Dr. Mohammad Humayun Mohma

all non surgical options are there to reduce the hair loss and may be support the results o hair transplant. At present the hair transplant is the only natural and permanent solution to baldness.

Dear Faris I am not claiming to be the best or what ever. I only believe that before you choose your surgeon please do a check up on their credentials. If they say they are Plastic surgeons Just go to pakistan association of plastic surgeons and see if their names are listed there or not. Like any third world country there is no check on health regulations and most people will come out to be less trained and qualified then what they say. They might be good surgeons but in my openion any person who lies to you in one thing will not be honest in other as well. So do not go for the website only meet the doctor personally, see his patients and ask some cross questions check his credentials and then if you still believe in him just go for him. Do not base your decision on money , the problem in hair transplant surgery is you do not have many chances to play with. so be careful to select your doctor.

Dear ZAZ I was asked by Bill to respond to the thread that you posted. I do not remember your name but if you said it was me I am the person where the bug stops. Now reviewing your pre op picture in this thread you are type VIish rather than Vish. Then the second thing that you ust know is you have a very broad forehead as well. If I am not wrong and we measure your forehead it should be at the least 14cm wide, now if we do measure the depth it will be again about 15 cms and probably i would have sread it to make the base by about 10 cm. So we are looking at about 150 sq cm area. If I use 60% in front 5 cm that would be about 75 sq cm and then divide 1800 grafts by 75 we are looking at 24 grafts/sq cm. SO yes it will be sparce. I agree that it would not look very dense. If You agree that we discussed that you would need minimum of 6000 grafts to have a decent effect then we are still short of 3000 grafts and that would be in second session to say the least. So unless we do not complete our journey of 6000 grafts that would not be fair to judge me cause I would spread according to the final plan. HAVING SAID ALL THIS I am always available for you. If you feel that the results is only of 2500 grafts for example, I gurantee 90 to 94% result. so that is only 83% growth and about 10% less than I gurantee. SO here is what I do for all my patients irrespective of who they are. I will give you 10% complimentary cause I faild to deliever and 10% as a compensation. That means 20% of the grafts would be complimentary. That will be about 600 to 700 Grafts complimentary so if we are doing another 3000 then you would be paying only for 2400 to 2300 at the max. If you tell me or the forum tell me you are only 50% o the 3000 grafts then all 3000 would be complimentary. 50% that I owe you and 50% as compensation. I have build this rule as a consumer protection plan of my clinic so that you as an end consumer should not loose the money at the least.Its for your protection against my greed if there is any and it a double check on myself to know that if i fail to deliever i will loose money rather than earn money. This way you will nevr loose money and I will never loose my reputation. As I always say, I work for my name and reoutation not money, its a by product of my name. You will find me always standing beside you all along the journey of hair transplant. In any surgeons live we cant perform 100%, so I develop this system. Last year I did 800 surgeries and in last 12 months I had to give about 12 patients excluding you some compensation. There is an article written by Dr Parsley in hair transplant forum international of ISHRS about the causes of reduce hair growth and one is called X Factor. irrespective of the cause I am there for you. Just come back and we will make you happy as I have done in the last 9 years of my carrer. No Body leave my clinic unhappy.

Dear Bllorayne Well, Yes I do use Microscopes only for slivering. About 600 to 700 are also dissected by microscope to be transplanted for the front and temporal peaks. Rest is simple loop magnification. My moto is " Every one will see my results but none would recognise my surgery" If my hair line is not natural, I will correct that free of cost. Its all about naturalness. Money is not what I am after its my reputation.

It takes time especially with saudis

Well As I was not there to take the pictures and he took them for me to post on this forum so I cannot answer if there is a permanent shock loss or a stretch scar at one end. I did notice that as well and I could have easily avoided that picture for my own advantage, but I think that would have been equilent to cheating as well. I try to give you the best and most honest results to cover all aspects of hair transplant. After all some one can go through that as well. All that glitter is not gold. Though he has not told me any of those problem and it coud be just a styling error. As I do not know the actual answer, i will refrain from the comments. The other querry with respect to finastride, no He is not on that and most of my patients do not use any type of medical options with hair transplant.

