For less than 3000 grafts

Hair Transplant
41

Hi Phil,
First of all, let me just say that its not my intention to pose weird or controversial questions. I appreciate your reply, and knowing about your clinics top work both in FUE and FUT I just wanted essentially some sense of clarification as to the extent that you will perform FUE or FUT based on all the hype there is about FUE megassions.
I do want to say that there is no “free lunch” in HT. No matter how hard or how sweet some people may want to sell it to you, unless HM arrives, there are 2 basic options. Each one been very different but to some extent complementary. I just hope that bverotty would have step up to the plate, or taken the bull by the horn, and given a full reasoning and explain fully not just to me, but to the many people in this forum, the point he was trying to get at, which I think he is not even himself clear on it. Then we get someone from the clinic of Dr. Mmuwba coming in and not really addressing the real issue fully.

» Hi boris
»
» Just the odd question from you; I will try to be as candid as possible
» I can only tell you the % coming dependent on those we consult obviously;
» some months we may have mainly FUT and then the next can switch to FUE;
» that said recently the mean % has certainly moved towards FUE as the
» majority; I cannot tell you why and maybe simply the type of patient we
» attract at present; I have posted a great deal of FUE results in the last
» months. That does not obviously include those we advise against a
» procedure.
»
» We do not agree to do more than 3000 FUE in one session, be it over two
» days we call that a session; so if someone was to need more than 3000
» grafts we would not accept them for FUE anyway if we felt the result would
» be impaired in anyway. The cumulative wound healing of over 3000
» extractions Dr Bisanga feels is not condusive to the best result. The
» majority of FUE we do is between 1500 and 2500 grafts and FUT generally
» 3500 grafts to safe donor maximum, 5000 etc
»
» If someone comes in and doesn’t mind their donor being overharvested we
» would advise against it and give our reasons; but we would not be willing
» to compromise on our protocol and would strongly recommend they rethink
» their perception of hair transplant and donor management.
»
» There has been much said about the yield of FUE being less than FUT, so if
» we play on a level field and assume that both are performed to a high
» standard. There is no reason why the yield should not be the same. There
» is talk about FUT giving more fullness in a result, and this is different
» from yield; dependent on hair characteristics someone’s’ maybe better
» suited to FUT, especially if their hair is fine. But in terms of yield and
» assuming the procedure has been done to the highest standard there should
» be little to no difference on a FUE to FUT match off.
»
» Which technique requires more skill? I think in some ways that is an
» unfair question because a good h/t requires great skill regardless of
» technique; and in my opinion FUT & FUE are very different and require
» different skills. What is important regardless of technique is that your
» doctor and then to his staff have a real empathy for what they do and gain
» a sincere joy of creating a work of art, then regardless of technique a
» great hair transplant is created.
»
» I appreciate that some say a two day FUE session is two procedures, well
» whatever pleases; it is one session. Dr Bisanga will perform generally
» 1500-1800 FUE in a day, with a scheduled 3000 FU procedure over two days.
» He does not believe in pushing the barrier and any FUE doc will appreciate
» that there are many variants in extraction that can slow a procedure down
» so there is no need to push the barrier to be “the fastest”; more
» important is the result in the long term.
»
» OK, you say stabilised hair loss; how do you quantify that, I’ve had 30
» year old say hair loss stops at 33, I’ve had 47 year old man NW3
» “stabilised hair loss” and in 4 years he was a NW6; so you cannot assume
» hair loss is stabilised. Not wishing to not answer but I decline to on
» this one because there are too many variables and if I try to give a
» definitive answer it will start a debate that will never stop.

42

»Hi Boris,

I dont mean to be rude or offensive, but are you actually contemplating having a hair transplant at any stage or do you just post threads for the sake of it. I seem to remember you being on the verge of making a decision 6 months ago. I know its a huge decision, but its hardly life threatening. Im thinking that you will still be posting threads regarding your planned hair transplant in years to come. To take a phrase you used yourself, just take the bull by the horns and make a decision. And YES I have had a hair transplant myself. I gave myself 3 or 4 months of good hard research then made a decision last year and went for it. My advice to anybody who is indecisive is to make a decision either way and not spend years posting threads that will only cause you more confusion at the end of the day. Why be miserable when there is a solution there by having a hair transplant. Again my intention is not to offend you so I apologise if I have.

