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Consultation

Our patients come from throughout all 50 of the United States (our patient from the 50th state, North Dakota, had an eyebrow transplant in mid-2011) and over 60 countries from throughout the world. There is no charge to have a consultation with the surgeon of your choice through the internet by email or by a live webcam.

To get the process started, you can fill out the form below, and send several photos that show similar views to our photo galleries. Your own Patient Advisor will contact you promptly, to provide you with more information as well as to arrange for you to be evaluated by a surgeon. This is all conducted in a confidential and professional manner.

Prospective may also have a live consultation with a Foundation for Hair Restoration surgeon via the internet. Utilizing the latest in web technology, the prospective patient is able to have a live one-on-one consultation with the doctor from the privacy and convenience of his/her computer. Patients can continue to be evaluated in the more traditional method of an in-person visit at one of our offices, or by telephone and email exchanges.

To have a live webcam consultation, click HERE


Our patients come from throughout the US -  in this case, Craig from Hawaii.

Click on photo to enlarge


 
   
How you would like * 
to setup a consultation? 
First Name * 
Last Name * 
Address 
City * 
State * 
Zip Code 
Country * 
Daytime Phone 
Preferred Email Address * 
Referred By 
I want to schedule a 
consultation with 
Privacy is necessary: 
     
Age 
Age at onset of hair loss 
How fast does hair loss 
currently seem to be progressing? 

Medications taken for hair loss (please give dates and effectiveness):
Rogaine (minoxidil) 2% 
Rogaine (minoxidil) 5% 
Minoxidil plus Retin-A 
Propecia (finasteride) 1mg 
Proscar (finasteride) 5mg 
Other 

Check Which Members of Family Have/Had Significant Hair Loss:
 
Other 

Indicate Your Current Hair Condition:
Hairline
Frontal Recession
Frontal Area
Mid Scalp
Crown / Back
Indicate Your Current Hair Condition

Using the following diagrams, Indicate Your Current Hair Loss Pattern
and the Hair Loss Pattern You Believe You May Progress To in the Future :

 Men, please complete this first Hair Loss Pattern Chart.
Women, please complete the one below.

 

Women, please complete the following Hair Loss Pattern Chart. The Men's chart is above.
 

Indicate All the Characteristics of Your Hair:
 
Hair Color
Hair Curl
Hair Thickness
Indicate All the Characteristics of Your Hair:
Past Hair Surgery History (dates, physician/clinic, graft number):
 
Please Describe Your Goals for Hair Restoration:

Virtual Consultation

For patients who are unable to attend an in-office consultation, we provide a virtual consultation at no cost. Simply fill out the virtual consultation form and submit photographs showing your current state of hair loss.

Guidelines for Photographs

Please follow the guidelines listed below when submitting your photographs. This will allow your virtual consultation to be as close as possible to an in-person consultation.

When taking your photographs:

  • Do not use a flash. Instead, take the photographs in a room with bright, natural lighting.
  • Have the photographs taken from a distance of three to five feet.
  • Keep the target in focus and centered in the frame.

When submitting your photographs:

  • Use digital photos or print photos that have been scanned.
  • Use jpg or jpeg file types.
  • Do not exceed 4MB (4,000kb) per photograph. Larger photographs must be resized.
  • If your photographs exceed the size limit, you may resize them by downloading PhotoResize800.exe (Windows only). After download, the PhotoResizer icon will appear on your desktop. You may then drag and drop specific photos or folders containing photos onto the icon. The PhotoResizer will then automatically resize the photos, creating smaller copies of them.

For your virtual consultation, we will require photographs showing the following angles:

  1. The top of the head. A photograph showing the top of your head will provide us with an overall view of your current hair loss, including the degree of current hair loss as well as potential hair loss that may occur in the future.
  2. Side profiles. Photographs showing the left and right sides, or profiles, also demonstrate the extent of hair loss.
  3. The back of the head. Two photographs should be taken of the back of the head, or scalp. One should simply be a photograph of the back of the head. The other should be taken of the back of the scalp while you are pulling up a horizontal strip of hair in the donor area using your hand or a comb. This second photograph will help us to assess the density of donor hair.
  4. Hairline. A photograph of the front hairline will allow use to see how your hairline frames your face. If you have an idea how you would like your hairline to look, you may demonstrate this by drawing your hairline on your scalp.

Photo Guidelines

So that we can provide the most accurate assessment possible, please use the following hair transplant photo guidelines:

  • Submit digital photos or scanned print photos
  • Use bright, natural room lighting. Do not use a flash
  • Shoot from a distance of 3 - 5 feet
  • Ensure that the area you are shooting is in frame and in focus
  • Photos must not exceed 4MB (4,000kb) each. Please resize photos that exceed this limit.
  • Acceptable photo file types are jpg or jpeg.

Provide photos showing the following angles:

Front hairline
We need to be able to understand how your existing or new hairline frames your face. This is imperative for the review process. If possible, take some time to draw your hairline on your scalp to show us where you would like to have it placed. This helps us to understand your desires and expectations from the procedure. 		 
 
The top of your scalp
This gives us an overall view of your hair loss situation. The top view is important as it helps us determine the amount of existing hair loss and possible future hair loss.		  
 
Oblique profile
The profile is very important in assessing the needs of our patients. The profile helps us understand the extent of hair loss. 		 
 
The back of the scalp
If possible, include a photograph with your donor hair pulled up either with your hand or with a comb. This helps us determine your donor density. 		 
 
Which of the Following Would Be Most Helpful to You (Indicate All that Apply):
 
Frontal:
Top:
Side:
Back:

Often, our first email will go to your "spam" or "junk" mail folder. Please ensure you check this folder if you do not receive a reply from us within 24 hours.
 
Issues, Problems & Procedures
Follicular Unit Micrografts (FUM)
High Forehead - Hairline Lowering
Hair Transplant Repair
Scar Reduction
Women's Hair Loss
 
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