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My Story

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  1. Hi all, I wanted to document my recent experience. Hopefully this will be useful to follow as covers a range of things I know people are interested in: crown transplant, oral minoxidil user, combination of Bisanga AND Kostis and beard hair. So hopefully an interesting or helpful thread, and hopefully for me help me through the coming months of recovery and hopefully 🙏 growth! so the stats: i am 37 I have had two previous FUE with Prohair Clinic Belgium (they now focus on SMP as the lead doctor retired). These totalled 6k grafts and covers front then the rest in two separate ops 10 years ago. These were successful from my perspective, but ten years on I had least any native hair I had then (not any meds until recently) and wanted another transplant. Long story short I had several consultations remotely from recommended doctors and travelled to Belgium from uk in April for a face to face consultation with BHR. Having done allot of research BHR we’re my number 1 choice. Dr Bisanga was unable to be there (family emergency) and I was offered the choice to change date or see dr Kostis, I was happy to proceed with Kostis. After having 6k grafts in my previous surgeries I was keen to understand what was possible and in a detailed consultation with dr Kostis these were my results: Hair Character - Straight Hair Thickness - Very Fine Donor Density - 70/70/80 (average - 73FU/cm2) Hair Groupings - Mainly 1 and 2 hair grafts Pattern of loss - If no previous surgery, likely a NW7 progressive pattern i was very surprised when The doctor suggested I had in the region of 4-4.5k scalp grafts in the bank and a good beard and 2 separate surgeries were discussed to address frontal third density and the crown. The crown bothered me the most and as all my hair in the front was transplanted hair (so pretty safe) we agreed on a plan of 2.5k scalp and 500 beard to address the crown. After this we would review to see what was achievable with the remaining donor. Oral minoxidil was recommended to reduce miniaturisation of my donor and strengthen overall all my hair ready for surgery. with my very fine hair and hair groupings I knew that this is still an illusion of dentistry even at that graft number due to the actual number of hairs we’d get and diameter of each. i won’t go through the whole day and build up but happy to answer questions, what I will say is Ian the patient liaison is superb and tbh a big reason for me picking Bhr as I had offered from several very good clinics (obviously and the drs and the rep was my no1 reason!) but he was so detailed and responsive. The in person consultation for me with dr Kostis was critical as if I’d have been told what I was told without an in person using microscopes etc I would not have believed it. i was offered dr kostis and bisanga as a pair or you can have either on their own all at different price structures. This is made very clear. I was very comfortable with dr kostis and trusted the partnership which I believe is the package offered initially to most now. on the day (Monday 25th July) It was not easy I won’t lie as was there from 730am until prob 930pm but the whole staff were amazing both drs and all the technicians who worked so hard with no breaks. The anaesthetic was allot more painful than I remembered! But it’s a means to an end! Bisanga I believe did all my incisions and kostis all the punching extractions. The same tech team is used regardless of dr choice which was a great point made by Ian as they play such an important role. we ended with 2500 scalp and 700 beard and I could t be happier with my choice of clinic. Obviously no results and I have to trust the reputation of the clinic here. id like to thank them all as hardly got to see them all before I left as it was so late but after spending 13 hours solid with them, they were lovely people and made me feel very relaxed and safe. We even had a few laughs at times!! here are my immediate post opp crown and day after the donor. I will share all the official pictures from the clinic when I receive them and will share pre opp below as well again official pre opp will follow. and breathe! If anyone wants details of the day etc I am happy to answer but didn’t want to give my life story.
  2. Thank you to Mel for organising this interview. One topic touched upon was the growth of chest hair once transplanted to the scalp and how it grows there. The debate is there on Donor Dominance and Recipient Dominance and what that implies. This topic will warrant a far longer post as will chest hair per se with many more factors to consider but nonetheless this is an interesting small clip ..watch this space for more information really on our approach to this.
  3. With the phenomenal rise of social media, there is a flooding of experts in any field and this is not necessarily a bad thing. We all like to have entertainment and most of us appreciate education. The danger however is that we can equate online presence, subs, views, likes and comments with competency. Don't get me wrong, some individuals may be very talented and also in our field, that may carry into the operating room as well as on camera, but it would be unwise to listen to "experts" who are great at talking or presenting but really have no pedigree or portfolio of cases to share their own work. We can all be guilty of it. We can be armchair footballer managers and could do better than any referee and find ourselves yelling at the TV, but that is a world apart from actually playing. I have seen a rise of apparent "EXPERTS" conducting consultation and am often left very bemused that the outcome is zero empirical data and certainly nothing to base a hair transplant on. I am not referring to zoom calls or photo assessment but actual hands on in clinic consultation with the doctor, but with no data given aside from a casual "you are a good candidate" take home summary. Always look beyond the videos to see the actual work, the history, the patients, the portfolio, accreditations, peer reviews etc..If they are not able to measure your density then will they be able to perform surgery?
  4. It seems the confusion over DHI and FUE is still raging, partly due to marketing and furthermore by naivety in the industry for those navigating the minefield of hair restoration and unfortunately are easily blinded by the terminology. In this brief video Dr. Bisanga, Dr. Kostis and HTN´s Melvin discuss this exact question asked during a recent Instagram live session.
  5. Dr. Kostis has been an integral part of the BHR Clinic team since 2019 and working exclusively alongside Dr .Bisanga has enabled him to hone his skills throughout a 2.5 years intensive period of hands-on FUE. Dr. Kostis has learnt the "Bisanga" Protocols starting from the in-depth consultation to the planning and execution of surgery, including the now famous "Bisanga" extraction patterns and approach, to the cutting of recipient sites with small custom made blades to the holding and placing of grafts using forceps or with the KEEP implanter. Dr. Kostis in a proficient #FUE surgeon in his own right and has also been trained in body hair usage of beard, chest and even leg hair subject to the right criteria. You can expect the Bisanga quality to echo through in his surgery with also the signature of Dr. Kostis, and his entire approach and process capitalises on two decades of the elite experience of Dr. Bisanga that has been imparted to him in this accelerated and exhaustive period. From artistic design to optimal clean extractions, you can be assured you are in the best of hands with Dr. Kostis.
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