Dr. Bisanga Instagram Live December 5th

[Melvin- Admin]

Guys, 

I’m pleased to announce I’ll be speaking with Dr. Bisanga this Saturday at 11am pacific, 1 PM Central and 2PM eastern time. For those of you in Europe it will be 8pm in Belgium.

With much of the us and Europe in lockdown again, I suggest you guys join us for some real education. It’s not always we have a real FUE specialist and pioneer we can talk too. You can ask some questions here and I’ll be sure to ask them for you. I

[Britanium]

Will work out the Uk time 👌

[Melvin- Admin]

Awesome, hopefully you’ll join us. 

[Melvin- Admin]

Still some time to ask some questions guys, remember Dr. Bisanga has trained some of the world's best surgeons. He's probably who I consider to be the top 3 FUE surgeons in Europe, possibly the world. He's a specialist in BHT, afrocentric hair, it will be very educational.

[Marco Van Basten]

will there be a replay if we miss it?

[Melvin- Admin]

4 hours ago, Marco Van Basten said:

will there be a replay if we miss it?

Yes, it will be up on our Instagram page @thehairtransplantnetwork

I’ll also create some YouTube videos out of it as well.

[deitel130]

@Melvin-Moderator can you ask whether beard and chest hair shed and grow back the same way as head hair - starting at 3-4 month mark, thin and eventually thickening.

[Sean]

I’ve followed Dr Bisanga’s results for some time and know folks that went to him.  Those patients have provided me with some good support and encouragement.  From what they mentioned, Dr Bisanga, looks to be an ethical surgeon that cares for the patient and knows what he is doing with regular scalp hair and with other body hairs.  If I’m not mistaken, I think I remember a post by a forum member, many years back where that patient came in for repair, Dr Bisanga was concerned at the damaging work done to the patient’s scalp, then called the previous surgeon to ask what they did and why?  That shows care.  

My journey with surgery was done at a time when FUE was very limited to none on forums.  It was a surgery with high recipient density placement and left me with some scalp issues.  That doctor further attempted repair which created issues and donor complications due to compressed extraction patterns.  The next surgeon, seemed confident they can repair that work and gave graft counts on what needed to repair the situation.  He used other hairs extracted via ugraft to attempt repair.  It seems during this repair, even some of the poorly placed hairs from the first surgeon were shocked from my hairline and the angulations and hairline looked more unnatural. My initial surgeon who was hoping i’d be repaired appeared to be shocked with the repair result, the approach, and expressed his concerns.  It seems more ridging and cobblestoning was visible  and the area had further loss of density making the hairline area look more unnatural.   It’s like none of the nape, nor chest hair grew,  with the exception of a few beard hairs elsewhere(crown), even that area didnt attain the yield based on number of grafts placed.   My concern is that these alternative hairs shocked existing scalp hair.  It was not like i had some 10,000 or 20,000 body hair graft procedure, it was a smaller one like 2500 grafts.  Some other well known doctors did say my failed repair can be repaired, but it may take more than one procedure, it may include a possible resection, or FUT, or multiple small procedures with better/safer approaches and etc.  A lot of industry experts and doctors thankfully told me it is fixable and provided me some hope.    

As a result, I’d like to ask Dr. Bisanga regarding beard,chest, nape hairs.  

1) Do you use different extraction tools based on different hair types and ethnicities?  

2) Do you feel nape hairs are worthy of being used as a viable resource, esp in recipient areas where there has been trauma previously?  

3) The repair surgeon who utilized body hairs told me not to take finasteride due to the body hairs.  In your approach, do you feel folks that had chest, beard, other hairs are not able to use finasteride?  

4)And finally, can you show some existing repair cases where other surgeons have not achieved satisfactory repair, but you were able to repair the situation?  Thank You

Melvin, it is great seeing you have surgeons be more interactive for Q&A here.    Please keep it coming.  

[Raphael84]

Great questions @Sean. Hopefully Melvin will have time to address some of them today with Dr. Bisanga, and we can certainly follow up with them afterwards.

We put a body hair presentation out a few months ago that you may find valuable if you haven't seen it -

 

Edited December 5, 2020 by Raphael84

[Melvin- Admin]

@Sean I will try and ask these questions, but I strongly encourage you to join the live chat to ask yourself. Given most of the world is back in quarantine there should be no issues. 

[Melvin- Admin]

Here are the links, please feel free to share it, the discussion was very educational. Definitely worth watching. 

https://www.instagram.com/tv/CIboOrMDLDU/?igshid=15b48hl2g2od4

https://www.instagram.com/tv/CIbpxhSj1SB/?igshid=15wqaw1jecuuf
 

https://www.instagram.com/tv/CIbqj2rDQf5/?igshid=hzlo5rkgwygp

https://www.instagram.com/tv/CIbsDNXjjv8/?igshid=1v28vddvw8xrr

 

[Sean]

Raphael, thanks for the video above.

