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  1. firstly Sorry for the poor punctuation, im using a broken keyboard! Redness wasn{t actually too bad post op however it does seem to have lingered still until now (and I am now more than 3 months post op). As I have said so far I would still highly recommend Dr. Bisanga, hopefully Im saying the same in 12 months time! Very professional. So Id say go for it. My donor site looks fantastic, i have had it shaved down to a 1 and scars are hardly noticable. Not much actually. Just told me to take the clobex shampoo twice a week which is what I have been doing. Will take a break from it after a month. As for the redness itself, its a little itchy, but i am almost 100% sure i dont have scalp psoriasis so not entirely sure why im taking it, yup so im on clobex now (for the past 2 and half weeks), im hoping youre right mate.
  2. BHR Clinic Dr. Christian BISANGA Age: 38 Technique: FUE Medication: Finasteride + Minoxidil Donor densities: 60-70-80 FUs/cm2 Hair Caliber: Medium Fine Total FU used:- 2509 * FU breakdown:- 1s 553 2s 740 3s 980 4s 236 TOTAL: 2509 That means 2509 FU = 5917 Hairs. Average = 2,35 hairs/FU. The goal of this surgery was to rebuild hairline and temples. Patient asked for a conservative design since he was looking for a subtle change improving the frame of his face. Pre-post surgery 6 Months 0-7 Months 11 Months 14 Months 0-19 Months
  3. I wouldn't base anything off of online consultations, unfortunately it's difficult to know whether you have thinning in the donor region without seeing what's going on microscopically. You live in Sweden, I would suggest taking a short flight to consult with doctors in Belgium like Lupunzula, feriduni, bisanga or even England like Dr. Farjo and Dr. Reddy, if this is something you're seriously considering then it's imperative you see a doctor in person, there's no way of knowing for sure whether you are or aren't a candidate for surgery. To answer your question, if you have thinning in your donor zone you should NOT be getting surgery, because that would mean that the transplanted hair is susceptible to DHT, thus transplantation would not work because the hair would miniaturize and fall out. You would also put yourself in the position of possibly exposing surgical scars whether it be FUT or FUE. Again by the photos your donor zone does not seem diffused, I can clearly see the crown demarcation lines which is a clear sign of genetic patterned alopecia.
  4. Logically what difference will 200 make out of a procedure that costs thousands of dollars, plus there is no guarantee you'll even have the procedure, you're paying for a professional opinion and examination period. I don't know your financial situation maybe 200 makes a big difference to you I don't know, but if that's the case you might wanna save up some money. I'd pay 200 in a heart beat if I felt the consultation was worth it as I said I'd even travel, maybe you should do the same, Dr. Bisanga, Dr. Lupunzula, Dr. Lorenzo, Dr. Freitas they're all in Europe, you may have to travel but some may be willing to do a consult for free, however you'd still have to pay travel expenses which IMO is worth it. Either way you're going to spend money.
  5. Taking grafts from a flap is an option, at least it is in my case, according to Dr. Bisanga. Generally, having a flap hairline, I always figured this was possible. But this goes back to the hairline discussions. Once you get used to having the thick hairline, it's hard to go back. Bisanga warned me more than once that the hairline would thin out and look different if he took grafts from it. Better to have the hairline or a overall thin top? Just a comment, anyway. It's a curious, and difficult, intersection of a couple important topics.
  6. @Dr. Feller and Dr. Bloxham, Thank you for your response. I can not speak for Dr. Bisanga, but here is a piece written recently by him that gives an insight behind the philosophy of our clinic.
