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  1. It’s clear you will develop an aggressive balding pattern in time. I would caution trying to lower your hairline and restore your temples. I can see thinning in the crown. As for surgeons, I would broaden your horizon, Dr. Bisanga is a great option in Athens, as is Dr. Maras with HDC.
  2. Do you have any questions related to hair loss? Why not have them answered in real time by one of the world's foremost and prominent hair transplant surgeons? We are delighted to announce this upcoming event and wish to welcome everybody to connect and voice your questions and concerns regarding hair loss, the causes, and what options are available both surgical and non surgical.Make sure to #savethedate and we are looking forward to welcoming you. The exact start time of the event will be announced shortly. #bisangafue #bhrclinic #facebooklive
  3. At one time Dr. Bhatti was one of the only games in town and was the only affordable option and at that time I thought he was a decent choice but as time went on his lack of skill really came to light and dozens of other HT surgeons started popping up doing far better work with way less experience and they were not spacing their grafts so far apart to look like 1990 hair plugs! He never evolved. Its a game of talent and he lacks talent. Dr. Bhatti doesn't perform large hair transplants. Where are the 5000+ graft patients? Im still waiting for those examples! He is a cheap alternative option to great surgeons like Maras, Lorenzo, Erdogan, Nader, Bisanga, Feriduni, etc..... U can swing on his nutz all u want but the pictures don't lie. There are ZERO examples of Erdogan performing a HT that looks like old style plugs. I can post a dozen or more examples of Bhatti and his plug like grafts. Ur his "Promoter" and I get it but the fact is his best work is average at best. Here is another example I found on page 11. I went to page 10 before. The "Mini-plug" look isn't appealing to ANYONE! U've been making up excuses for his poor work for years. It hasn't gotten any better and it never will. I have zero interest in this guy so I have no interest in debating how bad he is with u but I thought others should know there are far better options out there. Good luck and take care.
  4. BHR Clinic Dr. Christian BISANGA Age: 29 Technique: FUE Medication: Finasteride Donor densities: 70-80 FUs/cm2 Hair Caliber: Fine Total FU used:- 2500 * FU breakdown:- 1s 564 2s 983 3s 953 TOTAL: 2509 That means 2500 FU = 5389 Hairs. Average = 2,15 hairs/FU. The goal of this surgery was to rebuild hairline and temples. Pre-Post Surgery 8,5 Months Wet Hair Comparison 0-8,5 Months
  5. BHR Clinic Dr. Christian BISANGA Age: 39 Technique: FUE Medication: No Donor densities: 50-50 FUs/cm2 Hair Type: Afro-Coarse Total FU used:- 2001 * FU breakdown:- 1s 220 2s 1475 3s 294 4s 12 TOTAL: 2001 That means 2509 FU = 4075 Hairs. Average = 2,03 hairs/FU. The goal of this surgery was to rebuild the hairline due to traction alopecia, searching to improve the frame of her face. Pre-Post surgery 1 Month 8 Months Comparison 0-8 Months
  6. Nobody wants an unnatural hair line and this is the biggest give away for those who have had a hair transplant and that something is, shall we say, not quite right, in this aspect. People should talk to your eyes and not your hair line, and I have spoken to many patients who said that sadly is the case for them from previous surgery. This video exploits some of the golden rules used in order to give a natural result. Not only the employment of grafts used but the design implemented. Most patients today expect an undetectable hairline that has enough density after one session and blends well with their native hair and of course with their facial features. Watch this to see some of the aspects you need to consider before pulling the trigger! One thing worse than hair loss is a poor transplant that screams I am not natural! I hope you enjoy this informative presentation by Dr.Bisanga. Regards stephen@bhrclinic.com
  7. After extensive research of clinics and submitting several online consultations, you will generally have a gut feeling over who is the right surgeon for you. Naturally it is the surgeon and his/her results and reputation of patient care that will have originally attracted you to them. Ultimately, we as patients begin this process with the single motivation of excellent surgical results. But it is also true that there is often a lengthy and thorough process from your original contact with the clinic until you final result at 12+ months post op. Such steps include your online or in person consultation and receiving and understanding the Doctors recommendations, many questions and further education before scheduling and then eventually undergoing surgery, and the anxious wait post surgery before your growth begins. With this in mind, your patient advisor also plays a vital role. A patient advisor extends the philosophy of the surgeon and will support their patient from the first point of contact, until the final result and beyond. Here is a brief video explaining the role and responsibility of a patient advisor.