Melvin, wish I could have called, but I was stuck at the job.  I see 4 clips above, are there more posted on the page?  Thanks again.

 

[Sean]

One thing interesting from the video was the oral minoxidil tablets and the spiro treatment.  I wonder if oral minoxdil can be taken if you are going in for another procedure?  I always though minoxidil was only applied topically.  
 

if oral minoxidil, spiro treatments are viable solutions, i think it is definitely worth looking into.  

[Marco Van Basten]

Will watch these tomorrow

[Melvin- Admin]

16 hours ago, Sean said:

Raphael, thanks for the video above.

Melvin, wish I could have called, but I was stuck at the job.  I see 4 clips above, are there more posted on the page?  Thanks again.

 

Not yet, I’m gonna post up his advice about what to do after a failed hair transplant. 

[Raphael84]

@SeanLow dosage oral minoxidil, 5mg daily, has proven very effective with patient´s of Dr. Bisanga, and can be taken throughout the process of surgery without any need to discontinue.

[Melvin- Admin]

6 minutes ago, Raphael84 said:

@SeanLow dosage oral minoxidil, 5mg daily, has proven very effective with patient´s of Dr. Bisanga, and can be taken throughout the process of surgery without any need to discontinue.

Dr. Bisanga mentioned a compounding pharmacy for topical fin and oral minoxidil. I received so many dms afterwards. Is it possible to ship the medication to the US and Canada? 

[Melvin- Admin]

New clip up, Dr. Bisanga explains how there’s not one tool for every surgery, and how he tailors the tool to the patient and hair i.e straight, curly, BHT. 
 

https://www.instagram.com/tv/CIjBSlVjISj/?igshid=1bm5arbgwmpnj

[deitel130]

2 hours ago, Raphael84 said:

@SeanLow dosage oral minoxidil, 5mg daily, has proven very effective with patient´s of Dr. Bisanga, and can be taken throughout the process of surgery without any need to discontinue.

Are there side effects to taking oral minoxidil vs topical? Does it cause excessive unwanted hair growth on other areas of the body?

[Raphael84]

15 hours ago, Melvin-Moderator said:

Dr. Bisanga mentioned a compounding pharmacy for topical fin and oral minoxidil. I received so many dms afterwards. Is it possible to ship the medication to the US and Canada? 

This will depend on the pharmacy as they ship the medication themselves. I understand that we have sent to Canada successfully in the past, but have had reservations sending to the US. Once the medication is paid for, if there is some issue at customs and the patient does not receive the medication, this isn't correct for the patient, but the pharmacy have understandably not been prepared to cover this cost either. I will reach out and ask their advice.

13 hours ago, deitel130 said:

Are there side effects to taking oral minoxidil vs topical? Does it cause excessive unwanted hair growth on other areas of the body?

Every individual will respond to medication differently. I have added an image below of a recent study (not conducted by BHR) that explains their findings in terms of side effects. Unwanted body hair (hypertrichosis) was the most commonly experienced side effect that was explained as "mild and easily manageable". But this doesn't happen overnight. If there are concerns, then the medication can be discontinued. The same study concludes that efficacy is very promising.

[Melvin- Admin]

7 hours ago, Raphael84 said:

This will depend on the pharmacy as they ship the medication themselves. I understand that we have sent to Canada successfully in the past, but have had reservations sending to the US. Once the medication is paid for, if there is some issue at customs and the patient does not receive the medication, this isn't correct for the patient, but the pharmacy have understandably not been prepared to cover this cost either. I will reach out and ask their advice.

Every individual will respond to medication differently. I have added an image below of a recent study (not conducted by BHR) that explains their findings in terms of side effects. Unwanted body hair (hypertrichosis) was the most commonly experienced side effect that was explained as "mild and easily manageable". But this doesn't happen overnight. If there are concerns, then the medication can be discontinued. The same study concludes that efficacy is very promising.

Thank you for your answer, I have quite a bit of inquiries, and I’m interested myself.

[Sean]

On 12/8/2020 at 11:43 AM, Raphael84 said:

@SeanLow dosage oral minoxidil, 5mg daily, has proven very effective with patient´s of Dr. Bisanga, and can be taken throughout the process of surgery without any need to discontinue.

Raphael, this is good to know.  If a person actually has a blood pressure problem, it can help control it and at the same time, it does not make someone barred from future surgery.  
 

Now regarding topical finasteride, do we still need to be mindful when we have children (2 year olds climbing over us if we have it applied) and if we have a pregnant wife?  If applied topically, is it still dangerous for birth defects for others?  
 

also, what is the spiro stuff mentioned, how  effective has that been.  I find this QA to be helpful and more direct with a doctor and staff, especially when doctors are willing to answer pretty solid questions!  

