Have you guys seen this new Thiago Bianco hair transplant? Probably the best results I've ever seen

[Norwood311]

This reddit user Pretty_Business is (as far as I know) the second patient to post his results from Thiago Bianco on the english internet. This guy is NOT FUE3300 (even though the results are so similar). In fact, I think this procedure might be slightly better and it's only been 9 months. According to him, the transplant was around over 4000 grafts and looks to be possibly EVEN DENSER than FUE3300's incredible results, which would put it around 75-90 hairs per cubic centimeter. Completely unreal. There is basically no surgeon on earth who can go THAT DENSE in one procedure (I have heard of some surgeons getting up to 80-100 hairs per cm after doing multiple procedures, but never in a single one). Not to mention his design aesthetics are phenomenal, the dude is an artist. FUE3300 and Pretty_Business are, in my opinion, the two best hair transplants I've ever seen.

So let's get into WHY. Why exactly does this result look so good? What separates Thiago Bianco? Well the most obvious reason is the density. Dr Thiago Bianco has seemed to have figured out how to transplant at densities higher than was once though possible. Very few surgeons rarely go above 50 hairs per cubic centimeter, LET ALONE 70, because you risk scalp necrosis the higher you go. Basically the hairs don't get enough blood and they atrophy and die. How did Dr Thiago get around this? I don't know everything he does, but I do know a few very unique things:

1. Dr Thiago Bianco places his patients under general anesthesia. This is not common for hair transplants (most docs just use local anesthesia) and potentially dangerous for patients with heart conditions. But this allows him to work much faster without worrying about patient discomfort and it may even relax the scalp more and make extracting and implanting easier for him.
2. He places his patients into an hyperbaric chamber immediately after surgery. These are used to speed up wound healing by providing higher levels of oxygen in an enclosed environment. This is VERY unique, he may very well be the only hair transplant surgeon doing this.
3. He immediately places his patients on a oral medication consisting of Viagra, Cialis, minoxidil, and some supplements for 3 months. All these meds are vasodilators meaning they increase blood flow to the scalp and increase the odds of graft survival after surgery. 
4. He works with multiple surgeons during surgery. I am not sure how much of the procedure Dr Thiago actually does himself, some say all he does is cut the implants and selects grafts, no one can really say because they're unconscious during the surgery. But the results speak for themselves, he has a team of fellow surgeons that help him work far more quickly and keep the grafts outside the scalp for minimal time. 

That said, density is just ONE factor of his great results. The second aspect that stands out the most to me is that he does temple points very well, basically the portion in front of the ear. Notice even many top surgeons rarely ever to temple points, like Pekiner for example, a true master of hairlines but never does temples. Temples are basically the hardest part of the procedure. The angulation is completely different and the hair follicle width is thinner, so thicker hairs look fake. Worse yet, you can't even really cover a poor result with longer hair like you can with the hairline. Dr Thiago Bianco seems to be using nape hair, thin hairs along the neckline to do his hairlines and temple lines. He also does very aggressive and sharp temples, which just look phenomenal, very elegant and youthful. But more importantly, he just understands natural angulation, he's good at so many things but implant angles and graft selection seem to be his most impressive skills to me. He genuinely seems like the best surgeon in the world at angulation, graft selection, and graft survival. 

Some may say, isn't nape hair not in the "safe zone"? And they would be right, retrograde alopecia is a real problem many men have (basically hairloss moving from the BACK of your head upwards) but if you don't have hair loss genetics like FUE3300 or if you're on finasteride or dutasteride like Pretty_Business, this shouldn't be a problem. 

I'm sure there's stuff I've missed, but that's what impresses me the most.

Now on to the criticisms! No surgeon is "perfect", I would say Dr Thiago's biggest flaws is we just don't have more results to look at. There's only two on reddit and a handful of instagram photos. I've definitely noticed he tends to mostly do procedures on lower Norwood men (maybe NW2 - NW3) with thick, dark hair follicles and fantastic donor regions. These are all big advantages to a surgeon, they allow for greater visual density and possibly even better graft survival. He has definitely done procedures on men with greater hair loss, but those results really aren't that impressive. They're very good, don't get me wrong, but they're results many surgeons could pull off. However, his ultra-high density hairline and temple procedures are basically the best possible with currently technology. I do think he's very possibly the best surgeon in the world right now. 

But what do you guys think? Any ways he could improve? I think the biggest thing he could do is start using verteporfin into the donor region after surgery to try and stop scarring and grow back donor hairs. Who knows, maybe he's already trying this out?

 

Edited April 17 by Melvin- Admin
Removed link

[Melvin- Admin]

We don’t allow outside links. I think this doctor is obviously skilled. Brazilian doctors aren’t familiar with American forums, so just because you don’t see reviews doesn’t mean he’s bad. 
 

There’s quite a few Brazilian doctors that are impressive. Obviously, Pittella is the most known based on him joining the network. However, Dr. Tony Ruston is also very good. Dr. Carvalho is also good. Some names to look at as well.

