, so check this thread 12 months’ time and we can all be the judge.
  2. Hi guys, I finally decided to move forward with my HT after years and years of research. I've been debating whether to do or not to do a HT for quite some time and after browsing these forums for such a long time without contributing anything I've decided to document my process for you guys. Graft Breakdown 1 Unit: 995 2 Units: 1597 3 Units: 961 4 Units: 69 We did 2100 or so grafts on day one and the remainder on day two. Why Dr. Bisanga? I had consultations with many of the top surgeons and traveling was not going to be an issue for me so I definitely had a few options. In the end I decided to go with Dr. Bisanga. Even though I never went in for an in person consultation, Hilde was wonderful throughout the entire process and she helped make my decision in choosing Dr. Bisanga a lot easier. Dr. Bisanga is a wonderful doctor who makes you feel comfortable during your surgery. Surgery and Clinic I'm not going to go into detail on the clinic since you guys already know what to expect here. I will say that I was satisfied with the clinic and all the techs were super nice and friendly. The surgery took two days with a total of 3,622 grafts planted. I went back in one more day after the surgery just for a quick checkup and to have my scalp cleaned and I'm on my way back home now. My Goals So Dr. B asked me what my goals were before the surgery and I told him that I've seen my hairline go higher and higher over the years and I wanted to bring it back down with lots of density. He drew a hairline for me and I was satisfied so we decided to go with it. I did mention that I want to fill up my crown but Dr. B recommended to wait. The goal for this surgery was to create a brand new hairline, pack up the front and overall reduce the size of my forehead. I've attached some before and afters and I will make sure to keep you guys posted on the progress.
  3. After long consideration and plenty of research, I have booked in with Dr.Bisanga on the 3rd of September 2019 in the new Bisanga / Cole Clinic in Athens. A small briefing of myself. I'm in my early 30's and possibly a Norwood 2. Not losing a mass amount of hair but enough to make me feel self conscious. My hairline used to be lower in my 20's. The hairloss started possibly around the age of 25. Typical hairloss. Receding at the temples and the hairline moving back over. I initially made contact with the B/C clinic after the recommendation on Instagram. Obviously I had done extensive research online and via lots of internet hairloss forums. I am also members of Facebook hairloss groups. It was a very tough process, to filter though all the clinics around the world. Initially, I would have wanted to get the surgery done in the UK. As it's a very daunting process to fly to a foreign country for any cosmetic procedure. As my research esculated and knowledge increased, I found that there wasn't many top surgeons in the UK. I'm definitely not saying there isn't any, I'm just identifying that my background checks on surgeons just didn't accumulate to much. I also did a hell of a lot of research on Turkish Clinics. In the end, to cut a long story short, my main essential questions never got the answer I was looking for. My thoughts behind choosing between either Dr.Bisanga or Dr.C was purely personal preference. A flip of a coin some people may say. Dr.C has been a innovator within the FUE industry creating industry designed tools distributed world wide and performing numous FUE transplants. He also trained Dr.Bisanga. My thoughts behind the choice of surgeon was souly based on my research. Also the type of surgery I was requesting and the results to back it up. Dr. Bisangas work stood out by a mile in relation to my specifics. His hairline lowering and temple work was top notch and widely documented online. Meanwhile, although I could find lots of Dr.Cs top great work online there wasn't as many (to my preferences) stood out compared to Dr.Bisanga's. Through many a conversation with my patient advisor Ian Rafferty, I decided to book with Dr Bisanga. I must say, my patient advisor Ian has been top class. Every question (there's been alot) has been answered to a tee. Quick response times, honest and realistic answers. There's no main sales tactic within this process. It made me feel reassured that the patients interests were best at heart. In my photos you will see the two hairlines illustrated on the photographs. The back hairline is what has been agreed between myself and Dr.Bisanga. He did mention that every patient is different.Normally Dr. Bisanga would look for a minimum distance of 7 cm between hairline and eyebrows. In my case due to facial features he has agreed to lower my hairline by 7-8mm. The white dotted hairline is what I would have wanted initially, (if possible) but I am more than happy to take on the knowledge of Dr.Bisanga, knowing he has my best interests and future mature hairline in his considerations. I'm going to document my full Jorney on this forum and possibly some others. Thanks, and I hope this is of some interest on your particular hair transplant journey.
  4. Hi I'm at pretty similar timescales to yourself in regards to my operation with Dr.Dr.Bisanga. Have you got any additional updates to share? I went to Athens on the 3rd of September for mine. Happy growing!
