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  1. Hello guys, As I am writing this I just came back from the BHR clinic for my post-operation consultation with Hilde, who is my patient advisor. Before we start I must say that the overall experience with BHR from the point where we first came into contact, has really been 10/10. They are very professional and really care about their patients a lot. Of course they might be more expensive than a clinic in Turkey, but therefore you have the feeling that they take care of everything and you see with their results everywhere online that by picking them you minimize your risk of a outcome which will not satisfy you. This peace of mind justified the costs for me. The head is throbbing a little bit and I only had 3 hours of sleep last night (however I was able to lay relaxed without any issue for about 8 hours total), but I am absolutely thrilled that I took the step and that everything went without complications so far. Now I am moving into the most important process which is the healing process, but before this will be shared in the coming months I would like to share some background. Today I am 28 and my balding has started around 18 years of age and I was using topical minoxidil shampoo the first time with 21 I would say. As this was very inconvenient I stopped doing so but ofcourse the balding process progressed. Then with 22 years I started taking finasteride, first 1,25mg a day and since the beginning of June this year I switched to capsules with 1mg a day. I am also using 5mg of oral minoxidil since 3 months (starting from 08 June 2021) to improve my donor area pre-operation. Apart from that I try to live healthy by eating whole foods, having a lot of regular exercise, being social and try to laugh as much as possible (reduces stress they say ) So upon first contacting the clinic I was looking like this (April 2020, only on my finasteride regime here): As can be seen pretty clearly the frontal area is thinning but my crown area has good cover, which I pretty much thank to the religious finasteride intake (of which I have 0 side effects by the way, also not what my reproduction is concerned). Now let us fast forward one year and a bit, to June 2021, as I was just about to start with the oral minoxidil. Now let us fast forward another 3 months to nearly the time where I had the operation and after I had my first three months with the 5mg oral minoxidil added to my regimine: What I have observed with the oral minoxidil: better hair thickness, increased body hair length (arms/legs) and more visible body hair in general. If we compare there two shots with the very first shot from April 2020, I feel that my overall hair quality and density has actually improved. So now let us move to some pre operation foto's of the hairline and after shaving: And then the day after the pre-op consultation I arrived at the clinic at 07:30 to be done at 17:30 that same day. They gave me some valium and overall I did not have any pains, it was a lot less bad then I have expected. Graft count: 2609 Graft breakdown: 1 Follicular Unit: 424 grafts 2 Follicular Unit: 1011 grafts 3 Follicular Unit: 1077 grafts 4 Follicular Unit: 97 grafts Donor density: 80/80 Now the immediately post-operation picture: Looking forward to share my healing process here with you guys and would like to thank everyone here sharing past experiences for us all to learn, benefit and make an educated decision from. Cheers
  2. Hello Interweb A little about me, I am 37 years old and started to notice hairloss at around 21. I worried a lot at the time and over the years, more than I needed to - I actually learned to hold it at bay getting very good haircuts, something which is highly underrated for early stage hairloss imo! I spent too much of my life worrying (so much so I was even looking at hairpieces when it ABSOLUTELY was not warranted, thankfully I didn’t go through with it) and wish someone had known to tell me at that time the loss I had was mostly in my head and wasn’t a big deal in the slightest. Then I did start to lose quite a lot of hair about 6 years ago, I was looking pretty bald when quite suddenly it reversed! It was a bit of a miracle with a lot of hair coming back, which I still don’t fully understand, however it then resumed around 2 years ago to the point where now, finally I felt like something needed to be done. Therefore I’ve been looking at getting a HT for over 10 years on and off. As an aside, I remember in 2008 that everyone was convinced “hair-cloning” was coming any day now.. so I was always thinking oh if I can hold out for that… you know how that worked out haha. So when I see that kind of article now I can’t help but be sceptical. Anyway, I’m glad I was able to wait in the end as I feel the technique, especially FUE, has been greatly honed in this time. I was always expecting to get FUT when reading years ago, but now the donor area management with FUE are ending up looking amazing and the skills to make sure the grafts take are equally impressive - among the best surgeons that is of course. In addition I was always expecting to fly to the USA or Canada