Open Letter to Bisanga—why such a front line?

[BeforeSunset]

Dear Bisanga,

I love your work, I respect your work, I think you have a talent out of the ordinary. But there are some cases that makes me stop and question. So I hope you have time to answer. Here we have natural hair lines. As we can see, they are a little jagged: They have "imperfections that make them natural". It's the hairlines of Josh Brolin, Hernan Drago and Morten Harket.

But on your hairlines, at least these ones, there is no jagged zig-zag at all, but rather an uncannily straight line:

And here:

Maybe I am mistaken, maybe it's the lack of a "transitional zone" that makes them look uncanny. Meaning, that the hairlines goes straight from bald-forehead to dense-hairline. I don't know. But I know you strive to make the most natural looking hairlines, so I was wondering if you have any thoughts about adding imperfections to make hairlines more perfect. Hoping you have an answer!

 

[BeforeSunset]

@Raphael84 could you ask Bisanga about this?

 

[Bigmac]

What you have to understand is every patient is different. Some patients ask for this particular hairline. The doctor will explain the hairline design during the pre surgery consultation. Not every hairline has obvious imperfections. These examples you posted look very good.

 

[A_4_Archan]

I would agree with bigmac...actually there are preferences from patients too which doctors have to take care of...and i believe its not that only zigzag patter or too much imperfection is perfect ...main thing is softness ...you can see how soft the hairlines are...good use of single grafts..even when i discussed about hairline with my surgeon he told me that too much imperfection isn't perfect always ...you can see my case...my doctor did just a little bit of it...bt he used 2 rows of singles and he told me that this will look very natural...

 

[Kevboy]

Great artistic hairlines individually created for each patient.

 

[BeforeSunset]

You guys feel the two hair transplants don't look uncanny. I on the other hand am not sure why I feel they look uncanny. I'll explore some thoughts about the YouTube thumbnail:

• There's no zig-zag, or jaggedness to the line
• Maybe it looks unnatural due to not much of a transition zone (wish I could link to show what I mean)
• Maybe it's due to not having more hints of a widow's peak
• Maybe it's due to the furrowed forehead skin, which stand in contrast to a super-dense hairline

Sure, some people want neatly manicured hairlines. I agree! And another thing I think we can agree on is that you guys know much more about hair than most people. Maybe so much that you sometimes can have the Curse of Knowledge? I think many patients (these are general comments) find their way to the best-of-the-best surgeons this way:

• They google hair transplants, trying to find something cheap and good
• They realize cheap transplants often result in low density, and the need for several procedures
• They compare Great Surgeons, and compare the density they can achieve
• They show up at the office of a Great Surgeon, with a picture of Brad Pitt's hairline, or some unrealistic result
• They're met with pushback by the Great Surgeon, saying they advice against this, and it takes time to dawn on the patient that the surgeon's actually right
• They may have a second meeting with the surgeon, before agreeing on what type of procedure to do, and at this point the patient often still has hopes of high frontal density, because that is something tangible discussed online, and tries to come to some agreement on what can be achieved.

Yes, yes—some prefer such hairlines as I linked to. But I think it's common for patients to not know much about zig-zag, transition zones, or really having reflected thoroughly on what exactly makes some hairlines look natural, whereas others don't. I think much of their attention are on other matters, such as how high density can be achieved.

Do we still disagree? What do you guys think marks the difference between a natural looking and not-natural looking hairline?

 

[Tom80]

I do not necessarely disagree. But I am not sure why you are singling out this clinic, I do not not expect them to respond anyway.you are always free to choose another clinic if you prefer them HLs better. it is up to you

 

[Bigmac]

@BeforeSunset Have you some pictures showing your hairline?

 

[BeforeSunset]

But I am not sure why you are singling out this clinic

Oh, it's because Bisanga is very best, in my opinion, and he's also trendsetting among hair transplant surgeons, in that he tutors and trains other hair transplant surgeons. Bisanga's work is important for the whole community. So where Bisanga goes, others follow. If you feel I am vitriolic, that is not what I aim for. I might as well have addressed another of the Great Surgeons, such as Hasson or Wong or Feriduni or anyone else. But Bisanga's people are active on these boards, so that was my choice. I think Bisanga does an excellent job of describing what first consultation's often can be like, such as this:

Patients (of all clinics) often have unrealistic expectations. Surgeons of great clinics dampen their expectations, surgeons of less great clinics don't. But I think after the two consultations (which is the norm??) before the transplant, most patients know more about their desired hair transplant density (high), than they do about zig-zag, transition zones and what makes for natural front-lines, so I think they still push for high density.

@Tom80 are you the first in this thread who actually agree the hairlines I posted look unnatural? (you wrote "I do not necessarely disagree" even though I am not sure it applied to that part).

@Bigmac. I haven't done a hair transplant yet. My avatar is my ideal hairline, which likely is unrealistically close to norwood 1. I am in the process of doing research, and it was only in the process of posting this thread I realized there's something called a transition zone. I know from other aspects of my life that it's often not wise to overrun the opinions of experts, and I am curious to know why some hair transplants end up looking very good and natural, and others don't. If it's by chance, or choice or what.

 

[Bigmac]

I’m only asking for a picture of your hairline to show as it is now and possibly how it use to be.

Maybe draw a line on the picture what you would prefer as your own ideal hairline.

