What the consultation actually is
A clinical assessment that happens before a price exists — which is the opposite of how most of this industry works.
In most medical travel the sequence is: you enquire, a salesperson sends a price within minutes, and a clinician sees you for the first time on the morning of surgery. We run it the other way round. A surgeon or dentist reviews your photographs and history first, decides whether the procedure is appropriate, and only then does a quote get written.
What that changes
- The plan is based on your anatomy rather than on what you asked for by name.
- You are sometimes told a different procedure is the right one, or that none is.
- The quote reflects what you actually need — graft count, implant type, number of units — rather than a headline figure that rises later.
- A refusal on clinical grounds is final. It cannot be overridden by anyone on the commercial side, including by you insisting.
What it costs
Nothing. There is no charge for the assessment, no charge for the video consultation with the clinician, and no deposit required before any of it. We do not hold the assessment back until you pay, and we do not charge a fee "redeemable against treatment".
What to send, and how
Better information gets you a better answer. Poor photographs get you "we need better photographs", which wastes a day.
Photographs
- Daylight, near a window. No flash, no ring light, no overhead lamp casting shadows.
- No filters and no beauty mode — most phones smooth skin by default and it hides exactly what the clinician needs to see.
- Plain background, phone held steady at the same distance for each shot.
- For hair: front, both sides, back and crown, with hair dry and unstyled, plus one with it wet so density is visible.
- For face: front, both profiles, both three-quarter views, relaxed expression, hair back from the face.
- For body: front, back and both sides, standing relaxed rather than held in, in close-fitting underwear.
- For teeth: a natural smile, a wide smile showing the gums, and the upper and lower arches from above and below.
Medical information
- Conditions you have, including ones you consider controlled or irrelevant.
- All medication and supplements, with doses. Blood thinners, retinoids, finasteride and GLP-1 medication all matter.
- Previous surgery, particularly in the same area, and any complication however minor.
- Allergies, including to anaesthetic, antibiotics and latex.
- Smoking, vaping and nicotine replacement — honestly. This changes surgical planning more than most people expect.
- Height and weight, and any significant change in the last year.
- For hair: when the loss started, how fast, any family pattern, and any previous transplant.
What you want
In your own words, not in procedure names. "I do not want to look tired in photographs" tells a surgeon more than "I want a facelift". Reference photographs are useful too — they show what you are actually asking for, even though they cannot transfer someone else’s anatomy onto yours.
How it works, step by step
Five stages. Nothing is owed by you at any of them.
- You send the photographs and medical information, by form, email or WhatsApp. If you would rather not use WhatsApp, ask for a secure upload link.
- A coordinator checks it is complete and comes back the same working day if something important is missing.
- A clinician reviews it — the surgeon or dentist who would treat you, not a generic reviewer. Complex cases go to the medical board, which takes longer and is worth the wait.
- You receive a written clinical opinion: whether the procedure is appropriate, what would actually be done, what result is realistic and what the risks are for you specifically.
- If it is appropriate and you want to continue, a video consultation with that clinician is arranged, and a written fixed quote follows. You decide in your own time.
How long it takes
| Stage | Usually |
|---|---|
| First reply confirming receipt | Same working day |
| Clinical opinion, straightforward case | 24–48 hours |
| Clinical opinion, revision or complex history | 3–5 working days |
| Video consultation arranged | Within a week of asking |
| Written quote after the video consultation | 1–2 working days |
What happens after that
Nothing, unless you want it to. We will answer questions for as long as you have them. We do not run follow-up sequences, we do not send discounts that expire, and we do not call you to ask whether you have thought any more about it. If you want to think for a year, that is a sensible thing to do about surgery.
What you get back
A document you can take to your own doctor, which is a reasonable test of whether it is worth anything.
- Whether the procedure you asked about is appropriate for you — and if not, why, and what would be.
- What would actually be done: technique, graft numbers, implant type and size range, number of units, or the surgical plan.