Dear members if you want to see him live then please watch the ICC champions trophy thats presently undergoing in South Africa and watch the bowling portion of Pakistan team against Australia and then in semi finals as well. You would be able to have some more grasp of his results. To know who he is you need to have some interest in Cricket as well. Hope to have some feed back from the forum.

This young Gentleman who is at present one of the fast bowlers of Pakistan team and in action presently in South Africa ICC champions trophy. so he can be seen in extreem training conditions as well. He had just two sessions and roughly 6700 grafts the details number of grafts and date of surgeries will be given in update. His first surgery was done in Nov 2007 and second was done in nov dec 2008.

I hve been doing that with all my patients before and after same distance there may be in different rooms. I am in process of setting up a dedicated room now so lets see how will that improve my results of pre and post op pic

This gentleman who had the first surgery done on 17th May 2004 with 2310 grafts. Had a minor skin necrosis and probably loss of few grafts. second surgery was done on 19th Feb 2007 with 1610 grafts but first 1000 grafts were complimentary to compensate for the complication. He was more than happy with the deal and now with the results.

By the way I have been recently asked by an saudi firm to come to Riadh for surgery at their centre. might take couple of months or more

Dear Sameer Get in touch with Javy from forum he is indian in india and had to take all the trouble to come over to Pakistan. He has a frst hand knowledge of how we work. I am sure he will be of some assistance. Ill be in dubai on 23rd August looking for a place to start my clinic. May be thats a time we can chat and have a consultation

At present I am not in DUBAI but I am planning to go to dubai so that I can be accessable to some of my international clients who are afraid to come to Pakistan.

HI Abby Nice to see you updating your results. You do need to understand few things 1) you still have almost only 15% o the impact of second surgrey. 2) The shock loss impact would not be over as yet. So hope fully you would be looking much denser.

kindly take a note of gentle improvement on the temporal peaks and the crown with minimal addition. To make him really dense pack for an area like this more than 220 sq cm you need more than 8000 grafts. to give 40 grafts per sq cm density. I gave him some thing like 25 grafts per sq cm in front and about 15 on the back

Two sessions 1st 2616 2nd 2019 post op result after 1 year. Please appreciate that they are all advance hair loss people and with the number of grafts we are talking the amount of coverage and density cant be possible. All I try to do is give a decent coverage with minimum grafts. Yes these patients mostly do a turn ovr hair style but in my openion that gives a better illusion than other hair styles and i do encourage people to do that type of styling

As I do not have any experience of PRP for hair growth I cannot really say anything. Though I have some reservation on it. The cause of MPB is the presence of genes of hair loss and as soon as the hormones DHT reach the target area they combine with receptors of the hair follicles and the process of miniaturisation starts. I am not sure how PRP will stop opr revert this process. YES it helps in the healing process as we have been using it for healing in burns pts after mesh grafts and also using it for fillers like effect or expediting the growth of indegenious collagen. I at that time thought of it as a adjuct for hair growth but just could not think of reason how it will help. So presently i am not very keen to include this procedure in hair restoration. It can only work as a growth factor but how it will prevent the receptors permanently from DNT no clue as yet. Second in Western world where the majority of population are type I to III Skin type and high prevelence of Carcinoma of skin, I am not sure how that issue will be addressed? But it wont be my major concern, and then is gthat a continous treatment or just couple of sessions or 5 sessions and what the final out come as oppose to the cost involved?

have personally used both lateral slits and vertical slits, needles, custom made etc. I have not seen any obvious difference between the two results. In my hands they are both equal........obviously till i was not taking care of curvature of hair shaft, lateral slits were giving me better control on the curl of the hairs but since I have started to use the curl of hair shaft, i am no more dependant on the angle of slit. "Its the application of art that is important not the art."

dont take me wrong that I am suggesting that doctors are not good but I am sure if the techs were not good enough then no tech would be hired. some of the great names in HT have all techs doing the job. The end result boild down to the experience and training of techs. I do about 500 to 800 surgeries a year. each tech will have about 250 surgeries experience at the end of the year. If their basic is correct then they have enough work to become expert in their field. Those tech who come for learning to my centre for a week will have 10 surgeries to go through and are ready to do a surgery of about 500 to 900 grafts in 6 hours.

