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Consultation

Online & Free

Fill in the required fields and attach the photos as explained below and we will contact you with a detailed diagnosis report as soon as we can.

PRIVACY NOTICE: The photos and information you provide will NOT be shared, sold or shown to any third parties whatsoever.

Hair Transplant Consultation 1
Photos are to be like these positions as possible.
Hair Transplant Consultation 2
Raise your eyebrows on the front hair photo.

    Full Name*

    Email*

    Phone Number with Country Code

    Age*

    Diseases? If yes, list them*

    Health Problems? If yes, list them*

    Medicines? If yes, list them*

    Previous Surgeries? If yes, list them*

    Allergies? If yes, list them*

    Toppik, hair gel or wax?*

    Wigs? If yes, for how long?*


    Preferred Technique:
    FUESapphire-FUEDHII want what's best for me


    Shaving:
    FullPartialNo-shaveI want what's best for me


    Package:
    BasicPerfectDeluxeI'll choose later


    Your Message


    Front Hair Photo*


    Left Side Photo


    Right Side Photo


    Midscalp Photo*


    Back of the Head Photo*


    Please provide clear photos of your hair dry.

      Full Name*

      Email*

      Phone Number with Country Code

      Age*

      Diseases? If yes, list them*

      Health Problems? If yes, list them*

      Medicines? If yes, list them*

      Previous Surgeries? If yes, list them*

      Allergies? If yes, list them*

      Toppik, hair gel or wax?*

      Wigs? If yes, for how long?*

      Birth giving? If yes, when was your recent?*

      Breastfeeding?*


      Preferred Technique:
      FUESapphire-FUEDHII want what's best for me


      Shaving:
      FullPartialNo-shaveI want what's best for me


      Package:
      BasicPerfectDeluxeI'll choose later


      Your Message


      Front Hair Photo*


      Left Side Photo


      Right Side Photo


      Midscalp Photo*


      Back of the Head Photo


      Please provide photos of your naked eyebrows (without using a pencil). 

        Full Name*

        Email*

        Phone Number with Country Code

        Age*

        Previous Tattoo?*

        Previous Microblading?*

        Diseases? If yes, list them*

        Health Problems? If yes, list them*

        Medicines? If yes, list them*

        Previous Surgeries? If yes, list them*

        Allergies? If yes, list them*

        Birth giving? If yes, when was your recent?*

        Breastfeeding?*


        Package:
        BasicPerfectI'll choose later


        Your Message


        Frontal Photo (Both Eyebrows)*


        Right Eyebrow Photo


        Left Eyebrow Photo


        Back of the Head Photo*


        Please provide photos of your beard as its best situation (fully grown to recognise empty spots).

          Full Name*

          Email*

          Phone Number with Country Code

          Age*

          Diseases? If yes, list them*

          Health Problems? If yes, list them*

          Medicines? If yes, list them*

          Previous Surgeries? If yes, list them*

          Allergies? If yes, list them*

          Toppik or beard pen?*


          Package:
          BasicPerfectDeluxeI'll choose later


          Your Message


          Frontal Photo*


          Right Side Photo


          Left Side Photo


          Back of the Head Photo*


            Full Name*

            Email*

            Phone Number with Country Code

            Age*

            Medicines? If yes, list them*

            Previous Micropigmentations? If yes, list them*

            Allergies? If yes, list them*


            Purpose:
            Shaved LookDensity Camouflage


            Package:
            BasicPerfectI'll choose later


            Your Message


            Front Hair Photo


            Left Side Photo


            Right Side Photo


            Midscalp Photo


            Back of the Head Photo


            • Please wait until you see “Thank you” message.
            • This might take a few minutes depending on images size and internet speed.
            • Taking forever? Hit “SEND” again or try the simplified form and we contact you for further info.