Have you had any online consultations?

 

[Kevboy]

You guys feel the two hair transplants don't look uncanny. I on the other hand am not sure why I feel they look uncanny. I'll explore some thoughts about the YouTube thumbnail:

• There's no zig-zag, or jaggedness to the line
• Maybe it looks unnatural due to not much of a transition zone (wish I could link to show what I mean)
• Maybe it's due to not having more hints of a widow's peak
• Maybe it's due to the furrowed forehead skin, which stand in contrast to a super-dense hairline

Sure, some people want neatly manicured hairlines. I agree! And another thing I think we can agree on is that you guys know much more about hair than most people. Maybe so much that you sometimes can have the Curse of Knowledge? I think many patients (these are general comments) find their way to the best-of-the-best surgeons this way:

• They google hair transplants, trying to find something cheap and good
• They realize cheap transplants often result in low density, and the need for several procedures
• They compare Great Surgeons, and compare the density they can achieve
• They show up at the office of a Great Surgeon, with a picture of Brad Pitt's hairline, or some unrealistic result
• They're met with pushback by the Great Surgeon, saying they advice against this, and it takes time to dawn on the patient that the surgeon's actually right
• They may have a second meeting with the surgeon, before agreeing on what type of procedure to do, and at this point the patient often still has hopes of high frontal density, because that is something tangible discussed online, and tries to come to some agreement on what can be achieved.

Yes, yes—some prefer such hairlines as I linked to. But I think it's common for patients to not know much about zig-zag, transition zones, or really having reflected thoroughly on what exactly makes some hairlines look natural, whereas others don't. I think much of their attention are on other matters, such as how high density can be achieved.

Do we still disagree? What do you guys think marks the difference between a natural looking and not-natural looking hairline?

Natural is different between ethnicity. For instance, Asians have coarse hair that could result in thicker hairs in the hairline. African Americans have a very straight hairline. Caucasians vary greatly. Then there are so many mixed race people in the world.

Facial features and patient preferences play a big part. The examples you posted suit the patient and don’t look unnatural. They are very good. Posting your own pictures we can compare what you posted and see what would be best for you and see what your own preference is.

 

[Tom80]

Oh, it's because Bisanga is very best, in my opinion, and he's also trendsetting among hair transplant surgeons, in that he tutors and trains other hair transplant surgeons. Bisanga's work is important for the whole community. So where Bisanga goes, others follow. If you feel I am vitriolic, that is not what I aim for. I might as well have addressed another of the Great Surgeons, such as Hasson or Wong or Feriduni or anyone else. But Bisanga's people are active on these boards, so that was my choice. I think Bisanga does an excellent job of describing what first consultation's often can be like, such as this:

Patients (of all clinics) often have unrealistic expectations. Surgeons of great clinics dampen their expectations, surgeons of less great clinics don't. But I think after the two consultations (which is the norm??) before the transplant, most patients know more about their desired hair transplant density (high), than they do about zig-zag, transition zones and what makes for natural front-lines, so I think they still push for high density.

@Tom80 are you the first in this thread who actually agree the hairlines I posted look unnatural? (you wrote "I do not necessarely disagree" even though I am not sure it applied to that part).

@Bigmac. I haven't done a hair transplant yet. My avatar is my ideal hairline, which likely is unrealistically close to norwood 1. I am in the process of doing research, and it was only in the process of posting this thread I realized there's something called a transition zone. I know from other aspects of my life that it's often not wise to overrun the opinions of experts, and I am curious to know why some hair transplants end up looking very good and natural, and others don't. If it's by chance, or choice or what.

you are right. it applied to that part

 

[pvtrfxcr1]

I like Dr.Bisanga work and a friend has been repaired there and posted on forums and I will go to him for a consultation soon when he is in the UK. I mailed them in April and unfortunately, I need to be seen in person, if dates work.

I think the narrative is that all hairlines have a peak and none are strong and cherry picked celebs is not realistic and cases that are different to what you deem natural are also cherry picked. Google Hollywood hair lines and many are very thick set, no peak.

Who would you consider as good then? I have seen some doc results here on this forum I can share patient posted cases that has thinner hair lines and from the UK also, shall I share them and you can comment as you may like them more?

Some more Bisanga ones here I like.

@Tom80, I thought I was going mad but you have a twin!! I saw on another forum where I have been reading, not a member though, a poster called something like Mike10 , same age, same treatments in PRP, loss, same dislike of Dr.Bisanga, same word expressions used on their summaries, same no fin/min, same loss in front, same crown swirls and same wall in background! Yes, same digital footprints but the background blew my mind…wow...Uncanny and remarkable similarities..mind blowing to be honest..would be even funnier if similar names and cities you both live in, just imagine, he could be in the same apartment block!...I think you should see who this Mike10 guy is..he may be impersonating you? Oh wait, he joined a year before you did here..so how does that work? You should post this on the other forum also so Mike can see it, open an account if not on..you really do need to see this guy..I think he should also see you exist..maybe you can do an open letter to him? You should both do a live video together..I would pay to see that!! But really, did make me chuckle how you have a twin who is so the same..

Let me know if the above results are natural and if the below with all these co-incidences are natural also..

 

[Filename Arial]

Nothing at all wrong with the hairline examples posted. Before Sunset, just because you do not think they look natural does not mean they are not natural.

Does the example below look unnatural to you?