HAIR TRANSPLANTATION
BEFORE AND AFTER
In a few months after the transplant, the recipient zone begins to grow, the lines are defined and after a year the hair reaches its maximum density.
ABOUT US
Dr. Pedro Cruz Dinis is a specialist doctor with over 20 years of clinical practice, is a member of the international society for hair restoration surgery (ISHRS) and a member of the "General Medical Council" (United Kingdom). He is one of the most experienced and recognized surgeons worldwide in capillary surgical techniques (FUT; FUE; BHT).
Without intermediaries we can offer the best prices, payment methods and a high success rate.
We also offer a stay in a pleasant accommodation integrated in the clinic building, thus avoiding long and uncomfortable trips after the surgery. The best hospitality that the Algarve has to offer. To see the accommodation available, see the link https://planbeguesthouse.com
TREATMENTS
It is never too early to prevent hair loss. There are several risk factors that can be identified and with the right therapy it is possible to stop baldness.
With hair transplant surgery you can obtain up to 2000 follicles, each containing up to 4 hairs, for each day of surgery from 3000 €
Surgery is virtually painless and is usually performed one day.
BALDNESS
The scientific term for male pattern baldness is Androgenetic Alopecia. Alopecia means hair loss. Andro comes from the androgenic hormone called testosterone and genetics because it is linked to heredity.
That is, in men, about 95% of baldness situations are directly related to heredity and the other 5% are linked to traumatic situations, stress and infections. However, it is not testosterone that acts directly on the hair root receptors, but Dihydrotestosterone (DHT).
Most men accept this loss without major psycho-emotional damage, but others will accept in a very negative way the premature loss of their hair, and may even be victims of emotional and professional problems, worsening their quality of life.
To give you an idea, at 30 years of age approximately 30% of men have Androgenetic Alopecia. At 50 years old, approximately 50% of men have Alopecia Androgenetica. It is in the white race that there is more Alopecia. Baldness rarely manifests in adolescence. It is common to appear after adolescence and to manifest more aggressively between 20 and 40 years of age. After their installation, some men are completely bald in half a dozen years, but most will take 15 to 25 years to reach a high state of baldness. After 55 years of age, the baldness process rarely begins, since hormone levels are low.
We are a family owned and operated business.
PREVENTION
There have been several treatments proposed for hair loss since the beginning of human history. From the use of herbs, oils, ashes, electric shocks, massages, lasers, wigs, etc. However, the results were never satisfactory. The basis of medical treatment is the reduction of DHT and that of androgen receptors against the action of DHT. Usually the benefits obtained are in the reduction of the speed of installation of the baldness, and they only appear 6 to 8 months after the continuous use of medication. There is still no short-term medical treatment. Therefore, in order to have results, the patient will always have to undergo continuous treatment between 20 and 50 years of age, eventually suffering the consequences of continuous medication. Although there are multiple drugs on the market, Dr. Dinis Cruz suggests only the following, which have some effectiveness, depending on the indication:
- Finasteride
It is a potent inhibitor of the enzyme 5 alpha reductase type 2, which was approved by the FDA for the treatment of Alopecia Androgenetica in 1997 under the trade name Propécia (R).
In 51% there was stabilization without an increase in baldness.
Finasteride is a good medicine for individuals in the early stages of androgenetic alopecia, however if there is already alopecia in any area, it will be very difficult to solve the problem with this medication alone.
- Minoxidil 5%
After years of experience, it was agreed that less than 15% of men treated with 2% minoxidil had slight benefits with increased scalp hair, with no apparent improvement in hair aesthetics.
Currently, 5% minoxidil is used but its use alone is not believed to promote major benefits in androgenetic alopecia.
- Plasma Microinjection Rich in Growth Factors (L-PRF)
It is a technique that consists in the collection and centrifugation of the patient's blood to obtain a serum concentrated in the individual's own cells, so there is no risk of rejection, rich in growth factors, which will be injected into the receiving area helping to induce and strengthen the formation of hair follicles. It alone does not resolve a large alopecia, but works as a potent co-adjuvant to hair transplantation.
