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  1. Amirnet

    Bisanga

    Follow up of my hair transplant with Dr. Bisanga
  2. Hi, This patient was 24 years-old when he had his surgery. We usually do not accept patients at that age because most of them have small recession on the hair line and temples, and we advise to start using medication. Nevertheless this patient had a high degree of miniaturized hair on the whole frontal area after more than 5 years under medical treatment (Finasteride + Minoxidil). Dr. Bisanga assessed all these aspects and we finally accepted him as a patient doing a conservative approach in terms of design and number of grafts. Here the data: BHR Clinic Dr. Christian BISANGA Age: 24 at the moment of the surgery, 31 on pictures showing current result Technique: FUE Medication: Finasteride (5 years before procedure)+ Minoxidil (7 years before surgery) Donor densities: 70-70-80 FUs/cm2 Hair Caliber: Very Fine, most of FUs of 2 hairs (not many 3-4s) Total FU used:- 1909 * FU breakdown:- 1s 410 2s 1017 3s 447 4s 35 TOTAL: 1909 That means 1909 FU = 3925 Hairs. Average = 2,05 hairs/FU. Pre-Post Surgery 7 Years Comparison 0-7 Years, Dry-Wet Hair
  3. 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.
  4. 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
  5. Hey all. So I had a 3,300 FUE session with Dr. Bisanga in March 2017 and now planning my 2nd 3000 graft FUE session. I've been given the option of having it over 1 or 2 days. Is there any pro or con to either? I'm guessing swelling will be more gradual with 2 days, but what about the rest of it? Obviously time-wise 1 day is better; but is there any difference to results/healing if it is done over a shorter period? Any info will be greatly appreciated. Many thanks
  6. I can't recommend him strongly enough. I think he creates some of the softest, most natural hairlines I've seen. I also admire Bisanga's hairline as well. Similar to Dr K's in their refinement. Between the two, for me it would come down to geography in relation to where I lived. That said, I can only comment on the experience I had with Dr. K, and you will like his hands-on approach. I don't think the guy ever sleeps. If you email him at 4am his time, it's not unusual to receive an immediate reply from him. He's incredibly responsive to all your questions and concerns.
  7. GuyFromTheUK

    3000 grafts over 1 day or 2 days?