  7. Hi, This patient had 2701 FUE with Dr. Bisanga and BHR Staff in order to address frontal area. Pictures show evolution from 0-6 months. Patient has a very short haircut at the moment. Here the data: * Age: 42 * Technique: FUE * Medication: No * Donor density: 80-70-100 FU/cm2 * Medium-coarse hair Breakdown: 1 hair : 535 2 hairs: 1214 3 hairs : 844 4 hairs : 108 TOTAL: 2701 That is 2701 FU = 5927 Hairs. Average 2,19 Hairs/FU. Before Placemente Donor area after procedure 6 Months
  8. Then we are in fact mostly on the same page here and right back where we started. The popular hype is that FUT is being replaced by FUE. However, if any doctor who can do both has to screen their patients for one or the other then obviously both procedures are not going anywhere. And, indeed, history has shown this to be the case as FUE has now been around for over 17 years and nobody has come up with a novel way to perform FUE of any significance. The misinformation fired at me during these online discussions has always been that I am anti-FUE. This is false. I am pro-FUE but for SMALL cases that have been well screened. For everything else I prefer Strip and perhaps even a strip/FUE combo, or mFUE of course. But physician competency, experience, and goodwill are not at the core of the issue here. The issue is the mechanics of the FUE procedure itself when compared to FUT. Not the doctor who performs it. When you compare the two procedures independent of the doctor or even the patient, FUE is downright brutal to the grafts. Graft trauma is the number one predictable reason for graft growth failure. And if our textbooks and meetings and lectures emphasized one thing over and over it is that safe and delicate graft handling is essential to graft survival and overall result. Mishandling grafts is a sin. And the trauma inflicted on FUE grafts, no matter who performs it, is orders of magnitude greater than for FUT. FUT does not inflict nearly the level of damage on grafts and donor area that FUE clearly does and has no analogue to FUE in terms of detrimental forces. I know Dr. Bisanga. Lovely and genuine man and surgeon with great experience and skill, but even in his hands the disadvantage of FUE over FUT are simply not addressed. Is he better than the newbie FUE surgeon ? Of course. Does he have a better body of work because he meticulously screens patients for FUE instead of willy nilly taking anyone for FUE surgery who requests it ? No doubt. He has maximized the potential of FUE. And if you are going to have FUE done you better get it done with him or a surgeon like him. Of which there are not many. But the limitations of FUE still exist in frightening proportions are not something he can overcome as they are inherent to the very procedure itself. Until and unless a doctor creates a brand new way of performing the FUE procedure that does not inflict the three detrimental forces of FUE ,and does not thin out the donor area, then they cannot claim parity with FUT. This isn't debatable. A doctor can maximize their chances of getting a good yield with FUE, but in each and every circumstance, without exception, performing that same procedure with FUT will always end with a consistently better result. Not sometimes, EVERY time. I don't have to look at any particular FUE doctor's photo gallery to know that no matter how good their results may look it was attained at a higher physiological price compared to FUT. Look at all of the poor FUE results posted on this site to date. All of them would have had a much greater chance of growing well if they had opted for and were given FUT first because their grafts would not have been injured nearly so much.
  9. I understand what you are referring to, but I'm not sure Dr. Bisanga was stating the same. However, it's not worth getting into too deeply because for me, it doesn't change the crux of the argument: Dr. Bisanga -- who has the ability to offer both high quality FUT WITH an appropriate staff and FUE -- states that not all patients are candidates for FUE and meticulous screening is necessary. Despite the belief of some, Dr. Feller and I are not "against" the FUE procedure. I do them all the time. But it must be done under the right circumstances. And this is what Dr. Bisanga touches upon. Now, I will take it one step further and state that even under the best conditions, the outcome is still MUCH more variable compared to an FUT of similar size. But what we have spoken out against heavily is the practice of "FUE for all," and even worse is "FUE megasessions" for all. This we take issue with.
  10. Dr. Bloxham, 1. Be careful, a similar topic started the entire “recorded phone call” discussion ;-) 2. Honestly, I think you missing the point in this particular case. There are two topics: Liftetime available grafts and yield. The quote of Bisanga by Swooping was clearly about yield and your quote refers (as well or even mainly) to available grafts. One could easily say, that Bisanga thinks FUT(+FUE) gives more lifetime available grafts than FUE even when yield is different and hence is better suited for higher NW. However, I have a hard time someone saying that yield is exactly the same. I have heard a “minor difference” in yield, or “no visible difference” in yield. No difference sounds like a stretch.