FUE TECHNIQUE
The FUE technique (follicular unit extraction) is used in hair transplantation, as well as other hairs on the body, it consists of using punch preferably up to 1mm in diameter and removing follicular units from the donor region and placing one by one in the recipient region.
Of course, the use of punch is not new, it is old, since Dr. Tamura in 1944 already used them to put pubic hair on women. However the big difference is in the size of the punch, currently using a punch for each follicular unit.
Using the FUE technique, the work of having to separate the follicular units is avoided, as it is not necessary to make cuts, so this technique is less invasive.
This technique requires a lot of experience and must be performed manually, always respecting the shape and position of the follicular units to be removed.
We are a family owned and operated business.
The FUE technique has several advantages, such as:
- The donor region is larger;
- It is ideal for beard, mustache, eyebrows and other parts of the body;
- Ideal for young patients who like to shave their heads;
- Less invasive, without cuts and leaving no scars.
HAIR TRANSPLANT SURGERY
Before starting the surgery, the head is washed and then the appropriate measurements and markings are made.
Subsequently, the patient is medically evaluated, the vital signs are checked, everything is fine, the patient is slightly sedated. Then anesthesia is performed, which is local and trunk.
For us it is extremely important and fundamental that our patient remains calm in contact with the doctor and does not feel pain during the entire surgical period, for this reason Dr. Cruz Dinis is very special, to prick or cut only when he is sure the patient can no longer have pain. For that, he uses cream with local anesthesia and a special syringe called Dermojet, which avoids any type of pain when introducing anesthesia.
The surgical procedure varies according to the technique used:
In the case of Strip Harvesting, the surgery begins with the removal of the scalp strip from the donor area, the size of which will depend on the number of follicular units to be transplanted. After this intervention and before the surgical wound is closed, the upper edge of the surgical wound is trichophytized, thus allowing that after healing it is possible to grow hair over the entire surgical scar.
After trichophytosis, the suture is performed. The end result is a thin, delicate scar that is barely visible and is completely covered by hair.
The follicular units are then separated by a specialized team in which the units are separated according to the number of hairs present in each one. This separation is extremely careful so that there is no damage to the follicular units, preserving their anatomy and blood supply, thus ensuring the integration of all transplanted units.
The placement of follicular units is carried out with special new generation implants (Japanese and Korean), allowing results with high capillary density, without leaving any kind of mark.
In the FUE technique, the surgery begins by shaving the hair from the donor region.
After the anesthetized region, special titanium punsh (from the USA), with a maximum diameter of 1 mm, are used in order to extract a few hundred follicular units from the donor region, one by one, and later placed in the recipient region, always obeying to the inclination and angulation of natural hair. The introduction of follicular units is similar to that of the Strip Harvesting technique.
Regarding the recipient region, and especially in situations of frontal baldness, it is extremely important to pay attention to the anterior frontal line of the head. In these cases, Dr Cruz Dinis uses a method that he called the Viroj line, in honor of the creator of this method, Dr. Viroj Vong.
For years, Dr. Viroj photographed hundreds of monks in order to understand how the hair is distributed in the frontal region of the head.
He then classified the frontal lines into 3 different types. From here he started to create molds, based on the hundreds of front lines he had studied. Using these molds on his patients he obtained very natural looking frontal lines, thus obtaining excellent results.
At the end of the surgery and after the placement of all follicular units, the dressing of the donor region is made and a specific substance is placed over the recipient region in order to protect the hair transplant.
On average this surgery takes between 5 to 10 hours, depending on the amount of follicular units that are placed.
At the end of the surgery, the patient before being discharged is reassessed by Dr. Cruz Dinis, then takes a snack, returning the next day to remove the dressing, head washing and post-operative counseling.
PRE-SURGERY
Before surgery, you should take care and during the preoperative consultation, share with Dr. Cruz Dinis all the important information for your surgery:
1. Medicines: You must inform if you are taking any medication and which. If you take aspirin or the like, you should stop taking it 2 weeks before surgery. If you take Vitamin E you should also stop taking it 2 weeks before.
