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2950 FUE with Dr Bisanga - Feb 2017 - Hair Transplant Patients - Hair Transplant section - Hairloss Experiences Hair Loss Forum  Rate Topic 
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 Posted: Sat Feb 11th, 2017 07:19 pm
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Tomislav
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Hi all, I am a 40-years-old guy with a diffuse hairloss behind a relatively low hairline. Some call it a Ludwig-type hairloss. I'll let you judge from the pre-op pictures I will post. Four days ago I underwent a FUE procedure at the BHR clinic in Brussels with renowned Dr. Bisanga. I plan to post here a detailed account of my progress.

Some background: I remember first noticing a loss of density at the age of 18. After then, the loss has progressed very very gradually. In 2006, when I was 30, I started taking minoxidil 5% and continued this treatment until 2011. I think the minoxidil had completely stopped my hairloss and even caused some regrowth. However I hadn't realised how effective that had been until I quit... a decision I now very much regret. In a few months I lost a lot of hair, and in 2012 I considered a transplant for the first time, but it took me five years before I decided to go through with this decision. 

I took a few pictures back in 2012 and I must say not much has changed since then, which makes me optimistic about the speed of future hairloss. My goal is to significantly increase hair density between my hairline and the vertex of my head. I don't care very much about filling my temples... in fact I'd quite like ending up with a Norwood-2 pattern, as I like the mature look it gives. I opted for a FUE transplant because I don't mind shaving my head, and I would like to keep this option open.

I chose Dr. Bisanga precisely because of his conservative approach and his expertise with the FUE technique. I had a consultation with him last September and was found to have a density of 70 UF/cm3 and a lot of 2-hairs follicular units, meaning that I have to be realistic about the end result... I may never look like Elvis. We decided to aim for 3000 grafts, to concentrate on my frontal area.

On procedure day, I asked Dr. Bisanga if we could perform PRP therapy, with the hope that it would speed up and improve the recovery. He immediately agreed. I read good reviews about it, and I am planning to get a few more sessions closer to where I live in the next few months. The surgery was over 2 days. According to the papers I was given at the end, the transplanted grafts can be broken down as follows (I believe these are approximate numbers as they sum to 2990, while I was charged with 2950 grafts): 

1s: 430    2s: 1570    3s: 620    4s: 370
I will post pictures as soon as I figure out how it's done c;;9

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 Posted: Sat Feb 11th, 2017 07:26 pm
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Tomislav
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Okay, it seems that I can only post one picture per post. Here is a pic from 2012:

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old_top.jpg

Last edited on Sat Feb 11th, 2017 07:27 pm by Tomislav

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 Posted: Sat Feb 11th, 2017 07:27 pm
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Tomislav
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Another from 2012:

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old_front.jpg

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 Posted: Sat Feb 11th, 2017 07:28 pm
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Tomislav
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Yet another from 2012: 

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 Posted: Sat Feb 11th, 2017 07:30 pm
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Tomislav
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An now I will post three more recent pictures, taken six months ago for the online consultations:

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front.jpg

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 Posted: Sat Feb 11th, 2017 07:33 pm
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Tomislav
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(note that the unusual style is to better show my hair loss)

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 Posted: Sat Feb 11th, 2017 07:34 pm
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Tomislav
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Finally the donor:

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 Posted: Sat Feb 11th, 2017 09:20 pm
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shinytop
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Sounds as though you had a great transplant with Dr Bisanga. Looking forward to seeing your next set of pictures.
There is a gallery feature under your username where members add multiple pictures.

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 Posted: Sat Feb 11th, 2017 09:45 pm
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Tomislav
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Here are my pictures one day before surgery.





Here I am at 4 days post op.













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 Posted: Mon Feb 13th, 2017 02:36 pm
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Bastion
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Your donor supply is good, strong healthy hair. Dr. Bisanga has done a good job transplanting the front.
Is your transplanted area mapped out as the frontal third or frontal half?

