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  1. Hello guys, As I am writing this I just came back from the BHR clinic for my post-operation consultation with Hilde, who is my patient advisor. Before we start I must say that the overall experience with BHR from the point where we first came into contact, has really been 10/10. They are very professional and really care about their patients a lot. Of course they might be more expensive than a clinic in Turkey, but therefore you have the feeling that they take care of everything and you see with their results everywhere online that by picking them you minimize your risk of a outcome which will not satisfy you. This peace of mind justified the costs for me. The head is throbbing a little bit and I only had 3 hours of sleep last night (however I was able to lay relaxed without any issue for about 8 hours total), but I am absolutely thrilled that I took the step and that everything went without complications so far. Now I am moving into the most important process which is the healing process, but before this will be shared in the coming months I would like to share some background. Today I am 28 and my balding has started around 18 years of age and I was using topical minoxidil shampoo the first time with 21 I would say. As this was very inconvenient I stopped doing so but ofcourse the balding process progressed. Then with 22 years I started taking finasteride, first 1,25mg a day and since the beginning of June this year I switched to capsules with 1mg a day. I am also using 5mg of oral minoxidil since 3 months (starting from 08 June 2021) to improve my donor area pre-operation. Apart from that I try to live healthy by eating whole foods, having a lot of regular exercise, being social and try to laugh as much as possible (reduces stress they say ) So upon first contacting the clinic I was looking like this (April 2020, only on my finasteride regime here): As can be seen pretty clearly the frontal area is thinning but my crown area has good cover, which I pretty much thank to the religious finasteride intake (of which I have 0 side effects by the way, also not what my reproduction is concerned). Now let us fast forward one year and a bit, to June 2021, as I was just about to start with the oral minoxidil. Now let us fast forward another 3 months to nearly the time where I had the operation and after I had my first three months with the 5mg oral minoxidil added to my regimine: What I have observed with the oral minoxidil: better hair thickness, increased body hair length (arms/legs) and more visible body hair in general. If we compare there two shots with the very first shot from April 2020, I feel that my overall hair quality and density has actually improved. So now let us move to some pre operation foto's of the hairline and after shaving: And then the day after the pre-op consultation I arrived at the clinic at 07:30 to be done at 17:30 that same day. They gave me some valium and overall I did not have any pains, it was a lot less bad then I have expected. Graft count: 2609 Graft breakdown: 1 Follicular Unit: 424 grafts 2 Follicular Unit: 1011 grafts 3 Follicular Unit: 1077 grafts 4 Follicular Unit: 97 grafts Donor density: 80/80 Now the immediately post-operation picture: Looking forward to share my healing process here with you guys and would like to thank everyone here sharing past experiences for us all to learn, benefit and make an educated decision from. Cheers
  2. 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
  3. Thanks! For this question I would refer to the post of Maa, who has a similar hairtype like I do and has also gotten this 2/3 Donor Area usage by Dr. Bisanga. If you check his final update you can see his donor looks pristine all the way around, and 600 more grafts were harvested: Ofcourse this is no guarantee my donor will recover the same way, but it sure is promising.
  4. In this episode of "Bitesize with Bisanga", Dr. Bisanga discusses the challenges and considerations when performing an FUE procedure on patients who have had previous FUT surgery.
