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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. 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
  3. 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.
  4. 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............
  5. 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
  6. 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,
  7. Hi, This patient just sent us new pictures after 9,5 months from his surgery with Dr. Bisanga in Brussels. Kind regards,
  8. 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
  9. It has been a 5 year journey, and next week I will be in a position to pay a deposit of around £2.7k to Dr. Devroye's clinic. I have had 2 previous consultations, 1 with Ziering back in 2014, and 1 with Dr. Bisanga last year. I went with Dr. Devroye for a number of reasons, but the main thing was I personally clicked more with him, his approach, and the conversation we had. I don't feel like there is any other reason to have further consultations with other doctors. He was a lovely person on first impressions and I found his staff to be super friendly and polite. Plus it was very easy to get to from the UK, the Eurostar is great! Before i phone up next week to do the bank transfer.......is there anything else left to consider at all? Would there be any point seeing any of the other remaining doctors based in Belgium? or anywhere else? should i consider any other doctors in the UK? Fargo etc? I didn't even bother with the UK.....maybe i should have given it a chance? I am happy with my choice but would anyone else on here have as many consultations as possible with as many doctors as possible? I'll be having FUT, around 2500-3000 grafts required to get my desired hairline.
  10. 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
  11. Day 7 Update: swelling in the recipient area is completely gone and scabs are visible now. According to the instructions from Dr. Bisanga I can start using the mild shampoo starting tomorrow with gentle rubbing which will allow me to remove the scabs and the dead skin around the grafts. Donor area looks magnificent and you can't even tell that I had over 2400 grafts removed. However I'm still experiencing sharp pinching pain from time to time in the donor area, In order to manage the pain I am currently taking Advil and tylenol. I'm very happy with the hairline and the graft coverage I got in my temporal regions. I just hope it is dense enough to blend in with the rest of the hair. I am a little nervous about the shedding phase, Is there anything I could do to minimize shedding?
  12. Dear Bill, Pat and Melvin, “However, we have put up with it because you do provide some sound advice and you haven’t blatantly broken any rules.” Bill the “publisher”, May 21st, 2019 https://www.hairrestorationnetwork.com/topic/54103-hw-hattingen-konior-feriduni-devroye-or-bisanga-for-fut/page/2/?tab=comments#comment-509774 I’d like to take this moment to express my sincere appreciation for the “tolerance” I’ve received over the past fifteen years and over 7000 posts. The sheer strength it has taken to “tolerate” me for such a long time is nothing less than monumental. You should really pat yourselves on the back for such an achievement. I admit, reading my posts where I comment and encourage patients that have gone to doctors that I have never worked with, giving advice to posters that I have never had any personal contact with, and with no inclination of engaging with on any professional level, and assisting your members with all manner of problems based on my experience(s) in the hair transplant field as a profession, must have been absolute torture for you. The poison that you describe as having come from my participation in a thread where I was personally attacked for zero legitimate reasons is also evidence of your strength and wisdom as you clearly know something that I do not. But whom am I to question such greatness? Thank you, sincerely, for tolerating my presence. To all of the great HTN members, I’m sorry it has come to this. In case some of you are wondering what this is about, I wrote an article for a popular men’s blog that has gone viral throughout the English speaking world and in this article I outline twenty of the top hair restoration surgeons worldwide. I was then attacked, without provocation by an HTN member doctor for the sole reason of his exclusion from the article, even though I was very clear in that the list was not to be considered exhaustive or complete. The doctor saw fit to delete his posts and I in turn was happy to delete my comments back to him. No harm, no foul. However, when I questioned the additional edits by HTN moderators which included additional post deletions by members which were quoting the doctor, and comments that were left to defend me, I made a comment about the selective editing that had occurred. Ironically, one post remains by Melvin, the “co-moderator” which supports the doctors attack on me; “I don’t think that Dr. … said anything bad, in fact most of what he said is true.” My comment stands; “Some very interesting/selective editing on this topic.... “ If it has not become obvious as this point, I think that the target upon my back is getting to be a tad heavy as I do not possess the “physical and mental fortitude” that Bill obviously has that has allowed him to tolerate me for the past fifteen years. So I would like to close by saying that I have appreciated all of your comments and support through the years and I have been so blessed with watching so many of you find the follicular salvation you have been seeking. For that, my time here has been massively rewarding. With the comment made by Bill where he clearly states I’ve been helpful and haven’t broken any rules (not “blatantly” but otherwise?) it is more clear than ever that for those of you that have garnered enough knowledge to the point that you know what you’re talking about, you’re a threat to the status quo if you question those that would seek to control what you see and hear. I wish for my account to be closed and I wish you all the very best for the future. Thanks for everything. Moderators deleting or modifying this post in five, four, three… Regards Spencer ( Spex )
  13. 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
  14. 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.
  15. Dr. Bisanga, Dr. Feriduni, Dr. Devroye and Dr. Lupunzula are all in the Belgium area. I am assuming you're specifically looking for strip?