  8. Thank you for the comments Pangloss. In the photos you see men with even good chest have longer and darker hairs and even though the first person has a lot of abdomen, you see them also finer and therefore a longer resting phase is evident and a shorter growth phase than the chest has that is more abundant and darker and better quality. As said this is the norm, but I have seen some patients, and ethnic groups also play a part and I recall some southern Europeans who have very strong abdomen hair that is very good but always they have had good chest hairs as a consequence and a carpet of hair that is all terminal. Some will in essence have more "terminal" hairs grow, some will remain vellus and this is genetics that is individual to them. Also medication plays a part, as DHT blockers can weaken body hair, so Minoxidil has a positive effect. I would agree with Dr.Bhatti for the norm of the anagen phases for most, but you may be one who has little difference in the anagen phases of abdomen to chest, an exception more than the norm, so for your case it could be different. Dr.Bisanga has many years of experience in Strip/FUE and body hair, and unlike many he is not a recent convert to FUE, but has been doing it since inception of his career that now spans 20 years, and also has seen a lot of and performed a lot of body hair cases and in his experience he says scalp is king, beard is prince and then you need to evaluate the rest, but usually will, unless exceptional circumstance, limit himself to beard and chest and even then cherry pick the good and stronger ones from the pattern that the patient has. Beard also has variations throughout it and usually the peripheral areas are finer so have less of an anagen phase. If you are on Minoxidil you may notice this increases also. The rate of growth you quote for stomach is not usually transection as if transection is clear then they would not be transplanted unless in good condition still and in the hope something would grow, so it is more survival of them from the operation. Of course they can take longer to grow than scalp hair due to the phases being different to scalp and I have known some even get growth at two years on body hair. Back in 2007 I had a training doctor punch 300 grafts on my chest, I got small dots and could see where they were punched from and got hairs come back in these same spots, so the follicle was transected and the part left behind re-grew from my chest, so it had not been fully captured and chest is harder due to angles splaying around and it was interesting to see the re-growth in the original area. Back hair can be very coarse, but normally those who have back hair and on shoulders also, have an abundance of chest that is also tapped into firstly. Like anything, there are the rules and then the exceptions who may genetically have different characteristics and be able to exploit that. If you would like to post photos or even send me photos of your case then I will pass to Dr.B to assess for you an give you his opinion on what he would harvest from for you.
  9. Hey! I started my hair transplant journey this week and I'm going to share it here. I'm 37 years old from Jerusalem. I believe I'm Norwood 2-3. I noticed my hair started receding when I was 25. I started taking propecia (finasteride) and kept at it for 5 long years. At the age of 30 I realized that I'd rather go bald than suffer from one of the nasty finasteride side effects. Now at 37 I realize I was losing my hair at a very slow pace. I had quite a nice hairline 5 years after stopping finasteride and didn't lose everything right after as I was supposed to. I actually think that if I didn't take finasteride, I still would have had a better hairline today. But never mind that now and thank god for hair transplants. After a few months searching all over the web, I decided to do my hair transplant with the famous Dr. Bisanga. At first I was planning to do it at his main clinic in Brussels, Belgium. Then I found out that he opened a clinic in Athens, Greece, last year with Dr. C form the states. The procedure was cheaper there too (operation, travel and lodging wise). The only worry I had was a week prior to the operation when I heard that his partner, Dr. C, left the clinic to open another one in Turkey. I didn't understand why he left, but I chose Dr. Bisanga from the start and trusted I was in good hands. Not long after, I set a date with the clinic for the 1st of November. I booked an airbnb near the clinic. My partner and I stayed there for 2 more days after the operation, just to be close in case of well, anything. The clinic arranged for us a cab from and to the airport. My day started with Maria, who was kind and explained the procedure for me. I signed some documents, payed some money and was led straight away to the operation room where I met the doctor himself and his staff. Everyone was nice, everything was clean and sterile (the clinic is brand new). Dr. Bisanga drew the new hairline, and I guess like everyone here, I tried to convince him to lower it. But with no success. He's the doctor and I guess he knows what he's doing, so I trusted him on this. We agreed on 2000 grafts, but only 1845 were needed. Immediately after I agreed to this, they shaved my head and started the operation. Dr. Bisanga extracted half or most of the grafts and his technicians continued and then transplanted them in the