43

Hey Keegan,
Not at all, you should say whatever you feel like.
However let me just say this. The path of hairloss for many people is usually too long, many years of seeing the hair vanish, a loss of confidence, often times seeing yourself grow old much faster than you really feel.
Having said this, and despite what you expressed here, a HT is something not to be taken lightly. Some people compare it to women´s getting boobs or getting some botox. Wrong, very wrong, despite how much the HT industry has improved over the last 5-10 years.
THere are probably a handful of docs (less than 5) in the wld that can provide a good and natural HT. If you think 6 months is waiting too long to make a decision, think about the economic variable, its damn costly. Personally, the hardest part of all of this, is actually been able to see the results in real life. Too many webpages with men who look good, but how many of them have you met in real life. Me, not too many.
I think its imp. for anyone to take the time to research and in this case, pose as many direct and controversial questions as possible. But this is just me.
Cheers,

» »Hi Boris,
»
» I dont mean to be rude or offensive, but are you actually contemplating
» having a hair transplant at any stage or do you just post threads for the
» sake of it. I seem to remember you being on the verge of making a decision
» 6 months ago. I know its a huge decision, but its hardly life threatening.
» Im thinking that you will still be posting threads regarding your planned
» hair transplant in years to come. To take a phrase you used yourself, just
» take the bull by the horns and make a decision. And YES I have had a hair
» transplant myself. I gave myself 3 or 4 months of good hard research then
» made a decision last year and went for it. My advice to anybody who is
» indecisive is to make a decision either way and not spend years posting
» threads that will only cause you more confusion at the end of the day. Why
» be miserable when there is a solution there by having a hair transplant.
» Again my intention is not to offend you so I apologise if I have.

44

» » » I can see why this confuses people. I think his question is whether
» » there
» » » can be only 1 hair for each follicle.
» »
» » Yes, in other words, 1 follicle will always be 1 hair. 1 follicle
» cannot
» » produce 2,3,4 hairs.
»
» Hi,
» For what I know, each FU (follicular unit) can have from 1 hair to even 5
» hairs.
» So what is it so hard to understand?
» Cheeers

So when people say we are all born with approximately 100,000, is it 100,000 hair follicles with 1 hair per follicle or are they talking about 100,000 follicular units that many contain several hairs in each unit??

45

If i understand this right FUE is limited unless you want to go crazy and remove half your donor area, it makes sense to me but you hear stories from clinic that say 10,000 plus is possible, we would all like to believe it but they talk about it without showing the proof.

46

» THere are probably a handful of docs (less than 5) in the wld that can
» provide a good and natural HT.

That is so untrue. There are many good doctors in the world, I mean many, many, many can provide good and natural hair transplant. Where did you get the idea that there are only 5?

47

» » THere are probably a handful of docs (less than 5) in the wld that can
» » provide a good and natural HT.
»
» That is so untrue. There are many good doctors in the world, I mean many,
» many, many can provide good and natural hair transplant. Where did you
» get the idea that there are only 5?

Hi,
There is a diff. btw a good doc and a top doc. I meant top doc when I said only a handful.

48

» » » THere are probably a handful of docs (less than 5) in the wld that can
» » » provide a good and natural HT.
» »
» » That is so untrue. There are many good doctors in the world, I mean
» many,
» » many, many can provide good and natural hair transplant. Where did
» you
» » get the idea that there are only 5?
»
»
» Hi,
» There is a diff. btw a good doc and a top doc. I meant top doc when I
» said only a handful.

You also need to distinguish whether you are referring to FUE or STRIP. I do agree that there are only a handful of top FUE doctors in the world. But when it comes to STRIP, I think a lot of doctors have improved greatly over the years and the difference between a good strip doctor and a top strip doctor is not so obvious anymore.