• Carried out by Dr. Espinosa Custodio, both extraction and DHI implantation.
• Guaranteed results. Fast recovery, with no scars or bald patches.
• Painless surgery, with local anesthesia and the best medical tools.
What is a hair transplant or hair graft?
Hair graft or hair transplant is a non-invasive intervention and almost painless that allows us to redistribute hair follicles on the head. Dr. Espinosa Custodio collects hair from the occipital area to implant it in the areas we want to replenish at his hair clinic in Madrid. Your hair will grow back with complete normality with a hair transplant.
Hair transplantation is an increasingly popular procedure in our country because of its excellent results. As you may have seen, there are ever more hair clinics that offer this service to recover hair after androgenetic alopecia. For that reason, it is important to choose your hair specialist correctly for your treatment.
How is a hair transplant carried out?
If you have already thought about other hair medecine, such as intradermal treatments, the mesotherapy or platelet-rich-plasma, and you have chosen hair transplantation, you may be wondering how the technique is performed by Doctor Espinosa Custodio.
A hair transplantation has two phases:
- • EXTRACTION STAGE: In the first place, follicles are collected from the donor area. These can be done with FUE or FUSS technique.
- • IMPLANTATION Follicles are placed with DHI technique or with the classic tweezer technique (stick and place).
Why getting a hair transplant in Madrid?
Low-cost clinics may entail risks for your hair surgery . Our hair clinic is a safe and professional environment where we develop hair treatments in our own surgery room. Furthermore, during the first visit with Doctor Espinosa Custodio you will be able to check out our facilities and the tools used for hair transplantation.
At Instituto Médico del Prado, specialized in hair transplants in Madrid, also performs hair graft mini sessions. If you want to try the technique before going under a full hair transplant or if you believe you don’t need many follicle units, this hair transplant in Madrid may be adequate for you.
FUE and FUSS techniques in a few words
Follicular Unit Extraction (FUE) entails collecting follicle units from areas with a good hair density. For that purpose, we use a precise round 0,7 to 9,9 millimeters surgical knife called punch at our own surgery room in our hair clinic. Doctor Espinosa Custodio always performs this hair surgery intervention, that doesn’t leave any marks nor scars.
Follicular Unit Strip Surgery (FUSS)consists of removing a skin strip from the occipital zone. Then, follicle units are observed through the Mantis microscope and the adequate follicles are separated. FUSS technique can leave a slight scar, but it is then hidden by the own hair.
DHI technique and the «tweezer» technique in a few words
Direct Hair Implantation (DHI) is the most advanced and safe hair medicine technique to implant hair with natural and healthy results. Follicles are implanted one by one, allowing us to manage the angle, depth and direction of each hair. In this last phase no cuts are made: follicles are transplanted with a tool called implanters. This technique must be performed fully by the doctor.
With theclassic tweezer or stick and place technique the surgeon creates a channel in the patient’s skin and the nursing assistants insert the follicle units. It is a mixed implantation technique carried out by the surgeon and the assistants. There is a variation of this technique where the assistants use some kind of forceps or Keep, a similar device to implanters that doesn’t make cuts nor does it have a guide, where the follicle unit is pushed with tweezers
Hair transplant in Madrid: Step by step.
Hair transplant in Madrid: Step by step.
It all starts with a GOOD diagnosis by Dr. Espinosa Custodio, it is key for the hair transplant to be successful.
Patients receive some simple guidelines they must follow before surgery, as well as a pharmacological treatment prior surgery.
: Arrival to the clinic after a light breakfast with no coffee. The day of the intervention we’ll start early so everything can be ready with no hassle.
Dr. Espinosa will determine together with the patient the best design that will allow keeping a natural hair look. Then, hair is shaven to allow the intervention on it in the best visibility situation.
Follicles are collected from the donor area one by one with FUE technique or in a strip with FUSS technique. This phase can take from 1 to 5 hours depending on the technique and the number of follicles to collect.
After the extraction we start the preparing phase when the nursing assistant team starts sorting follicles, according to the hairs they have (1, 2, 3, etc.) and counting them.
Collected follicle units are kept at low temperature in a special solution. This is key to guarantee follicle visibility.
When the surgeon proceeds to carefully implant previously collected follicles in the recipient area.
After finishing the intervention, guidelines to be followed in the coming days are reminded to the patient and the HAIR RESTORATION PACK is handed over.
72h before the intervention, Dr. Espinosa Custodio will schedule the first follow up visit to make sure everything is evolving as planned and the first washing will be done.
THE PATIENT HAS 24/7 TELEPHONE ASSISTANCE AVAILABLE AT ALL TIMES.
