Dr. Thiago Bianco Leal 3361 Grafts - Full Year Progression

[Fue3361]

Well, it has been a year, and as many people will say, 1 year is a great time to get an idea of what the final results are for a hair transplant.  I've updated my original thread once per month at least, and that thread has grown to 11 total pages, so it's quite hard to really go through in a time efficient manner.  This thread is to put everything into one place, the full progression, from day 1 to the final result. 

Important information for those who want it:
Clinic:  Dr. Thiago Bianco Leal (Brazilian Clinic)
Graft count:  3361 grafts
Hairs per graft : average of 2.2
Density : between 75-81 grafts/cm2

Medication:  I didn't take any medication prior to the transplant.  After the transplant, I was on a unique cocktail of cialis/viagra/arginine/minoxidil (4 separate vasodilators).  My understanding is that this is the my doctor's go to approach for densities as high as mine, as we all know, it is assumed that grafts have to fight for blood flow, and at such high densities, there is risks involved (up to potentially necrosis).  This is one of the things my doctor does to get as much blood flow into the scalp as possible.

Also important to mention that I have no male patter balding, as I've had the same hairline for almost 20 years.  Putting this many grafts in such a small area makes sense in my case, but not for anyone who is actually losing hair.  Grafts are a limit resource, and if you will have more loss in the future, it is important to use them sparingly.

Now, without further ado:  

Pre Surgery:

 

1 Day Post Surgery:

 

3 Week Mark:

 

2 Months:

 

2.5 months:

 

3 Months:

 

4 Months:

 

5 Months:

 

6 Months:

 

7 Months:

 

8 Months:

 

9 Months:

 

10 Months:

 

11 Months:

 

1 Year (12 Months):

 

 

I wanted to make this thread for a while now, to have everything in one place, and also to have information such as the Dr. who did the procedure in the title, for easier search options for new and existing users.  I don't think there's much need to do any more picture updates after this, as after this point, I doubt there will be any changes, and I'm quite confident this is the final result.  

And, since it has been asked for:

Donor Area (Post Surgery):

 

Edited September 15, 2022 by Fue3361

[follically challenged]

3 hours ago, Fue3361 said:

Well, it has been a year, and as many people will say, 1 year is a great time to get an idea of what the final results are for a hair transplant.  I've updated my original thread once per month at least, and that thread has grown to 11 total pages, so it's quite hard to really go through in a time efficient manner.  This thread is to put everything into one place, the full progression, from day 1 to the final result. 

Important information for those who want it:
Clinic:  Dr. Thiago Bianco Leal (Brazilian Clinic)
Graft count:  3361 grafts
Hairs per graft :(average of 2.2)
Density :(between 75-81 grafts/cm2)

Medication:  I didn't take any medication prior to the transplant.  After the transplant, I was on a unique cocktail of cialis/viagra/arginine/minoxidil (4 separate vasodilators).  My understanding is that this is the my doctor's go to approach for densities as high as mine, as we all know, it is assumed that grafts have to fight for blood flow, and at such high densities, there is risks involved (up to potentially necrosis).  This is one of the things my doctor does to get as much blood flow into the scalp as possible.

Also important to mention that I have no male patter balding, as I've had the same hairline for almost 20 years.  Putting this many grafts in such a small area makes sense in my case, but not for anyone who is actually losing hair.  Grafts are a limit resource, and if you will have more loss in the future, it is important to use them sparingly.

Now, without further ado:  

Pre Surgery:

 

1 Day Post Surgery:

 

3 Week Mark:

 

2 Months:

 

2.5 months:

 

3 Months:

 

4 Months:

 

5 Months:

 

6 Months:

 

7 Months:

 

8 Months:

 

9 Months:

 

10 Months:

 

11 Months:

 

1 Year (12 Months):

 

 

I wanted to make this thread for a while now, to have everything in one place, and also to have information such as the Dr. who did the procedure in the title, for easier search options for new and existing users.  I don't think there's much need to do any more picture updates after this, as after this point, I doubt there will be any changes, and I'm quite confident this is the final result.  

Looks great, but could you also include pics of donor area also, as that is quite an important aspect of a HT. 

Thanks!

[Fue3361]

19 minutes ago, follically challenged said:

Looks great, but could you also include pics of donor area also, as that is quite an important aspect of a HT. 

Thanks!

Updated the post with donor pics at the end.

[John1991]

It kind of appears to me that things peaked around 7 months.  Perhaps the texture continued to improve after that and it's just not picked up on camera, though.

[Fue3361]

30 minutes ago, John1991 said:

It kind of appears to me that things peaked around 7 months.  Perhaps the texture continued to improve after that and it's just not picked up on camera, though.

Yeah, huge texture improvements.  At 6-7 months, I could still see what hair was transplanted vs natural, due to texture.

[Melvin- Admin]

Absolutely incredible is Brazil a best kept secret! Dr. Pittella and Dr. Leal. 

[Gokuhairline]

nice. you had hair before the transplant lol now its even better. 