2. Alcoholic beverages: You should not consume alcoholic beverages at least 48 hours before surgery.
3. Tobacco: You must not smoke at least 24 hours before surgery.
4. In the Strip / FUT technique, do not cut your hair. In the technique of FUE shaving or cutting very short.
5. On the night before surgery try to relax, if necessary you can take a tranquilizer, as it is important to sleep well.
6. On the day of surgery take a normal shower and don't worry about washing your head, because before the surgery we will wash your head with an antiseptic shampoo.
Come dressed in comfortable clothes and preferably with a button-down shirt, do not wear sweaters that you need to wear over your head.
Have a light breakfast, avoid tea or coffee.
Bring a cap or hat that is not tight, as you will need it to protect your head from sunlight, pollution and also people's eyes.
7. Don't be late and be at the Clinic at the appointed time.
Accommodation in the clinic building
POST-SURGERY
After finishing the surgery and when arriving home, the patient should take some precautions that include the application of ice on the forehead for 15 minutes every hour, to avoid swelling.
It is also important for the patient to be accompanied by someone, at the end of the surgery and preferably not to drive, because sometimes sedation, despite being mild, in some patients makes them quite sleepy.
The next day the patient returns to the hair transplant center and the doctor will wash and teach you how to wash your head.
This procedure performed by Dr. Cruz Dinis will give the patient more security to continue washing at home, without fear, which should be performed preferably 2 to 3 times a day.
Before the patient leaves the Hair Transplant Center he is informed by Dr. Cruz Dinis about what medication to take and the new post-operative care.
Following these guidelines, the post-operative period of 2 to 3 days is sufficient for the full recovery of their routine activities.
1st day: The dressing is removed, head washing and lymphatic drainage.Sensitivity in the points or holes
2nd to 3rd day: Elimination of some crusts, some swelling on the forehead, operative erythema. Sensitivity
enhanced
7th day: Few crusts, improvement of erythema. Still some sensitivity
10th day: Some hairs may fall out.Remove the stitches
(Strip Harvesting technique)
2 months: Much of the transplanted hair has fallen, but the follicle remains alive.
Resting phase.
3 to 4 months: Growth of the transplanted hair begins.
4 to 6 months: Increase in the number of transplanted hair that grows and may have different shapes than natural.
8 months: Much of the transplanted hair has already grown.
12 months: 90% of the final result. Hair with normal characteristics.
18 months: New hair can still grow.
COMMON QUESTIONS
1. What is a hair transplant?
It is a surgical procedure for the treatment of baldness, which consists of transferring hair from the back of the head to the region where hair is missing.
2. Does it work?
Yes, the hair that is transplanted lasts a lifetime and will be growing naturally, at 8 months and within a year they look great.
3. Will I get a head full of hair as a result?
Depending on the degree of your baldness and the number of surgeries to be performed. But you will never have hair like when you were 14 or 15.
4. Are the surgery and postoperative painful?
No. The surgery is painless and so is the post-op.
5. Is it a dangerous surgery?
No. Before surgery, the doctor observes your health conditions and is painless surgery with only local anesthesia.
6. How much time do I need to get back to my normal life?
After 3 days you can return to your routine, however you should avoid some tasks, which the doctor will explain to you.
7. How many surgeries will I need?
It depends on your degree of baldness and the donor area / bald area ratio, we usually propose several surgical sessions in order to follow the evolution of the patient's baldness.
8. When will I be able to wash my head?
Every day, preferably 2 to 3 times a day for the first 2 weeks.
9. Are there any complications?
There may be some cases of infections, but this will only happen if you do not follow medical advice.
If they are followed carefully, there are no complications.
10. Can this surgery be done on women?
Of course, as long as there is severe hair loss, there is a surgical indication, if the problem is not from another source.
11. How many surgeries can I do?
Several, everything depends on the amount of hair that exists in the donor region, it is very important to manage this region well.
12. What is the percentage of hair loss transplanted?
Using the Strip Harvesting technique, the loss percentage is negligible, using the FUE technique the loss can go up to 20% or more.