  5. Hello Interweb A little about me, I am 37 years old and started to notice hairloss at around 21. I worried a lot at the time and over the years, more than I needed to - I actually learned to hold it at bay getting very good haircuts, something which is highly underrated for early stage hairloss imo! I spent too much of my life worrying (so much so I was even looking at hairpieces when it ABSOLUTELY was not warranted, thankfully I didn’t go through with it) and wish someone had known to tell me at that time the loss I had was mostly in my head and wasn’t a big deal in the slightest. Then I did start to lose quite a lot of hair about 6 years ago, I was looking pretty bald when quite suddenly it reversed! It was a bit of a miracle with a lot of hair coming back, which I still don’t fully understand, however it then resumed around 2 years ago to the point where now, finally I felt like something needed to be done. Therefore I’ve been looking at getting a HT for over 10 years on and off. As an aside, I remember in 2008 that everyone was convinced “hair-cloning” was coming any day now.. so I was always thinking oh if I can hold out for that… you know how that worked out haha. So when I see that kind of article now I can’t help but be sceptical. Anyway, I’m glad I was able to wait in the end as I feel the technique, especially FUE, has been greatly honed in this time. I was always expecting to get FUT when reading years ago, but now the donor area management with FUE are ending up looking amazing and the skills to make sure the grafts take are equally impressive - among the best surgeons that is of course. In addition I was always expecting to fly to the USA or Canada as that’s where the best doctors were back in the day - so I was really pleased when researching this time around to find that there are now some excellent choices for us Europeans. Great for easy travel in Covid times, to be able to have good service in our continent and support EU business. I’m not going to talk much about the selection process, but I decided to go with Dr Bisanga. Him and his team were highly professional from first contact (special thanks to Ian!) and seem to have the process, communication, aftercare and most importantly results locked down. I have posted some pre-op photos, they aren’t really that good as they were not intended for this purpose. Something to note is that my hair is very “fluffy” - eg it doesn’t look so bad really even though there is actually very little of it there! The hair characteristics have been quite a blessing in hiding the loss over the years. The clinic took better pre-op photos which do show the extent of the loss, perhaps I will get them from them at some point and post them here. Drugs-wise I took Propecia for around 6 months 2 times in my life and got side effects so stopped. I recently started again as the crown for the first time was looking a little weak - but only take 3mg per week (every other day), just before I go to bed and this has been ok in the month since I started. Dr Bisanga highly recommends oral Minoxidil which I’m considering taking also. This forum has been such a great resource to me going back all those years when I would check in every now and then to see what was going on in HT world, and all the more so over the last few months when I’ve done intensive research to plan the HT that I just had done. I think it’s really great that people who have had the same life experience come together to advise and support each other. So although it’s not really my kind of thing, I just had to post a bit about my story and make a little diary here to give something back to the place that has helped me out so much - I hope that it’ll end up being a positive story..!
  6. Dear ajbd069, many thanks for posting your case and updating it. Its already an impressive transformation in my mind and its not over yet:) Congrats and enjoy your hairs! With best regards Stefan German advisor for Dr. Bisanga stefan@bhrclinic.com
  7. Remember, that "graft survival" rate is not the same as "hair survival" rate. Dr. Bisanga uses the KEEP implanter tool, which improves your hair survival rate. Read up on it here. https://www.ke-ep.com/
  8. 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.
  9. Thanks for all the comments chaps! It was great when the swelling went at day 4-5, it's important to take some time off for yourself, as day 7 was the first time that I felt 100% again. Here we have day 8, the first day that it's possible to wash the graft area with the shower which I was very grateful for! I've been following the aftercare instructions religiously and the items provided seem to work really well. Still some scabbing after the wash but I've been told that this should all be gone by day 10, so not long to wait. One thing I forgot to mention in the initial write up, the hairline is deliberately not quite symmetrical. Dr. Bisanga suggested this as it both suits my natural hair direction and apparently always looks more natural overall than if it's made to be exactly symmetrical. Also the hairline can be slightly further up as my hair should naturally fall slightly downwards, I've never had the slicked back hairstyle that is common here and I don't think it would suit my face. How the hairline ends up growing will be the most interesting part for me to see. Soon comes the tricky part with the dreaded shed!.. See you at 1 month.
  10. With the ever increasing demand in FUE surgery, we are fortunate to be able to see some of the most impressive and refined hair restoration results. Unfortunately, we also see more and more poor quality surgery that presents no end of issues for patients. One such issue is the lack of understanding and respect for donor management protocols leaving the patient with an overharvested and depleted donor area. In the following video, Dr. Bisanga breaks down some of the important elements of understanding the donor area and emphasises the need for an in-depth evaluation and an appropriately tailored approach for each patient based on empirical date.