  11. Well, yes, Dr. Bisanga does screen every patient meticulously. So if you are not a suitable FUE candidate he will tell you. Hence, I was only talking about the survival yield he has observed in all patients that were indeed suitable FUE patients and underwent surgery with him.
  12. Damian, Obviously I wasn't there to hear your conversation, so I won't make assumptions. However, if we look at what Dr. Bisanga has actually put into print for the entire world to see on his own website, I don't think it's as simple as: there is no difference. If you read through his website, you'll note two very important things: 1) He states that FUE is best suited for cases below a NW IV. FUE is only appropriate in candidates NW IV and higher when they have a higher than average donor area. So, how do I interpret this? FUE is best suited for smaller cases unless the patient has an excellent donor. Here's the quote: Larger areas of thinning say NW4 and higher can be treated with FUE but the person has to have better than average donor hair density and good hair characteristics to ensure sufficient FU numbers can be safely extracted and leave options for the future. 2) He further states that "hair characteristics" and "FU constitution" play a large role in how suitable a patient is for FUE. It is "misunderstood" that FUE is suitable for all hair types. So how do I interpret this? Not all patients are candidates for FUE. Here's the quote: Hair characteristics and FU constitution can play a large part in how suitable FUE can be; it is misunderstood that FUE is suitable for all hair loss stages and hair types and some may not have the right attributes to ensure a solid result. So, what does it really mean when you break it down? Not all patients are candidates for FUE, and the doctor needs to SCREEN patients and intervene with FUE only when they are good candidates. So I do believe that Dr. Bisanga believes that a good candidate for FUE will have a pretty similar result to one of his FUT patients -- and he is excellent at both -- but this is not the same as saying "they are about the same" if we are to use his written website as his philosophy. As I've said before: what is actually the "best" FUE tool? A good screening tool. Source: https://en.bhrclinic.com/technique/follicular_unit_extraction/
  13. Bill, I have visited Dr. Bisanga in Brussels on Monday. I was very impressed, to say the least. Anyway, we also talked about FUE. I did bring up the question of growth yield to Dr. Bisanga. He doesn't think there is any difference in growth yield between FUT and FUE in his practice. Hope that helps, Damian.
  14. Patient had a 1200 FUE with another clinic and was not content with density achieved so came to us for this to be addressed and is very happy with the outcome, 1 hair : 432 2 hairs: 658 3 hairs : 530 4 hairs : 52 5 hairs : 3 TOTAL 1675 Age 34 years No medication. Pre-surgery Placement Result at 13 Months Comparison
  15. Guys, I'm still in the process of reading this mamouth of a thread but I just wanted to point out a few things. It's clear that every time FUE is pinned against FUT/Strip that there is going to be some controversy and dissenting opinions. I truly appreciate Dr. Feller and Dr. Bloxham's willingness to tackle such a sensitive subject however, from what I see, they are approaching FUE in a similar way those who used to overhype FUE in the old days approached strip - which is by pointing out the worst case scenarios. Let me address a few things. 1. I know I am not a doctor and in saying that, as educated as I am, I cannot say with any degree of certainty what it feels like to harvest grafts nor am I qualified to look at a prospective patient and tell them which procedure is right for them. What I can do is make suggestions based on obtaining information from the patient and then suggest they consider that particular procedure (whether it be FUT/Strip or FUE) 2. I absolutely can't stand that we still reference this as the FUT Vs. FUE debate. Why? Because FUT and FUT are both...wait for it...FUT! The real debate is about two donor excision methods which are FUE and FUSS (follicular unit strip surgery). Both FUE and FUSS use follicular units and thus, they are both technically FUT (follicular unit transplantation). One could argue therefore, that FUSS and FUE are not two distinct procedures, but distinct donor harvesting methods that could be used in an FUT procedure. 3. FUE produces scarring. That's all there is to it. It is not scarless. That said, many of the FUE donor scar examples that Dr. Feller and Dr. Bloxham are presenting are some of the "worst of the worst" cases. Back when FUE came out and was starting to be marketed throughout the discussion forums as a "scarless" procedure, those promoting FUE would post the worst of the worst FUSS scars as an (unfair) comparison to FUE which supposedly produced no scarring. Dr. Feller and Dr. Bloxham, you both are excellent physicians and great guys. But I hope you can produce more "regular" examples of FUE scarring rather than some of the worst cases to show what one can most likely expect when they undergo FUE donor excision. 