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bruce90

Best doctors who perform HT surgeries themselves?

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Hi,

Just wondering who the best surgeons are that actually perform the surgery themselves? So far I know of Dr. Bhatti and Dr. Demirsoy who both do the extracting and incisions themselves. Would like some more recommendations please since I'm looking at doctors that limit the use of techs.

Thanks,

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When you say “themselves” do you also mean placement? Because you only mentioned incision and extractions. 

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Posted (edited)

I know most doctors won't do the entire operation themselves so generally I mean the ones who do the extractions and incisions themselves as I told those parts require the most skill.

Edited by bruce90

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Realistically the only one I know who does the extractions, incisions AND graft implantation's for the most part by himself is Dr Konior, there may be others but I don't know them.

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2 hours ago, Baldrick101 said:

I don't understand the obsession and fixation by some people on Dr only surgeries. There is no advantage. 

I'm not sure why you think there would be no advantage. If you go to a clinic where they're using only techs then you have no clue how much experience each individual person has.

If someone who lacks experience does a crucial part of your surgery like extractions then there's a chance many of your grafts can be transected. 

Extractions require a lot more skill to do than implanting. I'd rather have a doctor who I know has over 10 years of experience rather than some random person.

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Konior is known for doing most of the procedure himself. I’m pretty sure Gabel and Cooley are similarly very involved with minimal use of techs (as well as Nadimi, who also works at Konior’s clinic).

 

There’s a lot of debate over how much the balance between doctors and techs matters. Some would argue that utilizing techs for the heavy lifting is often beneficial, as it’s very difficult for most surgeons to perform this kind of meticulous surgery over the course of several hours. Many techs are very skilled and have years of experience, so I don’t think a tech heavy clinic is necessarily bad as long as you talk to the clinic and make sure you’re on the same page about who will be doing what.

 

Personally though, I wanted as few variables as possible for my own surgery so Konior was a no brainer. 

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This topics has been discussed a thousand times and the names are always the same. Out of me head (typical comment)

- Konior (not many FUE results by patients) and Nadimi (relativly unknown)

- Keser (atypcal way of extraction)

- Hei(t)mann (no mircoscopes)

- Lupanzula (implantation mostly by techs as far as I know)

- HLC (3 surgeons specialized for different cases e. g. one for BHT)

 

There you go. HLC might be the cheapest option.

 

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19 hours ago, bruce90 said:

I'm not sure why you think there would be no advantage. If you go to a clinic where they're using only techs then you have no clue how much experience each individual person has.

If someone who lacks experience does a crucial part of your surgery like extractions then there's a chance many of your grafts can be transected. 

Extractions require a lot more skill to do than implanting. I'd rather have a doctor who I know has over 10 years of experience rather than some random person.

Personally I would not want a fatigued Dr working on me alone for 10 hours a day. Lets say the doctor does 2000 odd extractions on his own. The grafts are then left in dishes and out of the body for many hours. Do you expect him to trim, prepare and sort them too on his own? Then he has lunch. Then he comes back and does all the incisions on his own. He will need to constantly stop to keep an eye on the grafts and make sure they are kept in optimal conditions. Following the incisions he then starts implanting the grafts all on his own. Not only will he be very tired doing this but the grafts will have been out of the body for far longer. Now imagine the doc does this 5 days a week. No thank you. Doesn't make any rational sense to insist on a doctor only procedure unless its a small case. Some of the top clinics have techs that have been working for them for 20 years, they are highly skilled and arguably more skilled at implanting than the actual surgeon himself. I would rather have this tech doing some of the work as they are true specialists and very skilled.

Of course, if you go to bosley or wherever then you may get a travelling tech who is likely inexperienced. But you aren't doing yourself any favours by wearing blinders and insisting on surgeon only transplants.  

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I dont know if you guys purposefully glaze over the points I make when responding to my comments. I never said I wanted a doctor to do the entire surgery but I said I would prefer the doctors do the extractions. 

Obviously I think the most important parts should be done by a doctor and parts that require less skill can be done by techs. Most doctors who are involved in the surgery do the extractions themselves and create the slits and the rest is done by techs. Doing extractions for a 2000 graft fue is most likely 4 hours at the most.

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think Dr Keser can be added to that list.  

Dr Vories also does the work himself.

Dr Bhatti I believe does as well. 

 

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Correct me if im wrong but I believe most doctors in the US are required to perform removal of the fue grafts/strip as this is considered "surgery." In some cases I've heard of PA's doing the extraction for FUE under the doctors supervision. Techs/nurses are allowed to do the implantation part. It's overseas and in Canda where the rules are different and techs can be utilized for extraction.

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I absolutely agree with bruce90, in fact I am too only considering doctors that do extractions and incisions by themselves.

The ones I know so far are Bhatti, Demirsoy, Lupanzula. 

I'm very interested to know more names as well (on this price range in my case only).

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i think...

1- juan couto

2-rafael de freitas

3-keser

4-lupanzula

5-bruno pinto

6-lorenzo

7-konior

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11 hours ago, negger said:

i think...

1- juan couto

2-rafael de freitas

3-keser

4-lupanzula

5-bruno pinto

6-lorenzo

7-konior

How do I pronounce your user name?

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On 4/6/2019 at 10:20, PlzRespond said:

¿Cómo pronuncio tu nombre de usuario?

negger ; i dont understand your question, im sorry english is not my lenguage

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Some great answers.  I think it is ludicrous to think that a doctor can do everything.  If he did, the patient would be in the chair for days.  

Do place a lot of value in the clinical staff.  These are MA's and nurses that typically, this is all they do.  This position, which requires trimming and placing, requires time.  First, they have to learn how to trim grafts. It is typically the Doctor that decides how the grafts should look.  They also have to learn the nomenclature.  (If the doctor says, double up, it means that the staff should place two grafts in the same slot.  This typically happens farther back in the pattern to provide more density).  After X amount of time, these "experts" can do hundreds of grafts in a day.  Then comes the placing.

How good you are at this can take years.  I now plenty of MA's  that this is all they do. And they are great at it.  Honestly, I would not trust a doctor to do any of this work, But when it comes to making sites, there is a difference between a doctor and a tech.  This same subject was discussed at the ISHRS a couple of years ago. Why? Because of the level of education and understanding medicine. While this can probably be done by doctors with their eyes closed, (not brain surgery), it goes require knowledge.  Where to make incisions, how deep, what angles, are important.  I recall reading a report that several patients passed away on the chair because the person doing the procedure was not an actual doctor.

But what happens, as time passes, the staff does become the doctor.  The verbiage becomes the same. Actions become the same.  I'll bet some doctors, from time to time, allow staff members to do incisions, etc because they have seen the techs do the work properly.  Negligence? Perhaps.  Unfortunately the patient is under the local and is oblivious to any of this.  Is the tech working under the umbrella of the doctor? Sure.  But at the end of the day, if something does go wrong, it is the responsibility of the doctor.

How many times have I seen techs, students, do FUE harvesting? OFTEN.  Is it right? It all depends on background and education.  The problem, I find, is that when it comes to hair restoration there is no regulatory industry.  Can you imagine, a doctor can go to the local library, read up on hair restoration and start practicing the next day?  It is the patient that suffers.  This is why I am happy to contribute whenever I can.  It takes YEARS of continuous work for a doctor to know what he's doing.  Same applies to techs.

In summary, it is always about results.  Review photos. Tons of them.  If the doctor and staff are good at what they do, they'll have hundreds of photos available to you.  Not just 5 or 6.  If so, RUN the other way.

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