Dr Humayun Mohmand

[zxcv]

Hi

I am new to this forum and this is my 2nd post ...

I have looked at this forum and its recommended surgeons...I have seen that Dr Humayun is the recommended doctor from Pakistan..I visit Pakistan regularly..Does he do FUEs as well?..Has any body had any experience with him using FUE technique.?

[zxcv]

The reason i posted this..is that I wanted hair transplant (correction) to be performed on my frontal area. I did post previously about the problem i had with my previous transplant...I wanted to have FUE done to re-transplant my hair..as i dont want to lose my hair using the laser hair removal..

 

I am looking for surgeons, who perform FUE...I think dr humayun performs FUE..but i m not sure..any feedback would be greatly appreciated .

[Bill - Seemiller]

zxcw,

 

Dr. Mohmand is recommended by this community and in my opinion, does high quality follicular unit grafting. However, I don't see FUE listed on his recommendation profile. If he is now performing FUE, this is news to us. But feel free to contact him about your case and get his medical opinion.

 

Best wishes,

 

Bill

[Mr. GQ]

I think dr humayun performs FUE

 

how so? i don't think so.

 

Dr. Mohmand,

what do you say? if so, then since when and how long you've been practicing it? if not do you plan on adopting the technique in the future and what are your honest and unbiased thoughts regarding today's fue work?

 

thanks

GQ

[AMR1]

I think he does do it, why dont you send him an email direct and ask him, I have an email address for his assistant Shahid it is shmughal@hotmail.com

 

good luck!

[zxcv]

I have filled a form on their website and sent them an email couple of days ago..probably will get a reply soon..

 

About FUE i agree with ammars27..i think Dr humayun does do FUE..

Thanks

[AMR1]

u better of sending email to shahid on the anove email address!

[Dr. Mohammad Humayun Mohma]

Dear Friends

 

I am sorry for the delay response.

 

I was actually very busy as one of the doctor(Plastic Srgeon) was visiting from Syria to learn the hair transplant surgrey. It was one to one session.

Anyway,

 

YES I do FUE, but I am not a FAN of FUE.

1) Its an over sell

2) Its not cost effective

3) Its not as minimal invasive as people say it is, in fact its more invasive then FUT.

4) Its not scar less, it has no linear scar but it does have pitted scars.

 

Dear GQ

 

I do not see a bright future but I do see a definitive Place for FUE in HT.

I have been doing FUE since 2002 and my first talk on FUE was in 2003/4 at ISHRS meeting in NEW YORK. In Orlando Live surgery workshop in 2004/5.

 

I would be more tha Happy to answer any querry, at present I am using the Jim Harris technique of SAFE FUE harvest.

 

he end result of FUE is still the recepient site result.

[Dr. Mohammad Humayun Mohma]

I believe FUE is not cost effective example

 

We charge US$ 3.5 pe FUE and US$ 0.8 per graft FUT, a huge difference.

 

So I always try to convert FUE into FUT unless the patient is adamant to get FUE or he is a media person who does not want to have a limitation of hair cutting to a crrew cut.

[Bill - Seemiller]

Its not as minimal invasive as people say it is, in fact its more invasive then FUT.

 

Dr. Mohmand,

 

Though I agree FUE isn't necessarily "minimally invasive" depending on what you are comparing it to, in my opinion, strip surgery is still more invasive.

 

Can you please explain why you feel FUE is less invasive than strip?

 

Thanks,

 

Bill

[Dr. Mohammad Humayun Mohma]

Dear Bill

 

By Minimal invasion we mean how deep you go, it surely is minimal access but not minimal invasion.

 

In strip harvest you go as deep as the lower edge of the follicle, where as in FUE as its a blind procedure you go deeper than needed to make sure that the follicle is taken out without any problem.

 

I am sure this would be self explanatory.

 

second

If you add the total amount of scar you produce with 3000 1mm round punch then it will certainly be longer than a linear 20 cm long 1.5 cm wide 100 follicle /sq cm dence strip which will produce only 20 cm long linear scar with 3000 grafts.

 

I am sorry I do not have any study to prove my point and just may be I am wrong here. its just what i believe.

 

hope some one more wiser than i am can correct me.