as that’s where the best doctors were back in the day - so I was really pleased when researching this time around to find that there are now some excellent choices for us Europeans. Great for easy travel in Covid times, to be able to have good service in our continent and support EU business. I’m not going to talk much about the selection process, but I decided to go with Dr Bisanga. Him and his team were highly professional from first contact (special thanks to Ian!) and seem to have the process, communication, aftercare and most importantly results locked down. I have posted some pre-op photos, they aren’t really that good as they were not intended for this purpose. Something to note is that my hair is very “fluffy” - eg it doesn’t look so bad really even though there is actually very little of it there! The hair characteristics have been quite a blessing in hiding the loss over the years. The clinic took better pre-op photos which do show the extent of the loss, perhaps I will get them from them at some point and post them here. Drugs-wise I took Propecia for around 6 months 2 times in my life and got side effects so stopped. I recently started again as the crown for the first time was looking a little weak - but only take 3mg per week (every other day), just before I go to bed and this has been ok in the month since I started. Dr Bisanga highly recommends oral Minoxidil which I’m considering taking also. This forum has been such a great resource to me going back all those years when I would check in every now and then to see what was going on in HT world, and all the more so over the last few months when I’ve done intensive research to plan the HT that I just had done. I think it’s really great that people who have had the same life experience come together to advise and support each other. So although it’s not really my kind of thing, I just had to post a bit about my story and make a little diary here to give something back to the place that has helped me out so much - I hope that it’ll end up being a positive story..!
  3. In this episode of "Bitesize with Bisanga", Dr. Bisanga discusses how and why a hair transplant surgery should never be rushed. That successful surgery is dependent on specific protocols that take the necessary time frame to be performed optimally and that surgery should be considered as a marathon, and never a race. He also shares the factors that impact the duration of a high-quality, professional hair transplantation procedures. Learn more how picking poor quality "hair clinics" can destroy your donor area and cost you more over the long run.
  4. After a long trip from Texas to Florida to Spain to Belgium, I arrived last night just in time to order a pizza and go to bed. Bright and early I made it to the clinic for my second hair transplant. Now I'm back from my procedure with Dr. Bisanga in Brussels. The objective was to cover the crown and touch up my temple points. Estimated 1,500 grafts, ended up with 1,528. Singles: 100 Doubles: 978 Triples: 450 The grafts were pulled from the back and my right side, not my left. Under magnification, my left side, above my ear, is weaker. Bisanga said there were mostly singles and doubles there, so leave them in place. His focus on donor management is impressive. I'll add more about the experience late. But for now, here are some pics. I'll leave my hair like this for a week, until I can shave it at home. Crown Before (month 8 after first transplant) Temples. Single hair grafts only. Something I didn't really notice before. I had some scar tissue in the back on my head. In the middle was a fat multi-graft. Dr. Bisanga punched it out with a 2mm punch. And then decided it would be best to cut out the scar and seal it with a single suture, which I'll have to have removed next week. I thought it was a very "pro" move. There was nothing wrong with it other than it looking a bit funny when shaved. I'm thrilled with this unexpected level of service. And funny... some clinics give headbands, some hats. Bisanga gives this crazy thing. Now I look like a grandma.
  5. I am very happy to be able to present the following result, currently at 7 months post surgery on behalf of the patient. The patient is already showing very good growth at this early stage with a very natural outcome and still has more to look forward to. Further updates will be provided over the next months. Goals of Surgery - Rebuild hairline, increase density behind hairline and into existing hair. Challenges - Direction of hair with slight cowlick in the hairline Total - 2507 Graft Graft Breakdown:- 1s 403 = 403 Hairs 2s 875 = 1750 Hairs 3s 1040 = 3120Hairs 4s 189 = 756 Hairs Total: 2507/6029 = 2.4 Average hair per graft. Pre-Surgery Placement Donor 7 Months All photos provided by the patient
  6. In this episode of "Bitesize with Bisanga", Dr. Bisanga discusses the experience of his patient´s and how they have achieved better results when combining oral minoxidil with topical finasteride.
  7. In this episode of "Bitesize with Bisanga", Dr. Bisanga discusses how and why many of his patients are able to achieve early growth following a hair transplant procedure.
