BHR Clinic

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Surgery performed by Dr. Bisanga.Most clinics talk about graft numbers.Far fewer discuss which grafts were selected, fro...
22/05/2026

Surgery performed by Dr. Bisanga.

Most clinics talk about graft numbers.

Far fewer discuss which grafts were selected, from where, and why that matters long term.

The mid-occipital (rear donor) region is typically the strongest donor zone, often containing higher hair groupings and thicker follicles. In many cases, clinics will immediately prioritise this area for extraction as the angles if hairs are much easier to harvest.

In this case, it remained completely untouched.

Instead, all 1,427 grafts were selectively taken from the side donor regions only.

Why?

Because not every hairline restoration requires use of the strongest donor reserve.

The finer single-hair follicles from the side regions allowed for a softer and more natural hairline design, whilst preserving the stronger donor reserve for any potential future progression.

Long-term strategy > short-term convenience.

Donor management is not simply about how many grafts can be removed today. It is about selecting the most appropriate grafts, from the most appropriate areas, whilst preserving options for the future.

The result:
A soft, natural and dense restoration using just 1,427 grafts, with exceptionally early growth already visible at 6 months.

The crown is one of the most technically demanding areas in hair restoration.Unlike the frontal scalp, direction changes...
21/05/2026

The crown is one of the most technically demanding areas in hair restoration.

Unlike the frontal scalp, direction changes constantly throughout the swirl. Every recipient site must follow this natural flow precisely in order to recreate a result that appears soft, natural and undetectable.

Angle also plays a major role.

In the crown, recipient sites are made at extremely flat angles at less than 10° to maximise visual coverage and support the natural layering effect of the hair.

18/05/2026

7,000 Grafts. Immediately Post Op.

Performed by Dr. Christian Bisanga and Dr. Abby over 2 consecutive days.

Dr. Bisanga performed the recipient site creation, responsible for the design, density, direction, depth, and angulation of the restoration.

expertly performed the graft extraction.

Even immediately after the second surgical day, the donor already appears remarkably clean, with minimal visible trauma and a very controlled extraction pattern throughout the donor region.

6,582 grafts were extracted from the scalp, with an additional 418 beard grafts utilised, bringing the total to 7,000 grafts.

Cases such as this demonstrate that, in carefully selected candidates, very large graft numbers can be safely achieved within a single procedure. However, this depends heavily on several factors:
— donor capacity
— hair characteristics and follicular grouping
— appropriate patient selection
— and, critically, the surgical approach to donor management and extraction distribution.

Large sessions are not simply about numbers. The planning and ex*****on determine whether the donor still looks natural both immediately after surgery and long-term.

Updates to follow!

14/05/2026

Dr. Bisanga demonstrates the ExoSmart process using exosomes derived from your own blood.

Exosomes are tiny vesicles ranging from 30 to 150 nanometers in size, secreted by various cell types within the body. They play an important role in intercellular communication by transferring proteins, lipids, and RNA between cells involved in tissue repair, immune response, and regeneration.

Unlike traditional PRP, which primarily contains platelet-derived growth factors, exosomes carry a broader range of signaling and regulatory molecules. They are actively involved in cell signaling and may help promote a more effective regenerative response within target tissues.

There is growing interest in the potential application of exosome therapy within hair restoration and scalp health, including more challenging inflammatory and scarring alopecia cases.

For further information regarding ExoSmart treatment at BHR Clinic, please contact us.

info@bhrclinic.com

4,675 grafts taken and the donor still holds up under a low fade.Donor extractions performed by Dr. KostisThis shows the...
11/05/2026

4,675 grafts taken and the donor still holds up under a low fade.
Donor extractions performed by Dr. Kostis

This shows the importance of donor management.

A fade doesn’t hide anything.
It exposes poor planning immediately.

At 6 months, this donor holds up short and at longer length.
No patches, no thinning, no depletion.

That’s optimal extraction.
That’s donor management.

Don’t settle for anything less.

You can tell a lot from the first 10 days.Surgery performed by Dr. Bisanga.These early stage are not just how it heals —...
07/05/2026

You can tell a lot from the first 10 days.
Surgery performed by Dr. Bisanga.

