Looking at the post dates here, this reply may be ridiculously late, but here's my take:
First off, that list of reasons for not using FFMs is entirely valid, and I still stand behind every one of those points.
That said, I still have to use them in some situations, like diving swiftwater, or working dives when I need voice comms, or blackwater dives that don't necessitate wearing a helmet.
When I use them, it may be on surface supply, which in addition to the umbilical requires a bailout bottle. This is connected via a standard DSI bailout valve.
When using a FFM on SCUBA, it is done on the standard DIR rig, with a couple of differences: The FFM is actually connected to the hose which would ordinarily feed the backup reg (around the neck). In this case, that hose will need to be a few inches longer to accomodate turning your head all the way to the left. The FFM feeds from the right like any other second stage, so with the AGAs that come with the showerhead reg with a left side feed, I use a rigid tube 180 degree adapter that makes it feed from the right. The long hose reg is as per normal, except you use a backup (non pneumatically balanced or detuned) second stage instead of a high performance balanced second, and it gets clipped off on the right chest d-ring, just as it would if you were on a stage. In this position, it is ready for donation at all times.
I do not do multiple gas dives while wearing a FFM, or in fact anything other than those dives where the risk of not wearing it outweighs the risk of wearing it. For fun diving, be that recreational or technical, there is no place for these.
-Sean