HAIR TREATMENTS



FUE - FUSS
HAIR TRANSPLANT IN MADRID: FUE TECHNIQUE

FUE technique (Follicular Unit Extraction), entails collecting follicle units from areas with good hair density, those we call donor area. These are removed with a round surgical knife called punch that can be from 0.7 to 0.9 millimeters, just enough space to remove follicle units, and can be manual or have a micro engine.
It is important that the surgeon is experienced and skilled. The benefits of this technique are: no scars are left in the donor area since follicles are collected randomly, loss of density is barely noticeable, and recovery is fast. However, the surgeon must be the one diagnosing if you’re the ideal candidate for this technique.
Incisions must always be done by a doctor.
At Instituto Médico del Prado, Doctor Espinosa Custodio applies a protocol so that every collected follicle unit (grafts) from the donor area will survive in the recipient area.
HAIR TRANSPLANT WITH FUSS TECHNIQUE

FUSS (Follicular Unit Strip Surgery) extraction technique consists in extracting a strip of skin from the back of the neck. This strip usually is approximately from 1 to 3 centimeters wide and 15 to 20 centimeters long. Afterwards, follicle units are separated with specific tools and a kind of microscopes called Mantis, and then implanted with the classic technique.
With this procedure a residual scar may remain, but it is covered with the own hair.
Doctor Espinosa Custodio no longer performs this technique since he is now specialized in FUE technique.
IMPLANTATION - DHI TECHNIQUE
WHAT IS IT ABOUT?

DHI stands for Direct Hair Implantation. It is the most advanced implantation technique in the recipient area, with it healthier more natural results are achieved.
With DHI hair follicles are directly implanted one by one at an adequate direction, angle and depth using a special DHI implanting tool called implanter. This technique delivers 100% natural results, and it guarantees maximum follicle visibility.
Doctor Espinosa Custodio has been carrying out this technique for over 6 years and it is himself fully implanting every follicle, assisted by his team.
OBJECTIVE
Ensuring implanted hair gets healthier and stronger since the time grafts are kept out of the scalp is reduced. In addition, no incisions are required during this procedure.
It is carried out with tools called implanters. These are like small, fluted needles we use to implant the follicle. They can have different diameters depending on the size of the follicle to implant, they can be from 0.64 to 1 millimeter.
DHI technique advantages
- □ Innovative procedure with 100% natural results and carried out by the doctor.
- □ Best control of implanting angle and depth. We can position transplanted hair in different angles, wich allows a more natural look.
- □ Higher follicle surviving rate.
- □ We can achieve a hair transplant with a higher density: with DHI, high density goes from 70 to 90 grafts per square centimeter. With the classic tweezer technique this amount goes from 50 to 60 grafts per square centimeter.
- □ No previous incisions are required since hair follicles are transplanted using a special DHI implanting tool.
- □ Existing hair is barely damaged.
- □ Transplant area bleeds less, heals faster and no marks are left.
- □ Lower damage to follicle units during transplanting.
- □ With DHI technique, between 90 to 95% of collected grafts survive.
FREQUENT - QUESTIONS
FUE TECHNIQUE
These scalpels leave tiny holes that will cicatrize after 7 days. Then, they are completely imperceptibles.
FUSS TECHNIQUE
MORE FAQS
SURGERY RATES - HAIR TRANSPLANTATION
Classes II and IIa
From 1.000 to 1.500 grafts
Class III
From 1.500 to 2.000 grafts
Class IIIa
From 2.000 to 2.500 grafts
Class III vertex
From 2.500 to 3.000 grafts
Class IV
From 3.000 to 3.500 grafts
Class IVa
From 3.500 to 4.000 grafts
Class V
From 4.000 to 4.500 grafts
Class Va
From 4.500 to 5.000 grafts
Class VI
From 5.000 to 5.500 grafts
How do we work at Instituto Médico del Prado?
- ▪ Capillary diagnosis with Dr. Espinosa Custodio
- ▪ Hair transplant with FUE and DHI techniques
- ▪ Results guarantee (see conditions)
- ▪ Presurgical session (full blood work and ECG)
- ▪ Every hair medicine treatment needed included
- ▪ Follow up visits until discharge
- ▪ Postsurgical pack for at-home care
- ▪ Postsurgical washings
- ▪ 24/7 phone assistance
At Instituto Médico del Prado we carry out your hair transplant with all health guarantees. We are a specialized center in hair transplantation with FUE (Follicular Unit Extraction) and DHI (implanter).
Dr. Espinosa Custodio has been practicing hair transplants for over 6 years and he has a strong background of this surgical discipline.
