Step 1 of 5
Let’s start with a few basic details so we can prepare your personalized Hair Restoration Blueprint.
Full Name
Email Address
Age
WhatsApp Number
Country
Back
Continue
Step 2 of 5
Help us understand your hair loss and relevant history so experienced reviewers can prepare a more useful assessment.
When did you first notice hair loss?
Less than 1 year
1–3 years
3–5 years
More than 5 years
Is your hair loss still progressing?
Yes
No
I’m not sure
Which area concerns you the most?
Hairline
Crown
Overall thinning
Diffuse thinning
Temples
Have you had a previous hair transplant?
Are you currently using any treatments?
Finasteride
Minoxidil
Dutasteride
PRP
Supplements
None of the above
Do you have any medical conditions or take any medications?
Approximately 3 minutes remaining
Step 3 of 5
Help us understand your priorities so reviewers can prepare a more personalized Hair Restoration Blueprint for you.
Why are you considering a hair transplant?
Restore my confidence
Improve my appearance
Prevent further hair loss
Look younger
Other
What is your biggest expectation?
Natural-looking result
Maximum density
Long-lasting results
Fast recovery
What concerns you the most?
An unnatural hairline
Low density
Donor area damage
Visible scars
Spending money without getting good results
What is most important to you?
Natural hairline
1
2
3
4
5
High density
Donor preservation
Long-term planning
Budget
Step 4 of 5
Tell us about any clinics you’ve spoken with so we can provide an independent second opinion.
Have you already consulted any hair transplant clinics?
No, not yet
Yes, one clinic
Yes, multiple clinics
Have you already received a treatment recommendation?
How many grafts were recommended?
Which technique was recommended?
FUE
Sapphire FUE
DHI
Do you already have a planned surgery date?
Clinic name (Optional)
Is there anything else you’d like us to know?
Step 5 of 5
Great — you’re almost done. Upload clear photos so experienced reviewers can prepare your personalized Hair Restoration Blueprint.
Front angle
Front View
Look straight at the camera.
Drag & drop photo
Upload photo
JPG, PNG, HEIC · Max 15 MB
Top angle
Top View
Show the top of your scalp.
Left profile
Left Side
Show the entire left profile.
Right profile
Right Side
Show the entire right profile.
Crown angle
Take a photo of the crown from above.
Back angle
Donor Area
Show the back of your head clearly.
Photo Tips
• Use natural daylight.
• Keep your hair dry.
• Remove hats or hair products.
• Make sure your entire scalp is visible.
• Avoid blurry photos.
Read the full Photo Guide before uploading your images.
Your photos are encrypted, reviewed only by the assessment team, and never shared with third parties.
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