Raphael84 Posted February 13 Share Posted February 13 This patient of 41 years of age came to us for a repair after previous FUE surgery elsewhere. He was left with a pluggy and sparse hairline. His goals were to - ✅ Repair and refine the hairline and work back through the thinning area. ✅ Strengthen and accentuate the temple points ✅ Re-inforce the crown that was thinning throughout ✅ Add density and design to beard where there were areas of less hair. Dr. Bisanga and Dr .Kostis were able to address all of the patient's goals and here we see the outcome at 12 months for all areas. All photos have been provided by the patient and sent to us. Naturally he is very happy with all of the outcomes in the hairline, temples, crown and beard. The challenges were that the donor had areas of over harvesting and significant scars from the first surgery. We needed careful harvesting to obtain the grafts needed and including finer single hairs for hair line and temple points. Placing among the previous poor work also is more of a challenge than virgin cases but you can see the outcome is with very good density and naturalness. Beard to beard was then used for the beard transplant. Patient was advised also to commit to Oral Minoxidil. Patient Quote - “The results are fantastic. Those who know keep telling me that the results are unbelievable, and those who don’t know, they tell me that I look younger, but they can’t pinpoint as to why!” FU to Hair Breakdown 1s - 1053/1053 2s - 1492/2984 3s - 1328/3984 4s - 145/580 TOTAL:- 4018/8601 - 2.14 Average, + Beard - 1008 Video:- Pre-Surgery Donor Post-Surgery 12 MONTHS 2 Patient Advisor for Dr. Bisanga - BHR Clinic ian@bhrclinic.com - BHR Results - https://www.instagram.com/bhr.onlyresults/ I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are my own. Link to comment Share on other sites More sharing options...
Senior Member hairman22 Posted February 13 Senior Member Share Posted February 13 Quote great result suprising you needed beard grafts Just Oral minox as medication? 1 Link to comment Share on other sites More sharing options...
Regular Member laverita Posted February 13 Regular Member Share Posted February 13 I guess the beard was for beard to beard etc..lovely outcome all over and more so as a repair case. Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted February 13 Senior Member Share Posted February 13 This is some very nice work, now just a normal looking head of hair. 1 Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted February 14 Administrators Share Posted February 14 This is possibly one of the best hairlines Ive ever seen. The fact its a repair is mind blowing. 1 I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice. Check out my final hair transplant and topical dutasteride journey: View my thread Topical dutasteride journey Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog. Follow our Social Media: Facebook, Instagram, Linkedin, and YouTube. Link to comment Share on other sites More sharing options...
Raphael84 Posted February 14 Author Share Posted February 14 Thank you for your comments. Beard hair was used in constructing and reinforcing areas of the beard. The advantages here are obviously hair type with a natural match to native beard with colour, curl and coarseness whilst also therefore leaving more scalp hair within the donor for the future if needed. The patient being 41 at the time of surgery had a stable hair status overall and good hair quality. A regimen of finasteride and topical minoxidil were already in place. Dr. Bisanga recommended to change from topical to oral minoxidil and the patient has responded well. To add a thank you to the patient for allowing permission to share his case and it was a pleasure to assist and follow his journey. A real great guy and we are all very pleased for him. 2 Patient Advisor for Dr. Bisanga - BHR Clinic ian@bhrclinic.com - BHR Results - https://www.instagram.com/bhr.onlyresults/ I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are my own. Link to comment Share on other sites More sharing options...
Senior Member Hairy Henderson Posted February 15 Senior Member Share Posted February 15 Wow, this is a spectacular result! Link to comment Share on other sites More sharing options...
Regular Member ScottishGuy21 Posted February 15 Regular Member Share Posted February 15 I don’t think he looked too bad before hand but once you see the final result it’s a Wow. Looks infinitely better 👏🏻 Link to comment Share on other sites More sharing options...
GUVEN Posted February 16 Share Posted February 16 Incredible result. I'm very excited for my surgery with DR BISANGA and KOSTIS in a couple of months time. Hopefully an equally great result too! Link to comment Share on other sites More sharing options...
Regular Member NegativeNorwood Posted Thursday at 07:00 PM Regular Member Share Posted Thursday at 07:00 PM Love to see a beard to beard transplant example, but...the quality of the after pictures leave a lot to be desired, they are very low quality (no offense intended). Can't see the quality of the work properly with those after pictures. Can you please upload standarized pictures taken with a camera and consistent lighting, like the before ones? "Mature hairline" is euphemism for balding. Link to comment Share on other sites More sharing options...