13. Is it expensive surgery?
No. In our case, we chose to do several smaller surgeries, thus reducing the cost of surgery, and we monitor the evolution of the baldness of the patient throughout his life.
14. What surgical technique should I choose?
You should speak to the doctor and according to your specific case, if you decide which technique to choose.
15. Should I expect to be very bald to have the surgery?
No. You should consult your doctor and even if necessary, start medical treatment before surgery. You can have surgery with little baldness.
TESTIMONIALS
An excellent professional and a great person, caring and welcoming. I had a first transplant with someone who, supposedly, was the supreme of this in Portugal and the result was terrible. Then, to improve the "atrocity" that had been done to me, I went to Dr. Pedro Cruz Dinis and he was super attentive, welcoming, understandable and friendly. We agreed on what could be done to correct this "atrocity", reached a consensus and proceeded to the correction / operation. The result? More than fantastic, as I can’t find adjectives to describe such perfection, looking like work done with ruler and square. For me, he is not the best in Portugal, for me he is the best in the world !! Cristiano Ronaldo of the hair implant! Thank you for everything Dr. I just wish you luck, health, success and happiness. Thanks to you and all your technical team that is also 7 stars! From 0 to 10 the final grade is 12.
Tiago Rodrigues, Faro
Dear Dr. Dinis,
I want to thank you, because today I feel a happier man.
Before operating, I was worried about the pain, but I didn't have any pain during the entire surgery, I was also afraid if the transplanted hair would grow or not, and just like Dr. Dinis informed me, my hair grows normally and it is getting stronger every day.
I was bald and today thanks to you I am no longer a bald man. At work, in the family, everyone tells me that I look much younger, I am very happy and I am very grateful to him. Thank you.
Sam Sukuvai, Bangkok
My name is Clarisse Montoya, I am a 38-year-old woman, I live in Sydney, Australia and since I was 30, I started losing a lot of hair, having had very thin hair.
I underwent several medical treatments, which did not work, I felt bad, my self-esteem was low, so after some research on the Internet I decided to make a medical appointment at the Hair Transplant Center in Bangkok, who attended me was Dr. Cruz Dinis, who after observing me, informed me that only with a hair transplant could I get as I wanted.
At first I was afraid, but after Dr. Dinis explained the reasons for the hair loss, the type of surgery he was going to do and the results, I was much more confident. I performed the surgery with Dr. Dinis 8 months ago, I am very satisfied because a lot of hair was born to me, especially in the region where I no longer had it.
I was lucky to make an appointment with Dr. Dinis. Today I feel much better, my self-esteem is high, I feel like a beautiful woman.
I want to thank Dr. Cruz Dinis and his entire team very much, for everything they have done for me. I do not send photographs for privacy reasons.
Clarisse, Sidney
Hello, My name is Miguel I am from Porto and I suffer from hereditary baldness since I was 18 years old, I have always suffered a lot at the social level I felt underestimated by friends and diminished in relation to friends.
Last year I met the specialist in micro hair transplant Dr. Cruz Dinis on a trip to the Algarve to enjoy the sun, warmth and beach, I took advantage and went to a consultation with dr. he was extremely explicit in everything he told me and explained to me about the techniques used, I was delighted and ready to move on, the worst was the values of the surgery that had not yet been talked about, I questioned him because I had been looking for the net and then of several "consultations on line" the value was always above 5000 €, I can say that the value did not come close I did my first surgery in February and the result is fantastic, the order for me was 1500 hairs, The work team treated me very well, always concerned with knowing if I was well and if I needed anything.
I already scheduled a new surgery for December will be my early Christmas gift. My thanks to Dr. Cruz Dinis and his team for giving me back my self-confidence.
Miguel Folha, Porto
CONTACT DR PEDRO CRUZ DINIS
The doctor is always available to answer all your questions, contact us and we will respond as soon as possible. Transparency and trust are our brand image. We are not a franchise and here the doctor shows his face. We can offer special payment terms and accommodation in the clinic building.