Dr Bruno Ferreira - 1998 Grafts - 25 November 2020

[MachoVato]

This is going to be a great transplant! Dr. Ferriera's work is exceptionally clean. Keep us up to date with monthly photos.

[PizzaWolf]

@Londoner7 Good luck and best wishes on your results. Work looks very clean, similar to other Dr. BF cases that have been posted. Was there a reason you opted not to do temple points?

1 hour ago, T95good said:

I will say that BF is the only surgeon rivaling Konier for post op cleanliness, and he may have the best post op donor zones. He was on my shirt list. Gonna have my procedure at HLC this weekend 🙃

I also consulted with Dr. BF and ultimately decided to go with HLC. Although in my case that decision was made easier since Dr.BF was uncomfortable operating on me 😩

Good luck with your upcoming procedure.

[T95good]

@PizzaWolf what made him uncomfortable? Donor zone? How was your experience at HLC?

[PizzaWolf]

13 minutes ago, T95good said:

@PizzaWolf what made him uncomfortable? Donor zone? How was your experience at HLC?

I'm not scheduled with HLC until February.

Dr. BF was uncomfortable operating on me because I have CVG. It's mild, but definitely there.

[Captain Haddock]

That donor is simply amazing, very well spread out. But it looks as if Dr. BF went beyond the safe zone at times, did you ask him regarding this?

Also the recipient looks great at 9 days my friend, many congrats! 

Edited December 13, 2020 by Captain Haddock

[Curious25]

1 hour ago, Captain Haddock said:

That donor is simply amazing, very well spread out. But it looks as if Dr. BF went beyond the safe zone at times, did you ask him regarding this?

Also the recipient looks great at 9 days my friend, many congrats! 

Watch the Dr Konior q&a RE. safe zones. 
 

In short -  a universal safe zone doesn’t exist. 

[Captain Haddock]

21 minutes ago, Curious25 said:

Watch the Dr Konior q&a RE. safe zones. 
 

In short -  a universal safe zone doesn’t exist. 

Was told something to this effect before my transplant.

This changes a lot of things about HT and how I've been accustomed to looking at it the 'transplanted hair is safe/ worry about the native' strategy. Looks like every follicle is going to bow down to time sooner or later. 

[Gareth]

Looks great so far! 

[Londoner7]

17 hours ago, PizzaWolf said:

@Londoner7 Good luck and best wishes on your results. Work looks very clean, similar to other Dr. BF cases that have been posted. Was there a reason you opted not to do temple points?

I also consulted with Dr. BF and ultimately decided to go with HLC. Although in my case that decision was made easier since Dr.BF was uncomfortable operating on me 😩

Good luck with your upcoming procedure.

Dr BF said that at the moment I don’t need the temple points doing as I still have some. 
 

I may get them done in the future if they go but at the moment I am happy with them. 

[Londoner7]

11 hours ago, Captain Haddock said:

That donor is simply amazing, very well spread out. But it looks as if Dr. BF went beyond the safe zone at times, did you ask him regarding this?

Also the recipient looks great at 9 days my friend, many congrats! 

I did not ask him about that I think he drew his extraction zone with pen and stayed inside that. Every surgeon seems to be different with the zone size.

Also thanks for the kind words.

[Londoner7]

7 hours ago, Gareth said:

Looks great so far! 

Thanks

[UnbaldEagle]

1 minute ago, Londoner7 said:

Dr BF said that at the moment I don’t need the temple points doing as I still have some. 
 

I may get them done in the future if they go but at the moment I am happy with them. 

Your temple points are great, man, they seem to extend almost to the same level as your eyes. Nothing to worry about. 

[Mycroft]

Every surgeon is going to make a different safe zone determination based (hopefully) on examination with a microscope to determine where miniaturization is happening or not happening. A NW7, for example, will have a much smaller safe zone than someone who is a NW3. Seems to me like you don't have evidence of a larger pattern forming and the doctor made a determination based on that.