    Thanks for the reply. - Not sure how many clinical staff members will be placing. - FUE - Not sure what system; but whatever system Dr. Bisanga uses. - No PRP I'll ask Hilde (Dr. Bisanga rep) a bit more to see what she would recommend. If it is done just as carefully over one day I would prefer.
  8. Dear forum members, As many of you know, we gather as much information as possible about a physician, their staff, technique and track record before they are even considered for recommendation on the Hair Transplant Network. Part of our review process involves getting input from patients and the members of this forum community. To learn more about this review process, click here. Thus, we'd like your input on the potential recommendation of Dr. Antonio Alcaide of Malaga, Spain. At this time, Dr. Alcaide is being considered for recommendation only, not the Coalition. To see our demanding standards for recommendation, click here. Dr. Antonio Alcaide has been trained by Coalition member Dr. Christian Bisanga and performs FUE (follicular unit extraction) and some FUSS (strip surgery) when appropriate as the primary part of his practice at BHR Clinic in Spain. Dr. Alcaide has over 5 years of experience and operates on only 1 patient per day. He uses all of the latest tools and techniques including microscopic dissection, the trichophytic closure, minimally invasive blades, needles as small as .8mm, Platelet Rich Plasma (PRP) and dense packing when appropriate for the patient. He specializes in FUSS, FUE, hair transplant repair, SMP (Scalp Micropigmentation), hair replacement (hair systems) and Mesotherapy. Dr. Alcaide also offers prescriptions for Propecia and free consultations for hair transplant surgery. Dr. Antonio Alcaide has the staff and experience to perform large, densely packed sessions of ultra refined follicular unit hair transplantation exceeding 3500 grafts when appropriate for the patient. Dr. Alcaide uses both a manual and motorized extraction device (depending on the patient) with punch sizes ranging from .8mm to .9mm depending on the patient and the size of the graft. He uses single haired grafts for the crucial hairline areas to mimic nature and densely packs up to 50 FU/cm2 when appropriate. Dr. Antonio Alcaide prefers manual FUE extraction because he feels it's more delicate, gentle and less traumatic for the grafts than the NeoGraft and the SAFE Scribe. Follicular unit grafts are stored in a PRP / Saline holding solution after extraction for a maximum of 2 to 3 hours to minimize dehydration while waiting to be implanted into tiny recipient incisions made by the surgeon prior to implantation. Grafts are then inserted carefully using Ellis forceps by experienced technicians. Dr. Alcaide has a background in dermatology and trichology and is a member of the ISHRS, FUE Europe, the Spanish Academic of Dermatology (AEDV) and the Spanish Society of Trichology. Given Dr. Alcaide's training and experience in performing both state of the art FUT and FUE and providing only the best results, in my opinion, he should be considered for recommendation. In recent weeks, Dr. Alcaide has presented several examples of his procedure and recent results on this forum. Dr. Alcaide's Recent Patient and Surgical photos can be found below: Dr. ALCAIDE - BHR Clinic / 2583 FUE - Crown restoration Dr. ALCAIDE - BHR Clinic / 1817 FUE Dr. ALCAIDE - BHR Clinic / 2583 FUE - Crown restoration Dr. ALCAIDE - BHR Clinic / 2756 FUE - Hair line and crown Dr. ALCAIDE - BHR Clinic / 1393 FUE - Crown restoration Dr. ALCAIDE - BHR Clinic / 2292 FUE Dr. ALCAIDE - BHR Clinic / 2505 FUE - Crown case Dr. ALCAIDE - BHR Clinic / 1981 FUE Dr. ALCAIDE - BHR Clinic / 2214 FUE You can find additional examples of his work by visiting the “Results Posted by Leading Hair Transplant Clinics” forum and by using the “search” feature. I welcome input and comments from forum members regarding his potential recommendation. To view our standards for recommendation, click here.
  9. Hi all, This is my first post on this forum. I am a 40-years-old guy with a diffuse hairloss behind a relatively low hairline. Some call it a Ludwig-type hairloss. I'll let you judge from the pre-op pictures I will post. In a few hours I am due to undergo a hair transplant at the BHR clinic in Brussels with renowned Dr. Bisanga. I plan to post here a detailed account of my future progress. A little history: I remember first noticing a loss of density at the age of 18. After then, the loss has progressed very very gradually. In 2006, when I was 30, I started taking minoxidil 5% and continued this treatment until 2011. I think the minoxidil had completely stopped my hairloss and even caused some regrowth. However I hadn't realised how effective that had been until I quit... a decision I now very much regret. In a few months I lost a lot of hair, and in 2012 I considered a transplant for the first time, but it took me five years before I decided to go through with this decision. I took a few pictures back in 2012 and I must say not much has changed since then, which makes me optimistic about the speed of future hairloss. My goal is to significantly increase hair density between my hairline and the vertex of my head. I don't care very much about filling my temples... in fact I'd quite like ending up with a Norwood-2 pattern, as I like the mature look it gives. I opted for a FUE transplant because I don't mind shaving my head, and I would like to keep this option open. I chose Dr. Bisanga precisely because of his conservative approach and his expertise with the FUE technique. I had a consultation with him last September and was found to have a density of 70 UF/cm3. He recommended me with 3000 grafts, which is what we are aiming for. Below a couple of pictures taken yesterday. Wish me good luck!
  10. Hello, the title says it all. Anyone from here had an experience with a HT on any of these 2 doctors? If so how was the experience, result, price.. etc. I don't like what I'm seeing recently about Dr. Koray Erdogan... I take him out of the equation, I don't want to make my HT to him, especially that I only have a little bit received temples and a big forehead overall, I just want to remake my hairline, nothing else. Cheers.
  11. Hello marshall, looking good and I still think we are going hand in hand regarding the healing. The lighting generally seems to play a big role when it comes to judging the process. I can still see a difference between the receipent area and untouched area, too. Friday, last week, I went back to BHR clinic for a general check-up. Although I did not meet Dr. Bisanga in person, because he was doing surgery, I talked to my contact person and one of the ladies, who were doing my surgery. Everything is on track and they gave me a general advice to try stop thinking about the HT too much. I had little concerns regarding little dots that appeared after about 2monthts of the HT, but they said it is simply "growing hair", what seems logically to me. 😉 Maybe you know them too. See you and take care
  12. I only have to travel about 160km by car to be in Brussels. This is a big advantage and to be honest, I never really considered another doctor than Dr. Bisanga.
  13. I usually post under another username but having trouble logging on and I wanted to create a new account and thread anyway for privacy reasons. Just in case you're having some deja vu with some of these photos. I had FUE surgery with Dr. Bisanga in Belgium about this time 3 months ago. Approx. 2,300 grafts to restore the temples, also reenforce and lower the hairline just slightly. Pre surgery I was about a Norwood 2.5, got on Fin when I was 22 and a NW2 so that helped stabilise things a great deal. The surgery itself was a breeze (apart from those pesky numbing shots), Dr B is a true professional in every way and I felt 100% safe in his hands. He performed the manual punching on the grafts and incisions himself, while his techs did the graft harvesting and placement under his supervision. He gave me a direct number to contact him on to send him progress photos and if any issues or concerns arise, which I find incredibly helpful. Graft Breakdown - 1 Hair - 552 2 Hair - 640 3 Hair - 856 4 Hair - 261 On a side note I did a very long trip to Belgium back and forth, and managed to do it successfully and with minimal stress, so if anyone wants tips on how to handle the long haul flights just let me know
  14. Fantastic result. Always been a fan of Dr. Bisanga. I had consulted with him before I had my first HT and narrowed it down between him and Konior. All things being equal with regard to the quality of their work, I ultimately went with Konior because he was in the states and I didn’t want to travel overseas for a HT. I was also able to consult with him in person, which was important to me. Where did you travel from for your procedure with Bisanga?
  15. BHR Clinic Dr. Christian BISANGA Age: 34 Technique: FUE Medication: Dutasterie + Minoxidil Hair Caliber: Medium Fine Total FU used:- 1682 * FU breakdown:- 1s 332 2s 850 3s 500 TOTAL: 1682 That means 1682 FU = 3532 Hairs. Average = 2,1 hairs/FU. The goal of this surgery was to improve the coverage in the crown area. Dr. Bisanga recommends to reinforce also the surrounding area with native hair in order to avoid an “island” effect short-mid term if hair loss progresses. Before Pre-Post Surgery 20 Months
  16. Bill - Managing Publisher