[Sean]

On 12/8/2020 at 1:55 PM, Melvin-Moderator said:

New clip up, Dr. Bisanga explains how there’s not one tool for every surgery, and how he tailors the tool to the patient and hair i.e straight, curly, BHT. 
 

https://www.instagram.com/tv/CIjBSlVjISj/?igshid=1bm5arbgwmpnj

This is absolute key.  I believe this is one of the elements that made my situation a little tough and not favorable.  It is also a failure that some surgeons do not disclose this information.  The same tool is not the same for everybody.  It varies if you are Asian, White, Black, Indian, Mid Eastern, Mediterranean, European, Russian, etc etc etc.  A high speed drill may jeopardize someone with medium to lower caliber straight asian hairs, where, it may be for for folks with much thicker caliber hairs.  Same goes for devices with suction with saline involved or curved extraction angles or shapes to extract African American/Curly hair where it may be detrimental to other straighter hair types and less tough skin tissue.  Same may be for devices that utilize blunt punches.  Same may be for devices that utilize slow speeds that may be less harmful for less then thick hair types.  Lion or similar implanter pens may be better for one ethnicity and softer skin and etc.   Manual punches may be safer for most folks depending on size of punches used.  If one device or extraction method is used for one patient and works, it can be detrimental for another patient and must be modified to suit that patients needs and own physiology.  Lower extractions counts during surgery may also help with graft death due to longer out of body exposure.  Regardless, if air is hitting it or some solution to preserve grafts as human tissue has no replacement.  Excessive saline injections or freezing of scalp in recipient zone due to longer surgery is also detrimental to scalp graft health overall.  
 

I believe these and  tool element is just one of the many points that has screwed me in my first surgery and repairs.  Other known physicians and experts that have seen the situation agreed so far.

Glad this surgeon has explained that each method tool is not equal and varies and that Dr Bisanga can shift the technique/tool to suit the individual.  It is different from some other surgeons who mostly utilize one tool for all.  Some surgeons use one tool for all as they know it gets them more extracted grafts then it would if they do it another way.  Sometimes, harder and slower work is better for a patient.  Its not about how much $$$ you want to maximize, it is about patient safety and ethics as well.  In the long run, if a poor result happens, a doctor can blame themselves if they used a method that may have been less then ideal for one patient vs another.  This surgery is risky as is, why put another outlier of added risk to a patient and lower their chances of success?  
 

Glad he has informed folks of the method/tool scenario vs the patient physiology , where some surgeons fail to inform of this.  This was very important.

[Melvin- Admin]

8 hours ago, Sean said:

This is absolute key.  I believe this is one of the elements that made my situation a little tough and not favorable.  It is also a failure that some surgeons do not disclose this information.  The same tool is not the same for everybody.  It varies if you are Asian, White, Black, Indian, Mid Eastern, Mediterranean, European, Russian, etc etc etc.  A high speed drill may jeopardize someone with medium to lower caliber straight asian hairs, where, it may be for for folks with much thicker caliber hairs.  Same goes for devices with suction with saline involved or curved extraction angles or shapes to extract African American/Curly hair where it may be detrimental to other straighter hair types and less tough skin tissue.  Same may be for devices that utilize blunt punches.  Same may be for devices that utilize slow speeds that may be less harmful for less then thick hair types.  Lion or similar implanter pens may be better for one ethnicity and softer skin and etc.   Manual punches may be safer for most folks depending on size of punches used.  If one device or extraction method is used for one patient and works, it can be detrimental for another patient and must be modified to suit that patients needs and own physiology.  Lower extractions counts during surgery may also help with graft death due to longer out of body exposure.  Regardless, if air is hitting it or some solution to preserve grafts as human tissue has no replacement.  Excessive saline injections or freezing of scalp in recipient zone due to longer surgery is also detrimental to scalp graft health overall.  
 

I believe these and  tool element is just one of the many points that has screwed me in my first surgery and repairs.  Other known physicians and experts that have seen the situation agreed so far.

Glad this surgeon has explained that each method tool is not equal and varies and that Dr Bisanga can shift the technique/tool to suit the individual.  It is different from some other surgeons who mostly utilize one tool for all.  Some surgeons use one tool for all as they know it gets them more extracted grafts then it would if they do it another way.  Sometimes, harder and slower work is better for a patient.  Its not about how much $$$ you want to maximize, it is about patient safety and ethics as well.  In the long run, if a poor result happens, a doctor can blame themselves if they used a method that may have been less then ideal for one patient vs another.  This surgery is risky as is, why put another outlier of added risk to a patient and lower their chances of success?  
 

Glad he has informed folks of the method/tool scenario vs the patient physiology , where some surgeons fail to inform of this.  This was very important.

You might find this video helpful