Hair Transplant Guaranteed



with FUE technique

and DHI implantation

Check rates

  • · Guarantee of results in writing
  • · Diagnosis session with the doctor and medical design
  • · Blood work and ECG
  • · Special surgery room for hair surgery
  • · Hair Transplant in Madrid with DHI Implantation
  • · Full postsurgical pack
  • · Follow up until discharge
  • · Postsurgical washings



Implantación DHI

Carried out by Dr. Espinosa Custodio, both extraction and DHI implantation.

Resultados Garantizados con implantación DHI

• Guaranteed results. Fast recovery, with no scars or bald patches.

Cirugía indolora FUE

Painless surgery, with local anesthesia and the best medical tools.

What is a hair transplant or hair graft?

hair transplant madrid

A Hair graft or hair transplant is a non-invasive, almost painless procedure that allows us to redistribute hair follicles on the head. Dr. Espinosa Custodio ollects 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 transplants are an increasingly popular procedure in Spain because of their excellent results. As you may have seen, there are ever more hair clinics that offer this service to recover hair lost due to androgenetic alopecia. For this 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 medication, such as intradermal treatments, the mesotherapy or platelet-rich-plasma, and you have chosen to undergo a hair transplant, you may be wondering how the technique is performed by Doctor Espinosa Custodio.

A hair transplantation has two phases:

  • • EXTRACTION STAGE: In the first phase, follicles are collected from the donor area. This can be done with FUE or FUSS technique.
  • • IMPLANTATION In the second phase the follicles are placed using the DHI technique or with the classic tweezer technique (stick and place).

Why get 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 carry out hair treatments in our own surgery room. Furthermore, during the first consultation with Doctor Espinosa Custodio you will be able to check out our facilities and the tools used in the hair transplants.

At Instituto Médico del Prado, specialized in hair transplants in Spain, the doctor also performs hair graft mini sessions. If you want to try the technique before undergoing a full hair transplant, or if you believe you don’t need many follicle units, this hair transplant in Spain may be the best choice for you.

FUE and FUSS techniques in a few words

Follicular Unit Extraction (FUE) entails collecting follicle units from areas with good hair density. To do this, we use a precise round 0,7 to 9,9 millimetre scalpel known as a punch in our own surgery room in our hair clinic. Doctor Espinosa Custodio always performs this hair surgery procedure, which doesn’t leave any marks nor scars.

Follicular Unit Strip Surgery (FUSS) consists of removing a strip of skin 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 recovered hair. Microinjerto pelo

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 their assistants. There is a variation of this technique where the assistants use a 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.

diagnóstico trasplantes capilares

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.

Fase de extracción

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.

Selección de folículos

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.

Conservación de los foliculos

Collected follicle units are kept at low temperature in a special solution. This is key to guarantee follicle visibility.

Implantación de foliculos

When the surgeon proceeds to carefully implant previously collected follicles in the recipient area.

Pack de restauración

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.


Hair transplant Mexico
Previous Surgery Repair
No Shave FUE



Trasplante capilar tecnica fue madrid

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, in our hair transplant clinic in Spain, 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 fuss technique madrid

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.



hair transplant Spain fue technique

DHI stands for Direct Hair Implantation. It is the most advanced implantation technique in the recipient area and 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 since 2016 and it is himself fully implanting every follicle, assisted by his team.


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, which 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.



Does the FUE technique leave scars or marks?
We use circular micro scalpels for the extraction. Their diameter goes from 0.7 millimeters to 0.9 millimeters and their tip is empty.
These scalpels leave tiny holes that will cicatrize after 7 days. Then, they are completely imperceptibles.
What shall I do before the intervention?
Shall I shave my head before the hair transplantation?
Can we avoid the shaving?
How long is a FUE intervention?
What are the phases of the FUE technique?
What shall I expect from the recovery of this intervention?
When will I see the final look of the transplant?
When should we use the FUE technique?


Does the intervention leave a scar?
Is the recovery as fast as with FUE technique?
When is the FUSS technique recommended?


