Before surgery the patient's head is shampooed and the measurements and adequate markings are made. 

The patient is then medically evaluated with all vital signs being checked, and if everything is in order, he/she is lightly sedated.

After that, the anaesthetic is applied in the surgery area. 

It is extremely important and fundamental for us that our patients remain calm when in contact with the surgeon and do not feel pain during the course of the surgery. Dr. Cruz Dinis is therefore extremely careful to pierce or cut only when he is sure that his patients can no longer feel any pain.
For this purpose he uses a cream with local anaesthethic and a special syringe called Dermojet.


The surgical procedure varies according to the technique adopted. If it is Strip Harvesting, surgery starts with removing a strip of scalp from the donor area and the size depends on the number of follicular units that are intended to be transplanted.

After this step and before closing the surgical wound, scurf treatment is carried out on the upper edge of the surgical wound so that hairs are able to grow over the entire wound after it cicatrises.

Following the scurf treatment, the wound is stitched. The result is a fine, delicate scar that is practically invisible and completely covered by hairs.

The follicular units are then separated by a specialised team and this is done according to the number of hairs in each unit. This separation is an extremely careful procedure to ensure that there is no damage to the follicular units and that their anatomy and blood irrigation are preserved, thus ensuring the integration of all the transplanted units.
Insertion of the follicular units is carried out with special, last generation implanters, without leaving any kind of mark.

As regards the FUE technique, the surgery starts by shaving the donor area.

Following anaesthesis, hundreds of follicular units, (sometimes up to three thousand in one session) are extracted, one by one, from the donor area by means of a 1mm-diameter punch, and are simultaneously inserted into the recipient area, always in accordance with the angular slope of the natural hair. The establishment of the follicular units in the recipient area is similar to that of the Strip Harvesting system.

With regard to the recipient area, and in particular cases of frontal baldness, it is extremely important to pay attention to the forehead hairline.

In this connection, Dr. Cruz Dinis uses a method which he calls the Viroj line, in honour of the innovator of this method, Dr. Viroj Vong.

Over many years, Dr. Viroj photographed hundreds of monks in order to find out how hairs are distributed in the forehead area.

He then classified the hairlines into 3 different types.

Thereafter he started creating moulds based on the hundreds of hairlines he had studied. By using these moulds on his patients he produced forehead hairlines with quite natural appearances, thus achieving excellent results.
Some cases where Dr. Viroj's technique has been adopted (see side images).
Dr. Cruz Dinis applies the same method on his patients and in this way also makes hairlines with quite a natural look.

Finally, after all the follicular units are inserted, dressing of the donor area is carried out and a special substance is applied to the recipient area in order to protect the transplanted hair.


The surgery generally takes between 5 and 10 hours depending upon the number of follicular units inserted.

After the surgeries, the patients are re-examined by Dr. Cruz Dinis, take a snack and then return the following day to have their heads washed and receive post-surgery advices.

Inicio do procedimento

Image 1

Beginning of the surgery


Image 2

Delicate and discrete scar on scalp

Separação de Unidades Foliculares

Image 3

Dr. Cruz Dinis with his team

Introdução de Unidades

Image 4

Insertion of the follicular carried by Dr. Cruz Dinis

Grupo de Monges

Image 5

Hundreds of monks were studied

técnica do Dr. Viroj

Image 6

Transplant case using Dr. Viroj's technique

técnica do Dr. Viroj

Image 7

Transplant case using Dr. Viroj's technique

Avaliação da intervenção

Image 8

Finalizing the surgery


Dr. Cruz Dinis

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Q & A

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Dr. Cruz Dinis.