[Fue3361]

Yeah, he did a ridiculously good job on that transplant.  I'm very happy with mine, and I think that one was probably even better than mine.

He does all the extractions and does all the pre-incisions.  He doesn't do any of the graft placing (he actually has a very large team working with the grafts, including separating, categorizing with microscopes, implanting with pens, etc.).  I think my surgery the entire team in the room was 10 people if I'm not mistaking.  

As for anesthesia, I'm not sure if it's general or just very heavy sedation.  Regardless, there's also at all times an anesthesiologist with you monitoring everything.  It's a proper hospital setting.  

 

Also, good news, I'm talking with a guy on reddit that's seeing Thiago this month (he contacted me for advice) and he'll be posting the entire thing as well, so we should have a third surgery results very soon   

I've been saying I think he's the best in the world with temple points and high density work for ages now, it's a shame more people didn't jump on 2  years ago, as his prices have gone up a lot since then.  Mine was 10k back then, I think atm, similar work is probably 18k USD.

[Norwood311]

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He does all the extractions and does all the pre-incisions.  He doesn't do any of the graft placing (he actually has a very large team working with the grafts, including separating, categorizing with microscopes, implanting with pens, etc.).  I think my surgery the entire team in the room was 10 people if I'm not mistaking.  

Thanks for the info. I think what I find most interesting about this strategy is that it's what I've heard Laorwong does as well. He's got a large team that does all the separating and implanting so he can focus on extracting and pre-incisions. His most recent work is getting very good, I still don't think he's as good at designs as Pekiner or Thiago Bianco, but he's probably the best surgeon in his price range.

Do you know what size tool Dr Thiago extracts with? I noticed a post that pointed out how Laorwong uses a smaller punch tool than Pekiner, which causes less scarring.

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Also, good news, I'm talking with a guy on reddit that's seeing Thiago this month (he contacted me for advice) and he'll be posting the entire thing as well, so we should have a third surgery results very soon   

What a shame, I was hoping I would get to be number 3 lol. 

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it's a shame more people didn't jump on 2  years ago, as his prices have gone up a lot since then.  Mine was 10k back then, I think atm, similar work is probably 18k USD.

Frankly I'm just grateful it's not MORE than 18k. There's plenty of surgeons that charge far more than that (Konior, Zarev) and they aren't anywhere near as good. 

Edited April 20 by Norwood311

[Fue3361]

On 4/20/2024 at 3:06 AM, Norwood311 said:

Thanks for the info. I think what I find most interesting about this strategy is that it's what I've heard Laorwong does as well. He's got a large team that does all the separating and implanting so he can focus on extracting and pre-incisions. His most recent work is getting very good, I still don't think he's as good at designs as Pekiner or Thiago Bianco, but he's probably the best surgeon in his price range.

Do you know what size tool Dr Thiago extracts with? I noticed a post that pointed out how Laorwong uses a smaller punch tool than Pekiner, which causes less scarring.

What a shame, I was hoping I would get to be number 3 lol. 

Frankly I'm just grateful it's not MORE than 18k. There's plenty of surgeons that charge far more than that (Konior, Zarev) and they aren't anywhere near as good. 

Saw the guy's results (who just got his 2 days ago) and the work looks very clean.  Should be an amazing result from what I can tell (from the post op).

There's another guy I'm talking to as well on reddit who's getting his in July I believe.  We might get quite a few more reviews in the coming months

As for Thiago and punch size, I know for a fact he makes his own custom incision blades for each patient based on hair characteristics (has the machine that cuts it to any size) and uses multiple different sizes depending on location.  For punch size, it depends the same way.  He goes as small as he can go.  I'm trying to recall what size he used for me, I think it was 0.8.  I could be wrong though here... it was a few years ago.

[Norwood311]

Thanks, that pretty much settles it for me, I'm going to Leal. He genuinely seems 10-15 years ahead of basically all other surgeons right now. Pekiner and Keser are very good, as is Konior but Leal is just better. I've got a consult in a few months, hopefully I can get the actual transplant done later this year, they say surgery is around 90 days after the consult. How long do you think I would need to stay in Brazil afterwards, like a week? 

Edited April 23 by Norwood311

[Chrisno]

On 4/17/2024 at 5:17 AM, Norwood311 said:

[...] which would put it around 75-90 hairs per cubic centimeter. Completely unreal. There is basically no surgeon on earth who can go THAT DENSE in one procedure (I have heard of some surgeons getting up to 80-100 hairs per cm after doing multiple procedures, but never in a single one). 

That's not true, other doctors can also place that dense if appropriate for the patient. Dr. Hasson did 85FU/cm for me. There is s recent case where he did 90FU/cm on another patient. Both in one sitting. Not to discredit Leal's results in any way, though.

From the extraction patterns I have seen from Leal, he does not use nape hair. He uses hair above the ears.