  5. On the 2nd of September myself and my friend flew out to Athens for my front temples and hairline reconstruction surgery with Dr.Bisanga. My surgery scheduled on the 3rd of September at 7:45. As promised by the clinic, a driver was waiting for my arrival in the airport (even though we were 1 hour 30 minutes delayed / late). He then took us straight to our hotel and we checked in. On the morning of the Surgery at 6:15 I went down to the hotel restaurant where we had breakfast. Avoiding caffeine and drinks high in Vitamin C. I had quite a large breakfast knowing there was a long day ahead. Although the hotel was great, my sleep the night before had suffered. I only managed around 5 hours. My hotel was only a short 15 minutes walk from the clinic. Arriving at B & C I was greeted very happily from my Athens point of contact Maria. She took me through everything and I signed the necessary paperwork. From that point I went and met Dr.Bisanga's Technician. She took my before photos and handed me my surgery wear. Once Dr.B arrived, we went off to another room to disscuss the surgery. We also discussed the hairline and any other questions I had. He again was very welcoming, professional and put me at ease straight away. Although it did seemed to be quite rushed as he was a little late on the morning. During the operation Dr.Bisanga was joined by two fellow surgeons from Israel. They didn't contribute towards the surgery, but were just observing, asking him and myself questions along the way. His knowledge is unquestionable in regards to FUE and it was a pleasure to listen in and contribute to their conversation. Both Dr.Bisanga and the other surgeons were complementing myself on the unlimited donor area / hair quality I seem to possess. For this reason Dr.B evenly punched one side and the rear of my head. He explained the reasons behind this and I was more than happy to agree. As disscussed with my UK patient advisor Ian, Dr.B completed all graft punches and incisions. Again the other Drs seemed to be in awe of his techniques and quality of work. All things you would love to hear from the mouths other professional surgeons. Once Dr.B had finished off, his team of technicians from his Belgium clinic began the extractions of all the grafts. This for me was the worst part of the operation. Not because of the extractions, but the body position I had to endure for quite some time. I was face down on the chair, on what can be described a very hard travel pillow with my neck bent up over. I was later told the clinic are in the process of moving to their new premises and this wasn't the usual chair used. I did have to stop for a few seconds every now and then to stretch my jaw and neck. A this point we stopped for lunch and I was provided with a meal while the technicians sorted my grafts. After a quick lunch break at around 3.30pm we were back in the surgery room. The final stretch! Placing the grafts in the incision sites. This was the most comfortable part of the procedure for myself. As I was sat conventionally on my back relaxing, while the technicians completed the placements. The two surgeons from Israel popped in from time to time to watch their techniques. Again they were both impressed. Overall the procedure was great. The lead upto the big day was well organised and communication with my UK patient advisor Ian second to none. Not only Dr.Bisanga, but his team and staff are all clearly professionals. From the start, I some how had a gut feeling Dr.Bisanga was was the physician for me. After researching on various hairloss forum's, reading reviews, looking at examples / styles of work, I decided he was the surgeon for my desired hairline. Fingers crossed I've made the correct decision! Specifics from my procedure : Punch size - 0.9 Total Graft Count - 2622 1s - 400 2s - 976 3s - 1046 4s - 200 Currently 9 days post operation. The donor area is near on unnoticeable and hairline free of all scabs although slightly red.
  6. Dr. Umar, Dr. Bisanga, Dr. Mohebi. There are quite a few.
  7. I'm going to have my hair transplant with Dr. Bisanga to cover 2/3 of my upper scalp. The session is scheduled to take place in mid of July. I've had a consultation meeting with him last year and he recommended to transplant approx. 2700-2800 grafts in that area. Most important to me is that it will look natural. I've had a very good impression of his work and so I decided to go for it. As you can see on the pic there's still hair in the area where grafts will be transplanted. I'm a bit worried about how it will look like after the existing 'old' hair has fallen out and the transplanted hair remains. Obviously it will look thinner than with it but Dr. Bisanga said that it will look ok as he will place the grafts as if the area would be bald. I will share my experience here with you.
  8. 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.
