Dr. Bisanga - Hair Line Repair Consultation

[Raphael84]

This video demonstrates why we as a clinic, among others, spend a large percentage of our time seeking to educate hair loss sufferers on their choices to undergo surgery. We know it is a battle that we collectively will never win, we are pragmatic in this, but nonetheless, still seek to warn people of the dangers of rushing into surgery at a young age an also with what is usually a low-cost hair mill type of clinic.

The concern with younger patients may often be budget constraints, but the reality is that subsequent removal and repair sessions are a much more costly endeavour than selecting quality surgeon to begin with.

Another common point, is that we as patients will generally look to proceed with a clinic that suits our narrative. We all want to be told that we are good candidates, with good donors and can have that low straight hairline that we may desire. Low cost clinics who schedule on numbers and not candidacy, tell patients what they want to hear regardless of how accurate it may or may not be.

Ethical clinics will usually prefer not to book very young patients who really should seek to stabilise their loss rather than commit to surgery, as we realise the progressive nature of hair-loss. Clinics who book such patients and give these results encourage patients to "act now" and the patient usually needs little persuasion that surgery is the right thing to do and not to wait and waste time.

The outcomes, as this video shows, is often not what they were bargaining for and then means any repair will require a very experienced surgeon to then correct as much as they can for the victim, usually over several surgeries and again a significant cost, and even then some of the damage cannot be undone. A "repair" is an improvement, not a complete recovery to pre surgery status.

There are consequences to choices and patients really do need to be aware of what they are committing to with the instagram click-bait approach they have to surgery.

We do hope this will help some to consider more of what they are buying into and what can also go wrong.

 

[Bigmac]

Thanks for sharing this video, it truly shows how surgery can go wrong when done by inexperienced people. Whoever did this have no idea about hair. The growth is actually decent but everything else is wrong.
Are there any pictures to show what he looked like before and how many grafts did he have?
He looks very young. I think a lot of these younger people go for surgery because they see influencers and Z list celebs getting hair transplants for publicity purposes and cash endorsements.
What is the surgical plan to try and repair this mess?

 

[sl]

Thanks BM ..the patient is 23 so was younger when he had the surgery and we do not have photos for that. The hairline is sparse but pluggy and yes a lot has gone wrong, angles, multiples in hair line, density and a nice ridge as part of the bargain. Punch out and re-build is the process and the patient can remove the ridge if they want and have a hopefully pencil thin scar. A ridge does change your look significantly and your profile so not nice to have and yes a good reason why they should research but with minimal loss and so young then do nothing and get on meds if needed.

 

[Bigmac]

Unreal what they have done to him.
Do you know how many grafts he had?
It does look as though he got decent growth but you say sparse. Some still images would be great if you have them.

 

[sl]

Well we have a new video today showing 5/4 haired grafts in the hairline and in the temple recession etc..the price of no magnification approach. I will see what else I can share on the above patient.

 

[sl]

Here is another consultation and again it highlights the importance aside from being technically able to perform surgery, also the need to use magnification and also appreciate facial landmarks, rules etc.

Here Dr.Bisanga goes over Hairline design, features, rules, magnification, not a one size fits all design and taking into account angles and NOT using large grafts on the hairline.

 

[sl]

Further to the above video, Dr.B did punchouts as promised and re-used the grafts as possible and harvested more for the filling work..Very nice and clean.