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3200 BHR Crown (2.5K Scalp 700 Beard) Bisanga & Kostis


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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.68323716-7711-4E3C-B220-E135D1BD0ED1.thumb.jpeg.77e6a509650f3c7749a29bee6291c5cb.jpeg57379F48-0DA5-4456-BF30-859DBC1AFACA.thumb.jpeg.ccb62548e6410cc756a5ee4790e234ac.jpegCB3816C2-947D-4DAD-97C4-D2EC3176026D.thumb.jpeg.66b2b4739e5319434603783d11336c63.jpeg957FC9D6-A18E-4406-80CE-E30B589F6D45.thumb.jpeg.409392cf3bbeb3dd4101982e0bf6bf9a.jpeg8654A525-7F19-4AB8-A662-145CBD5CDC3D.thumb.jpeg.454aabd1e4b049af03ab57796b6f703b.jpeg

 

 

 

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Just now, uk005801 said:

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.68323716-7711-4E3C-B220-E135D1BD0ED1.thumb.jpeg.77e6a509650f3c7749a29bee6291c5cb.jpeg57379F48-0DA5-4456-BF30-859DBC1AFACA.thumb.jpeg.ccb62548e6410cc756a5ee4790e234ac.jpegCB3816C2-947D-4DAD-97C4-D2EC3176026D.thumb.jpeg.66b2b4739e5319434603783d11336c63.jpeg957FC9D6-A18E-4406-80CE-E30B589F6D45.thumb.jpeg.409392cf3bbeb3dd4101982e0bf6bf9a.jpeg8654A525-7F19-4AB8-A662-145CBD5CDC3D.thumb.jpeg.454aabd1e4b049af03ab57796b6f703b.jpeg

 

 

 

Pre opp pics from home 16D31DD5-EF71-46EF-B783-C85082520E40.thumb.jpeg.73e9858250ed67d56cb1be577c6819c7.jpeg248AAD50-63B8-42A6-88C6-19C50156C6FE.thumb.jpeg.5e116e9c65c4c1a41a2cff91a1e652a2.jpeg4FCA51B6-CF7E-45B3-9432-4F1C1DB6D571.thumb.jpeg.86543dfd65c38c20f9241051acf843f5.jpeg672B7978-7B72-4EF1-9FB4-AB37058F35A6.thumb.jpeg.d078eaca3a303df7cb2f34258aee6ed6.jpeg4F59855F-8A12-4162-8F1E-1E5DC9C6557D.thumb.jpeg.4b97749db98e85ab420f8fb37657bc4b.jpeg

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20 minutes ago, davidn said:

So you had a reserve of 6000 + 4000 = 10000 Grafts? 

Hi mate 

I had two oops of 3k each in 2012/13 totalling 6k.

dr bisanga and kostis suggested under in person consultation that I could have around 4K available left from scalp plus obviously a good amount of beard. This opp was 2.5k scalp and 700 beard. So In total I e had 8.5k out of my scalp. This time we could go higher in my hair line then usually would be done say when I’m 25 given that the hair there has never diminished so can be deemed safe to use so provided a nice amount. But grafts as you can see we’re spread all over. My left side was not touched this time meaning I have some definite reserves, the exact amount will be judged at a later date as the plan will be to reinforce the frontal third in 6-12 months time. 

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I actually have pics from previous prohair surgery here  opp one and two in order here 

but I still had some native hair (also included my pre opp state 10 years ago) all that native hair will have been lost by now and made it appear thinner. Also worth noting is a very fine hair diameter. Someone could have 6k with thick hair and look very different. A67C4A08-156B-4E86-B8DE-0DCE439B1076.thumb.jpeg.ffc5c702fa3024c455e0b18268b355c8.jpeg

577EC124-BD19-479B-9EFB-833F659830F7.thumb.jpeg.d9a34b97dbb94b8157e275e7f1ac0e52.jpegC1388306-2B40-45A5-A839-30993F13F237.thumb.jpeg.cf7f24e00f66ef8caf1fbc86a3e2574a.jpeg

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Posted (edited)

Official pre and post opp pictures came through today. Great to have these to monitor progress. Incredible to see the beard immediately post opp here as it’s completely healed today on day 11 tbh was healed in a week and looks like nothing has been taken