  9. I have to say the work looks extremely clean and I wouldn’t expect it any other way, since its Dr. Bisanga. I would encourage you to create a patient website it’s free and a great researching tool and progress tracker. https://www.hairtransplantnetwork.com/blog/
  10. Hi all, I've posted a couple of times on here previously. My story briefly is as follows: I'm in my early thirties, and have been noticeably losing my hair since around 2006 (so 10-11years), with the most rapid loss between 2012 and 2014. My father is a NW5 slowly progressing to a 6 (but he is 70!), I'm probably a NW5 too at present but progressing towards an NW6. My maternal grandfather had a full head of hair (maybe a NW2 or NW3 at worst), my paternal grandfather didn't (probably a NW6). Despite noticing my hair loss for the past decade or so, I haven't really taken any action. In 2011 I trialled minoxidil for 6 months, however stopped taking it after this time due to palpitations. It worked well, I noticed new hairs forming (in my hairline), however after I stopped taking it I noticed dramatic loss in a couple months or so (hence my worse loss probably being around 2012-2013). I never tried finasteride; I know, people are going to say; "why not?" or "just give it a try!". It's purely a personal decision; I do not wish to undergo any of those side effects nor have to take a pill for the rest of my life. If this stops me from getting a great result, then so be it. However, I am perhaps willing to try 1mg of Propecia 3x/week; that way it would be much cheaper and also I would hopefully at less risk of sides (it’s not just the sexual ones which concern me, I have a very high functioning job, and need to be on my A game all day; I don’t want the cognition side effects either). Anyways, I decided I would probably need multiple HT in 2013 and enquired at H&W with David Anderson. He was very amicable and he followed me up until 2016 when he left. I actually booked a 4500+ FUT megasession with Dr. Hasson, however unfortunately I had to cancel this due to no longer being available at the dates I had booked (as I would have to fly to Canada and back this was not possible in the short amount of time I had off). I was also uneasy about undergoing FUT due to the scar. I have already told myself as a last resort that if my hair gets really bad I will just have to keep it really short or buzzcut it, this would not be possible with FUT (and is just about a possible with FUE); I understand that FUE leaves scars too, don’t worry. They were very kind and considerate about all this and I thank them and their whole team for their professionalism. For sure if I needed a FUT they would be the first point of call; I had been researching for the last 5 years or so, and they definitely seemed the top. I then went researching for a surgeon who did FUE who was close by but affordable. My research brought up several familiar names: Lorenzo, Bisanga, Lupanzula and Erdogan. These (location wise) would all be feasible in my very limited time off and all their work shows great skill. However Lorenzo never replied to my emails until several months later and I decided I didn't want to fly in the end so ruled Spain (& Lorenzo out) and Turkey out and thus Erdogan. This left both Lupanzula and Bisanga as my top choices, they both had my dates available, and if I am correct Lupanzula worked previously with Bisanga? I was able to consult with Dr. Lupanzula over Skype however unfortunately logistically I was unable to meet him, however I was able to actually meet Dr. Bisanga in person and this definitely swung it for me. He was very amicable, and has many have commented he doesn't promise you the world, he is very realistic, conservative (the good kind!), honest and ethical. We decided that 3000-3500 grafts would be most appropriate with them concentrating on rebuilding the hairline and the frontal third. As you can see from my photos, the crown is also very bare, but I will have to therefore have another HT to potentially sort this out in the near future ± try propecia 3x a week. I was classed as a NW4V although I feel my hair is worse than that; it was probably made difficult for the doctor as I had my hair very short at the time of the consultation. In my eyes, hairline > crown coverage due to framing of the face.etc. My hair is quite thin, and my head is quite large, therefore I am not sure what sort of coverage I would need to get a good result, but thankfully my donor density was rated as decent with 80FU/cm2 all around. So, tomorrow I will have the first session of 3000-3500 grafts and then revisit my hair in 2 years time to either work further on the front, midscalp or deal with the vertex; depending on how much reserve I have. I’ll try to keep updated! Photos below are from January time; I can update with clinic photos tomorrow.
  11. Thanks Ian, It's been a very easy and well informed process from the start. It's been a pleasure speaking to you via email. I'm very much looking forward to meeting Dr.Bisanga and his team on the day, under going the surgery and attaining my desired hairline. Also thanks for answering Paddys question regarding technicians.