    Potential Recommendation of Dr. Antonio Alcaide of Malaga Spain

    Thank you for everyone’s input on the potential recommendation of Dr. Antonio Alcaide. As you know, We take member feedback very seriously when considering surgeons for recommendation. In my opinion, Dr. Alcaide is doing top notch work on par with other leading surgeons. He was also trained by and works with coalition member Dr. Bisanga, who fully supports his inclusion. Given that the majority of feedback we received is highly positive, I feel confident in approving his recommendation. Thus, we’ve gone ahead and approved Dr. Alcaide for recommendation. You are encouraged to congratulate him on this topic. View his recommendation profile for more information. Best wishes, Bill
  17. Bill - Managing Publisher

    Potential Recommendation of Dr. Antonio Alcaide of Malaga Spain

    @Raker, Thanks for expressing your concern. However, Jean made a great point about many surgeons not doing temporal work or at least presenting it but you have to remember, that many patients simply don’t need it or requested. And as you can see, the clinic responded to your concern and even showed an example of some temple work in his reply. So clearly they do this kind of work when requested although they admit that it’s rare because it’s often not needed by their patients. Dr. Alcaide he may have only just started presenting examples of his work and results here on this forum. However, his work and results are well represented in other places online. Moreover, he was trained and is backed by Coalition member Dr. Bisanga who is fully confident in his work and results. Certainly that says something as well but you know us. We never approve a doctor for recommendation just on someone’s word. We need to see the work and results for ourselves. But I’d say in this case, it certainly producing top notch results. Best wishes, Bill
  18. Hi, @ jj5102, Dr. Bisanga was trained in hair restoration by Dr. Cole when FUE technique was relatively new. Then in 2003 Dr. Bisanga went ahead and developed his own FUE technique. @ Spex, thank you very much for your comments. Kind regards,
  19. Cristian1