  16. Hi guys, I am NW 2, 25 years old and lately(about 6 month ago) I read a lot about these 2 particular surgeons. Both are so good but I want to hear some opinions from you guys because you are all experienced and you know whats going on. Unfortunately, I was born with a high forehead and receding temples and right now I'm trying to make a hair transplant to repair my hairline and I'm trying to decide here where to go. I talked to dr.Bisanga and he told me that I would need 2000-2300 grafts and dr. Keser said that I would need 1800. We all know that dr.Keser is a little bit conservative regarding this aspect. I also want to mention that I want an aggresive hairline, like in photos. So what you guys think? Who is better suited for this? P.S. I attached a picture below to give you an example of aggresive hairline.
  17. BHR Clinic Dr. Christian BISANGA Age: 53 Technique: FUE Medication: Minoxidil 3 months after surgery to help crown Donor densities: 70 FUs/cm2. Most of FU of 1-2 hairs Miniaturization on donor area: No Hair Caliber: Medium-Fine Previous surgeries: No Total FU used:- 3003 * FU breakdown:- 1s 1249 2s 1306 3s 444 4s 4 TOTAL: 3003 That means 3003 FU = 5209 Hairs. Average = 1,73 hairs/FU. The goal of this surgery was to rebuild whole frontal area, including a new hair line. All the pictures, except the surgery ones, were provided by the patient. Pre-post surgery 6 Months 0-6 Months process Regards,
  18. 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,
  19. It is with great pleasure to be able to announce the arrival of Bisanga and Cole Hair Transplant Clinic. Formed by two of the leading FUE surgeons today, coalition member Dr. Christian Bisanga and Dr. John Cole. The clinic is based in Athens, Greece and will be officially opening for its first round of patients on March 2017 of this year. With Dr. Bisanga based out of Brussels, Belgium and Dr. Cole out of the U.S. Why Greece you may ask? Well that's a great question. Quoting Dr. Cole - Many patients are focused on price. This leads patients to clinics offering very low prices in countries that are often not as safe and with fewer government regulations to protect patients. For this reason, Dr. Bisanga and I decided to form a clinic with the express intent to offer price-conscious patients an alternative solution at "low" prices. We will personally supervise the surgeries to make sure patients get the best possible outcomes. As mentioned, Bisanga and Cole Hair Transplant Clinic are able to offer luxury hair transplant procedures from the industry leaders at extremely competitive prices. Dr Cole went on to say - It looks like the first round of surgery starting March 27 will come in at 2.5 euro per graft. I'm sure happy to be involved in this opportunity. On a personal note, I am extremely honoured to be patient advisor to such highly esteemed hair restoration physicians, and in such a visionary project. Many of you reading this may already be familiar with me from being active on this forum. My personal journey with hair loss is my motivating factor to getting involved with Bisanga and Cole Hair Transplant Clinic. Experiencing hair loss at a young age and being hugely effected by this, I struggled greatly with insecurity and a lack of confidence due to hair loss which several years later, eventually led me to a FUT procedure. The results definitely helped me to get back my confidence and unquestionably improved my day to day life. I aspire to be able to serve individuals, build relationships and offer honest and ethical advice, guidance and solutions for their hair loss concerns. To be able to consider undergoing a FUE procedure with such ethical Doctors achieving such consistent quality results at this price point allows individuals, who may normally be priced out of choosing these physicians, accessibility to their expertise. If anybody has any interest, questions or queries regarding this new project, don't hesitate to ask. Also, by all means contact me privately if I can assist you with anything or you would like to consult with the clinic. Many thanks.
  20. I'm looking to extend my temples a little bit, because my head is round and fat, which ruins the front profile, so I need a little bit of a frame to my face. For now I'm close to coming to an agreement with Dr. Bisanga or Dr. Keser, but both are a bit slow to answer (multiple days for a reply). So in the meantime I thought I'd see if there are other doctors the members of this forum could recommend for small surgeries.
  21. @Raphael84 Alright, I see. I wonder - what's in it for Dr. Bisanga? To travel regularly to Athens to perform surgeries for a lower price? Unrelated to the topic, but - I recently got an answer from Dr. Bisanga's BHR clinic in Belgium via email. I wrote them an email with some more specific questions as a reply, but haven't gotten an answer yet and it's been a few days already. While I do understand that answering such questions might take time, I wonder if there is a better way to contact them - other than via emails? I see that you are advisor for BC hair transplant clinic, so I apologize if my question is out of place.
  22. Great news! Just a question - who performs the surgeries if Dr. Bisanga is performing surgeries in Brussels BHR?
  23. Hi Bonkling, Thank you very much for your comments. We usually don't advice surgery on patients who are on their early 20's. Normally they have some slight recession on their hair line / temples and we recommend to start on medication and assess in 2-3 years. On cases like this one exposed, the patient is closer to his 30s. If Dr. Bisanga agrees with a possible surgery, he will always advised a conservative approach in terms of hair line design since the patient is still young. We always advice to be on meds too to keep native hair, but it is up to the patient. But if he refuses it, we would probably do a more conservative approach thinking of mid-long term because hair loss will probably continue. Kind regards,
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