 

 

 

 

 

[Sitries1]

Looks good mate but can I ask why you didn’t lower the hairline down to where you have a few of your original hairs there right at the front of the widows Peak?  It’s not the ybyiur hairline looks high or anything with what’s been done but surely you would of wanted it as low as you could go? Or was it to do with graft preservation for future? Was it your choice to stay higher or Dr Ferreiras ?

[Londoner7]

32 minutes ago, Sitries1 said:

Looks good mate but can I ask why you didn’t lower the hairline down to where you have a few of your original hairs there right at the front of the widows Peak?  It’s not the ybyiur hairline looks high or anything with what’s been done but surely you would of wanted it as low as you could go? Or was it to do with graft preservation for future? Was it your choice to stay higher or Dr Ferreiras ?

Hi Mate,

I left that bit as my hair in the centre is very low and will recede up a bit over time and lowering it to that level would have used too many grafts and looked silly when I'm older. 

Me and the Dr both agreed to leave that bit. I think it makes it look more natural also. 
 

Hope that answers your question.

[GeoHair]

On 12/12/2020 at 3:41 PM, Londoner7 said:

Hello everyone, this forum has helped me a lot and so it is only right I give back by making my own report.

I am 30 years old nw3 and had my hair transplant in Portugal with Dr Bruno Ferreira on November 25th 2020, I was originally due to have it done on 6 January 2020 but a family issue stopped my plans.

A quick shout out to @LondonRamen for advising me he was still travelling for his op during the lockdown as I would have had to wait an extra 2 months and also lost my flight money as Tap air continued flying and had a 150euro fee per flight change. Also thanks to @Rolandas and @Portugal25 for advising me and helping with any questions I had.

Travelling during the lockdown was a bit worrying as I did not know if I would be denied at the airport etc. but it actually turned out to be a good thing. Heathrow airport was so quiet and getting throw security was very fast. Coming home through Porto airport was even better as all shops were still open and security had no line at all and was also very quiet which was better for me with my red head 😄. Also the flight there and back was at most 50% capacity so had plenty of space.

I stayed at the Solverde Apartments in a 1 bedroom suite my friend came with me and he had the sofa bed. it was a nice apartment with kitchen etc that we stocked up with snacks from the local supermarket, Wi-Fi was very fast and my friend brought his ps4 to play at night and had no issues.

The day of the Op

Breakfast starts at 7am at the hotel which I think is common but I had to be at the clinic for 7:30 so literally only had 15 minutes to eat, managed to have some scrambled eggs, bacon and a croissant. I got a taxi to the clinic and arrived at 7;25 to notice directly opposite is a very nice looking café and it was open, I was gutted I did not go there over my hotels breakfast. 

I went in to the clinic and had my own room for the day were I would eat lunch and leave my belongings. Dr Ferreira came to see me shortly after and is genuinely a very nice guy. We had a chat and signed some paperwork and then we went to take the pre-op photos, draw hairline and shave my head. Dr Bruno drew a general hairline as a starting point and then welcomed my input, he mentioned that one of my temples goes back more then the other but it is good not to have perfect symmetry in the hairline. I tweaked the hairline slightly and we agreed it was good. 

The original plan was to fill in the hairline with around 1500-1800 grafts and also add some density to my midscalp as in pictures it looked like it was losing density which a few other Drs also said but once shaved Dr Bruno said that actually it was not less dense it is just the angle the hair grows at which make it look more see through. The is a bump there on my head so the hair must go up with the bump I guess but I was happy to hear I was not thinning there after all. I think he ended up adding something like 10-15 grafts in a couple of gaps he said at most.

The day was split in to 4 mini sessions of extraction and then implantation with the back then each side and then the last session was to extract a few more grafts. I ended up having 1998 grafts ( 5480 Hairs) with an average hair/graft ratio of 2.74. The end graft count was higher due to my lowering the hairline.

We finished the day around 8pm and I was given my post op care pack and instructions for after care, by this point I was pretty tired.

I got back to my hotel and sprayed my head with the saline spray a few times and went to sleep.

