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Hair Restoration Results Posted by Patients Feel free to post your hair transplant photos here.

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Old 04-06-2008, 09:33 PM
Dr M Humayun Mohmand's Avatar
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This is my Quality of grafts



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Old 04-06-2008, 09:43 PM
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Dr HM,

While your grafts here look good, I think you will have an uphill battle convincing people microscope disection is not a safer method. Patients are really fearful of transection of even one graft. If microscopes help save grafts, they should be used.

It still comes down to careful trimming by the techs, the unsung heroes of a quality HT.
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Old 04-06-2008, 09:44 PM
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Dear Friends

I know what all of you saying as for the quality and latest technology for the furthering of the hair resortion.
This is our quality of grafts made especially for the front hair line that is visible.
Behing first three rows of hair line or what I call a transition zone we start putting twos and three hair gafts and as we go deep we start putting 4's and 5's.

Please do comment on these grafts that is made by one most trained and especially designated tech to dissect these grafts.

I would like all of you to compare these loop magnification disseected grafts with the worlds top 20 reccomended surgeons Microscope dissected grafts and tell me how much difference is there.

One more thing, with Microscope the yeild as in grafts are increase but the yield as in number of hair does not significantly. As all we do we make the 4s and 5s into 1,s and 2s......
anyway,

I still fail to understand that practically if the results can be compared and standard of work is good as been told, then why should the latest technology be the only reason to disqualify the person.

I do see your point, my point is with microscope All I would be doing dissecting 500 to 1000 grafts for front hair line, as I need and believe that i can produce denser effect with some hidden 4s and 5s. This is more beneficial for the patient. As we all charge per graft, its value for the money. DONT YOU THINK SO.

Humayun
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Old 04-06-2008, 10:38 PM
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Dear NB

I am not here to convince people that microscope is not the way forward. I am here to say that is not the only way just in my case.
I will like to use microscope as well but I have tried and seen but I could not see a practical reason in my hands.
If I show you the amount of waste we do for the 1000 graft dissection you would see that our waste have less than 1% of transection, I will not put it as zero for there is nothing like zero or 100% in medical term.
I am here just to tell people that YESI agree that microscope is good and YES every graft should be saved.
All I am saying is that in my case as I do not use 100% of fine 1s and 2s FU, I do not need a very very high magnification.
But YES may be just to be a part I would invest on a microscope which is not that big a money anyway.
I am pretty sure that it will not drastically increase the outcome.
May beI am wrong.

Lets see. but I still feel that it was unfair on behalf of this forum to vote against me, keeping in mind tha I am giving a reasonablly good results in a world where we all have heard and trust me I have seen very horibble results.

90% of people in this part of the world would not be able to pay for the hair transplant in USA, second they will not get a VISA in the first place.

I hope my point of view should be taken on board.

Humayun
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Old 04-07-2008, 03:13 AM
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Doc,

I understand what you are saying and I agree that it might not be a drastic difference in your case if you are just using 500 or so 1 and 2's. Possibly that in itself is somewhat of an issue. Do you think that with a microscope you would still only choose to have this many grafts for the hairline or do you limit this number due to the loop use? Moreover, I certainly respect saving the patient money by using larger grafts but many will be very concerned about any chance of it looking pluggy. I know that when done correctly it can be very beneficial.

Here is the number one dilemna. A standard has been set that states that the physician and clinic must use a microscope. Your work might be as good and even possibly better than most but it does not meet the standard. What is to happen? Do we make 1 exception? This is the challenge.

There are european cars that get great gas mileage but they don't meet US standards. I would love to get my hands on one, but I can't unfortunately. It looks to me like you might have no choice unfortunately. If you believe the cost is not a big deal I guess I would suggest that you buy one. Likely it will be worth the investment as it appears to me like you believe being a recommended doc on this site will increase your business. Good luck.

By the way--yes the grafts do look as good as they get.
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Old 04-07-2008, 08:30 AM
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Dr. Mohmand,

I appreciate that you are taking the time to continue to post.

I do not feel that anybody here is voting against you. In fact, just about everyone is stating that your results look good.

But where there is call to question is whether or not your results would be EVEN BETTER with the more powerful technology.

Let me ask you this question point blank: In your opinion, which TOOL is better and makes dissection of the grafts easier, 2.5 loops or microscopes? I'm talking about tools alone, not the skill of the technician to work with a particular tool.

Let's say your technicians DO the same quality of work with the loops as a microscope. There is still less room for error and use of microscopes would make it easier for your technicians to dissect the grafts.

Even if you feel that patient results would be the same, why not spend the money to invest in microscopes at the very least for the sake of your technicians?

