FUE Hair transplant consultation

* Pictures maximum 5MB
* 1 picture per field

Gender*
What is your age?
At what age did the hair loss begin?
Hair structure? (straight, curly)
Hair color?
Do you already use products for hair loss?
Do you use any medication?
Did you have a hair transplant before? If so, when? How many grafts?

Which areas would you like to treat?

Another area, namely:
Frontal view
Side left
Side Right
Top
Crown
Back-Rear
First name*
Last name*
E-mail address*
Phone number*
Message

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