Scalp micro pigmentation consultation

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Age?
At what age did the hair loss begin?
Hair colour?
Do you already use products for hair loss?
Do you use medication?
Have you had a hair transplant before? If so, when, which area, amount of grafts??

Which areas would you like to treat?

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

Prohairclinic
Boudewijnlaan 18
2220 Heist op den Berg (Belgium)
Tel - Belgium: 03 8991916
info@prohairclinic.com