PTENG

Trichology and Hair Transplantation

Trichology is one of my main areas of practice, and I see patients with hair disorders of various causes. In this consultation a range of complementary diagnostic tests for hair are used, such as the pull test, measuring the distance from the eyebrow to the hairline, manual or digital dermoscopy/trichoscopy, blood tests (to rule out systemic causes), microbiological examination and scalp biopsy. Topical/oral/injectable drug treatments (minoxidil, finasteride, intralesional corticosteroids, etc.), scalp mesotherapy and platelet-rich plasma (hair PRP) are commonly used. In addition to medical treatment, and given the large number of patients, it became necessary for us to create a team to carry out hair transplantation. This procedure is performed entirely by me and my nursing team. We believe that combining topical/oral dermatological treatments with hair transplantation (the FUE technique – "Follicular Unit Extraction") allows us to achieve better results, both immediately and in the long term.

How it works

The trichology consultation, step by step

1

Observation and clinical history

The consultation starts with the story of the hair loss: when it began, how it evolved, family history, medication and general health.

2

Trichoscopy and tests

Pull test, eyebrow-to-hairline measurement, manual or digital dermoscopy/trichoscopy and, when needed, blood tests, microbiological examination or scalp biopsy.

3

Diagnosis and plan

Hair disease has many causes — the plan is set case by case, from medical treatment to transplantation, or a combination of both.

4

Treatment and follow-up

Regular follow-up allows the treatment to be adjusted and progress measured with digital trichoscopy.

Medical treatment

Before the transplant, medicine

Drug treatments

Topical, oral or injectable — minoxidil, finasteride, intralesional corticosteroids, among others — chosen according to the diagnosis.

Scalp mesotherapy

Micro-injections of medication into the scalp, in a clinical setting, to stimulate the follicle.

Hair PRP

The patient's own platelet-rich plasma, applied to the scalp to stimulate existing hair.

Hair transplant

The FUE technique, by Prof. Dr. Manuel and his team

The transplant is performed entirely by Prof. Dr. Manuel with his nursing team, at the Centre for Dermatology and Hair Transplantation — at Mutual Clinic Braga and, on Tuesdays, at Mutual Clinic Arcozelo. The FUE technique (follicular unit extraction) harvests follicular units one by one, with no linear scar, and implants them where coverage is needed.

Combining topical and oral dermatological treatment with the transplant achieves better results, both immediately and long-term.

Before and after — real case from the Centre

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