Raphael84 Posted Thursday at 09:13 PM Author Share Posted Thursday at 09:13 PM Thanks for your comment. All pre operative photos shared were taken at the clinic. The patient is not local and therefore was not able to return to the clinic for photos at the 12 month stage and as he was very happy with his results, he didn't feel the need to revisit the clinic for any in person follow up. The growth and transformation can be appreciated from the images that the patient kindly shared. As per all previous comments, density and naturalness was achieved and as per the patients own feedback, he was very impressed and happy with his result. It would be great if all patients were able to revisit the clinic for a follow up and photos at 12 months to be able to to present consistency in photos, but in most cases, with BHR being an international clinic with few local patients, to do so is not cost effective for the patient and in reality, once growth comes in patients prefer to move on and focus on other things and simply enjoy their result. The percentage of patients who grant permission to share their cases has steadily and consistently declined in recent years. This is likely due to the expanded reach of social media, as patients now prioritise privacy more than ever. In the past, only those actively engaged in hair loss forums or similar platforms would see these results, but today, any shared content can spread much further across various channels. We very much appreciate every patient who is willing to share their case, as in most instances they do so not for their own benefit, but to support the community and their chosen clinic. Without access to previous patient results, it would not be possible to have any understanding of what different doctors and clinics are truly capable of achieving and it would make a oftentimes disingenuous industry, even more challenging to navigate or make any sense out of. Although photo quality may not always be perfect, when a patient generously allows the use of their images and the result is clearly visible, it is of benefit and value for the entire industry as a whole. 1 Patient Advisor for Dr. Bisanga - BHR Clinic ian@bhrclinic.com - BHR Results - https://www.instagram.com/bhr.onlyresults/ I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are my own. Link to comment Share on other sites More sharing options...
Regular Member NegativeNorwood Posted 2 hours ago Regular Member Share Posted 2 hours ago (edited) On 10/3/2024 at 11:13 PM, Raphael84 said: Thanks for your comment. All pre operative photos shared were taken at the clinic. The patient is not local and therefore was not able to return to the clinic for photos at the 12 month stage and as he was very happy with his results, he didn't feel the need to revisit the clinic for any in person follow up. The growth and transformation can be appreciated from the images that the patient kindly shared. As per all previous comments, density and naturalness was achieved and as per the patients own feedback, he was very impressed and happy with his result. It would be great if all patients were able to revisit the clinic for a follow up and photos at 12 months to be able to to present consistency in photos, but in most cases, with BHR being an international clinic with few local patients, to do so is not cost effective for the patient and in reality, once growth comes in patients prefer to move on and focus on other things and simply enjoy their result. The percentage of patients who grant permission to share their cases has steadily and consistently declined in recent years. This is likely due to the expanded reach of social media, as patients now prioritise privacy more than ever. In the past, only those actively engaged in hair loss forums or similar platforms would see these results, but today, any shared content can spread much further across various channels. We very much appreciate every patient who is willing to share their case, as in most instances they do so not for their own benefit, but to support the community and their chosen clinic. Without access to previous patient results, it would not be possible to have any understanding of what different doctors and clinics are truly capable of achieving and it would make a oftentimes disingenuous industry, even more challenging to navigate or make any sense out of. Although photo quality may not always be perfect, when a patient generously allows the use of their images and the result is clearly visible, it is of benefit and value for the entire industry as a whole. I completely understand but do not share the same opinion. Even if he gave people the privilege of seeing his after when he doesn't have to, the pictures leave a lot to be desired and conclusions can't be drawn at that low resolution. My phone costs 90€ and can take much clearer pictures than that. My point is, the intention is good and appreciated but not even a 2007 Nokia phone has that low resolution, rendering the good intentions and pictures useless IMO. For example, if he sends you those pictures for evaluation monthly, how can you say that his result is going to be good or that the hairs are growing as intended? You can guess but not be sure. Why don't you say to him: "please, send us clearer pictures to assess your progress properly?" (talking not about sharing publicly but sharing with the doctors, since he doesn't travel back there) For example, I took this in my bathroom with my 90€ phone and you can see the hairs clearly. I'm not buying the argument, sorry. Edited 2 hours ago by NegativeNorwood "Mature hairline" is euphemism for balding. Link to comment Share on other sites More sharing options...
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