  12. Hello everyone, I have a HT scheduled on the 20th of this month with the one and only Dr. Bisanga in Brussels, Belgium. My case is very small and based on the information provided to me from Dr. Bisanga's rep i will be only needing around 2000-2500 grafts. I choose Bisanga because of his outstanding reputation on this forum and his recognition around the Hair transplant surgeon community in general. I hope i made the right decision by picking Dr. Bisanga for this procedure. I also looked into Dr. Lupanzula, Dr. Erdogan, Dr. Keser, Dr. Lorenzo and Dr. Vogel. Dr. lorenzo and Dr. vogel advised me to take Finasteride for now and to postpone the hair transplant because i am too young. Dr. Lupanzula said 2000 grafts and i am still waiting to hear back from Dr. Erdogan and Dr. keser My goals for this procedure are to restore my frontal hairline and add some grafts to cover up my balding temporal area. I am 28 years old, currently not taking any medication but i have ordered my first batch of Finasteride just for trial purposes to see how my body reacts to it. I am adding a few pictures that i took today, hopefully i can get some encouraging and educational information from you guys. Let me know who is the best suitable surgeon for my scenario. Thanks i will keep y'all posted
  13. Hi Gasthoerer thanks for the hair complement. Although it has still been getting to me for quite a while. In regards to the hairline choice, I was very keen to reproduce a hairline I know I'd be happy with for both the rest of my younger and older years to come. My facial shape does tend to allow me a more aggressive hairline as my forehead appears to be longer than it actually is. Without seeing my full face I suppose it may be hard to judge. I originally wanted a more aggressive hairline, which Dr.Bisanga dismissed. We have come to a compromise between myself Ian and Dr.B.
  14. Thanks Paddy. I'm not too sure to be honest. Although after doing my research on Dr.Bisanga I'm sure his team will be up to his standards and well put together. A leap of faith on that avenue! I can ask the question though if you are keen to find out?
  15. Thanks so far. Dr. Bisanga was doing the injections and did the punching in the donor area. He was using something motorized with a punch size of 0.8. A lady helped to extract the grafts. After that Dr. Bisanga stitched the holes in the recipient area. Two ladies then inserted the grafts over several hours. There were quite a few supporters in the room. I can't tell what all of them did.
  16. 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,
  17. Hello Traveller99. Holding on to your existing hair is a top priority now and after your HT. Check out HAIRFLUENCE for great ideas. Aloe Vera, Biotin and Folic Acid. Far better natural ways than medication that has all kinds of risks. Best of luck with your HT. Dr. Bisanga is a great doctor. Keep us updated please. ............Paddy............
  18. With so much misinformation coming from various factions, it is easy to get a false picture of FUE. I thought I would write up a list of advantages and disadvantages. Now there will be glaring comparisons to FUT, that is a given. I will say that the disadvantages of FUT listed are not in the majority, but I feel obliged to mention them because they can occur and sometimes do. I feel that patients and potential patients have the right to know the differences between the two methods so they can really make an informed decision. The list will be quite exhaustive and brings up many factors that are very rarely spoken about. Advantages -No linear scar: This is the most obvious advantage. With FUE the follicles are not taken in a linear fashion. They are scattered about. And while the remnants are scars, they are usually much less detectable and scar visibility is reduced especially when hair is wet etc. This also allows for different hair styles such as messing up the back and sides. Braids or cornrows can be had without the exposure of a linear scar. Here are some examples of FUT scars: Excellent FUT scar: Bad FUT scar: It is important to note that even with the best FUT surgeon using a trichophytic dual layer closure, there is no guarantee the scar will end up thin. Alot of it has to do with your physiology. FUE scars after 4,200 grafts shaved down to a zero: FUE scars after 3,489 grafts: Patient with very short hair at months 1, 9 and 20 post operative after 2,810 FUE grafts: _______________________________________________________________________________________ -Less chance of nerve damage: Due to the punch sites being smaller and less confluent, the nerves repair themselves much quicker than FUT. With FUT, a large section of tissue is removed so it can take longer for the nerves to re-adjust and realign. Some people who have undergone FUT say that they still have feelings of numbness/tingling in the donor area many years after their procedure. Permanent nerve damage, although rare is possible. Permanent nerve damage is possible with both FUE and FUT, but less likely with FUE. _______________________________________________________________________________________ -Less invasive: Because a small(.75mm-1mm) punch is used and not a scalpel that cuts into deep tissue, healing time is usually much quicker and mostly less painful than FUT. No sutures or staples are used as the punch sites are so small that they heal without such methods. The donor area can look untouched within a few weeks without the redness of an FUT scar that can linger for over 6 months. That said, FUE is not a painless surgery and temporary shockloss can still occur. A picture of a typical FUE extraction intra-operative: A picture of an open FUT extraction before it is sutured: __________________________________________________________________________________ -No increased scalp tension: With FUT, with each procedure a patient endures, laxity is