  11. In my own journey throughout the years and long before I was in my current role as patient advisor for Dr. Bisanga, I have spent many hours and found incredible value in this very forum. Being able to share frequent patient results from Dr. Bisanga is always a pleasure of mine and knowing that in doing so, it really adds to the essence of the community and can help to show what can be achieved. With that being said, I am very happy to be able to present my own case and give back on a personal level. In all honesty I did not intend to present my surgery photos until 12 months post op when I would have been nearer to my “final result”. This was because as many of you will know this was not my first surgery. I had previous strip surgery in 2012 (not with Dr. Bisanga) and was satisfied with my results at that time, however due to progressive hair loss, this meant that this surgery required "revisiting" the same area which was therefore not virgin scalp in the frontal half. Non virgin scalp means that quality of skin will be less due to making of previous recipient sites and subsequent scarring and this can have an impact on yield, and growth can oftentimes take longer to develop in repair surgery. I knew that I may have to be patient, but fortunately that has not been the case. I had FUE surgery with Dr. Bisanga 5 months ago with the following objectives - *Rebuild my hairline and increase density through the frontal third *Strengthen my temple points (as conservatively as possible) *Reinforce my mid scalp and crown *Place beard grafts into my previous strip scar (if possible) This was a lot to ask in one surgery, especially considering my quality of candidacy. In essence, any patient who is a candidate for hair restoration surgery does not have a “perfect” head of hair, but there are different levels to candidacy from excellent through to borderline and then obviously non candidate. We often seen “hollywood” hairlines achieved on patients with focused loss and what would appear to be a great donor. That certainly isn’t my case and isn the case for many. Challenges of surgery were - *Larger pattern of loss/decline *Retrograde alopecia (Dr. Bisanga explained that it is likely emphasised by my strip closure pulling my nape “higher”) *Average/below donor density *Below average hair groupings *Fine hair *Previous strip scarring Surgery was always going to be challenging in terms of achieving the necessary graft numbers but I was well aware of this and understood that we may not have been able to have achieve all of my objectives. This really highlights how realistic expectations are key. As is my intention with all patients who I have the pleasure to communicate with, education is fundamental. My surgery was scheduled over 2 days and I arrived in Brussels the days prior to my procedure for a thorough consultation using the state of the art equipment and software to allow Dr. Bisanga to assess the current status of my hair and scalp and discuss his approach. Due to using oral minoxidil and finasteride, I was very pleased to hear that my donor was stable and without any signs of miniaturisation throughout. I discontinued meds several years back and lost quite a lot of ground at that time. At 38 years of age, I wasn’t looking to lower my hairline at all despite it sitting high at over 8.5cm+ from the glabella. I really wanted to proceed as conservatively as possible in order to preserve as many grafts and achieve as much coverage as possible with an appropriate hairline as I age and inline with the shape of my face and considering my hair characteristics and donor specifics. One concern that Dr. Bisanga did have was some potential scarring on my scalp. Dr. Bisanga wanted to rule out any possible concerns such as scarring alopecia and decided to take a “punch” biopsy to remove a small tissue sample to be sent to the lab for testing. This then required a few stitches which were removed several days later. You can see the stitches in the post operative images and actually as this area did not receive any grafts to allow and encourage optimal healing, you can actually make out a weaker area in my recent photographs. Fortunately my biopsy result came back without concern and without the presence of inflammation or scarring alopecia. Surgery days went very smoothly as expected and after assisting many patients over the last years throughout their journey, it felt great to be taking my place in the chair. Dr. Bisanga explained that I had tough skin and I was burning through anaesthetic which meant the need for more numbing, but he reported easy harvesting despite my follicles sitting quite deep in my donor. We didn’t want to push too heavily or aggressively on my donor as my hair is fine and we didn’t want to further expose my strip, and as with all of us, loss is progressive and being conscious of this it was agreed that we would harvest approximately 2400 from the scalp with further supplementation from my beard using it to great effect in placing into my mid scalp and crown. As expected, all of my beard grafts represented single hairs and due to this being my first beard session, it was decided not to push far beyond 1000 grafts to allow a good distribution in terms of extraction sites and ensure optimal healing. With this being the approach, I was always