39A437B4-C9CB-4D81-B53F-F1CCE8C2E237.thumb.jpeg.798d760fed75a6e6622248a84927304a.jpegA901FCD6-1D1E-4680-88D4-4251355DF0F0.thumb.jpeg.fff1fbc139bec485a26137de1150cdec.jpeg73D1725A-D84C-43F3-8736-9FF84BFA7558.thumb.jpeg.a2493320d627e1f68385abdc6ce04638.jpeg075ACCA6-CB39-4665-8BD9-12A319C495AF.thumb.jpeg.42875e3c1aa89dd09d6262554962757b.jpeg44264418-2BA7-4D3F-99F4-89352C1F6A7D.thumb.jpeg.10a3dc536953c129189b5ab78dd41b9c.jpeg9B85B61C-A5FB-43EF-842D-FEC5D6765F7B.thumb.jpeg.e287fcbf4884e47ace42e1326073ffba.jpeg84E28545-5208-4958-BCB1-D79FC006AA50.thumb.jpeg.c197b33aab9257553998fd4f39eda90a.jpeg860DF29D-DC97-4C49-93A6-2922550570D5.thumb.jpeg.96163e68d33eedfaf97637c74621af1d.jpegA3279408-0794-499C-AF09-287AB5CEF885.thumb.jpeg.13ea0f522cb76db99e1eef55939af256.jpeg1498F557-FF23-477D-AB4B-0D1B6D0A77CD.thumb.jpeg.ba4724fc744695a0e38a3ec567f2154c.jpegF362FE1D-B157-403C-897C-9E070BEFFF22.thumb.jpeg.0da5d38a7637b3c68fa87af4db839151.jpeg7CC8C42F-D031-45A2-9A42-38377E742CFC.thumb.jpeg.196eb787aa5696c6ff496c0671e72b7f.jpeg70A6D3BE-3965-4EDF-82AA-8973BB52F537.thumb.jpeg.ef8193f2bc12d1db96765b6e6c9910ae.jpegB21D90C6-9F5C-4D43-AEE2-157C303C00A8.thumb.jpeg.7b36181843dd6131ce8eb4774e39f4fe.jpeg5FFB0A26-8FFB-4E8A-B70F-0CF5219D60E9.thumb.jpeg.1c23e1a735a27633f3f6fefbf6476f92.jpeg267A3C4B-6D25-4AC5-8332-1C489F406512.thumb.jpeg.842aa188db2fc37848aeaee9b1eb355e.jpegBF0DEBB5-2C94-4454-86BC-04374A729F12.thumb.jpeg.a289386bb29b90559db3e41efc2af4b1.jpeg123E891A-65F9-4728-A0E2-6E0EA8266C36.thumb.jpeg.95523e58048f657b6b8a63ae694c2774.jpegB7466815-5E79-4DCC-A8CE-F20DA3AE7BCC.thumb.jpeg.4864031d5d4578737662e5a662bffaaa.jpegD24983DD-A7FF-4919-882E-C5E6D1149469.thumb.jpeg.b7ed709fbb107408cbed62bd7aface99.jpegEEFE2987-E7F4-4372-88AC-17FB7E8EF967.thumb.jpeg.9fed794c071ddc1809d801ea8d5741f3.jpegC1BE58F8-A120-4224-A15B-55C115DEEFB9.thumb.jpeg.3856c26e9bd7d660b3de732da7cc5024.jpeg0874FE35-0806-4950-A6D5-F40D1AD22B5D.thumb.jpeg.f061d4bd95feba968ffdcca5aa711aac.jpegD40CE00B-BAE3-4012-AEA3-2E3C9EC195A8.thumb.jpeg.e7a7a35f96d19e5add3711f296958f5e.jpegBB8CE538-68F4-4E9F-8E3D-9D129A2B073A.thumb.jpeg.98de3e559d047ef208b55f6faa4019a6.jpeg4CC9E92F-3912-424C-B303-D93CF24298B3.thumb.jpeg.87313e448193c4d7578254eba8ad0b2b.jpeg9E904EB5-B3F0-4594-BEC2-B0B6E0A20B71.thumb.jpeg.a87d5581fef16eb5b77f467fcba9cd10.jpeg7C688721-2FD1-46B5-9D1C-82E58B765687.thumb.jpeg.0d2853434de23b9e6c644991990b8291.jpeg

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Excellent coverage, your crown will be completely filled now!

image.png.8daaad4ea8095806661a3bb2ff443478.png

 

Also I want to point out the extraction made by BHR clinic. It is extremely clean and balanced.  

I did some drawings to explain. Too many clinics (especially in turkey) only harvest in the red zone that I marks. This results in a over harvested area in the back while leaving the sides thick and unbalanced compared to the rest of the backside.   By doing a complete extraction  shown in the green zone, it will be a wider extraction with minimal signs that it was harvested, for a more balanced and clean look. 

Well done to you and the team at this amazing clinic

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1 hour ago, Ryan Daniel said:

Excellent coverage, your crown will be completely filled now!

image.png.8daaad4ea8095806661a3bb2ff443478.png

 

Also I want to point out the extraction made by BHR clinic. It is extremely clean and balanced.  

I did some drawings to explain. Too many clinics (especially in turkey) only harvest in the red zone that I marks. This results in a over harvested area in the back while leaving the sides thick and unbalanced compared to the rest of the backside.   By doing a complete extraction  shown in the green zone, it will be a wider extraction with minimal signs that it was harvested, for a more balanced and clean look. 

Well done to you and the team at this amazing clinic

Thanks for your comments, I agree a major reason for choosing Bhr was their reputation in care of the donor and extraction pattern. We agreed we could  take higher than my last opp ten years ago given my age and obvious pattern. The pictures really show the totally even extraction. Makes me excited though knowing I have made a good choice of clinic and done all I can to get the right result. Now to try and just forget it for a while and let the body do it’s thing. 

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So day 19 today just wanted to quickly share a donor pic as it’s growing fast! I’m really pleased with the donor recovery as was a bit nervous but covering well.

recipient shed a few hairs already but will be time to wave goodbye to that for a bit soon!

also went back into the office on Monday which was only day 14

 

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