designated area. I gotta admit, I mostly dosed off through the operation. The team was cheery, but worked hard all along. So hard that the whole thing was done in a matter of 8-9 hours. In the next room there was another guy overgoing another operation. I believe Dr. Bisanga was overseeing both of the operations. At the end of the day, Andrea, the head technician, gave us all the post instructions needed to take care of the new transplanted hair and the donor area. She was really sweet. In fact, the whole staff was, which made the procedure much easier to go through. The next day I came back for the first wash and final goodbye. Dr. Bisanga insisted I use some product to help maintain the rest of my natural hair from receding. If not finasteride, at least minoxidil. I thought about it for a while and decided against it. If I wanted to keep on using chemicals, I wouldn't be here in the first place. I made my peace with it and am willing to deal with the consequences, until my second hair transplant of course I took it easy for the next 2 days and enjoyed my trip in Athens. It was pretty sunny, so I kept my cap on. They gave me a bandana at the clinic and I was advised to wear it while I'm out. I tried to avoid the sun as much as possible while wearing it. My head was pretty swollen on the 2nd day, so I kept massaging my forehead and put an ice patch on it carefully. I was out 2-3 hours at a time, didn't sweat at all, and kept spraying my head with the solution the clinic provided me. Overall, I took good care of it while trying to enjoy my trip a little, as advised by the team. Tips from a pharmacist (me): the antibiotic I was given (doxycycline) gave me a bad heartburn and diarrhea. I advise you to come prepared and travel with antacids and probiotics to relieve these side effects. So here are my pics from before and 1 day after the operation. I'll keep updating this post every month to share this hairy journey hoping it helps someone else with their decision. Cheers!
  10. Hair loss in the African-Caribbean community is a widespread concern for both men and women. Along with with male pattern baldness, traction alopecia is a common issue for females due to tight braiding and extensions amongst other factors. Afro hair presents unique challenges and therefore requires specific expertise. The natural shape and design of the hairline can be vastly different than caucasian and asian patients. As opposed to the mostly straight follicle of caucasian and asian patients, typical characteristics associated with afro hair follicles are that the hair tend to be thicker and tightly curled. Such curvature of the hair extends below the scalp. The natural curvature of the follicle can be significant, often to the extent that the follicle when removed is actually in the shape of a letter C, meaning that it is essential to have a surgeon who has knowledge and experience of working with afro hair. A profound understanding of the punching and extraction protocol is essential when FUE is the most appropriate technique, as due to the curvature of the hair, transection presents a higher risk. Another crucial element is that your surgeon must have the appropriate punches and tools to best handle and manipulate afro hair. For the same reasons that the characteristics of afro hair present unique challenges, when a restoration procedure is performed correctly, these same hair characteristics offer great benefits. The naturally thicker and curlier hair can achieve an impressive illusion of density with a lesser graft count compared to most other hair types. Dr Bisanga is a leading expert in performing hair restoration surgery with afro hair and over the following weeks we will be presenting further patient results. Dr Bisanga wants to stay accessible and in touch with his patients. He is therefore currently offering video consultations. This will allow you to directly ask specific questions, discuss any concerns that you may have, and presents an opportunity to understand how Dr Bisanga would approach your restoration. If you do have any further questions regarding Dr Bisangas approach and what he feels would be appropriate for you personally, then please get in contact and we can schedule your video consult. Stay safe.
  11. 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.
  12. Hi, I am wondering if anyone on this forum knows if Dr. Bisanga specializes in African hair? Or has any pics of his results for African patients. He also does trichophytic closures for FUT. Any opinions on this? Thanks.
  13. Before Surgery. Graft breakdown 1s 399 2s 736 3s 342 Loss due to traction alopecia. AFTER
  14. PATIENT RESULT - 5.5 MONTHS BHR Brussels Dr. Christian Bisanga Graft Count - 2402 Technique: FUE Patient Age: 27 Hair Caliber: Medium
  15. Hair Loss in Women Female hair loss is a common problem worldwide with a surprising figure of at least 50% of women experiencing loss to some degree. Dr Bisanga would like to present this message to briefly explain possible causes, symptoms and risk factors while offering solutions and advice on when to seek treatment, and which type of treatments may be appropriate. If you may have any further questions or queries about hair loss in women and would like to learn more, Dr Bisanga is available for video consultation to further discuss your concerns. Stay safe, keep in contact and let us know if you feel we may be able to help.
