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Dr C. Bisanga 4100 Strip 0-8 Months BHR Clinic


#1

Dr Bisanga
BHR Clinic
4100 Strip/FUT
0 to 8 Months

With Design & Placement, 8 Months Growth and Comparison (8 Months pictures taken by our patient. This patients groups were so good that from the 4100 placed FU we placed 10,616 actual hairs, averaging to almost 2.6 hairs per FU average, well above average.

BEFORE & PLACEMENT

8 MONTHS POST OP

BEFORE & 8 MONTHS POST OP COMPARISON


#2

I think you need better quality “after” pics.


#3

» I think you need better quality “after” pics.

I agree and disagree about the pictures. They are good enough to tell that there is a huge improvement. But, with better after pictures we could see the detailing of the hairline design, etc.

It is a good result, to be sure, and the hairs per graft transplanted is a very nice bonus for the patient.

I can’t help but wonder, what is the plan for this patient’s future? He will likely loose the hair in the midscalp and much of the crown. The lateral humps will probably disappear over time. With 4100 already harvested to create the thick frontal third, how will this patient deal with the future? Will he be able to match the same density as he maintains a natural appearance? Will the crown be an option, or will he only focus on the front and middle for future transplant? What are your thoughts?


#4

Ditto, I don’t think better post op pics is too much to ask.


#5

» » I think you need better quality “after” pics.
»
» I agree and disagree about the pictures. They are good enough to tell
» that there is a huge improvement. But, with better after pictures we could
» see the detailing of the hairline design, etc.
»
» It is a good result, to be sure, and the hairs per graft transplanted is a
» very nice bonus for the patient.
»
» I can’t help but wonder, what is the plan for this patient’s future? He
» will likely loose the hair in the midscalp and much of the crown. The
» lateral humps will probably disappear over time. With 4100 already
» harvested to create the thick frontal third, how will this patient deal
» with the future? Will he be able to match the same density as he maintains
» a natural appearance? Will the crown be an option, or will he only focus
» on the front and middle for future transplant? What are your thoughts?

Agreed the pictures could have better definition and this is being rectified, updates on the way.

Aqueo,

You raise an important point concerning hair restoration, future planning and donor management. This patient was well “hair educated” he has been on meds for some time and obviously knows the importance to continue. He had his own ideas as to what he wanted to achieve with his first procedure, knowing he would be looking at others in the future. His first priority was to recreate his hair line along with the frontal third with good density. This was achieved as we can see, a slightly conservative hair line and placing hair into the lateral humps where there were signs of miniaturisation and potential loss in the future, so your concerns where actually addressed as the area was shaved down to assess the miniaturisation exactly for this reason.

He was not only blessed with slightly higher than average groups but also higher than average density in the donor,a great HT candidate, so we are not suggesting he is an average patient. He was diffused NW5 prior and in his mid 30’s, with a strong defined patterning around the peripheral already, that had been constant for some years. As for future loss, he is in no hurry for more and ready to see any progression of loss, he is not expecting full restoration in respect of consistent density throughout and aware over time, if need be, he reaches the crown the density and infact coverage may have to be sacrificed, as good as his characteristics are and the hair line design being made appropriate for his age and indeed the future as well as preserving the donor whilst reaching his goals. He has options in terms of techniques for the future, it would be prudent when he decides to go Strip again and then later FUE to open the donor area further, but step by step with planning.


#6

This is probably a very nice strip result too bad your pics suck!


#7

» This is probably a very nice strip result too bad your pics suck!

come on, they’re not that bad. At least we see all angles. At least they are not dishonest.


#8

» » » I think you need better quality “after” pics.
» »
» » I agree and disagree about the pictures. They are good enough to tell
» » that there is a huge improvement. But, with better after pictures we
» could
» » see the detailing of the hairline design, etc.
» »
» » It is a good result, to be sure, and the hairs per graft transplanted is
» a
» » very nice bonus for the patient.
» »
» » I can’t help but wonder, what is the plan for this patient’s future?
» He
» » will likely loose the hair in the midscalp and much of the crown. The
» » lateral humps will probably disappear over time. With 4100 already
» » harvested to create the thick frontal third, how will this patient deal
» » with the future? Will he be able to match the same density as he
» maintains
» » a natural appearance? Will the crown be an option, or will he only
» focus
» » on the front and middle for future transplant? What are your thoughts?
»
» Agreed the pictures could have better definition and this is being
» rectified, updates on the way.
»
» Aqueo,
»
» You raise an important point concerning hair restoration, future planning
» and donor management. This patient was well “hair educated” he has been on
» meds for some time and obviously knows the importance to continue. He had
» his own ideas as to what he wanted to achieve with his first procedure,
» knowing he would be looking at others in the future. His first priority was
» to recreate his hair line along with the frontal third with good density.
» This was achieved as we can see, a slightly conservative hair line and
» placing hair into the lateral humps where there were signs of
» miniaturisation and potential loss in the future, so your concerns where
» actually addressed as the area was shaved down to assess the
» miniaturisation exactly for this reason.
»
» He was not only blessed with slightly higher than average groups but also
» higher than average density in the donor,a great HT candidate, so we are
» not suggesting he is an average patient. He was diffused NW5 prior and in
» his mid 30’s, with a strong defined patterning around the peripheral
» already, that had been constant for some years. As for future loss, he is
» in no hurry for more and ready to see any progression of loss, he is not
» expecting full restoration in respect of consistent density throughout and
» aware over time, if need be, he reaches the crown the density and infact
» coverage may have to be sacrificed, as good as his characteristics are and
» the hair line design being made appropriate for his age and indeed the
» future as well as preserving the donor whilst reaching his goals. He has
» options in terms of techniques for the future, it would be prudent when he
» decides to go Strip again and then later FUE to open the donor area
» further, but step by step with planning.

Very nice. Excellent answers.


#9

» » This is probably a very nice strip result too bad your pics suck!
»
» come on, they’re not that bad. At least we see all angles. At least they
» are not dishonest.

I agree. Pictures are so easy to manipulate anyway. These pics are good enough to show the patient’s story. Personally, I am more impressed with the explanation of future planning and high hair per graft average than with fancy pictures.


#10

» » » This is probably a very nice strip result too bad your pics suck!
» »
» » come on, they’re not that bad. At least we see all angles. At least
» they
» » are not dishonest.
»
» I agree. Pictures are so easy to manipulate anyway. These pics are good
» enough to show the patient’s story. Personally, I am more impressed with
» the explanation of future planning and high hair per graft average than
» with fancy pictures.

Thank you for the answers; just a small point regarding the hair count; again to quantify that this gent had much better than average hair characteristics; In this case over 45% of his follicular units were 3,4 and even 6% placed were 5 hair FU, quite uncommon. With good hair characteristics like this you can afford to place a “normal” density per cm2 and gain a greater dense look because you have more hair per FU actually placed.


#11

12 Months Post Op Updated Picture Update 4100 FUT, pictures taken outdoors in natural sunlight. Pictures are 12 months and before & 12 months post op.


#12

Nice, he should be very happy with this, good density, I hope he keeps his hair forever.


#13

A picture of the donor scar would be helpful.


#14

» A picture of the donor scar would be helpful.

Hi stitchmeup

I’ve asked our patient for his scar pics and will publish when I have them, sorry for the delay;

Phil