Hairmed, Online hair transplant consultation request form

HAIRLOSS NEWS

FUE cost is now lower in Istanbul [19.04.11]

thanks to the experience over the years, our surgeons are nos capable of extracting more garfts by FUE per operation day than ever before. The cost of FUE is primarily due to the time needed to perform the operation. Since we are now faster, we can offer the same quality FUE for a lower price. See our prices.
Minoxidil.com no longuer selling online[06.04.11]

Dr Lee's webiste minoxidil.com is now no longuer selling online after a FDA decision. According to Dr Lee, they will discontinue their activity after this event. Minoxidil.com was offering patients higher dosage minoxidil than the dosage of 5% and 2% found on the market.
Dr Emorane Lupanzula will offer consultation in Paris and London october 2/3 [15.09.10]

Dr Lupanzula practices FUT, FUE and BHT in his bruxelles clinic. Contact us to meet him in person in London or Paris as well as seing real operated past patients

Follow a FUE patient from beggining to end

follow a FUE case updated month after month.

We recommend: <HairDx TEst>

The HairDx Genetic test for Androgenic Alopecia & Finasteride response

F.U.E. /.F.I.T.
Follicular Unit Extraction
The scarless technique

your contact details:
Name		*
Surname
Email		*
Cellphone		*
Phone
City
Country
Gender		male female

Your hair situation
Age		*
Your hairloss began at age:		*

If you had previous hair surgery, write your first surgery details here(date, technique, and graft number if you have the data)
Same if you had a second hair surgery

Present hairloss status		*

Please select on the norwood/ludwig scale the hair situation you fell is closest to your present status		*

Nature of your hair:
Thickness of your hair
If using a hair treatment please select the one you are using		none minoxidil 2% minoxidil 5% finasteride 1mg (propecia) finasteride 5mg(proscar) dutasteride(avodart) saw palmetto mesotherapie

Surgery preferences
If you are considering hair transplant, which procedure are you most interrested in?

You are specifically looking for (select at least one):		informations on medical treatments informations on surgical treatment (hair transplant) invoice for hair transplant

You are specifically interrested in our clinic of

We can provide you with these options, please select the ones you would like		photo&email estimation webcam consultation phonemeeting direct office consultation in Paris, London or Abu Dabhi
You prefer that we reply to you using:

Which one of these options you feel would help you better understand hair transplant:		meet a patient talk to a patient see a surgery in-depth consultation

Describe your goals here		*
You have heard from us through:

Enter a pictures facing forward		(2 Mo maximum)
Enter a picture of the top of your skull		(2 Mo maximum)
Enter a picture from the sides		(2 Mo maximum)
Enter a picture of you donor area		(2 Mo maximum)