going to fall slightly short in terms of placing grafts throughout my entire previous strip scar, and so therefore it was decided that we would commit to one side of the scar (approximately 260 - 300 grafts) which was still a bonus. Not the standard approach but in my case, it presented a great opportunity to be able to see yield throughout my scar tissue and at a later date, be able to return for further surgery, shave down and really understand and present what beard into strip scars can achieve by comparing both sides. Healing was very straightforward. I am obviously well versed in our post op care but instructions are simple and all products are provided in the post operative kit and despite a few initial “uncomfortable nights” as expected, recovery was generally quite quick. In fact, I was working and responded to patients in the evening on my surgery days. Being completely transparent, I was in no way expecting such early growth. Especially as despite a significant graft count, hair count with beard was lower and this was placed over a larger surface area, therefore I was/am extremely pleased to see density come in so quickly. Even now, improvement continues and I have several months to go. I am absolutely thrilled and not having to think twice about your hair when you wake in the morning really does have an impact on your day to day life and not having to worry regarding product and styling etc is a game changer. A big thank you to Dr. B and his team of amazing technicians and a shout out to all my colleagues at BHR who have shown their support. It is a special clinic and one that I am very proud to be part of. On a personal level, I genuinely get great satisfaction from supporting patients on their journeys and am thrilled to see their response and how their confidence grows and impacts many facets of their lives. I can honestly say that it has been a hugely positive experience and my results at this early stage speak for themselves and I couldn’t be happier. Many other patients have taken similar steps in their own hair restoration surgery and I remember the first forum case that I read some 15+ years ago. It was overwhelming, daunting, interesting and very exciting to see that there is hope, and there will be individuals who are reading cases today for the first time. Such communities are integral in the journey of many patients, it certainly was mine and I felt it important to continue to pay it forward and support the community. — BHR Clinic Dr. Christian BISANGA Technique: FUE Donor density: 70/70 FUs/cm2 Breakdown of grafts:- 2366 Scalp Grafts + 1100 Beard Grafts (Single hair) 1s - 1714 2s - 1341 3s - 411 Total Grafts :- 3466 Total Hairs :-5629 Average Follicular Unit (Scalp) = 1,91 hairs Average Follicular Unit (Scalp + beard) :- 1.62 hairs PRE SURGERY FRONT TOP ELEVATION PRE SURGERY RIGHT PRE SURGERY LEFT PRE SURGERY REAR PLACING LEFT VIEW PLACING RIGHT VIEW PLACING WITH BIOPSY DONOR REAR DONOR LEFT DONOR BEARD ] 5 MONTHS POST SURGERY LEFT 5 MONTHS RIGHT 5 MONTHS TOP 5 MONTHS REAR DONOR COMPARISON 5 MONTHS
  12. Dr. Bisanga and Dr. Mwamba are probably the best when it comes to afro hair. They are based in Belgium though.
  13. 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.....
  14. Hey Guys, I had the chance to speak to @Raphael84 aka Ian and Dr. Bisanga today, some great topics such as early growth, hair loss protocols and ideal candidates. Watch and enjoy https://www.instagram.com/tv/CTcxcAjJFZf/?utm_medium=copy_link
  15. This is what the industry needs and I am surprised they don't have it either. I have been to TOP top doctors, and the evaluation of my hair has varied so wildly. Here are examples: Doctor 1 assessment: Black hair. Average to low density. Hair thickness above average. Wavy. Donor area: 3.5. Doctor 2 assessment: Dark brown. Low density. Low thickness. straight hair. Poor candidate. 2-2.5K. Doctor 3 assessment. Black hair. (actually said very black, asian straight hair). Hair density: average. Hair thickness: above average. Donor Area: 4-4.5. And we are talking about an operation that is life changing and cost >20K. I need to go and see Dr. Bisanga. 100%.
  16. 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
  17. Please rule out the hair mills you mentioned, Cinik and Cosmedica who are tech based clinics as opposed to a skilled Dr. You could consider HDC, the rep is on the forum @Doron Haratithat would be approx €2 per graft. Tons of results and named Drs. So many other options, if your considering Turkey you could consult with the usual proven names - Dr Bicer, Dr Pekiner & Dr Keser. Affordable Drs without dipping in to hair mill territory are Dr Demirsoy and Dr Yaman. European options are Dr Bisanga, Dr Pinto, Dr Feriduni, Dr Ferreira, Dr Vila, Dr Freitas, Dr Couto and Dr Lapunzula. @DrTBarghouthiVerTex clinic is doing some really good work also.
  18. To echo the above posters, go to Dr. Nel or Blackrock Clinic in Dublin and get an estimate of your hair calibre/donor but don't, whatever you do, go to an Irish clinic for a transplant. Blackrock Clinic, despite being one of the most expensive clinics in the world, consistently produces mediocre and sub-par results; Dr. Nel is not much better (and he starts at €8k). For that price you can go to Bisanga/Feriduni in Belgium and get world-class results.