 

I am not against FUE but i think its not what some Clinics are selling it for........if you use it correctly and without crushing the follicle the survival rate is a good as anything. I am slow and just do about 800 to 1000 grafts per 5 hours, and that is as much as I can do per day, so I do 3000 grafts in 4 days.

But I hate doing it cause I am stuck there for 5 hours, where as in strip harvest in 5 hours I am done with 4 surgeries each with 3000 grafts. There might not be much difference in terms of money for me but the satisfaction is much more in strip harvest and I am less tired.

 

My personal openion, Iknow I tend to create some controversies, but that the beauty of the sharying our thoughts, we learn from each other experience.

[JJ09]

Dr Mohmand

 

Thanks for giving us an honest account of your thought on FUE.

[AMR1]

At least Dr Humayun say's it as it is! other look at the $$$ sign and do what make there pocket's richer!

[Its_Going_Fast]

I am a bit concerned by Dr. Mohmand expressing that he can complete 4 surgeries (FUT) of 3000 grafts each in 5 hours. I might not be an expert, but isn't that a bit abnormal? If a surgery is done properly by any of the surgeons on this website, I'm assuming that they will ensure that they are the ones doing most of the work (as opposed to techs who are less skilled).

 

IMO, the Dr's who divide their attention between multiple patients and have their techs do majority of the work should not be recommended by this forum. It's because of a doctor who decided to think of multiple patients and $$$ that I became a victim of poor hair transplantation.

 

I hope I haven't offended anyone by saying this, but all of you Dr's should realize that as patients - we entrust you with a very significant part of appearance, and we would hope that you would apply the same amount of effort, precision, and perfection to our heads as you would want someone to apply to say, your own head or maybe your brothers/childs/etc.

 

Just my two cents.

[Leeson]

That statement jumped out at me also.

[Bill - Seemiller]

Dr. Mohmand,

 

I appreciate your honest answer and input on FUE and why you feel it's not as minimally invasive as some make it out to be.

 

I would however, like some clarification on the following statement:

 

"where as in strip harvest in 5 hours I am done with 4 surgeries each with 3000 grafts"

 

Are you talking hypothetically or are you sayi9ng you work on 4 patients a day and can be done all 4 patients in 5 hours, totally 12,000 grafts? This seems highly excessive and I'm wondering if you meant something other than we are interpreting.

 

Best wishes,

 

Bill

[Dr. Mohammad Humayun Mohma]

I do not know about the other doctors but what I do in a surgrey is as follows

1) I take the Pictures personally (5min)

2) Design the hair line personally (5 min)

3) Mark the strip (donor area) personally (3 min)

4) Nurse tech inject under pulse oximeter and blood pressure monitor the donor area

5) I take the strip personally (20 min)

6) I close the wound persoanlly

7) I give the initial receipient supra-orbital block personally (1 min)

8) A Nurse tech will inject the rest of the rescipient area

9) I make all my sites personally (between 25 to 30 min).

 

I do not cut the grafts

I do not Plant the grafts

 

is there anything I shold be doing.

 

It takes me 1 hour for each patient. so in 5 Hours 4 patients is 1 hour spare.

 

I am presently having a doctor from Syria to learn, and he told me he has been to US and UK for training but never saw some thing like this.

 

Its called time management.

 

Its not dividing the concentration.

 

This forum is not about kicking out or putting in people at thewhim of the members, If I do some thing which is still producing high quality results keeping the high standard of the quality then why not.

If X Y Z cannot do this that does not mean I should not do.

 

Thank you

[Bobby]

25-30 minutes to make 3,000 incisions!!!!???

 

Do you realise that that's around half a second per incision? What do you use, a pneumatic drill?

 

Don't get me wrong, maybe your results are great and the above is true....but I wouldn't be comfortable knowing that someone was making holes in my head at that speed!!!

[Bill - Seemiller]

Dr. Mohmand,

 

Your time estimates for some of the tasks seem relatively fast, but since it's obvious you produce excellent results, there's no need to question it in my opinion.

 

However, I do have concerns if you are now performing surgery on 4 or 5 patients a day. Is this a regular practice for you now or were you simply stating that you had the time to work on that many patients, but don't actually do it?

 

Hair transplant surgery is a team effort. Whereas, even if you had the time to perform surgery on that many patients, I find it hard to believe that your staff would have time to cut, dissect, abnd plant 12,000 grafts in an 8-12 hour day unless you have a multitude of technicians other clinics don't have.