- A realistic description of the outcome, including what will not change.
- The risks that apply to you specifically, given your history, rather than a generic list.
- The stay length your case needs, which is a clinical figure and not a package option.
- Anything to do first — stopping smoking, controlling blood pressure, losing or stabilising weight, dental hygiene treatment before cosmetic work.
- The named clinician who would treat you, with their registration number so you can verify it.
- A fixed written price, if you ask for one, valid for 30 days.
If we decline your case
You are told why, specifically, and what would change the answer if anything would. A decline is not a negotiating position and no one on the commercial side can overturn it. Common reasons: active hair loss that should be treated medically before any transplant; BMI outside the safe range; smoking before body surgery; an expectation the procedure cannot meet; a treatable condition causing the problem; or a decision that does not appear to be the patient’s own.
Questions worth asking us — and everyone else
Ask these of every provider you are considering. The differences between the answers will decide it for you.
- Who exactly will perform my procedure, and what is their registration number?
- Will that person do the parts that determine the result, or will technicians?
- Which facility, what is its licence, and is there intensive care on site?
- Is a consultant anaesthetist present throughout, or supervising from elsewhere?
- Has a clinician reviewed my case before you gave me this price?
- What exactly does the price include, and what are the named exclusions?
- How long do I need to stay, and what is that figure based on?
- What is your complications policy, in writing, before I pay?
- What aftercare is included, on what schedule, and for how long?
- How are you paid — by me, or by the clinic?
That last one is the most clarifying question in this sector and almost nobody asks it. An intermediary paid by the clinic is advising you with a conflict, however good their intentions. Our answer is on the partnerships page: we are paid by the patient, and our margin is the same whichever surgeon a case goes to.
Answers that should worry you
- A firm price before anyone clinical has looked at your photographs.
- A discount that expires, or a price that drops when you hesitate.
- Refusal to name the surgeon or the facility before payment.
- A stay length noticeably shorter than everyone else quotes.
- A guaranteed result, or a complication rate of zero.
- Payment by cryptocurrency, gift card or to a personal account.
- "Technicians do that everywhere" offered as an answer rather than an explanation.
Consultation: frequently asked questions
Yes — the clinical assessment and the video consultation with the clinician, both at no charge and with no deposit. We do not hold the assessment back until you pay, and there is no fee "redeemable against treatment".
The surgeon or dentist who would actually treat you, not a generic reviewer. Complex cases go to the medical board, which takes a few days longer and is worth the wait.
Same working day to confirm receipt, 24–48 hours for a clinical opinion on a straightforward case, 3–5 working days for a revision or a complex history.
We will tell you what to retake, which costs a day. Daylight, no flash, no filters and no beauty mode — phones smooth skin by default and it hides exactly what the clinician needs to see.
Yes. A video consultation with the clinician who would treat you is arranged before any payment, and you can ask them anything you like.
No. We answer questions for as long as you have them, and we do not run follow-up sequences or send discounts that expire. If you want to think about it for a year, that is a sensible thing to do about surgery.
You are told why, specifically, and what would change the answer if anything would. A clinical refusal is final and nobody on the commercial side can overturn it — including us, if you insist.
Active hair loss that should be treated medically first, BMI outside the safe range, smoking before body surgery, an expectation the procedure cannot meet, a treatable condition causing the problem, or a decision that does not appear to be the patient’s own.
No. Ask for a secure upload link and we will send one. WhatsApp is convenient but the messages sit on your device and ours, and some people would rather they did not.
Please do. Take our written assessment to another provider or your own doctor. We would rather be checked than believed, and if someone disagrees with us we would like to know why.
Access is restricted by role and logged, photographs are never used in marketing without separate written consent, and nothing is sold. If your enquiry goes nowhere, photographs are deleted after six months, or immediately if you ask.
Then do not. A consultation commits you to nothing, and plenty of people come back a year later. The decision getting harder rather than easier as you learn more is usually a sign the process is working.