Free 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 characteristics by email. However, to know an exact evaluation, you should have a face-to-face consultation ( cost 70 euros) or a video-call one (50 euros).

Name and surname *
Email *
Phone *
Country *
Age *
¿What time do you prefer to call you? *Morning (11 a 14h)Midday (14 a 17h)Evening (17 a 20h)

SexMaleFemale

How did you know about us?FamilyInternetSocial NetworkMediaOthers

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

Do you use some of this medecine?FinasterideFinastopicMinoxidil

What service do you need?Hair transplantHair treatment (PRP/PRF or mesotherapy)

Which zone do you want to recovery?Fronthair entrancesMiddle zoneVertexEyebrowsBeardScars

Where would you like to perform the possible hair transplant?Madrid (Spain)Ciudad de México (México)

Query:

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

Attach them in a mail to info@drespinosacustodio.com

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.

«The professional team of Dr. Espinosa Custodio are specialized in offering an exclusive, honest, high-precision and personalized service to the situation of each patient in order to obtain optimal and totally natural results.»