These early stage are not just how it heals —
but how it was planned.
Day 0: Design and density.
Day 3: Healing underway.
Day 10: Scabs removed.

Look closely:
– Direction follows the native hairline
– Angulation transitions cleanly through the temples
– Both sides respect native direction and angulation

This isn’t accidental.
It’s planned.

And it’s why natural results don’t stand out — they blend in.

Thank you to the patient for posting on

Dr. Bisanga & Dr. Kostis4675 grafts • 6 monthsThank you to the patient for allowing us to share his progress at this sta...
05/05/2026

Dr. Bisanga & Dr. Kostis
4675 grafts • 6 months

Thank you to the patient for allowing us to share his progress at this stage.

The aim was to rebuild a soft, natural hairline and improve density through the frontal and mid-scalp, with a conservative approach to the crown. Donor preservation was a key consideration, both for long-term planning and to allow the option of wearing the hair short.

Dr. Bisanga created the recipient sites, designing an age-appropriate hairline with attention to facial structure and natural irregularity, with density distributed to achieve a balanced and natural appearance.

Dr. Kostis carried out the extractions. Despite the number of grafts, the donor remains uniform and clean, including at shorter lengths, which was an important objective in this case.

At 6 months, the result is still developing. Further thickening and maturation can be expected in the coming months.

Total: 4675 grafts
10,384 hairs (2.22 hairs per graft)

Most patients focus on the recipient.But the donor is just as important.Donor extractions performed by Dr. Kostis.2003 g...
03/05/2026

Most patients focus on the recipient.

But the donor is just as important.
Donor extractions performed by Dr. Kostis.
2003 grafts.

At 10 days post-op, the donor already looks clean, healed and minimal visible signs of extraction.

That doesn’t happen by chance.

This case was approached with a controlled extraction pattern, using the side donor areas while preserving the strongest zones in the mid occupital (rear donor).

Why does that matter?

Because hair loss is progressive.

And a well-managed donor today gives you options tomorrow.

A good result isn’t just about what’s restored at the front,
it’s about what’s left behind.

Don’t settle for anything less.

Thank you to the patient for sharing his update on @

Anyone can draw a line.Few can create a hairline like this.Surgery performed by Dr. Abby.What you’re seeing here isn’t r...
28/04/2026

Anyone can draw a line.
Few can create a hairline like this.

Surgery performed by Dr. Abby.

What you’re seeing here isn’t random placement.
It’s controlled variation.

A natural hairline isn’t straight, uniform, or perfectly dense.
It’s uneven by design.

This is what allows it to look natural.

Creating that requires:
• Understanding facial structure and proportions
• Working with natural asymmetry, not against it
• Careful control of angulation and direction

Anything less stands out for all the wrong reasons.

4,980 grafts. In one surgery.Anybody can extract 4980 grafts. But what will the donor look like afterwards?Surgery perfo...
24/04/2026

4,980 grafts. In one surgery.

Anybody can extract 4980 grafts. But what will the donor look like afterwards?

Surgery performed by Dr. Bisanga & Dr. Abby.

At 11 days post-op, you’d expect something to stand out.
Some sign of extraction.

But nothing really does.

The reason isn’t the number.
It’s how the extraction was managed.
Using Bisanga protocols to maximise graft numbers, optimise healing and leave the donor looking pristine.

No obvious thinning.
No area overworked.

Once it’s over-harvested, it can’t be reversed.

This is what donor management looks like.
Not just what’s taken… but what’s left behind.

At just 6 months, this crown is already starting to take shape.Crown restoration can be very demanding on graftsAchievin...
22/04/2026

At just 6 months, this crown is already starting to take shape.

Crown restoration can be very demanding on grafts

Achieving a natural looking crown isn’t straightforward. This is where Dr. Abby’s approach stands out - prioritising hair direction and angulation whilst balancing surface area with graft availability and density.

This case involved 3,906 grafts, restoring not only the crown but also reinforcing the central forelock, as seen in the post-op image.

At just 6 months, it’s already filling in nicely.
Not yet finished, but already impressive.

The patient has suggested it has taken 15 years off him.
15 years in only 6 months.

Thank you Dr. Abby.

Adres

200 Chaussée De Waterloo
Rhode-Saint-Genèse
1640

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