  8. Hello everyone, I've received so much information from this site that I feel compelled to give back. About me: I'm 50, Asian American/Belgian male and have been thinking about doing a hair transplant for years. I remember my father in his earlier years of hair loss and how discouraged and powerless he felt. Today, I'm fortunate to be in a position (financially and emotionally) where I can do something about my own hair loss. I have a confirmed procedure with Dr. Bisanga in Brussels for the 25th of November, 2020. My airplane ticket has been purchased (from SFO-BRU) and apartment reserved on AirBnb. Will keep this page updated.....
  9. In this latest presentation from our "Inside the Op Room" series, Dr. Bisanga shows and explains his approach to cutting recipient sites, discussing angles, feathering, hair groupings and light penetration to best achieve the desired "illusion of coverage". This is a very educational video and even more valuable is that we have this very patient´s own documentation and result thread to show the evolution and growth of this procedure (below).
  10. Dear Community, this forum helped me a great deal in my decision making process but also in making myself knowledgeable around the whole topic of HT. Therefore I wanted to give something back an let you participant in my journey, starting from the procedure I underwent at Dr. B's clinic end of January. About myself 31 years old Hair loss started at around 20 I would say and progressed really slow towards the status you now see on my pre-op pics Never took any medication, but have now started with Minox 5mg daily Graft breakdown 1 FU: 402 2 FUs: 1,298 3 FUs: 1,200 4 FUs: 77 Total: 2,977 at avg. 2.32 hair / graft I'm not going into detail w.r.t. the day of the procedure and the procedure itself as I thing this is pretty well know by now. Having said that, I'm of course very happy to answer any questions should you have any! What else to say? I'm obviously very happy and excited with this step and am looking forward to the coming months. In terms of healing and first days post-OP, I can say that I never had any pain (didn't even need the painkillers the clinic gave me with the after care package). 90% of the scrabs came off at day 9. My donor healed up quite nicely and looked pretty much back to normal at around day 7 I wanna say. Below you will find my pre-OP pics
  11. In this episode of "Bitesize with Bisanga", Dr. Bisanga discusses the challenges and considerations when performing an FUE procedure on patients who have had previous FUT surgery.
  12. With the ever increasing demand in FUE surgery, we are fortunate to be able to see some of the most impressive and refined hair restoration results. Unfortunately, we also see more and more poor quality surgery that presents no end of issues for patients. One such issue is the lack of understanding and respect for donor management protocols leaving the patient with an overharvested and depleted donor area. In the following video, Dr. Bisanga breaks down some of the important elements of understanding the donor area and emphasises the need for an in-depth evaluation and an appropriately tailored approach for each patient based on empirical date.
  13. In my own journey throughout the years and long before I was in my current role as patient advisor for Dr. Bisanga, I have spent many hours and found incredible value in this very forum. Being able to share frequent patient results from Dr. Bisanga is always a pleasure of mine and knowing that in doing so, it really adds to the essence of the community and can help to show what can be achieved. With that being said, I am very happy to be able to present my own case and give back on a personal level. In all honesty I did not intend to present my surgery photos until 12 months post op when I would have been nearer to my “final result”. This was because as many of you will know this was not my first surgery. I had previous strip surgery in 2012 (not with Dr. Bisanga) and was satisfied with my results at that time, however due to progressive hair loss, this meant that this surgery required "revisiting" the same area which was therefore not virgin scalp in the frontal half. Non virgin scalp means that quality of skin will be less due to making of previous recipient sites and subsequent scarring and this can have an impact on yield, and growth can oftentimes take longer to develop in repair surgery. I knew that I may have to be patient, but fortunately that has not been the case. I had FUE surgery with Dr. Bisanga 5 months ago with the following objectives - *Rebuild my hairline and increase density through the frontal third *Strengthen my temple points (as conservatively as possible) *Reinforce my mid scalp and crown *Place beard grafts into my previous strip scar (if possible) This was a lot to ask in one surgery, especially considering my quality of candidacy. In essence, any patient who is a candidate for hair restoration surgery does not have a “perfect” head