Request form - Hair transplantation for women in Turkey

+370 686 78685
info@plaukutransplantacija.com

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Hair transplant for women

Request form

In order to get a quick and direct consultation from our surgeon, please answer the questions below regarding your hair loss.

Is your hair falling out now?

No Yes

When did your hair loss start? (years)

1 2 3 >3

Do you have hair loss in your family?

No Yes

Have you ever had hair transplantation?

No Yes

Do you have any skin disease?

Please specify:

Do you suffer from any chronic illness?

Please specify:

Do you currently use any medication?

Please specify:

Have you had any kind surgery before?

Please specify:

Do you have any allergies?

Please specify:

Do you smoke?

How many and how often

Have you had any of the following diseases before?

Hepatitis B Hepatitis C HIV Syphilis No

We need five photos for your head area as explained in the below illustrations, you can upload it directly from your device or taking the photos using your smart phone camera.
In addition, you can ask someone’s help to take the photos. Please upload photos now.
If you haven't taken photos this year, skip this step. You will need to submit the photos later.

Where would you like to do the surgery:

I don't know Istanbul Antalya Ankara

I know the exact date:

After a week This month After 1-3 months I don't know

Is your hair falling out now?

No Yes

When did your hair loss start? (years)

1 2 3 >3

Do you have hair loss in your family?

No Yes

Have you ever had hair transplantation?

No Yes

Do you have any skin disease?

Please specify:

Do you suffer from any chronic illness?

Please specify:

Do you currently use any medication?

Please specify:

Have you had any kind surgery before?

Please specify:

Do you have any allergies?

Please specify:

Do you smoke?

How many and how often

Have you had any of the following diseases before?

Hepatitis B Hepatitis C HIV Syphilis No

We need five photos for your head area as explained in the below illustrations, you can upload it directly from your device or taking the photos using your smart phone camera.
In addition, you can ask someone’s help to take the photos. Please upload photos now.
If you haven't taken photos this year, skip this step. You will need to submit the photos later.

Where would you like to do the surgery:

I don't know Istanbul Antalya Ankara

I know the exact date:

After a week This month After 1-3 months I don't know

.

Paslaugos

Plauku transplantacija vyrams
Plaukų transplantacija moterims
Antakių transplantacija
Barzdos ir ūsų transplantacija

Service

Hair transplant for men
Hair transplant for women
Eyebrows hair transplant
Beard and mustache transplant

Informacija

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Kontaktai

Contacts

Phone: +370 686 78685
Viber, WhatsApp: +370 686 78685
info@plaukutransplantacija.com
Pievu 8, Pikutiskes, Vilnius district.
Working hours: Mon-Fri: 9am to 6pm

Telefonas: +370 686 78685
Viber, WhatsApp: +370 686 78685
info@plaukutransplantacija.com
Pievų 8, Pikutiškės, Vilniaus r.
Darbo laikas: I-V: 9-18 val.

Rekvizitai

ABK TRAVEL, UAB
Įm. kodas: 301152302
PVM kodas: LT 100003994711
Sąskaita: LT 227044060006171521
SEB bankas, kodas70440
Pievų 8, Pikutiškės, Vilniaus r. LT 14300

Company information

ABK TRAVEL, UAB
Company Code: 301152302
VAT No: LT 100003994711
Account: LT 227044060006171521
SEB bank, code 70440
Pievu 8, Pikutiskes, Vilnius district. LT 14300

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