taken away from the scalp. Most are lucky in that they do not notice but the unlucky few can experience a tighter scalp. Some have reported a 'facelift' effect on their scalp where the hair above the ears and the nape is raised after a FUT procedure. One patients with an already tight scalp, these effects can occur in just one procedure. _________________________________________________________________________________ -Graft selection: This is a big one that not even the ardent FUT enthusiast can debate. FUE allows the Doctor to 'cherry pick' grafts that are necessary for an optimal result. He/she can select finer hair to use in the hairline, he/she can target 3-4 hair grafts for the crown and/or added density. He/she can extract only single hair grafts for hairline designs. These factors are left to chance with FUT. Surgeon can target specific grafts: Patient had FUT(top) and then FUE(bottom, same surgeon). Cherry picking allowed for a more refined result __________________________________________________________________________________ -Retains donor growth patterns/swirls/direction/angle: With FUT, the natural direction, swirl, wave etc of the donor area is eliminated(for lack of batter word) due to the removal/closure of a section of donor area. In some cases the effect is minimal but in others it can be more drastic. It can created a "step" in the donor area where it looks like hat-hair or just unnatural. In patients with wavy/curvy/frizzy hair, the effect is much more noticeable. With FUE, the direction/swirl etc retains its natural course as the donor area is not manipulated in such a way that a large section is removed. "Additionally, strip surgery will destroy the natural geometry of the donor region by obliterating the natural linear arrangement of follicular groups along the consecutive spirals" -Quote from Dr Umar Yellow lines show the eradication of natural flow of direction. Green lines show the untouched natural flow: Another example. Noticeable difference in direction. The natural flow has been eradicated. ___________________________________________________________________________________ -No transection of follicles from strip incision: During FUT, the surgeon carefully cuts the strip with a scalpel. However, it is almost impossible to avoid cutting through follicles given that the intersect like a zig-zag pattern. Those follicles are transected and rendered dead. Now if a strip is 30cm long, you have to factor that that is 60cm of follicles at the top and bottom edge of the strip(plus the corner). I don't have the exact math as it would be based on patient density and doctor skill but you are going to transect something. ________________________________________________________________________________ -Retains natural hairshaft diameter gradation/groupings: With FUT, a section of scalp(usually 1-1.5cm wide) is removed and dissected with the open wound closed up. Much like how FUT distorts the natural angles, direction and swirl of the donor area, it also destroys the natural gradation or progression of the hairshaft diameter/groupings. You may find the coarse, multi-graft, thick caliber hairs in the middle of the donor abruptly meeting the finer, smaller caliber single hair grafts toward the bottom of the donor. The smooth natural transition is obliterated. This is avoided in FUE as no area is cut out and closed off. The abrupt meeting of thick, multi-hair grafts(top) and fine single-hair grafts(bottom) after FUT: ________________________________________________________________________________ -Exercise and weight lifting are not prohibited for as long: After a FUT procedure, most surgeons recommend against weightlifting and strenuous exercise. This can range from a month to 3 months as it could result in the scar stretching. With FUE, it is usually after 7-10 days as there is no chance of the FUE scars stretching. To athletes or people that are passionate about sports and/or weight lifting, this could be paramount to decided which method to choose. ______________________________________________________________________________ -Exact graft count: The surgeon can stop at exactly the right quantity he/she desires. No overshooting. You need 2,000 grafts and only 2,000 grafts? That is what you will get. This is important for donor conservation. We all know with FUT that it can be hard to estimate donor density and sometimes the doctor overshoots leading to more grafts than needed or undershoots. FUE graft counter documenting every single graft taken in real time: _________________________________________________________________________________ -No dormant hairs are discarded: At any given time on any person's head, about 10-20% of the hairs are in the dormant cycle, meaning in their resting phase and are unseen for that given time. As they move into the cycle they become live while other live hairs become dormant etc. When a FUT strip is excised, it contains some dormant hairs which cannot be seen under microscope. Those dormant hairs(which would become live) are then discarded. However not all dormant hairs are discarded as some multi-hair grafts may contain a dormant follicle next to a visible active follicle. 