 

 

 

A lot of triples and quads

Post Op Day 1

Woke up a few times in the night and sprayed my head, and checked I had not scratched which thankfully I never. 

I went to the clinic to have my head wash before flying home, once there Dr Bruno commented that I had some fibrin building up on my grafts and advised me to spray saline more often around 15-20 minutes. It looked like large bloody scabs sort of that had built up whilst I slept. Dr Bruno washed off the fibrin using saline spray and It looked nice and clean once again as below. After this I sprayed all the time and never had this issue again.

 

Day 1 +

Once home I took it easy for the first few days and began washing my hair from day 4 and applying aloe Vera twice a day after washes. my scabs came off around day 7-8 and everything is looking good.

I am now at day 17 and I've noticed over the last few days hair are slowly starting to shed 😥 I knew they would but hoped I'd be in the small percent that kept them all haha.

Dr Bruno said he used a 0.8mm punch, he said my grafts were longer then average and he had to change his punch to once with more depth, I was going to book with Dr Pekiner before but worried about my surgery being aborted due to small grafts, seems I would have been fine in the end.

He used the lion implanter pens and he said he was using a 0.62mm implanter for the single hair grafts in the hairline and a 0.8mm for the others. He explained to me that it depends on the size of your grafts and how many hair they contain to which size punch/pen he would use as everyone is different.

My hair thickness was on average 48 microns which he said is about average but it is pretty fine. 

I take finasteride but not minoxidil.

Day 2 after spraying saline

Day 9 

 

I think I have covered everything please ask any questions and I will update often.

Thanks everyone

 

Did they provide you with a doctor's note to travel and if so, who do you present it too when arriving at the airport? I might be going to see BF very soon and have the same concerns as you did with getting rejected and flying in from America.

[GeoHair]

On 12/12/2020 at 3:41 PM, Londoner7 said:

Hello everyone, this forum has helped me a lot and so it is only right I give back by making my own report.

I am 30 years old nw3 and had my hair transplant in Portugal with Dr Bruno Ferreira on November 25th 2020, I was originally due to have it done on 6 January 2020 but a family issue stopped my plans.

A quick shout out to @LondonRamen for advising me he was still travelling for his op during the lockdown as I would have had to wait an extra 2 months and also lost my flight money as Tap air continued flying and had a 150euro fee per flight change. Also thanks to @Rolandas and @Portugal25 for advising me and helping with any questions I had.

Travelling during the lockdown was a bit worrying as I did not know if I would be denied at the airport etc. but it actually turned out to be a good thing. Heathrow airport was so quiet and getting throw security was very fast. Coming home through Porto airport was even better as all shops were still open and security had no line at all and was also very quiet which was better for me with my red head 😄. Also the flight there and back was at most 50% capacity so had plenty of space.

I stayed at the Solverde Apartments in a 1 bedroom suite my friend came with me and he had the sofa bed. it was a nice apartment with kitchen etc that we stocked up with snacks from the local supermarket, Wi-Fi was very fast and my friend brought his ps4 to play at night and had no issues.

The day of the Op

Breakfast starts at 7am at the hotel which I think is common but I had to be at the clinic for 7:30 so literally only had 15 minutes to eat, managed to have some scrambled eggs, bacon and a croissant. I got a taxi to the clinic and arrived at 7;25 to notice directly opposite is a very nice looking café and it was open, I was gutted I did not go there over my hotels breakfast. 

I went in to the clinic and had my own room for the day were I would eat lunch and leave my belongings. Dr Ferreira came to see me shortly after and is genuinely a very nice guy. We had a chat and signed some paperwork and then we went to take the pre-op photos, draw hairline and shave my head. Dr Bruno drew a general hairline as a starting point and then welcomed my input, he mentioned that one of my temples goes back more then the other but it is good not to have perfect symmetry in the hairline. I tweaked the hairline slightly and we agreed it was good. 