4. This entire topic "Why NOT to get an FUE" is very controversial and just by the topic alone, is likely to produce some very emotional responses. For instance, I read through the discussion of Yaz89's results and towards the end, was feeling bad for him. He is happy with his hair transplant and frankly, he should be. Dr. Feller and Dr. Bloxham are right in that we don't know what the scarring looks like in the donor area because it's pretty well concealed by the hair from the fade. I too can see the scarring in the shortest area but it's not anything I would suspect anyone would notice as overly unusual. 5. FUE scarring, when optimal is preferred by most patients because even if it is visible, the scarring is spaced out and scattered in a strategic way so it still looks natural. It's similar to how hair transplant surgeons strategically place transplanted hair in the recipient hair so that the result is natural and dense looking even if only 50% of the density has been restored. Now I know one of the keen differences is that the recipient area hair is longer and thus, the feathering affect helps with density and naturalness. But placement of the grafts is exceptionally important just as where extractions are taken is important to keep the appearance of scarring minimal. 6. FUE is here to stay. Not only that, but it's continuing to increase in popularity. 7. I wish physicians and patients alike would stop comparing the two donor harvesting methods in a way to show which one is better but instead, discuss how they can both be used together to produce the most dense and natural looking result. After all, someone with advanced balding has the greatest chance of restoring the greatest amount of hair by utilizing BOTH FUSS and FUE, not just one versus the other. 8. FUT doesn't "suck" as some are saying. I understand that some are posting an emotional response based on the title of this topic but for over 15 to 20 years now, men and women have been getting some of the most natural and dense looking results with FUSS with minimal scarring. 9. For some reason, the need to "shave one's head" after hair transplant surgery has become the cornerstone to have FUE. However, most surgeons (and educated patients alike) would advise patients NOT to undergo hair transplant surgery if they intend on simply shaving their head anyway. What's the point? A hair transplant is for the purpose of growing hair. Otherwise, why not just shave your head all the way down to zero clip! Or today, why not get temporary SMP and shave down to a 1 guard/clip. Most patients can still wear their hair pretty short on the sides and back whether they get FUSS or FUE. And yes, it may take longer to see the scarring with FUE the shorter you shave down. So if that's important and appealing to you, then FUE may be something to seriously consider. 10. In my opinion and based on what I've seen on our internet forum and in discussing the procedure with various doctors, growth yield with FUE has increased over the last decade as physicians have been working hard to improve the procedure. However, it is still the general belief that FUSS will produce more consistent growth yield overall and on average. FUE is great in some cases, but harvesting follicular units will always be via blind dissection and thus, doctors will have to operate on the "feel" of the donor excision tool rather than by sight via microscopic dissection. 11. Dr. Feller and Dr. Bloxham can speak based on their own expertise and surgical experiences. However, they cannot speak for all doctors and what they experience in their surgery room. Yes, there are some universal truths and hindrances that make FUE more challenging in some ways, in particular regarding getting growth yield to be as consistent as strip. However, other surgeons may have experiences that differ from Dr. Feller and Dr. Bloxham where consistency in their hands may be higher. On the other hand, some may see even lower consistency. While I truly appreciate and encourage Dr. Feller and Dr. Bloxham to continue posting their experiences, opinions and facts, I'd like to hear from other leading surgeons who regularly perform FUE such as Dr. Erdogan, Dr. Bisanga, etc. It would be interesting to hear what some other top notch surgeons say and see what they do and don't agree with related to what these two surgeons say. So what's the bottom line? FUSS and FUE are both great and should be used in various circumstances. Sometimes a conjunction and combination of both procedures is the best way of obtaining the most dense and natural looking result. I also ask that patients and physicians alike discuss this topic respectfully with one another. Patients should understand that physicians actually perform the procedure and as a result will have more hands-on experience and knowledge than patients. On the other hands, doctors should understand that many patients are very knowledgeable thanks to internet forums and websites such as ours. Internet forums do have their share of problems, but they should not be downplayed as an excellent resource for information, support and for finding an outstanding surgeon. Best wishes, Bill
  16. I have immediately redirected your message to Dr. Bisanga personally. You will receive a response very soon. Thank you. Update: You got an email.