[Arthur Passos]

Quite interesting to see Thiago Bianco work around here. I am also Brazilian and I follow him on instagram for a long time already. I am curious, quanto foi a brincadeira (how much did you pay)?

[Big Rome]

6 hours ago, Fue3361 said:

Well, it has been a year, and as many people will say, 1 year is a great time to get an idea of what the final results are for a hair transplant.  I've updated my original thread once per month at least, and that thread has grown to 11 total pages, so it's quite hard to really go through in a time efficient manner.  This thread is to put everything into one place, the full progression, from day 1 to the final result. 

Important information for those who want it:
Clinic:  Dr. Thiago Bianco Leal (Brazilian Clinic)
Graft count:  3361 grafts
Hairs per graft : average of 2.2
Density : between 75-81 grafts/cm2

Medication:  I didn't take any medication prior to the transplant.  After the transplant, I was on a unique cocktail of cialis/viagra/arginine/minoxidil (4 separate vasodilators).  My understanding is that this is the my doctor's go to approach for densities as high as mine, as we all know, it is assumed that grafts have to fight for blood flow, and at such high densities, there is risks involved (up to potentially necrosis).  This is one of the things my doctor does to get as much blood flow into the scalp as possible.

Also important to mention that I have no male patter balding, as I've had the same hairline for almost 20 years.  Putting this many grafts in such a small area makes sense in my case, but not for anyone who is actually losing hair.  Grafts are a limit resource, and if you will have more loss in the future, it is important to use them sparingly.

Now, without further ado:  

Pre Surgery:

 

1 Day Post Surgery:

 

3 Week Mark:

 

2 Months:

 

2.5 months:

 

3 Months:

 

4 Months:

 

5 Months:

 

6 Months:

 

7 Months:

 

8 Months:

 

9 Months:

 

10 Months:

 

11 Months:

 

1 Year (12 Months):

 

 

I wanted to make this thread for a while now, to have everything in one place, and also to have information such as the Dr. who did the procedure in the title, for easier search options for new and existing users.  I don't think there's much need to do any more picture updates after this, as after this point, I doubt there will be any changes, and I'm quite confident this is the final result.  

And, since it has been asked for:

Donor Area (Post Surgery):

 

still the best result I have seen on the forum, easilly 😍😍👏🏻👏🏻

[Fue3361]

1 hour ago, Melvin- Moderator said:

Absolutely incredible is Brazil a best kept secret! Dr. Pittella and Dr. Leal. 

Brazil really has some amazing quality work.  Word just needs to get around!

13 minutes ago, Arthur Passos said:

Quite interesting to see Thiago Bianco work around here. I am also Brazilian and I follow him on instagram for a long time already. I am curious, quanto foi a brincadeira (how much did you pay)?

About 10k USD (50k BRL)

10 minutes ago, Big Rome said:

still the best result I have seen on the forum, easilly 😍😍👏🏻👏🏻

Thanks man!

[Spring15]

This is crazy good wowwww

[A Fue Good Men]

Wow 😮 

[Fue3361]

On 9/18/2022 at 5:21 AM, Spring15 said:

This is crazy good wowwww

Thanks.

On 9/18/2022 at 3:12 PM, 5BetaReductase said:

Wow 😮 

Thank you. 
 

I found some new photos of donor, but can’t edit the original post, so here they are:

2 days post op:

 

9 days post op same side:

 

[Axel]

On 9/29/2022 at 1:16 PM, Fue3361 said:

Thanks.

Thank you. 
 

I found some new photos of donor, but can’t edit the original post, so here they are:

2 days post op:

 

9 days post op same side:

 

Looks great! My timeline is really similar to yours, I'd be thrilled if I had a similar result. I went with Hasson and Wong and noticed they used almost exclusively doubles and triples for my hairline. Did your doctor do this? I heard that singles are necessary at the hairline to prevent a "pluggy" look. My hair is wavy and has always been styled down, so not sure that's an issue, but I was curious nonetheless. 

[Hairy Henderson]

1 hour ago, Axel said:

Looks great! My timeline is really similar to yours, I'd be thrilled if I had a similar result. I went with Hasson and Wong and noticed they used almost exclusively doubles and triples for my hairline. Did your doctor do this? I heard that singles are necessary at the hairline to prevent a "pluggy" look. My hair is wavy and has always been styled down, so not sure that's an issue, but I was curious nonetheless. 

They use doubles and triples? Are you sure?

[Axel]

10 minutes ago, Calihome1 said:

They use doubles and triples? Are you sure?

 

[Fue3361]

5 hours ago, Axel said:

Looks great! My timeline is really similar to yours, I'd be thrilled if I had a similar result. I went with Hasson and Wong and noticed they used almost exclusively doubles and triples for my hairline. Did your doctor do this? I heard that singles are necessary at the hairline to prevent a "pluggy" look. My hair is wavy and has always been styled down, so not sure that's an issue, but I was curious nonetheless. 

I don't have the exact distribution of hairs, but the average hairs per follicle they used on me was 2.2  

Yours seems to be 2 exactly.  So in my case, they used more 2s-4s than in your case percentage wise.  