The original plan was to fill in the hairline with around 1500-1800 grafts and also add some density to my midscalp as in pictures it looked like it was losing density which a few other Drs also said but once shaved Dr Bruno said that actually it was not less dense it is just the angle the hair grows at which make it look more see through. The is a bump there on my head so the hair must go up with the bump I guess but I was happy to hear I was not thinning there after all. I think he ended up adding something like 10-15 grafts in a couple of gaps he said at most.

The day was split in to 4 mini sessions of extraction and then implantation with the back then each side and then the last session was to extract a few more grafts. I ended up having 1998 grafts ( 5480 Hairs) with an average hair/graft ratio of 2.74. The end graft count was higher due to my lowering the hairline.

We finished the day around 8pm and I was given my post op care pack and instructions for after care, by this point I was pretty tired.

I got back to my hotel and sprayed my head with the saline spray a few times and went to sleep.

 

 

 

A lot of triples and quads

Post Op Day 1

Woke up a few times in the night and sprayed my head, and checked I had not scratched which thankfully I never. 

I went to the clinic to have my head wash before flying home, once there Dr Bruno commented that I had some fibrin building up on my grafts and advised me to spray saline more often around 15-20 minutes. It looked like large bloody scabs sort of that had built up whilst I slept. Dr Bruno washed off the fibrin using saline spray and It looked nice and clean once again as below. After this I sprayed all the time and never had this issue again.

 

Day 1 +

Once home I took it easy for the first few days and began washing my hair from day 4 and applying aloe Vera twice a day after washes. my scabs came off around day 7-8 and everything is looking good.

I am now at day 17 and I've noticed over the last few days hair are slowly starting to shed 😥 I knew they would but hoped I'd be in the small percent that kept them all haha.

Dr Bruno said he used a 0.8mm punch, he said my grafts were longer then average and he had to change his punch to once with more depth, I was going to book with Dr Pekiner before but worried about my surgery being aborted due to small grafts, seems I would have been fine in the end.

He used the lion implanter pens and he said he was using a 0.62mm implanter for the single hair grafts in the hairline and a 0.8mm for the others. He explained to me that it depends on the size of your grafts and how many hair they contain to which size punch/pen he would use as everyone is different.

My hair thickness was on average 48 microns which he said is about average but it is pretty fine. 

I take finasteride but not minoxidil.

Day 2 after spraying saline

Day 9 

 

I think I have covered everything please ask any questions and I will update often.

Thanks everyone

 

Did they provide you with a doctor's note to travel and if so, who do you present it too when arriving at the airport? I might be going to see BF very soon and have the same concerns as you did with getting rejected and flying in from America.

[Londoner7]

9 hours ago, GeoHair said:

Did they provide you with a doctor's note to travel and if so, who do you present it too when arriving at the airport? I might be going to see BF very soon and have the same concerns as you did with getting rejected and flying in from America.

Yes they gave me a Drs note but I never needed it as nobody asked me for it, travel went smooth. 
 

[SD1984]

Any updated pics? Also, are you on Finasteride? Thanks.

[Londoner7]

On 4/4/2021 at 3:41 PM, SD1984 said:

Any updated pics? Also, are you on Finasteride? Thanks.

Hi Sorry for the late reply, I'm about 4 and half months now I will get some pictures up tomorrow of my progress.

Yes I take finasteride 3 times a week mon/wed/fri.

Thanks

[Min12]

Would be interesting to see updates.

[Britanium]

Just now, Min12 said:

Would be interesting to see updates.

+1 🙏

[NDAustralia]

Any updates?

[Londoner7]

Sorry for the delay guys here my 3 month, 4.5 month and today (5 months 10 days).

3 months photos taken outside by my GF which I did not have time to check and are not the best but this was the end of shedding and and a small amount of growth of hairs that stayed. I stopped shedding after about 1.5-2 months I think. 
 

Attached are 3 month photos.
 

 

[Londoner7]

4.5 month photos, by this point my hair was starting to thicken up and come through and the comments about my hair looking good were starting, this is after my haircut which I was meant to post at the time (sorry again)