Pat,

I hate to bring this up, but Beehner's yield study of "skinny" vs. "chubby" grafts.

The chubby grafts actually had a yield higher than 100%, presumably because hairs that were in the resting phase were being transplanted in tact.

I have to believe that the same will hold true for transplanting DFU's as opposed to skinny grafts of only 1 or 2. It seems that the less fine dissection that occurs, the greater the overall yield.

The main advantage of the skinny grafts is that while the yield is lower, they can be planted closer together. However I believe that if a clinic wants the highest possible yield it would probably be from using all DFUs. This of course is not feasible because of the need for a natural hairline.

So I'm really not sure what the differnce in density is going to be between a doc using all DFUs and one using skinny grafts trimed down to the smallest bundles possible. Thats why I suggest the only way to know is to look at results. If Mohamnd is getting dense, aesthetically pleasing results with his technique, the more power to him. Its a shame he doesnt meet the crieria for the coalition. I suppose the standards are to eliminate the majority who would not be getting good results sans microscope.

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TheEmperor,

Your above quote says is exactly why we require the high "standard" of using microscopes for graft dissection.

Whether "chubby", "skinny" or double follicular units are created/trimmed, using a more powerful tool will make it easier for the technicians and possibly lessen the transection rate.

Whereas cases can be made for smaller sessions, the use of double follicular units, and chubby grafts, I can't seem to find a logical argument as to why an inferior tool (2.5 loops) should be used in place of microscopes, when it has been proven to produce higher yield.

By the way, Dr. Mohmand was recommended, not a member of the Coalition. Click here to learn about the differences and the standards for each.

Bill

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I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are my own.

Dear Pat

I will buy the microscope, not because I am convinced, but because to see if you are right or wrong.
What I will do is make two teams, each on rt and left side of midline.
One will do my conventional method, the other will do the microscope.
I will divide the strip measured and divide in half and see the yield of grafts n hairs both. Will do the surgery and then see the difference between both sides on same patient.

Let me really see the difference, in fact I will propose this and my research project......there you go
This forum has given me an oppertunity to think and learn and find....so this is good.

But....I am still not convinced.

In the meanwhile when I am suspended I will send you with my results and will label them as 'Results of Loop magnification dissection only'.

Please do feel free to criticize as much as you can, that makes me keep on going.

Pat and Bill, hope to see you in Montreal.

Thank you all

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I am a medical advisor to Lexington International and Hairmax. What ever I say is my personal opinion.

Dr. Mohmand is recommended on the Hair Transplant Network

Dr Humayun Mohmand,

You have just proved your desire to improve your standards and become one of the best surgeons if not already.

We should all praise his efforts and attitude. He has openly taken criticism and has decided to act upon it as well.

Good work!

I agree SadHair--- I applaud his reaction to criticism and willingness to stand in here.

However, I am unwilling to ever embrace the notion that microscopes do not provide an advantage, ever.

Dr. Bernstein is renowned for his research and theory and writting innumerous articles----the study he and Rassman did proves that a difference exists.

All and all, I am glad that Dr. M is buying a microscope, with hopefully more to come.

Jason

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Go Cubs!

6721 transplanted grafts
13,906 hairs
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Dr. Ron Shapiro and Dr. Paul Shapiro are members of the Coalition of Independent Hair Restoration Physicians.

Dr. Mohmand,

Thank you for your willingness and desire to improve your technology, even if you are going for a trial run.

I think you if you take a look at the strip under loops verses a microscope, you will see an obvious difference. Though it is quite possible that your technicians are getting excellent growth yield, at the very least, the microscope should make their work easier and more efficient.

Of course, in the meantime, you encourage you to continue to post and hope that as you begin to adopt microscopes, we can recommend you once again as the leading hair transplant clinic in Pakistan.

Best wishes,

Bill

__________________
Managing Publisher of the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog and the Hair Loss Forum and Social Community

View our hair loss articles on EZineArticles.com

Follow us on Facebook | Twitter | YouTube

Subscribe to our Newsletters | How We Recommend Physicians

-----

To learn about how I restored my hair, view my my hair loss website.

Remember, true beauty radiates from within, not from the skin.

I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are my own.

nice one Dr M.
good to see a healthy discussion that ends well. i hope that the microscope will aid your technicians do there job more comfortably, cant be easy dissecting all those fine hairs grafts etc...
hope to see great results as always from you.
all the best

FS

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