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TYKOCINSKI MEDICAL GROUP

Tykocinski medical group   talk to us

São Paulo - SP
Phone (55) 11 3889-7356 Januário
Miráglia Street, Nº. 181 – Nova Vila Conceição – zip code 04507-020

Rio de Janeiro
Phone (55) 21 3521-6852
Visconde de Pirajá Street, Nº. 407/906 - Ipanema – Zip Code 22.410-003

Brasilia
Phone (55) 61 3717-1152

Minas Gerais
Phone (55) 31 3231-5735

Chicago (U.S.A.)
Phone 1 815 315-0386
Name
City:
Age:
years
Sex:
male female
Hair Color:
Size:
Your e-mail (personal):
Your e-mail (comercial):
For:
Telephone contact during the day:
Telephone contact during the night:
Subject:
Message:
Attach:


To attach Pics (detailed ones) - We highly recommend that you attach pictures of your case of baldness so we can make a correct evaluation: front, top, laterals and posterior region. Please send JPG 2M pics, taken with natural day light, selecting, preferably the function "close-up" in your camera.

attach

Indicate your degree of baldness (for men):

Norwood I Norwood I   Norwood IV Norwood IV
     
Norwood II Norwood II   Norwood IV-A Norwood IV-A
     
Norwood II-A Norwood II-A   Norwood V Norwood V
     
Norwood III Norwood III   Norwood V-A Norwood V-A
     
Norwood III-A Norwood III-A   Norwood VI Norwood VI
     
Norwood III-vertex Norwood III-vertex   Norwood VII Norwood VII

 

Indicate your degree of baldness (for women):

Ludwig - degree I
Ludwig - degree II
Ludwig - degree III
Ludwig - degree I
Ludwig - degree II
Ludwig - degree IIII

 

You are more interested in information on:
Hair Handling
Hair Restoration (Hair Transplant)


Wich Region do you like to treat?
Frontal Region (tuft and inputs)
Vertex (crown)


Have you ever been to a doctor to treat hair fall?
No
Yes

If yes. Have got a diagnosis? Androgenic Alopecia Others:
         
If yes. Treatment with: Finasterida Minoxidil Others:



Have you ever gone through a Hair restoration surgery?
No
Yes

When? (4pproximately)
What was the technique used?


Do you want to receive information on hair?
Newsletter (bimonthly)
Only 0ccasional and excellent information on techniques and hair care
No


To what email address?
Comercial
Personal
Localization

Januário Miráglia Street, Nº. 181 - Vila Nova Conceição
ZIP: 04507-020   São Paulo - SP - Brasil

Assistance: 55 11 3889 7356
Skype Meâ„¢! Assistance by Skype

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