of hair, but there are different levels to candidacy from excellent through to borderline and then obviously non candidate. We often seen “hollywood” hairlines achieved on patients with focused loss and what would appear to be a great donor. That certainly isn’t my case and isn the case for many. Challenges of surgery were - *Larger pattern of loss/decline *Retrograde alopecia (Dr. Bisanga explained that it is likely emphasised by my strip closure pulling my nape “higher”) *Average/below donor density *Below average hair groupings *Fine hair *Previous strip scarring Surgery was always going to be challenging in terms of achieving the necessary graft numbers but I was well aware of this and understood that we may not have been able to have achieve all of my objectives. This really highlights how realistic expectations are key. As is my intention with all patients who I have the pleasure to communicate with, education is fundamental. My surgery was scheduled over 2 days and I arrived in Brussels the days prior to my procedure for a thorough consultation using the state of the art equipment and software to allow Dr. Bisanga to assess the current status of my hair and scalp and discuss his approach. Due to using oral minoxidil and finasteride, I was very pleased to hear that my donor was stable and without any signs of miniaturisation throughout. I discontinued meds several years back and lost quite a lot of ground at that time. At 38 years of age, I wasn’t looking to lower my hairline at all despite it sitting high at over 8.5cm+ from the glabella. I really wanted to proceed as conservatively as possible in order to preserve as many grafts and achieve as much coverage as possible with an appropriate hairline as I age and inline with the shape of my face and considering my hair characteristics and donor specifics. One concern that Dr. Bisanga did have was some potential scarring on my scalp. Dr. Bisanga wanted to rule out any possible concerns such as scarring alopecia and decided to take a “punch” biopsy to remove a small tissue sample to be sent to the lab for testing. This then required a few stitches which were removed several days later. You can see the stitches in the post operative images and actually as this area did not receive any grafts to allow and encourage optimal healing, you can actually make out a weaker area in my recent photographs. Fortunately my biopsy result came back without concern and without the presence of inflammation or scarring alopecia. Surgery days went very smoothly as expected and after assisting many patients over the last years throughout their journey, it felt great to be taking my place in the chair. Dr. Bisanga explained that I had tough skin and I was burning through anaesthetic which meant the need for more numbing, but he reported easy harvesting despite my follicles sitting quite deep in my donor. We didn’t want to push too heavily or aggressively on my donor as my hair is fine and we didn’t want to further expose my strip, and as with all of us, loss is progressive and being conscious of this it was agreed that we would harvest approximately 2400 from the scalp with further supplementation from my beard using it to great effect in placing into my mid scalp and crown. As expected, all of my beard grafts represented single hairs and due to this being my first beard session, it was decided not to push far beyond 1000 grafts to allow a good distribution in terms of extraction sites and ensure optimal healing. With this being the approach, I was always going to fall slightly short in terms of placing grafts throughout my entire previous strip scar, and so therefore it was decided that we would commit to one side of the scar (approximately 260 - 300 grafts) which was still a bonus. Not the standard approach but in my case, it presented a great opportunity to be able to see yield throughout my scar tissue and at a later date, be able to return for further surgery, shave down and really understand and present what beard into strip scars can achieve by comparing both sides. Healing was very straightforward. I am obviously well versed in our post op care but instructions are simple and all products are provided in the post operative kit and despite a few initial “uncomfortable nights” as expected, recovery was generally quite quick. In fact, I was working and responded to patients in the evening on my surgery days. Being completely transparent, I was in no way expecting such early growth. Especially as despite a significant graft count, hair count with beard was lower and this was placed over a larger surface area, therefore I was/am extremely pleased to see density come in so quickly. Even now, improvement continues and I have several months to go. I am absolutely thrilled and not having to think twice about your hair when you wake in the morning really does have an impact on your day to day life and not having to worry regarding product and styling etc is a game changer. A big thank you to Dr. B