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)
Case 122A3 Vertex3A44A55A678910
What is your priority area (s) to cover? Select one or moreRestore your receiding hairline and frontCrownIncrease densityRestore your TemplesOthers
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:
If you have any problem to send photos please contact us: info@spainhairtransplantation.com