  19. After a long trip from Texas to Florida to Spain to Belgium, I arrived last night just in time to order a pizza and go to bed. Bright and early I made it to the clinic for my second hair transplant. Now I'm back from my procedure with Dr. Bisanga in Brussels. The objective was to cover the crown and touch up my temple points. Estimated 1,500 grafts, ended up with 1,528. Singles: 100 Doubles: 978 Triples: 450 The grafts were pulled from the back and my right side, not my left. Under magnification, my left side, above my ear, is weaker. Bisanga said there were mostly singles and doubles there, so leave them in place. His focus on donor management is impressive. I'll add more about the experience late. But for now, here are some pics. I'll leave my hair like this for a week, until I can shave it at home. Crown Before (month 8 after first transplant) Temples. Single hair grafts only. Something I didn't really notice before. I had some scar tissue in the back on my head. In the middle was a fat multi-graft. Dr. Bisanga punched it out with a 2mm punch. And then decided it would be best to cut out the scar and seal it with a single suture, which I'll have to have removed next week. I thought it was a very "pro" move. There was nothing wrong with it other than it looking a bit funny when shaved. I'm thrilled with this unexpected level of service. And funny... some clinics give headbands, some hats. Bisanga gives this crazy thing. Now I look like a grandma.
  20. Thank you @Moe N @aKaWonderKid By all means send me a dm or email and we can discuss your case with Dr. Bisanga and provide specifics and potential dates. Currently scheduling is completing its final dates in 2021 with more availability beginning in the second half of January 2022. Appreciate your support and kind words @Gatsby. Thank you.
  21. Thanks for sharing your amazing progress. Also great to see you at the instalive with Dr. Bisanga 😃🤟
  22. Dr. Bisanga and myself are looking forward to joining Melvin this coming Sunday for a Q&A style session to discuss/answer any topics and questions that you may have. It would be great if you could join us. Sunday 5th September 2021 7pm CET 6pm UK
  23. Hi @Kieran2020 Good to hear that you are conducting your research and communicating with several doctors to appreciate their recommendations and suggested approach. Great that you will be meeting Dr. Bisanga for consultation in October. There are no foolish questions. “The man who asks a question is a fool for a minute, the man who does not ask is a fool for life.” Any question that is important to you and that you would like to seek clarity about, then you should ask. Whether transplanting into a patient´s crown in their first surgery is appropriate or not will depend on many specific factors. As you have already mentioned, age being one as crown loss may progress and the younger the patient, the harder this may be to predict. Some others include - * Medication /stability of native hair (risk of shock loss) * Graft demands (both in the front and crown) * Donor density and hair groupings (can the donor safely meet graft demands for both frontal and crown requirements in one surgery) * Progressive loss (Could the extra grafts being used in the crown be better utilised if more frontal loss is experienced in the future) Below your scalp in your donor area you have small blood vessels that will play a crucial part in donor area healing post surgery. It is important not to make too many extraction sites in one surgery that would put too much in terms of demand on these blood vessels which could compromise healing. In patients whose graft demands are higher and their donor may not be able to support this in one procedure, planning surgery over two sessions will encourage optimal healing and would allow further grafts from your donor area in a subsequent surgery. Being too aggressive in extraction in your first surgery resulting in less than optimal healing, could mean less total graft availability. Dr. Bisanga looks forward to meeting with you and will be able to discuss all such matters.
  24. @Maballack Thank you for your interest in surgery with Dr. Bisanga. If you would like to send me your photos and relative details to allow Dr. Bisanga to assess and present his recommendations, that would be the suggested first step. We will then be able to provide feedback from the doctor and a proposed surgery plan if appropriate with a breakdown of pricing and availability. Depending on your hair calibre and graft requirements, surgery may require one day or two consecutive days which will then be reflective of earliest surgery dates. Dont hesitate to reach out and you can contact private message me here or send your photos and details via email - ian@rchristianbisanga.com Thanks Maballack
  25. FUE surgery, and indeed like most things in life, has levels and quality change, and this is evident with the same product or service usually given, all things are not equal. This came home to me when I was a student and on a tight budget. I was buying bread for a few pence, it was white, no thrills, thin and basic with plain wrapping, while the artisan bread was £1.60 a go and for sure more appetising to the eye, well labelled and marketed, but less friendly to my pocket. In the building trade the cheap white is great for cleaning smoke damaged walls, (free tip for you if you have a fire), but not for much else. The product is still called ‘bread”, it is edible (just), and often what you put in it makes a huge difference, but you are aware that it will not look, taste, feel, be packaged or give the same outcome as the more costly one! We are as a society aware that products are not all the same and this is valid from washing up liquid to the latest technology, you get what you pay for and for the most part are aware of that, I am not revealing any great secrets here thus far, this is all obvious up to this point. Enter