and his team of amazing technicians and a shout out to all my colleagues at BHR who have shown their support. It is a special clinic and one that I am very proud to be part of. On a personal level, I genuinely get great satisfaction from supporting patients on their journeys and am thrilled to see their response and how their confidence grows and impacts many facets of their lives. I can honestly say that it has been a hugely positive experience and my results at this early stage speak for themselves and I couldn’t be happier. Many other patients have taken similar steps in their own hair restoration surgery and I remember the first forum case that I read some 15+ years ago. It was overwhelming, daunting, interesting and very exciting to see that there is hope, and there will be individuals who are reading cases today for the first time. Such communities are integral in the journey of many patients, it certainly was mine and I felt it important to continue to pay it forward and support the community. — BHR Clinic Dr. Christian BISANGA Technique: FUE Donor density: 70/70 FUs/cm2 Breakdown of grafts:- 2366 Scalp Grafts + 1100 Beard Grafts (Single hair) 1s - 1714 2s - 1341 3s - 411 Total Grafts :- 3466 Total Hairs :-5629 Average Follicular Unit (Scalp) = 1,91 hairs Average Follicular Unit (Scalp + beard) :- 1.62 hairs PRE SURGERY FRONT TOP ELEVATION PRE SURGERY RIGHT PRE SURGERY LEFT PRE SURGERY REAR PLACING LEFT VIEW PLACING RIGHT VIEW PLACING WITH BIOPSY DONOR REAR DONOR LEFT DONOR BEARD ] 5 MONTHS POST SURGERY LEFT 5 MONTHS RIGHT 5 MONTHS TOP 5 MONTHS REAR DONOR COMPARISON 5 MONTHS
  14. Hey Guys, I had the chance to speak to @Raphael84 aka Ian and Dr. Bisanga today, some great topics such as early growth, hair loss protocols and ideal candidates. Watch and enjoy https://www.instagram.com/tv/CTcxcAjJFZf/?utm_medium=copy_link
  15. Firstly, thank you to the patient for providing the photos and for his permission to use his case and share his experience pictorially.The patient had previous surgeries and wanted to add density and more symmetry to the hairline whilst slightly lowering it.Dr. Bisanga was able to achieve these objectives with 1800 grafts, being able to lower and blend and work back through the previous work.The patient has experienced very fast and impressive growth so far and kindly provided photos at 7.5 months. We will continue to post as the result develops through to the 12 month period. Graft/Hair Breakdown:- 1s = 285 = 285 Hairs 2s = 479 = 952 Hairs 3s = 760 = 2280 Hairs 4s = 276 = 1104 Hairs Total - 1800 grafts / 4621 Hairs / 2.5 Average PRE-SURGERY PLACEMENT 3 Months Quote "Looking great already, gaps are closing and hair line is looking good" 5 Months Quote "DR.B work is really becoming noticeable now, the gaps filling and hair line lowering" 7 Months Quote "Assymetry had been put right and the gaps are improving all the time. Excellent work I feel". 7.5 Months Close up wet at 7.5 months "Straight out of the pool" Comparison 7.5 Months
  16. Dr. Bisanga and myself are looking forward to joining Melvin this coming Sunday for a Q&A style session to discuss/answer any topics and questions that you may have. It would be great if you could join us. Sunday 5th September 2021 7pm CET 6pm UK
  17. Hi to all forums users/readers, this is my first post and my pleasure also to share my own personal experience and hair transplant with you all. It is still early days but the result already has been very dramatic and to the point my own family and friends hardly recognise me now. In short I am delighted and this was like for many an important step for me and I know that I have another half a year at least to the final stage but it has already paid dividends and worth sharing already. I am a doctor myself and I have been training with Dr. Bisanga, BHR Clinic, for the past two years, so I have seen firsthand the transformations of patients and have undergone extensive training to perform hair transplantation surgery. So, I have the theory and the practical experience of performing them but also as a hair loss sufferer, I wanted to address this, firstly because I am human, yes, I am a patient as well as a doctor, and for me personally and professionally it was an important step to take. I can really say that undergoing surgery, aside from the primary reason, to improve my appearance, it has also enabled me to connect with patients who will also undergo it, I know now what they feel and experience and I can say it has wholeheartedly given me another view and empathy with them and even though I knew I was in the best hands, I also had some nerves about surgery that is common to all patients. Secondly, I believe in the product we offer, I have seen countless transformations but to be part of one as I am now it testament to the work and I am now a walking advertisement to the quality and naturalness of the work that Dr.Bisanga produces, people can listen to education and consultation summaries but now in me they can see also the