10-20% of the single hair grafts cannot be seen however and are discarded while an unknown percentage of multi-hair grafts may have all grafts dormant and discarded. This is not a factor of FUE as the Doctor only targets grafts he can see. __________________________________________________________________________________ -Use of body hair/beard hair: The advent of FUE has also allowed for the exaction of non-scalp hair. This can be extremely useful for repair patients, patients of depleted or low donor hair etc. Say what you want about body hair transplantation, but it is here to stay. Doctors like Dr. Bisanga and Dr. Umar have pushed the boundaries on what can be done with body hair. Dramatic restoration via the use of body hair and FUE: __________________________________________________________________________________ -No sutures or staples: Avoids the discomfort and inconvenience of having to wear staples or sutures in the donor area post-op. No need to return to the clinic for their removal. No risk of going to a non-HT doctor and having them wrongly removed. Less obvious tell-tale sign that you have recently had surgery. Staples in the donor region after a strip procedure _____________________________________________________________________________________ -Avoids the irregularly angled hair protruding through a FUT trichophytic donor closure: Given that a trichophytic closure is the worldwide standard now for FUT closures, one common side effect is that the hair growing through the scar itself will be at a different angle to the surrounding hair. This can be quite drastic and stark and is different to the previously listed disadvantage of FUT "Retains donor growth patterns/swirls/direction/angle". It is also dependent on the patients physiology, luck and surgeon skill. It is especially noticeable when the donor is cut short. Misaligned and mis-angled hair protruding from the trico closure: _______________________________________________________________________________________ -No potential scar stretching: In FUT, the linear scar can stretch, regardless of the surgeon's skill and closure technique. It has to do with the patient physiology and scalp tension. I have seen stretched scars from all Doctors. No Doctor can guarantee a scar will stay 1mm thin. With FUE, the scars won't stretch. I will elaborate on FUE scars in a later section. Stretched FUT scar that can occur regardless of surgeon or closure technique: ______________________________________________________________________________________ -Optimal for small cases/eyebrows/beard work/scar repair: Say you needed 400-700 grafts for some minor hair recession. Undergoing FUT would not be desirable for such a small amount of grafts. FUE would be perfect. If someone wanted eyebrow restoration of 300 of so grafts, again, FUE would be the best method for that quantity. The Doctor could even select single hair grafts and finer hair so get as close to natural eyebrow characteristics are possible. Many patients with stretched scars or discontent with their FUT scar can have a few hundred FUE grafts inserted to fill it in. Eyebrow restoration: _________________________________________________________________________________________ -Avoids the 'traintrack' effect that can occur from a FUT closure: When a FUT closure is sutured or stapled, there runs a chance of killing hair surrounding the scarline if the sutures/staples are too deep, tight etc. It can strangulate the follicles and result in perpendicular scarring to the lateral linear scar much like train tracks. Even a thin scar can have some traintrack effect. Avoided with FUE. A potential byproduct of sutures: ___________________________________________________________________________ -No need for scalp exercises: Given that laxity plays a non-existent role in FUE, scalp exercises associated with strip surgery are not needed. Much like the need for shaving ones donor for FUE, this factor is minor but still an inconvenience to some. ___________________________________________________________________________ That is it for the advantage section. It should be noted that some of the factors like the FUT nerve damage or scar stretching are circumstantial in that they do not occur to everyone, but they can occur, even if they are in the minority. For those member who will jump on this thread and say "I had FUT and I didn't get any of those nasty things you say!" that is fine. I'm glad your procedure went smoothly. But if 1 in 20 FUT patients experience scar stretch or numbness, that makes it a potential disadvantage. I'm just making people aware on the potential pitfalls of both procedures. Disadvantages on FUE in the next post. More details on FUE, the various tools used, the surgeons who use them, their protocol etc can be found here: Click here
  19. 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
  20. 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
  21. Hi, This patient just sent us new pictures after 9,5 months from his surgery with Dr. Bisanga in Brussels. Kind regards,
  22. Surgery day was very straight forward and well explained. Upon arriving at the clinic at 0730, Dr. Bisanga himself opened the door for me and welcomed me to his clinic. While filling out some paperwork we both got to exchange a few words about our personal lives and came to find out that Dr. Bisanga used to live in DC metro area where I am currently residing. Dr. Bisanga was great, he made me feel very comfortable about the entire procedure, he asked me for my opinion on my hairline design and gave me a few pointers and his professional opinion. He then carefully observed my donor area and prescribed 2500 grafts to fill up my temporal areas. I agreed to the first hairline design and then he took some pre-op pictures before we moved the party to the operating room upstairs. The first step of the procedure started with shaving the donor area followed by taking antibiotic tablets and one valium. He then injected me with anesthesia around the donor, for some reason I required a lot more anesthesia as I was coming out of it during the harvesting phase. I didn't experience any pain except the needle penetrating the skin. For the the rest of the procedure I was completely knocked out and the nurse had to wake me up for lunch. After eating lunch I went back to sleep and woke up to two technicians working on the recipient area, 30 mins later they were done and my donor was wrapped with bandages and I was on my way back to the hotel, which was around 1800 or 6pm
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