Dr. Mohammad Humayun Mohma

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

This is my Quality of grafts

I was asked to post some pictures of 3000+ session. This is a gentle man who came to me after seeing my profile in hair transplant network. He came from Canada in Jan 2008. He is type VII MPB and had type B density(80 to 90 FU/sq cm) He had a good mobility and we managed to get about 1.7 cm wide strip. Donor area was closed with tricophytic technique. Single layer, monofillament proline was used. Planning is crutial in such advance cases and he needs one more session of 2500 grafts and he would be happy with the final outcome. He will not be dense initially till second sesion is done. even then we will be giving him only optical density not true density. Thats what my plans are.

Thank you Dominic that gives me a great incentive to improve.

This is one of my patients from early days when i was using 1mm punch. You can see very slight effect of the punch at the front line, that is very common in asian skin any way, mind you by asian I mean south east asian. We are a totally different from other races and our skin behaves very differently. This is a result of about 5400 grafts but the impact or as I put it the illusion is much better when we selectively and judiciously mix the follicular units with naturally occuring double follicle or previously called mini/micro grafts. you can maintain the naturalness but at the same time you can increase the density. This way a patient gets the benifit. For me Framing of the face is the most essential aspect and in most cases it cannot be done with out creating the temporal peaks.

This gentleman 28 yrs old had three procedures and these pictures are before the fourth procedure. No results are yet available after 4th surgery. 1st Surgery was 2315 grafts year 2001, 1mm punch was used. 2nd surgery was 1907 grafts year 2002, SP 90 wa used. 3rd Surgery was 1242 grafts year 2004, Sharp point 15 degree was used Last surgery done mainly on crown 1068 grafts. Mindes 1.3 mm 40degree 6mmdepth was used. First surgery was done with

This gentleman 28 yrs old had three procedures and these pictures are before the fourth procedure. No results are yet available after 4th surgery. 1st Surgery was 2315 grafts year 2001, 1mm punch was used. 2nd surgery was 1907 grafts year 2002, SP 90 wa used. 3rd Surgery was 1242 grafts year 2004, Sharp point 15 degree was used Last surgery done mainly on crown 1068 grafts. Mindes 1.3 mm 40degree 6mmdepth was used. First surgery was done with

Dear Jotronic I said that not to be arrogant or bad but just to give the analagy that it helps more patients than doctors, in fact its more consumer protection sort of it. having said that I, one must not close the doors for any one, I rise with the creticism. I learn when I am told I am wrong. "A kite rise against the wind, not with the wind". so I am open for creticism. This forum is because of all of you, I just try to bring my patients who are bit more difficult and are advance hair loss. Hope it will be a bit of clarification on my side. Hope to hear from you again.

Dear Josh my routine sessions are between 2500 to 3500 FUT in one session, I have done up to 5000 in one go but they are far and few in numbe due to the limiting factors of making a minimal visible scar. I am very particular about that. I do not want to mess the back yard to make the front yard beautiful. I believe in visual density rather than actual density. The fact that God Almighty has provided a depth of 50% a visual density will be achieved with 25 to 35 grafts per sq cm while the actual will be between 45 to 60. My clients have been very happy with density of about 30/sq cm. I am sure some might disagree but most of my clients are more than type V MPB. Dear Dhoose75 I respect your openion and of so many others for a more mature hair line. Its just so unfortunate for us that our cliental are more demanding and at the nd of the day its the client demand, they are paying for it and I do have to mould my skill to what they want, so what I do is I keep the density low and just play arround with mini grafts and make an illusion and also give them depth. Mind you not all are as low as these but generally my hair line is placed at 7 cm. I think at 8 cm from glabella the forhead looks rather too big and more bald than i would be happy. In fact if you really see then at 7 cm the baldness is that of type II and at 8 cm it will be like type III. Dear Bengamin Dark hair are actually a bit of problem as they stand out on skin and so you can see the skin easily, while the lighter hair can blend well with skin and give a denser illusion. You are very right a bit more un-natural placement and it scream on your face that its so obvious and so un natural. Dear Balody In my openion mixng the new technology and old is the winning combination. I can achieve much better results than any other surgeon at a very comparative price for patient. I think I become much more patient friendly. Fortunately for me as my economics are different from western world and I can afford all this.

yes it could be done. two things his donor area to tight to be mobalised so that i can take more than 2200 grafts. second some times they cant pay more than that. but in this particular case his donor area was tight.