product and change. My family have a history of hair loss and so I was realistic in this and my age and current loss, donor limitations, were factors in the design I wanted to have, conservative yet also to frame my face naturally and to address as much as possible in one sitting. I wanted to practice what I preach and could see a conservative approach would be wise and really keep me in good stead for future loss. As you can see from the photos, my donor was not the thickest in areas, so with this in mind we also decided to harvest some chest hair, and for me this was a good option as I have a lot of it and also the compatibility was very agreeable and really comforting to know also this is a future donor source and in Dr. Bisanga’s hands I knew it would also be a success. My density was 65/75 so as guessed more on the lower side and was also a factor in the approach. I have been on 5mg Oral Minoxidil since the surgery. I will also share the chest extraction photos and healing for the users to see. Lastly, a BIG thank you to Dr.Bisanga and the team who worked on me and made this possible, I am grateful and also excited for the ongoing change and will update throughout the year and be happy to answer any questions! Dr. Kostis (BHR Clinic) GRAFT BREAKDOWN:- 1s 451/451 hairs 2s 1237/2474 hairs 3s 752/2256 hairs 4s 88/352 hairs Total 2528/5533 Average Hairs per FU - 2.18 BHFUE 1s 182 2s 18 Total 200 VIDEO TESTIMONY:- PRE-SURGERY SHAVED REAR DONOR POST SURGERY 5 MONTHS WET HAIR 5 MONTHS COMPARISON 5 MONTHS
  18. I have a few topics on this forum regarding my hairloss, which started 4 years ago, probably a bit earlier. I live and work in Hong Kong, and no decent surgeons there. I was searching for other options in the region, I came up with a dude in Thailand and one Singapore. Didn't feel comfortable with both of them. The dude in Singapore charges 60$ for an online consultation, which is ridicules. It's not about the money, but about the principle. I work in healthcare myself, and it's easy for me to see which Docs are good... I've been talking with BHR clinic since 2017. Last month I made decision to move ahead, and they had a spot free in May. Flew over last week to lovely (read depressing) Belgium. I'm originally from Belgium, so I could combine this with seeing my family. Ian from BHR guided me through the process, met Dr. Bisanage last Sunday, day before surgery. Everything went perfect, friendly team... We initially planned for 3,600 grafts, which turned into 4,132 grafts. From the pictures you will probably think this is overkill, but my hair was thinning faster than I can swipe right on Tinder... I will post, after surgery pictures tomorrow. I literally just arrived back at the hotel. Pictures before:
  19. In this episode of "Bitesize with Bisanga", Dr. Bisanga discusses the ever popular topic of FUE or FUT. For those who may be unsure of what may be the most appropriate approach in their case, you may appreciate the insight.
  20. In this episode of "Bitesize with Bisanga", Dr. Bisanga discusses why and how he applies his unique and artistic approach to design in his patients.
  21. In this episode of "Bitesize with Bisanga", Dr. Bisanga discusses frontal fibrosing alopecia. Frontal fibrosing alopecia is an inflammatory hair disorder causing the loss of frontal hairline and eyebrows, and in this video, Dr. Bisanga discussed the need for realistic expectations and what concerns may be in place.
  22. In this episode of "Bitesize with Bisanga", Dr. Bisanga discusses the importance and necessity of using magnification and state of the art hardware and software, FotoFinder TrichoLab to thoroughly assess and attain empirical data in his consultation in Brussels. Amongst other influential data points, miniaturisation and the percentage of miniaturised hair that may be present in the donor is calculated to determine patient candidacy.
  23. In this episode of "Bitesize with Bisanga", Dr. Bisanga discusses the current trend of marketing gimmicks such as DHI and Sapphire and how some clinics use them as a mere marketing strategy to attract patients by selling "superior techniques". Dr. Bisanga shares why every single hair follicle matters as a finite resource that must be respected and he details his preferred approach in terms of order of proceedings on surgery day.
  24. Patient wanted to address his frontal third and in particular have a nice dense and natural hair line and also to re-inforce the temple points. This was achieved with 3267 grafts and here we see a very fast progression at the 6 month stage whereby the goals are well on the way to being met and still there is plenty of time for surgery evolution. The patient had a density average of 70 FU/cm2. Thank you to the patient for allowing us to share his case. GRAFT BREAKDOWN 1s - 801/801 hairs 2s - 1856/3712 hairs 3s - 610/1830 hairs Total:- 3267/6343 hairs Average is 1.94 Hairs per FU PRE-SURGERY PLACEMENT AT 6 MONTHS
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