 

I'd like to hear your input on this.

 

Bill

[Its_Going_Fast]

If that time line can produce the results that you've posted Dr. M, then I salute you for being able to multi-task so well.

 

Having said that, would you be able to provide us with some background about the technicians that are employed in your clinic (since they perform a majority of the nitty gritty work)? Cutting the grafts might be relatively easy (with enough practice and skill), but planting the grafts probably requires surgical skill. Correct? I guess what I am asking is: do your technicians (the ones that plant the 3000 grafts ) have the requisite knowledge and expertise to adequately plant the grafts? Granted the answer to that might be obvious - but suppose if a patient prefers to have you plant the grafts as opposed to your technicians. Would you allow that?

 

Thanks for the insight Dr. M. Glad to see that there are wise and skillful doctors like yourself in that region.

[Dr. Mohammad Humayun Mohma]

Dear Members

 

I have 4 OT in my clinic, Islamabad Pakistan. I have a team of 4 Tech per OT and two to spare.

 

I start usualy two surgeries at a time and move between the OT to safe time and sit ideal. In two hours I would have finished my work and move on to next two OT and do the same.

 

One surgery would take about 6 to 7 hours depending on the number of grafts the skin type, oozing and pooping etc. But consider i all are ideal condition a typical case of 3000 grafts wouldbe done in less than 6 hours and I am sure some of the patients like Abby would tell you how long he was in my clinic.

 

Each OT has a team leader a saff Nurse with 7 tp 8 years of Tech experience and would be assisted by 2 same level of 4 years of Tech and placing experience and one with 1 to 2 years.

 

Each 8 years experience tech has a speed of about 500 plus minus per hour of planting depending on conditions. The rest about 400 or so. They come in pairs and plant for 1 hour at a time so they stay fresh.

 

one theatre usually have one operation mostly but occasionally if we have small case of say 1800 to 2000 grafts and we have a back log then we might do second surgery after the complition of first which will take less than 4 hours.

 

Last calander year I persoanlly did about 800 HT.

 

YES doing three to 4 surgeries is almost a norm in my clinic, the day we do two surgery we think we do not have any work.

 

I am very lucky that I have such a team and probably with out them I would not be able to do what I can do. Its like a Perfect team....we all do our bits in the most professional manner one after the other a perfect syncronyse. I reduce the number of surgeries if my team leaders are on leave.

 

TRUST ME THEY ARE EXCELLENT. Just see this my top 5 team leaders are now with me for more than 5 years, three of them 8 years. thats the key. I do not mind paying them more......they are worth it.

 

Do not salute me, salute to my team, as Bill said its a team work, my skill is to syncronise the movement.

[Dr. Mohammad Humayun Mohma]

Dear Fast

 

If some one ask me to do the planting I say its impossible for me to do every thing myself, and if you would agree for me to do part planting/placing say 800 grafts of 3000 say about 30% then you are risking 70% on my staff and if you would be trust my tech for 70% you might as well trust them for 100% and I will give you a 100% money back refund or a free surgery if you have less than 50% result.

 

This put them to ease. They let my tech do the job and I back my staff. If you cant trust my tech you should not trust me either. Some doctors make it a selling point for their practise that I do the placing as oppose to Dr XYZ.

 

I have enough team that by the time I finish the slits two of my techs are ready to come and place and the other two keep on cutting the grafts.

[AMR1]

I can say that I had 2475 grafts done by Dr Humayun and the team took turns every hour or so to plant the hair as it was tiring work i guess as i got tires just sitting there!! it did work well and like clock work, Dr Humayun kept visiting and saying Hi and checking up on everything and the HT took exactly 5 1/2 hours start to finish.

[Bill - Seemiller]

Dr. Mohmand,

 

In my opinion, your results speak for themselves. But I caution you not to take on to much or the quality of your results per patient will be negatively impacted.

 

It's optimal to perform one or two surgeries a day per physician and staff. Unless there are additional physicians with additional technicians performing, it could get real hairy (no pun intended).

 

I trust that you won't try to do too much too quickly and keep patient satisfaction as your number one goal.

 

Best wishes,

 

Bill

[javy]

Dr. Hamayun

 

When you say techs plants the grafts do you also mean that they do the incision as well or the incision part comes under your area..