FUE, an acronym of three letters that for the unlearned is just a technique, FUE with one doctor for many will be the same as with another, a bit like getting a cappuccino, there may be some small variants but nothing to write home about and indeed many market this as the case. The most important aspect is the cost, how much per graft and adhorned with some dubious results from unclear angels and favourable lighting and bingo, many will be happy with the representation. The truth though, is far more complex and for many of these clinics they will avoid to show clear surgery photos and above all the of the patient’s donor. They know that most will not ask to see this and are actually totally oblivious to it and only focus on the so called “result”!, So, the marketing is geared to the lesser educated and about impulse buying. This is a fatal error and one not to be be overlooked. At BHR Clinic and under the tutelage of Dr.Bisanga, we are big on transparency from the first contact, be it price, the role of the doctor and team, but also on the actual surgery detail, the size and type of punches used, the quality of the equipment, magnification, the cutting tools et al, all need to be without thought of expense but what is in the best interest of the patient. The cheaper you go, the worse the patient will heal, because for cheap deals you cannot expect the best tools or even the best hands on the tools and you certainly cannot expect a thorough protocol for your FUE surgery that takes into account the harvesting and the placing and what is or is not good and ethical practice. With this in mind we come to what for many is really an unknown and therefore unquestioned element for the masses, i.e donor preservation and the importance of a good extraction pattern with as much as possible with a small punch! Yes, people talk graft amounts and results, but what they tend to over-look is how these grafts are taken and the resulting damage to the donor and more worryingly, the impact of this, both in terms of longterm harvesting and more immediately, how short they can wear their hair! Although FUE has come on a long way from back in the early 2000s, there is a still, sadly, a real lack of expertise when it comes to the artisan approach, and I will explain what I mean. I see countless FUE cases posted, they get great applaud while the sole focus is on the hair line, often there are no donor photos or they are there but hidden in plain site, because the viewer doesn’t know what to look at nor what to expect . The extractions are often not well spaced at all, but rather become a messy blob of puncture wounds, no thought has been given to the donor, the healing, the damage to surrounding grafts or to the donor zones. The longevity and keeping the donor in good condition for future surgery is not a priority, nor indeed even harvesting from the right areas for the transplanted zones needed. For many, the goal is just to get as many grafts you can and in a the shortest time possible, while remembering every graft is an extra pound, dollar or euro. The hair may grow, albeit at very weird and wonderful angels, but the donor has often been badly compromised and the rich occipital area has been exhausted and wasted on what is really a simple hair line reconstruction. One can ask why is this a concern? If the growth is good who cares? Is that not the most important element? Well, firstly, the result will often look pluggy, it will have the wrong calibre and also follicular unit make up on the hair line or temples. Here you have by nature single, finer hairs, so the aesthetic look already will be off and draw attention for the wrong reason. Secondly the donor has been robbed of the rich pickings that should have been kept for a rainy day and for more potential loss. The occipital only approach, aside from not getting the correct grafts that should have been cherry picked for these delicate areas to reconstruct, you have wasted the larger, coarser and more hair-dense areas that should have been in kept in reserve for areas further back that will need them. Once these areas start to thin you will struggle to cover them with with fine, single haired units. And lastly, the concentration of grafts taken, often with no thought for tomorrow will actually mean you will get less grafts long term. The healing will be worse, the punch can kill surrounding follicles and effectively you strangle and stifle grafts that would have survived had the whole approach been more educated and with thought and scientific and proven protocol. The patient will have obvious hair deprived and over-harvested areas that mean they will need to either wear their hair longer or need SMP or similar to then camouflage the resulting patchy donor. So, in summary, don’t look just at the growth, ask yourself why do clinics post with no donor photos or if they are posted, do they look as if they really have harvested with any thought in mind and with a clear pattern or is it a case of smash and grab, take as much as you can now approach? Yes, the finer areas are harder to harvest, more time consuming the angles are more acute, more expertise is needed and you wont be able to split them up as much as the richer areas, but for a doctor who appreciates this, it is sacrosanct and against every fibre in their body to do otherwise! Extraction pattern is not just a nice expression to throw about, but something that has real impact, not only own your result but also on your longterm and your styling options, and like that loaf of bread, there are indeed levels! Thank you for reading, we hope it was educational and please feel free to leave a like and a comment and let us know how we can serve you! Written by - Stephen stephen@bhrclinic.com https://bhrclinic.com/2021/09/06/three-reasons-why-fue-extraction-pattern-is-important-if-you-get-this-wrong-trust-me-you-will-regret-it/
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