The concept behind using the hidden mini grafts if that the patients should get the maximum impact with minimum grafts. It has to be in such a way that there should be no un-naturalness in the looks. 'Good cosmetic surgery is see by all and recognised by none'. if my patient gets a remark that wow its a good surgery I think i have failed the job. theuy shouls comment ' hey you lost some weight', 'you looking different, have you changed your hair style' or hey you are thinning out, do some thing'.

two surgeries for type VI MPB 2006 grafts first surgery 1643 grafts 2nd surgery See the planning to create naturalness in hair line with the use of curvature of hair shaft. This create a natural looking fronto-temporal angles. the hair flow shows a natural turn of the hairs due to curvature.

Dear Faheem If you see closely the first picture shows some redness, this means its in a healing phase. if the picture was takes as you mentioned during surgery we would be able to see the blood and some signs of fresh surgery which I as a surgeon and some people here in forum would agree to as well. I am not saying that this is another surgery after 2 to 6 weeks. I am sure that you are well aware of tellogen effluvium stage commonly called a shock loss. All I am saying is that no doubt the surgery results are impressive but realistically speaking those many grafts especially FU will not in any way give that result in such a sever case of MPB. Simple mathematics. SO I personally think(may be I am wrong) that this is not a true pre operative picture. but i agree that irrespective of that its a decent looks all I want to know is the amount of change. Mind you I see thing in a different perspective than mos people who are the patients and have an experience of 1 to 4 surgeries.

1 session of 1500 grafts, keeping in mind the distribution of black and white hair and keeping in mind the curvature of hair shaft.

these patients under went tricophytic scar closure technique of 2300 to 2700 Grafts surgery. the width of strip was about 1.5 to 1.75 cm.

I am sure there is always a room for improvement. I am still a learner in this field. Having said that in type VI or VII i prefer to use lower mature hair line is because after all you have to either sacrifice the front look or the crown. As crown needs more grafts to cover only one view i prefer to give a no bald look and cover 260 degree, crown can respond much better than frontal area to all types of FDA approved medicine. Mind you I bring them to type 2v type of MPB. This gentleman will have a look of thinning but not bald. He is happy and All I care is to make my patient happy. That is my Goal.

Type VII MPB three sessions 1st Mar 2005....2170 grafts mainly FU 2nd Jan 2006....1867 graft mainly FU 3rd sept 2006....1340 graft mainly FU

I would welcome all of you to see his hair line. I am sure it will answer all your queries. Seeing is believing anyway. Dear Faheem I did that hair line low fortwo reasons 1) to the best of my knowledge his donor area would not recede, that one can check by judging the miniturizing hair. So I did took a chance and a proper councelling was done. 2) His family history mainly show maximum type IV MPB. I know if needed I can do another 4000 to 5000 grafts at a later date. By asians I mean was south east asia. YES afghanistan is from that part buy he is a Pakistai...they belong to a race generally termed as Indo-Caucasians. His temporal peaks were brought forward to support the lower hair line. otherwise the framing of face cannot happen properly. But thak you for the advise

I agree with the comments. I personally think that visual densty is much better thn actual density. In this way I can satisfy the patient with lot lesser number of grafts that neeed. With respect to hair line, asians are much more interested to have a lower hair line. It is the very fact that he is in his mid 40'sthat i took the decision to honour his liking. REASON: I know he would not go extensive bald and would not be a problem for me. Since then I have done 5 of his relatives and next time he is in Islamabad I will make sure to get the close up of his hair line. Thank you

type III MPB two surgeries 1st 2176 grafts mostly FU 2nd 1895 grafts mostly FU

As a hair transplant surgeon what I noticed is that the pre operative picture is not really pre operative. If you see closely there are obvious signs of surgery done in past 2 to 6 weeks. the marks are obvious. this means he is going through telogen effluvium stage. so we would like to see the true pre operatve result. I am sure that the forum would agree with me. The eyes does not see what the mind does not know. Having said that its a good job done.