For a natural hairline, only the first row or two are singles, then behind that, they pack on the doubles and tripples to make it nice and thick, and so that the hairline isn't transparent.  Those 300 are probably more than enough to get that looking great (I'd trust H&W to know what they're doing).

[GioLam]

Absolutely increíble results 

[Gatsby]

Excellent results.

[Surfarosa]

The addtion of Viagra and Cialis for bloodflow is a new one - lol

[Henry]

On 12/4/2022 at 8:33 PM, Surfarosa said:

The addtion of Viagra and Cialis for bloodflow is a new one - lol

Every doctor, take note. 😄

Great results by the way. Absolute success, congratulations. 

On 9/15/2022 at 6:11 PM, Fue3361 said:

Well, it has been a year, and as many people will say, 1 year is a great time to get an idea of what the final results are for a hair transplant.  I've updated my original thread once per month at least, and that thread has grown to 11 total pages, so it's quite hard to really go through in a time efficient manner.  This thread is to put everything into one place, the full progression, from day 1 to the final result. 

Important information for those who want it:
Clinic:  Dr. Thiago Bianco Leal (Brazilian Clinic)
Graft count:  3361 grafts
Hairs per graft : average of 2.2
Density : between 75-81 grafts/cm2

Medication:  I didn't take any medication prior to the transplant.  After the transplant, I was on a unique cocktail of cialis/viagra/arginine/minoxidil (4 separate vasodilators).  My understanding is that this is the my doctor's go to approach for densities as high as mine, as we all know, it is assumed that grafts have to fight for blood flow, and at such high densities, there is risks involved (up to potentially necrosis).  This is one of the things my doctor does to get as much blood flow into the scalp as possible.

Also important to mention that I have no male patter balding, as I've had the same hairline for almost 20 years.  Putting this many grafts in such a small area makes sense in my case, but not for anyone who is actually losing hair.  Grafts are a limit resource, and if you will have more loss in the future, it is important to use them sparingly.

Now, without further ado:  

Pre Surgery:

 

1 Day Post Surgery:

 

3 Week Mark:

 

2 Months:

 

2.5 months:

 

3 Months:

 

4 Months:

 

5 Months:

 

6 Months:

 

7 Months:

 

8 Months:

 

9 Months:

 

10 Months:

 

11 Months:

 

1 Year (12 Months):

 

 

I wanted to make this thread for a while now, to have everything in one place, and also to have information such as the Dr. who did the procedure in the title, for easier search options for new and existing users.  I don't think there's much need to do any more picture updates after this, as after this point, I doubt there will be any changes, and I'm quite confident this is the final result.  

And, since it has been asked for:

Donor Area (Post Surgery):

 

 

[Fue3361]

I think it's a really cool protocol he uses.  It's a fact (at least a generally agreed upon one) that the higher density you go, the more starved the grafts get for blood flow due to competition from other grafts.  You need to do something about this to guarantee graft survival.  Cialis and Viagra are very well understood and they do increase blood flow by a lot.  I'm pretty sure this also applicable to blood flow to skin (because when I got on the pill he gave me (combo of Viagra and Cialis) my face was kinda pink/flushed for the first 3 days (blood flow).

 

He doesn't use that protocol for normal density or even dense packing (50-60), only for what he calls ultra density (75+).

[deeznuts]

On 12/4/2022 at 7:33 AM, Surfarosa said:

The addtion of Viagra and Cialis for bloodflow is a new one - lol

My girlfriend will be happy to hear about this new treatment

[alopeciaphobia]

What an incredibly unique case, and an extremely aesthetically pleasing, dense NW1 hairline. If donor supply wasn't finite, I think many people would aim to get results like you. Perhaps if future verteporfin trials prove to be effective in regenerating donor hair, results like this may become more achievable for more people.

@Fue3361 I'm very curious to hear the full protocol, including dosages and times taken per day. I'm surprised that you were on both Cialis and Viagra. Their mechanism of action is pretty much the same, and Viagra lasts much shorter. So I'm wondering why the doctor didn't go with Cialis alone.

Edited July 27, 2023 by alopeciaphobia

[Fue3361]

7 hours ago, alopeciaphobia said:

What an incredibly unique case, and an extremely aesthetically pleasing, dense NW1 hairline. If donor supply wasn't finite, I think many people would aim to get results like you. Perhaps if future verteporfin trials prove to be effective in regenerating donor hair, results like this may become more achievable for more people.

@Fue3361 I'm very curious to hear the full protocol, including dosages and times taken per day. I'm surprised that you were on both Cialis and Viagra. Their mechanism of action is pretty much the same, and Viagra lasts much shorter. So I'm wondering why the doctor didn't go with Cialis alone.

Yeah.  My results are even better now that we're almost 2 years in.  It's looking great.

 

As for protocol, was just one pill a day, for 3 months.  The pill, if I'm not mistaking had 2.5mg of Cialis, 2.5mg of Viagra, and it also had 5mg of minoxidil + arginine.  If you really want to know, I can look for what the Arginine dosage was, although I think it was 5mg.