Dear Wylie Tere are so many variable in a hair transplant that can effect the outcome. I use to place the grafts initially and then I saw my tech over the period of time were as proficient as I was, so I kept on doing less and less and now I do not plant at all. Though I do check the crutial area of hair line to see if the directions of hair shaft are in right and desired direction. Placing does not need a doctor just a good planter who know the art of being a gentle handler of a graft. Ofcourse th experience of a placer whether a doctor or a tech is paramount importance, but if a tech is as DR Mejia said A+ you need not to worry. Now in your case the two variables are 1) how many grafts were done in first session of strip that is usually when doctor will spend less time with you if he is not a placer, In FUE the doctor would do all the procedure as that is how its done. All grafts are extracted by the doctor himself. SO by default he has to be there. 2) Usually the second surgery, if the number of grafts are same as previous, has better results, unless the number of grafts were significantly less than previous surgery and that is usually a case with FUE as compare to FUT. with respect to Kaounis I believe there might have been a difference between one doctor and other or the placers but some times the second surgrey results are better cause the first surgery would have laid down the plan and the second surgery grafts can be placed strategically top enhance the results of first and in my openion the second surgery results are multiple not additive. So some times we can mistakenly give undue credit to the second doctor or discredit to one who did a good job but the impact was not good due to the number of grafts etc. Hope you would understand. My point is one should see the full picture. SOme doctors also do placing themselves cause good and experience tech are first hard to find and second they are very expensive. I have 4 techs who are atleast 8 years of experience and then 6 with 4 years and 7 with 2.5 years of experience.

This receipient area dominence was presented in ISHRS meeting two to thre years back.

by softmimg of the hairline means two things 1) as Bill have pointed out that the coarse hair will gain back its character in aboiut 18 months to 2 years, that softning of hair due to the reactivation of pilosebacious glands which cease to work after surgery for about 9 to 12 months. 2) The softning of hair line is due to proper placing of grafts , the single hair grafts and the soft hairs as oppose to the thick caliber hairs, with an acute angle of exit from skin, the curvature showing proper orientation of the hair growth, in short if you cannot recognise a hair transplant even with a close up view its a soft hair line. On the other hand if you can see the hair as an unnatural growth and in one line and can be recognised from a couple of feet away or close up, I call it not a soft hair transplant. my way of looking towards the softness of hair line is not a physical aspect of the hair but the accumulative effect of the hair line. With respect to the recepient area growth effect, it has been shown that there is some thing called recepient rea dominence just like donor area dominence, and the hair transplanted on an area will behave to some extent like the recepient area original hairs. A graft from the body was planted on scalp and then the growth was checked and that hair grew to about 15 cm long and none of the graft from where it was taken grew that long ever, the donor area was chest and receipient area was scalp.

Dr Feller I was thinking that I would meet you at the Orlando Live surgery workshop this past week but I missed you I guess, I had a talk on Friday. May be next time.......

But I do thank you Dr Feller to explain such simple question.

What I meant was is there an area in handle that takes the punch in with a hole that can potentially have some tissue in it, like a syringe, where the needle is detatchable. but we still throw away the whole syringe, not only the needle unless its like the dentle syring where the catrige and the needle is disposed and not the holder which has no connection to the body. in case if there is a hole in the instrument then it has to be specially treated with some chemical sterilization process like we do with the endo scopes and laproscopes along with autoclave. The reason is there are disposable rotating punches in market for FUE. I am not a big fan of FUE, I do it every now and then say about 6 to 8 a month but then who knows if the instrument is as good as it is discribed i might change my thoughts about FUE also. just a concern, PGP there are always some simple minded people on earth who needs more answers than others, I am a person who is a slow adaptor to new tech unless i see no harm to the patient. Bt will like to try new things for sure to improve my out put.