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 Posted: Wed Feb 15th, 2017 07:07 am
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Bigmac
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Hi Tomislav, welcome to the forum and thanks for sharing your hair transplant story. 
You certainly took your time researching, it has paid off though as the work looks good. I'm reckoning you will will achieve a very good result with that amount of gragts. 
Have you considered starting minoxidil again? See if it works wonders again.
All the best.
Bm



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 Posted: Tue Feb 21st, 2017 07:56 am
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Tomislav
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Pictures at day 14. 
As you can see I have some shock loss behind my right ear, which is a bummer. Based on others' reports, I expect this to completely disappear in about 4-5 months. Before that I hope the area will stay limited, so that the surrounding hairs can cover it.
 
As for the rest, everything is going according to plan. I hope that the pre-existing hairs in the recipient zone will not fall. Sensitivity in the recipient zone is slowly coming back to normal. Redness seems to be minimal compared to what others experienced. This may have something to do with the PRP treatment.
 

Last edited on Tue Feb 21st, 2017 08:01 am by Tomislav

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 Posted: Tue Feb 21st, 2017 10:02 pm
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Bigmac
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The shock loss area should all return to normal, just got to be patient.



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 Posted: Wed Feb 22nd, 2017 08:51 am
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Tomislav
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Bastion wrote: Your donor supply is good, strong healthy hair. Dr. Bisanga has done a good job transplanting the front.
Is your transplanted area mapped out as the frontal third or frontal half?


Hi Bastion, sorry I hadn't noticed your post. I don't know c;;9 I would say somewhere between the two.

Last edited on Wed Feb 22nd, 2017 08:51 am by Tomislav

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 Posted: Wed Feb 22nd, 2017 08:56 am
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Tomislav
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Bigmac wrote: Have you considered starting minoxidil again? See if it works wonders again.
All the best.
Bm

Hi Bigmac, yes I have resumed Minoxidil a few months ago and interrupted briefly for the surgery. I am starting again today...

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 Posted: Tue Feb 28th, 2017 05:25 am
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Bastion
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Tomislav wrote: Bastion wrote: Your donor supply is good, strong healthy hair. Dr. Bisanga has done a good job transplanting the front.
Is your transplanted area mapped out as the frontal third or frontal half?


Hi Bastion, sorry I hadn't noticed your post. I don't know c;;9 I would say somewhere between the two.


It will look good once grown out.

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 Posted: Fri Mar 3rd, 2017 10:05 am
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Tomislav
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Here are two pictures at day 24. Shedding has started in the recipient area (as normal), and the shock loss on my right side has progressed :(

At the moment it is the shock loss that worries me the most. I know the lost hairs should come back, but it's not easy to conceal and it's holding me back from social life. This is a relatively small price to pay, should the end result be a good one.

By the way, I would be very happy to get any suggestion on how to style my hair to conceal this... I have thought about shaving my hair on the sides, but I'm worried that the small scars from FUE would be visible. At the moment, my plan is to grow the surrounding hair so as to cover it... but it may take about 1 or 2 months...

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 Posted: Sat Mar 4th, 2017 08:19 pm
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Bastion
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Have you tried DermMatch to thicken up the donor area? It works great and looks natural.

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 Posted: Sun Mar 5th, 2017 06:51 pm
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Bigmac
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DermMatch or similar could dork as Bastion suggests. Alternatively, shaving the sides may be an option as long as the dots don't show. As you started back on Minoxidil, maybe applying that to the shock loss area will help growth kick in, maybe check it out with Dr Bisanga to see what he thinks.
Hopefully it won't be too long before it grows back.



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 Posted: Tue Mar 14th, 2017 08:46 am
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Tomislav
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Quick update at the end of week 5. In the past few weeks, the recipient area has thinned progressively, a consequence I guess of the normal post-op shedding. The frontal area is more or less as dense as it was before the operation. Should the shedding be over at this point, I would consider myself very lucky, as I was expecting a much worse "ugly duckling" look by this time. Fingers crossed!

As for the donor shock loss, nothing new on that front. Thank you guys for the advice, I will definitely use dermatch in a few weeks if the shock loss remains visible. I will wait a bit more before doing that, as I remember being told by BHR not to apply anything for the first couple of months (I have to check this though - don't seem to find anything on my written instructions). I am slowly getting used to the shock loss, though, which certainly makes life easier...



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