ONLINE CONSULT

Please complete the form below to integrate your case and give an individualized response from your baldness including the approximate number of grafts.

1 - Personal Contact Information

Your Name (requested)

Your Surname (requested)

Your Age (requested)

City and Country (requested)

Your e-mail (requested)

Telephone (requested)

2 - Personal Health Information

Choose your case, male (Classification of Norwood) or female (Classification of Ludwig)

Clasificacion

 

 

 

 

 

 

 

 

 

 

 

 

 

Case

What is your priority area (s) to cover?

Have you already had surgery? How often? Dates? The technique of the strip or FUE or both? List any additional comments

Are you in any hair loss treatment? Since when?

3 - Photographs

Please for better evaluation of your case you need to send the following photos in JPG format no larger than 2 MB

Front:
Front - Superior:
Left side:
Right Side:
Crown:
Posterior:

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If you have any problem to send photos please contact us:
info@spainhairtransplantation.com