Dr. Bisanga, BHR Clinic, 2405 FUE

[BHRClinic]

BHR Clinic

Dr. Christian BISANGA

Age: 37

Technique: FUE

Medication: Minoxidil

Donor densities: 80-80 FUs/cm2

Hair Caliber: Fine

Total FU used:- 2405

 

* FU breakdown:-             

1s 399

2s 1461

3s 545

TOTAL: 2405

 

That means 2405 FU = 4956 Hairs. Average = 2,06 hairs/FU.

 

The goal of this surgery was to rebuild the frontal third of this patient, keeping the same hair line design that he still kept to a degree. The procedure was performed 4 months ago, but the patient is experiencing an early yield. Nevertheless we expect more evolution within the following months.
 

Before

 

 

 

Pre-Post surgery

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10 Days

 

 

 

 

 

 

4 Months

 

 

 

 

Comparison 0-4 Months

 

 

 

[Melvin- Admin]

Excellent presentation, and very impressive for 4 months.

[HTHope]

Hello, why was the temporal area on the left side not extracted from? Also, what punch size was used and which system?

[sl]

Hi HTHOPE, great question and good to see people are looking at donor extractions also now.

This patient had 2400 FU, and a good density of 80 FU per cm2, so even with a nicely spaced extraction pattern and well spread as the photos show, we did not need to go over the whole donor of circa 180cm2. We harvest from one side (I see many FUE results only and exclusively harvesting from the rear however),  and spread as needed to get the graft numbers and units needed. So, we start from temple and above ear and work round keeping in mind a good spread for the grafts.  To extend it to the other ear for the amount of grafts needed and with this patient's density would have meant spreading more, more injections and not needed in that we have not had to over harvest at all to obtain what was needed. So, this is not uncommon. 

As said over the years I have seen a lot of results from clinics with higher amounts and not spreading more than the occipital area, so very concentrated extractions, but that said we spread as needed but there is no need to go over all the donor from ear to ear for the sake of it if we can harvest the numbers safely without having to extend and as said is common also and we take into account the amount needed and the donor density to give.

Dr.B uses a motorised punch and 0.75 to 0.8mm for the most part unless afro hair type etc.

Hope helps.

[Britanium]

Amazing early growth for this gentleman. He must be very impressed already

Framing his face much better too. Very natural hairline developing.

[rhstoned]

On 6/17/2020 at 2:43 AM, sl said:

Hi HTHOPE, great question and good to see people are looking at donor extractions also now.

This patient had 2400 FU, and a good density of 80 FU per cm2, so even with a nicely spaced extraction pattern and well spread as the photos show, we did not need to go over the whole donor of circa 180cm2. We harvest from one side (I see many FUE results only and exclusively harvesting from the rear however),  and spread as needed to get the graft numbers and units needed. So, we start from temple and above ear and work round keeping in mind a good spread for the grafts.  To extend it to the other ear for the amount of grafts needed and with this patient's density would have meant spreading more, more injections and not needed in that we have not had to over harvest at all to obtain what was needed. So, this is not uncommon. 

As said over the years I have seen a lot of results from clinics with higher amounts and not spreading more than the occipital area, so very concentrated extractions, but that said we spread as needed but there is no need to go over all the donor from ear to ear for the sake of it if we can harvest the numbers safely without having to extend and as said is common also and we take into account the amount needed and the donor density to give.

Dr.B uses a motorised punch and 0.75 to 0.8mm for the most part unless afro hair type etc.

Hope helps.

I thought dr Bisanga uses Manual punch? Any update on this patient?

[Mycroft]

Wow, that is some quick growth. That's not just a significant number of sprouts but some decent length for noticeable cosmetic value. What a great start for this patient.

[stephcurry30]

That is terrific but I have a question about the hairline design. Doesn't that look a bit too feminine? 

Usually women only have rounded temple points. 

[ADuckwithNoHair]

5 hours ago, stephcurry30 said:

That is terrific but I have a question about the hairline design. Doesn't that look a bit too feminine? 

Usually women only have rounded temple points. 

I had the same impression, but if you look at his pre-op pictures his natural hairline (unless he had a prior transplant, but it doesn't look like that to me) is actually that rounded, juvenile type. IMO you don't go wrong my mimicking nature, and what was natural in this case was to reestablish those rounded temple points.

[nicoandgello]

Any followup on this patient?

[Raphael84]

Im very pleased to see such an excellent transformation for this patient. He has kindly shared an updated photo showing his result at current and provided the following quote -

Patient quote: "I comb it back normally now, the truth is I am super happy, "

Thank you for your interest. 

Edited April 12, 2021 by Raphael84

[Britanium]

This has really come on since the last pics 👏 

[Marco Van Basten]

wow, looks fantastic

[Mycroft]

This guy obviously had good hair characteristics, but this is still a gorgeous result.

[stephcurry30]

10/10 result my GOD

[Curious25]

7 hours ago, Mycroft said:

This guy obviously had good hair characteristics, but this is still a gorgeous result.

Not really, if you read the initial post, patients hair calibre was designated as ‘fine’ and had a low HGI of 2.06. 

[Mycroft]

7 hours ago, Curious25 said:

Not really, if you read the initial post, patients hair calibre was designated as ‘fine’ and had a low HGI of 2.06. 

Fine hair or not, the patient has a pretty clear natural wave to his hair. Wavy and curly hair is always going to create better coverage than straight hair when allowed enough length to do its thing.

[Curious25]

Agree with the wavy factor - but as far as good characteristics go, the patient has fine hair, with lower than average groupings. 
 

Awesome result, and should provide good inspiration for candidates who don’t have the ‘Ideal’ characteristics as is often the case on knock out results. 

[Melvin- Admin]

Wow this is out of this world good🔥🔥👏🏼👏🏼

[Melvin- Admin]

19 hours ago, Raphael84 said:

Im very pleased to see such an excellent transformation for this patient. He has kindly shared an updated photo showing his result at current and provided the following quote -

Patient quote: "I comb it back normally now, the truth is I am super happy, "

Thank you for your interest. 

Do you think he can send some side profile pictures as well?

[Maa]

Homerun🔥

[Huncholini]

Wow, brilliant result.

[gman849]

Great, what a transformation. 

[Raphael84]

The patient has kindly provided a couple of further photos at your request.

[Maa]

1 minute ago, Raphael84 said:

The patient has kindly provided a couple of further photos at your request.

Looks really god.

bisanga did a excellent job👍🏻