What is the best moment to get a hair transplantation?
What is the best technique?
What is FUE?
What is the hair transplantation like?
Does this intervention carry any risk?
What shall I do after the procedure?
Does the implanted hair fall?
When do we see the results?
What can we do to accelerate the growing of the hair?
What vitamins are helpful to the hair?
How can I take care of my hair naturally?
How do we do the capillary diagnosis?
Is there any chance of failure in my hair transplantation?
Does the hair on the donor area recovers?
Is diet important for hair health?
The bests and the worsts habits for our hair
Can I wear a cap after a hair transplant?
How many follicle units can we graft in a session?
Unlimited follicle units?
Itching after the hair transplant?
How are the scabs that show up after the surgery?
Should I keep on taking medication after the hair transplant?
Which is the best shampoo for my hair?
Are Finasterida and Dutarserida safe?
I suffer seborrheic dermatitis, can I get a hair transplant?
Why can Dr Espinosa Custodio ask for a capilar biopsy?
Can I take medication against alopecia if I am pregnant?
Does it have consequences to stop taking Minoxidil?
Can I get a hair transplant on a keloid?
Does Dr. Espinosa Custodio performs the Body Hair Transplant?
How is the follicle conserved when it is removed?
Can a hair transplant be done in the eyelashes?
Is a hair transplant possible in the pubic hair?
Can I increase the density of my eyebrows?
How is the first line drawn in a hair transplant?
Can a scar be covered with a hair transplant?
Can I use capillary fibers after a hair transplant?
Can I have a hair transplant even if I suffer psoriasis?
When can I dye my hair after the hair transplant?
Does the genetical test (Trichotest) help on the diagnosis?
Can hair fall out in the menopause?
Is a hair transplant possible with long hair?
Can I have a hair transplant if I am smoker?
How are the follicles treated during the hair transplant?
How do I get the best hair transplant?
When can I cut my hair after the hair transplant?
How do you get the best hair graft?
Am I a candidate for hair transplant?
What is hair graft transection?
Why does the implant take longer to grow at the crown?
Will hair fall out after childbirth?
What is ringworm?
What is folliculitis?
How is diffuse alopecia treated?
What is poliosis?
Does hair transplant hurt?
How can I prepare for a hair transplant?
Can I do a transplant in cicatricial alopecia?
Why is a hormonal bloodwork required in hair transplant?
I suffer from rosacea, can I have a hair transplant?


  • Capillary diagnosis with Dr. Espinosa Custodio
  • Hair transplant with FUE and DHI techniques
  • Results guarantee (see conditions)
  • Presurgical session (full blood work and ECG)
  • Genetical test (Trichotest)
  • 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 in Madrid 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 since 2.016 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 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 also make sure every graft is placed correctly, choosing the direction, depth, and position of each one of them.

However, each patient has characteristics that are studied individually. At the discretion of the doctor, sessions may reach 2,500 to 2,600 follicular units.

All hair transplants carried out by Doctor Espinosa Custodio are performed at his clinic in Spain, 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 our clinic in Madrid 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, oral medication 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 €100.

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. This is something standard, it is part of the process of the hair transplant at our clinic in Spain.

After the transplant, we include all required washings to take care of your hair, as well as scab removal some 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 advise the treatments you need.

Throughout the whole procedure we’ll take pictures and videos so we can analyze in detail your evolution.

Hair transplant in Madrid

    The price is a scaling that is calculated based on the implanted follicular units, from €3 per Follicle Unit (graft) VAT included. See rates

         ▪ There is no extra cost to be added to this amount.

         ▪ It includes the follow-up visits.

    The minimum price for surgery is €4,000.

Hair transplant in CDMX

    The price is from $60 MXN/per Follicle Unit (graft) VAT included. Our rates

         ▪ There is no extra cost to be added to this amount.

         ▪ It includes the follow-up visits.

    The minimum price for a surgery is $80,000 MXN.

II y IIa Degree

De 2,000 a 2,500 grafts

III Degree

De 2,500 a 3,000 grafts

IIIa Degree

De 3,000 a 3,500 grafts

III vertex Degree

De 3,500 a 4,000 grafts

IV Degree

De 4,000 a 4,500 grafts

IVa Degree

De 4,500 a 5,000 grafts

V Degree

De 5,000 a 5,500 grafts

Va Degree

De 5,500 a 6,000 grafts

VI Degree

De 6,000 a 6,500 grafts

precios trasplante madrid

trasplante madrid precio


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.

Follicle unit estimation for a hair transplant

To calculate follicle units, at Instituto Médico del Prado we measure the area (in squared centimeters) of alopecia the patient has. The result is then multiplied by the number of grafts we must place in each area depending on the patient’s characteristics.

This way, quite precise, we get to know the amount of follicle units the patient needs. In the same way, it’s worth noting that complementary to this calculation, we must analyze the donor area to evaluate if we can remove enough follicle units and, therefore, if the transplant is viable.

Average density an individual must have so that alopecia is not noticeable is around 50 grafts/cm2. This amount is going to be different depending on the head area. For example, in the hairline most grafts are one follicle, density must be higher. We also need to consider the kind of hair of the patient, color, width, etc.

Graft estimation for a hair transplant with HNW

We will show you recommendations for before and after the surgical intervention. These are sorted chronologically, and they will help you in all processes of the hair transplant intervention.



How will be the days after the hair transplant lile

Medical recovery from a hair transplant is usually quick. The night of the intervention, pain may appear in the donor area, which usually responds well to the analgesic treatment prescribed by the doctor. The day after the intervention, it is common for an edema to occur on the forehead caused by the “drop” of the local anesthesia from the scalp and that will disappear in 1-2 days. Scabs will appear that will be removed at the clinic following the doctor’s instructions.

From the fourth or fifth day the patient will be able to return to their social and work life.

Care after hair transplant
After the surgery

Important information for foriegn patients

  • · Specialized clinic in foreign patient care.
  • · Accommodation search help.
  • · Natural results.
  • · Bilingual atention (english and spanish)
  • · Adaptability to patient needs.

«The team of the Instituto Médico del Prado is top on giving an exclusive, precise, and customized service for each of our patients. Our goal is to obtain optimal and totally natural results.»


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