    Best Hairline Surgeon

    I'm looking the same thing which you are looking, Taylor. I want to go to Dr. Bisanga but dr. Keser Mutallip is also very good.. but it's hella expensive, for me atleast.
  20. BHR Clinic Dr. Christian BISANGA Age: 36 Technique: FUE Medication: No Donor densities: 70 FUs/cm2 Hair Caliber: Medium Fine Total FU used:- 5976 * FU breakdown:- 1s 898 2s 2388 3s 2271 4s 419 TOTAL: 5976 That means 5976 FU = 14.163 Hairs. Average = 2,37 hairs/FU. The goal of these surgeries was to cover the whole top area on this NW-5 patient. With that on mind, Dr. Bisanga proposed 2 surgeries: the 1st one focused on frontal and part of mid area. On 2nd one, main goal was the crown and we also lowered both temples, reinforcing part of 1st surgery as well. Final pictures show the current result after 6 months from last procedure, so it can improve during the following months. Pre-Post Surgery 1st procedure - 2017 Pre-Post Surgery 2nd procedure - 2018 6 Months post-op 2nd procedure Before - After Kind regards,
  21. Hi all, We would like to introduce Dr. ALCAIDE, from BHR Clinic Spain. Dr. Alcaide was trained by Dr. BISANGA in Brussels a few years ago, and from 2015 he started to do his own surgeries. Dr. Alcaide got his Degree in Medicine in 2005, and he specialized in Dermatology from 2006 to 2010. There he became interested in the field of hair and scalp diseases with special emphasis on alopecia and its medical / surgical treatments. Dr. Alcaide, together with Dr. Meyer, is the responsible of BHR CLINIC SPAIN, located in Málaga (Spain). We are going to show some of his results in different threads. ***** This 1st case shows a patient with receding hair line and temples. Dr. Alcaide had to rebuild the 1st centimeters of the frontal area. Here the data: Dr. Antonio ALCAIDE BHR Clinic Spain Age: 43 Technique: FUE Medication: Finasteride from the procedure, which mainly helped native hair Donor density: 70-80 FUs/cm2 Hair Caliber: Fine Previous procedures: No Total FU used:- 2214 * FU breakdown:- 1s 506 2s 1144 3s 980564 TOTAL: 2214 That means 2214 FU = 4486 Hairs. Average = 2,02 hairs/FU. Pictures show the result at 9 months. Pre-Post Surgery 9 Months 0-9 Months Comparison
  22. BHR Clinic Dr. Christian BISANGA Age: 37 Technique: FUE Medication: Finasteride Donor densities: 70-80-75 FUs/cm2 Hair Caliber: Medium Fine Total FU used:- 2284 * FU breakdown:- 1s 500 2s 1136 3s 621 4s 27 TOTAL: 2284 That means 2284 FU = 4743 Hairs. Average = 2,07 hairs/FU. The goal of this surgery was to rebuild hairline and temples after a previous surgery with a low yield. Recipient area had plugs and pitting after that procedure. Before Pre-Post surgery 1 Month 5 Months The patient at present is pretty pleased but we obvioulsy expect more yield to come in the following months. Kind regards,
  23. BHR Clinic Dr. Christian BISANGA Age: 30 Technique: FUE Medication: MinoxidiL in the past, not now Donor densities: 70-70-80 FUs/cm2 Hair Caliber: Medium Coarse Miniaturization: some on donor area Total FU used:- 1660 * FU breakdown:- 1s 441 2s 943 3s 273 4s 3 TOTAL: 1660 That means 1660 FU = 3158 Hairs. Average = 1,90 hairs/FU. The goal of this surgery was to rebuild the temples. Pre-Post surgery 1 Month 5 Months 7,5 Months Comparison 0-7,5 Months
  24. Dear Jayboy61, Thank you very much for the upgrade. Hope the appointment with Dr. Bisanga goes well in a few days :). Anything you may need just let us know. Kind regards,
  25. BHR Clinic Dr. Christian BISANGA Technique: FUE Medication: Finasteride Donor densities: 70-70-80 FUs/cm2 Hair Caliber: Very Fine Total FU used:- 1819 * FU breakdown:- 1s 400 2s 798 3s 621 TOTAL: 1819 That means 1819 FU = 3859 Hairs. Average = 2,12 hairs/FU. The goal of this surgery was to rebuild hairline and temples and improve the frame of his face. Pre-post Surgery 2 Weeks - Donor area 2 Months 6 Months 9-10 Months Comparison 0-10 Months
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