Online diagnosis

If your are thinking in a hair transplant, now is your moment. Fill this form and Dr. Espinosa Custodio will review your case and will offer a diagnosis for you features.

Name and surname *
Email *
Phone *
Age *

Sex
MaleFemale

How did you know about us?
Family and friendsInternetSocial NetworkOthers

Do you have history of baldness in the family?
NoFatherMotherUncles/AuntsGrandparents

Do you use some of this medecine?
FinasterideFinastopicMinoxidil

Which zone do you want to recovery?
Fronthair entrancesMiddle zoneVertexEyebrowsBeardScars

Query:


Please, we need some photos like we show you below:

We need photos like that.

The photos shouldn't be too heavy to be sent. We recommend to take it with an smartphone in order to reduce his weight.

I have read and accept the privacy policy *

BASIC INFORMATION ABOUT DATA PROTECTION OF CAPILLAR MEDICINE BY DR. ESPINOSA CUSTODIO

Responsible: HIRAM ABIF ESPINOSA CUSTODIO. Purposes: Respond to your requests and send commercial information of our services. Legitimation: Consent of the interested party. Recipient: The transfer of data to third parties is not provided, except legal obligation. Rights: You can withdraw your consent at any time, as well as access, rectify, delete your data and other rights at info@drespinosacustodio.com. Additional Information: You can expand the information in the following link: Privacy policy.