Let me say that I am personally disappointed because I believe you are the BEST in your area and provide a very good service. Therefore I encourage you to purchase microscopes and begin to use them as a primary part of your practice and then we can reconsider you for recommendation.

Best wishes,

Bill
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Old 04-07-2008, 08:52 AM
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I do not mind buying a microscope, at the end of the day only patients have to pay for the cost. As we all know technitians are paid for in hours........so YES I do feel that there is a room to improve with a microscope. YES I do think that with Microscope i would be able to cut more grafts and much finer and least wastage.
But what I want is that by suspending my membership, actually you would in a way let so many people in this part of the world lose an oppertunity to get a decent job done and there will be more horror stories of hair transplant.
I thought that, if instead of my suspension, if Pat's second option would have been considered it was a positive way of encoaging Doctors like myself to improve, a critique rther than criticism.
Anyway, I always look ahead and try to rise as much as I can.

My membership was not given to me as a favour. I haveeen an active part of ISHRS since 2002, and speaking on 6 occasions out of 7. I am a faculty member of Orlando Live Surgery Workshop since 2004, I have been speaking at ESHRS forum. It was at one of these meetings that Pat met me and ask me if I woud like to Join this forum because he was convinced that my work is of standard and this forum does not have a doctor from this part of the world. I took me 1 year to decide to join. Look now, what happens to me.
These clients who come to me are not fom USA, they are mainly from Pakstan. DOnt you think this form should be giving them an oppertunity to get the may be not the best of the world but a safe doctor?
anyway
The topics that I have spoken on over the last 7 years covers
1) Ethnic problems in HT
2) FUE in South east asians
3) Scar repairs with HT
4) non scalp hair transplant ( Webinar)
5) Cosmetic Closure of Donor area (tricophytic scar closure)
6) Role of curvature of Hair shaft in naturalness of HT (published in ESHRS journal).
7) Placement of Lower mature hair line.

I knwo what this forum is saying and I do not disagree with all of you. What I am saying that thee is always a better way of dealing with people who care about the profession and always a way to ask some ne to improve by tll him to improv and giving him time to change........dont you all think I have a point here.

Anyway, If you all still believe that that is the only way forward and the only criterion then I would simply withdraw my point of view.

I thought it was a bit tooo harsh of this forum.
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Old 04-07-2008, 12:30 PM
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I'm just wondering how much magnification is needed, and how much more the human eye can discern under that magnification.
I remember in the 70s and 80s that stereo equipment companies were promoting lower and lower harmonic distortion (Yamaha at .05% TDH, etc, when the human ear cannot tell the difference below .1% TDH).
Are we talking real differences, or just marketing?
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Old 04-07-2008, 01:23 PM
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Dr. Mohmand,

I understand how discouraging it is to lose your status of recommendation based on what MAY appear as trivial.

However, by your own admittance,

"YES I do think that with Microscope i would be able to cut more grafts and much finer and least wastage."

We recommend physicians based on a high level of standards and you have met most of them. For your reference, I have copied our recommendation criterial below:

-----------

1. A demonstrated proficiency and commitment to performing high quality follicular unit hair transplantation using grafts that are microscopically prepared.

2. Dedication to doing follicular unit hair transplantation exclusively or at least as the main specialty of the clinic.

3. Excellent patient results demonstrating a high level of artistry and naturalness throughout, as well as excellent growth rates.

4. A reputation for high ethics and quality amongst colleagues and former patients.

5. Extensive experience performing hair transplantation.

6. Medical training, depth of background, board certifications, honors and credentials are also considered.

7. Excellent value - as determined by quality and pricing taken together.

8. Mastery and control of the orientation and direction of the transplanted grafts to achieve a completely natural appearance.

-----------

If you purchase microscopes and feel that you have to increase the price to seeking patients to compensate, I feel that this is perfectly acceptable. If you look at criteria number 7, it stands to reason that the quality of using microscopes outweighs in value the increase in price, especially given the very low rate you currently charge. Perhaps increasing your price and purchasing microscopes is the best way to go.

I can tell that you are upset by our decision, but know that our decision was made with a heavy heart. Pat and I still feel that your results are the best in that area by far and would love to recommend you once again. We realize now that there is no physician in that area that we recommend and makes it difficult for seeking patients. But if you are willing to purchase microscopes for each of your cutters (as you stated), I strongly encourage you to do just that and we can talk to you again about recommending you on our network.

Feel free to add your thoughts.

Bill
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Subscribe to our Newsletters | How We Recommend Physicians

-----

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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.
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Old 04-07-2008, 04:28 PM
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I feel dr. Mohmand does phenomenal work and should not be suspended.

I almost feel this is going to be injustice.
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