  17. I did a consultation with Dr. Bisanga online (through one of his reps) and I have to say their communication was fantastic - quick and comprehensive responses. Maybe they're not receiving your messages for some reason?
  18. It depends on the size of the procedure but typically Dr. Bisanga has one small and one bigger case a day. So most of the time he does 2 cases if it's a big procedure he will do 1 a day.
  19. Thank you. I did not have a procedure with him I have always considered him on world elite tier level. Dr. Bisanga punches all grafts by himself and the technicians only pull out the grafts after he has scored them.
  20. Congratulations. Did you have a procedure with him? Does Dr. Bisanga do all of the FUE extractions himself for every case or does he have technicians that do this for him?
  21. Age: 28 Norwood classification:NW4 diffused thinner. Hair Characteristics: medium fine Donor Density: Measured in 3 areas as 70/70/80 Follicular units per cm2 Graft breakdown:- 1s 667 2s 1147 3s 1015 4s 159 Laxity: n/a Miniaturisation: 10 to 15 percent Medication:- None at time of surgery then patient went onto Minoxidil post op and has continued. Recommendations: 2500 to 3000 grafts for frontal third with conservative hair line. Minoxidil also recommend to assist the thinning hair on top. Pre-surgery design Placement Donor Extractions Result at 12 Months Photos Provided by Patient. Patient Quote:- The transplant really came out great and I'm very pleased with the result. Looking back the change is really remarkable. I'm still using Minoxidil and it's seems to hold for now, hopefully for few years.
  22. Age: 32 No meds Density: 70 grafts/cm2 Grafts: 1 hair 519 2 hair 1078 3 hair 789 4 hair 133 Total 2519 FU Pre op Placement Extraction 12th day 18th day 1 month 3 months 4,5 months 5 months update. 6 Months update.
  23. * BHR Clinic * Dr. Christian BISANGA * Age: 39 * Technique: FUE * Medication: No * Donor densities: 70-80-100 FUs/cm2 * Hair Caliber: Medium Fine * Total FU used:- 3055 * FU breakdown:- 1s 647 2s 1396 3s 777 4s 235 TOTAL: 3055 The goal of this surgery was to spread back into the frontal third or slightly beyond thus opting for a conservative line design and taking into account the patient's age, loss, ultimate goals . A second operation for the crown is the next stage. Pre-Post surgery 9 Months 0-9 Months Comparative
  24. Hello, I had my procedure with Dr Bisanga on 10 December 2013, my experience with clinic was very good, I stayed in Catalonia Hotel. Earlier in 2005 I had procedure in 780 grafts to the hairline. Dr. bisanga has recommended for me a 2nd scar because my first surgeon took a strip to low on my head. I plan to make FUE in the future to the top of my head and scars. 1 hair - 656 2 hair - 1579 3 hair - 668 4 hair - 614 Total: 3517 grafts
  25. FUE Case by Dr. Christian Bisanga, BHR Clinic Date: 15.04.2016 FUE: 2802 grafts 1H: 532 2H: 1590 3H: 642 4H: 8 Age: 32 Type of hair: Fine Medication: Fiansteride, Minoxidil 5% Average Density: 85 FU/cm2 Miniaturization: 10% NW4
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