  16. With travel restrictions now being placed not only in Europe but worldwide, and the subsequent disruptions, we are committed to continuing our relationship with patients and those seeking assistance. So, as you are unable to come to us, we want to ensure you that we will be able to come to you, and accessibility to our online services will be expanding in order to fulfil our commitment to you. At present we are fulfilling this with the use of technology, firstly via emails and WhatsApp, our first line communication with the patient or those seeking advice or surgery will have no change in that way. However, we are now giving additional support, so that during this period, and in a changing world, we will seek to be constant. Nothing will change with our commitment to excellent customer service, advice, teaching information, assessment and re-assurance. So, with our online presence of social media and the related platforms, we will be giving apt, timely, accurate and helpful information to you. We will be launching a live question and answer time whereby you can have one to one contact with Dr.Bisanga and have your questions and concerns answered, as well as launching newsletters, educational videos and posts, patient results and testimonies, but furthermore a chance to have a virtual video consultation to assess your case personally and suitability for surgery. This will be free of charge and without obligation yet very informative and convenient for you to participate in. So, stay safe, watch this space and keep in contact with us and let us know how we can serve you through this period and beyond.
  17. This looks promising. Mid Scalp does look thinner, but it looked like grafts weren't packed in as densely in the mid scalp as they were in the hairline and that's down to the design of Dr.Bisanga who probably knows best! I've seen that you have to wait a year for the final result, so looks like you've got a good 6 months of growing still to go! Good luck!
  18. Dear Forum UsersWe are delighted to announce that Dr.Bisanga will be in the USA on the 11 - 14 of April 2020 to hold consultations in both New York & LA respectively. These are free of charge and with limited availability but a great opportunity to have your hair loss examined including donor density measurements, check for miniaturisation, hair groupings and calibre, loss potential, suitability for surgery, surgery type, design, graft numbers etc. If interested then please feel free to send me an email:- stephen@bhrclinic.comVenues to be confirmed.Thank you.
  19. 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
  20. Great informative video on the importance of a thorough assessment with a doctor who specialises in hair transplantation. The consultation should be professional and able to furnish you with real empirical data and not just a subjective view that you are a good or a bad patient. It should give real hands on data and also be in an atmosphere that is open and friendly and that encourages questions and gives outcomes on treatments and surgery that is the best for you. A hair transplant is potentially life changing and a decision that should not be taken lightly, so click and see some of the things you should consider and feel free to contact us should you wish to have an assessment with Dr.Bisanga #consultation #bhrclinic #bisanga #bisangafue stephen@bhrclinic.com
  21. They have the most experience, but definitely consult with other top docs like Dr. Bisanga, Hasson and Wong, Dr. Diep was my personal doctor, and my hair was similar to yours.
  22. @83mjs Thanks mate. Yes donor area is great. I'm very happy with the way things have gone over the past 7 months. Hopefully some thickening over the next 5. Fingers crossed! I knew once I came across Dr.Bisanga he was the surgeon for me. Very happy with my choice
  23. If you’re in belgium, definitely consult with Dr. Bisanga, Feriduni, Devroye just to name a few.
  24. Right so here I am on month 7. Things have really taken off since month 4 and I'm really happy with my progession! All the transplanted grafts have started to settle in nicely in my opinion and flow great with my native hair. I mentioned a slight issue with my hairline in previous posts which I feel was a little harsh. As my hair stands at this moment, longer and more developed, I feel like its totally unnoticeable with the style I'm currently going for. With a shorter haircut, or with a longer on top style (combed back over) I still feel like "I" would notice it, but very unsure if a total random person would. I'm going for a straight back combed style. As I described to Dr.Bisanga on consultation so we will see My patient advisor Ian has reassured me Dr.Bisanga will happily take a look at the design if I'm still feeling the same way. All being said, I'm totally chuffed to be at this point 7 months in. If your considering Dr.Bisanga I'd go and do it. I've attached a variety of photos with my hair in different conditions. - Semi wet and under harsher direct lighting conditions - Dry, no products and natural daylight lighting - Paste type product, average (if not brighter) room lighting. - hair pulled tightly back over, dry natural, room lighting again - Donor area with a guard of around a no1 blended. - A pre op photo to give comparison It would be great to hear everyones thoughts on my progession.
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