Surgical Techniques

At present, two surgical techniques are adopted, both of which derive from the FUT (Follicular Unit Transplant) method.


1. Strip Harvesting
The oldest technique used since 1990 and still very popular nowadays. It involves removing a group of follicular units in a strip of scalp from the back of the patient's head.
With this technique, the follicular units are kept intact and damage to them is avoided.
Each follicular unit has 1 to 3 hair follicles and rarely 4, but on average there are 2.2 per unit.

The follicular units are then separated with extreme care with the use of special microscopes and cold light, and then the separated units are placed in an adequate solution at the correct temperature until the procedure of transplanting the follicular units starts.
There are many factors that contribute towards achieving the optimal end result. The most vital part is the dependability, experience and skills of the surgeon and his team.

The following factors are required in order to obtain successful results by using this technique:
- Correct removal of the scalp strip
- Closure of the donor region with minimal scarring
- Proper separation of the follicular units
- Always keeping the follicular units in the proper solution and at the correct temperature
- Making each hole or slit in the recipient area in the proper direction, angle and size
- Creation of the most natural hairline possible
- Insertion of the follicular units with maximum care so that they remain in the correct place and position without becoming damaged
- Assurance of a correct post-surgery plan The separation of follicular units is crucial for the end result. It is essential to have a well-trained team to separate the follicular units in accordance with the number of hairs in each unit .

2. FUE (Folicular Unit Extraction)
This technique is used for hair transplants in both the head and rest of the body and involves using a punch, preferably up to 1mm in diameter to remove follicular units from the donor area and to insert them one at a time in the recipient area.  Of course, the use of punches is not new, having already been used by Dr. Tamura in 1944 to insert pubic hairs on women. However, the great difference is in the punch size, and nowadays a punch is used for each individual follicule.

By adopting the FUE technique, the work to separate the follicular units is avoided and it is also unnecessary to make slits, so it is less invasive.
This technique demands great experience and must be performed manually, with the method and position of the follicular units to be removed being followed at all times.

With the improvement of FUE technique, in the end, the results of the surgery are great.

The scientific community will probably pronounce more on this technique in the future.
Nevertheless, the FUE technique offers several advantages, e.g.:
- The donor area is larger
- It is ideal for beards, moustaches, eyebrows and other parts of the body
- It is ideal for patients who like their hair very closely cropped
- It is less invasive, without cuts and leaves no scars

3. BHT (Body hair transplante)
This is not a different technique, but rather a method where the Strip Harvesting technique or the FUE one may be used.  The latter is used more frequently and consists of inserting follicular units into the intended body area, such as building an eyebrow, as can be seen: All these procedures have their advantages and disadvantages and it is up to the surgeon to look into each case and proceed in accordance with the most adequate ethical and technical aspects.

Foto cabeça

Image 1

Hair donor region (Strip technique)

Unidades foliculares

Image 2

Follicular units

>Separação de unidades foliculares

Image 3

Separation of the follicular units

Separação de unidades foliculares

Image 4

Separation of the follicular units

Separação de unidades foliculares

Image 5


Implante a decorrer

Image 6

Insertion of the follicular units

Processo FUE

Image 7

Hair donor region (FUE technique)

BHT technique

Image 8

Building an eyebrow, though BHT technique


Image 9

Titanium Punsh


Dr. Cruz Dinis

Get to know betPre-ter the life and professional experience of the Head of the Hair Transplant Center.



The Surgery

We explain you exactly how the surgery will be, which techniques are used and the results that you can expect.


Q & A

The most frequent questions and worries about hair loss and hair transplant are answered by

Dr. Cruz Dinis.