Hair transplantation is a long but rewarding process. Unlike other surgeries where results are immediate, with hair transplants results can be assessed around a year or a year and a half after the intervention. Doctor Espinosa Custodio guarantees his results in writing, so that hair transplant meets the patient’s expectations.
Doctor Espinosa usually implants around 2,000/2,200 follicle units per session. This condition sits on our excellence protocol and with it we achieve all follicles (grafts) surviving in the grafted zone. Thanks to this process we make sure every graft is placed correctly, choosing the direction, depth, and position of each one of them.
All hair transplants carried out by Doctor Espinosa Custodio are performed at his clinic in Madrid, Instituto Médico del Prado. Assisted by the clinic’s team, it is him making all incisions throughout the surgery (mandatory as per law in Spain), in both extraction and implantation. We apply FUE technique for extracting and DHI technique for implanting, the most advanced and the ones that require the most doctor’s skills. We never reuse any kind of tool.
Diagnosis visit
The beginning of hair transplant is trichological diagnosis. Doctor Espinosa is always responsible of elaborating your medical history and to diagnose your hair situation. This way we can determine if you’re a suitable candidate to perform the transplant. In this session, apart from detailly analyzing your alopecia kind and degree, we establish the most adequate strategy to help you. If you are not fit to undergo a hair transplant, you may be recommended to do the adequate hair medicine treatments (PRP, mesotherapy, carboxytherapy, and so on) for you, always from a medical point of view. We can also compliment these treatments with hair micropigmentation sessions.
It is important being able to determine if the patient has a good donor area that allows performing the transplant.
Doctor Espinosa uses a smart dermatoscope for the diagnosis, Hairmetrix by Canfield. It is a new system that analyzes hair density, grafts per square centimeter, and follicle units’ thickness. This way we can precisely determine the treatment the patient needs, as well as analyzing the evolution after the treatment objectively.
If you are candidate for hair transplant, we will study your donor area to determine how many follicle units we can transplant, as well as the needed grafts in the recipient area. The doctor will plan the most adequate design so that we achieve the most natural result.
Diagnosis and assessing visit with Doctor Espinosa Custodio has a cost of 70€ (50€ in case of telemedicine), that will be discounted from the final price of the transplant or hair treatment.
Capillary treatments before and after hair transplantation
If you need previous treatments to get healthy and strong hair before transplantation, we’ll carry them out at our private clinic in Madrid. This is something standard, it is part of the process of a hair transplant, and it is included in the price.
After the transplant, we include all required washings to take care of your hair, as well as scab removal a couple of days after. In addition, we’ll hand you out a postsurgical capillary pack with everything needed to look after your hair: thermal water for the recipient area, a regenerative cream for the donor area and a neck pillow for you to sleep comfortably preventing follicle damage, as well as the needed oral medication and the items for an adequate hair hygiene.
Our patients count with 24/7 telephone assistance for any queries or doubts.
The months coming after the transplant are as important as the procedure itself. Without a good medical follow up, with no treatments nor oral medication, results may not be the most successful. For this reason, the doctor will meet you periodically, and will perform the treatments you need. We may also carry out a follow up blood work. Everything is included in the price (except oral medication).
Throughout the whole procedure we’ll take pictures and videos so we can analyze in detail your evolution.
Pricing
The price is 2.25€ per Follicle Unit (graft) VAT included.
▪ There is no extra cost to be added to this amount.
▪ It includes every needed treatment, both pre and postsurgical.
Examples:
> 2,000 grafts x 2.25 € = 4,500 €
> 2,500 grafts x 2.25 € = 5,625 €
> 3,000 grafts x 2.25 € = 6,750 €
> 3,500 grafts x 2.25 € = 7,875 €
> 4,000 grafts x 2.25 € = 9,000 €
> 4,500 grafts x 2.25 € = 10,125 €
> 5,000 grafts x 2.25 € = 10,250 €
In case of restoration of previous surgeries, scars, eyebrows, beard, no – shave and minisessions, prices start at 3€/graft.
Minisessions
Dr. Espinosa also carries out minisessions specially designed for those patients who:
▪ Don’t want to shave their head (neither donor nor recipient area).
▪ Want their hair transplant to go unnoticed.
▪ Want a gradual change of their look.
▪ Don’t have much time and need to go back to their working life almost immediately.
▪ Want to do a small trial session before committing to a full surgery.
Online diagnostic consultation
GUIDELINES FOR HAIR TRANSPLANT SURGERY IN MADRID
Important information for foriegn patients
- □ Specialized clinic in foreign patient care.
- □ Help in finding accommodation.
- □ Natural results.
- □ Accommodation search help.
- □ Bilingual atention (english and spanish)
- □ Guaranteed farmacological treatment all over the world.
- □ Adaptability to patient needs.