City Medical Centre · hair transplant clinicOpen 24/7

City Medical Centre

Hair Transplant
in Freetown

0% instalments

from $367/mo

Consultation and quote — $0.

Real case

Hair transplant: photo of a patient before the operation and 12 months later

before

12 months later

FUE method, cuts and stitches excluded. Grafts and the forecast calculated free of charge — before you decide.

Message us on WhatsApp

Free online consultation · Reply within 15 minutes

Find out your price and number of
grafts

Free of charge, no surgery booking required

Message our coordinator

Free online consultation · Reply within 15 minutes

Message us on Telegram

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Hair transplant (hair restoration) in Freetown: price and key facts

Hair transplant for patients from Freetown at City Medical Centre starts at SLE 55,000 (from $2,200). The first online consultation is free; the doctor names the final price and it is fixed in the contract.

Price
SLE 55,000 (from $2,200)
Performed by
Anastasia A. Kolesnik, hair transplant doctor
Anesthesia
local
Stay
one day at the clinic
Final result
12–18 months after surgery
How it works
Send photos on WhatsApp or Telegram, get a free doctor assessment and the price, then confirm the plan and dates before anything is booked.

How it works · Hair transplant prices

Information current as of 5 November 2026

Free online consultation on WhatsApp and Telegram

results

This is how hair looks
8–12 months later

All cases come from real CMC patients.

Scalp hair transplant: photo before and 12 months later, 2800 grafts, FUE method

before

12 months later

2,800 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3500 grafts, FUE method

before

12 months later

3,500 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2600 grafts, FUE method

before

12 months later

2,600 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3000 grafts, FUE method

before

12 months later

3,000 grafts

FUE method

Beard transplant: photo before and 12 months later, 2700 grafts, FUE method

before

12 months later

2,700 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3300 grafts, FUE method

before

12 months later

3,300 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2900 grafts, FUE method

before

12 months later

2,900 grafts

FUE method

Beard transplant: photo before and 12 months later, 2500 grafts, FUE method

before

12 months later

2,500 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3400 grafts, FUE method

before

12 months later

3,400 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2500 grafts, FUE method

before

12 months later

2,500 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3100 grafts, FUE method

before

12 months later

3,100 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3600 grafts, FUE method

before

12 months later

3,600 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 4000 grafts, FUE method

before

12 months later

4,000 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3200 grafts, FUE method

before

12 months later

3,200 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3000 grafts, FUE method

before

12 months later

3,000 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3700 grafts, FUE method

before

12 months later

3,700 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2700 grafts, FUE method

before

12 months later

2,700 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3800 grafts, FUE method

before

12 months later

3,800 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3300 grafts, FUE method

before

12 months later

3,300 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2800 grafts, FUE method

before

12 months later

2,800 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2500 grafts, FUE method

before

12 months later

2,500 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3900 grafts, FUE method

before

12 months later

3,900 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3500 grafts, FUE method

before

12 months later

3,500 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3800 grafts, FUE method

before

12 months later

3,800 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2900 grafts, FUE method

before

12 months later

2,900 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3600 grafts, FUE method

before

12 months later

3,600 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2600 grafts, FUE method

before

12 months later

2,600 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2700 grafts, FUE method

before

12 months later

2,700 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3700 grafts, FUE method

before

12 months later

3,700 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3200 grafts, FUE method

before

12 months later

3,200 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3000 grafts, FUE method

before

12 months later

3,000 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2800 grafts, FUE method

before

12 months later

2,800 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 4000 grafts, FUE method

before

12 months later

4,000 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3400 grafts, FUE method

before

12 months later

3,400 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2900 grafts, FUE method

before

12 months later

2,900 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3100 grafts, FUE method

before

12 months later

3,100 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2600 grafts, FUE method

before

12 months later

2,600 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3300 grafts, FUE method

before

12 months later

3,300 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3900 grafts, FUE method

before

12 months later

3,900 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3500 grafts, FUE method

before

12 months later

3,500 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2700 grafts, FUE method

before

12 months later

2,700 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3800 grafts, FUE method

before

12 months later

3,800 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3200 grafts, FUE method

before

12 months later

3,200 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3000 grafts, FUE method

before

12 months later

3,000 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2800 grafts, FUE method

before

12 months later

2,800 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3100 grafts, FUE method

before

12 months later

3,100 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3600 grafts, FUE method

before

12 months later

3,600 grafts

FUE method

Comparison

Hair transplant methods
FUE and DHI

We perform graft transfer by three technologies: classic FUE, suture-free DHI and a combined protocol. Compare implantation technique, tissue trauma and graft survival to make an informed choice.

FUE

Classic technique without incisions or stitches

Hair transplant with the FUE method
Discount through end of November

$2,200

$2,700

Graft implantation technique

Forceps

Graft trauma

Minimal

A natural angle for hair

Natural

Graft survival

98–100%

Suitable for

Androgenetic alopecia

DHI

No-stitch implantation with a Choi pen

Hair transplant with the DHI method
Discount through end of November

$2,500

$2,900

Graft implantation technique

DHI, a Choi implanter

Graft trauma

Minimal

A natural angle for hair

Natural

Graft survival

98–100%

Suitable for

Densification

Combined DHI/FUE

FUE extraction, DHI pen implantation

Combined DHI and FUE protocol
Discount through end of November

$2,700

$2,900

Graft implantation technique

FUE extraction with DHI implant

Graft trauma

Minimal

A natural angle for hair

Natural

Graft survival

98–100%

Suitable for

Androgenetic alopecia and densification

For each method the survival and trauma figures are averaged and act as a guide: exact numbers depend on the transplant area and the patient's individual features, and the doctor clarifies them at the consultation.

Book a consultation

Expert breakdowns and patient stories about hair transplants

Video about hair transplants at City Medical Centre, clip 1
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Video about hair transplants at City Medical Centre, clip 10
Video about hair transplants at City Medical Centre, clip 11
Video about hair transplants at City Medical Centre, clip 12
Video about hair transplants at City Medical Centre, clip 13
Video about hair transplants at City Medical Centre, clip 14
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Video about hair transplants at City Medical Centre, clip 17
Video about hair transplants at City Medical Centre, clip 18
Video about hair transplants at City Medical Centre, clip 19
Video about hair transplants at City Medical Centre, clip 20
Book a consultation

about the clinic

Clinic, where you
will feel welcome

Comfortable rooms, modern equipment and care for every patient

The City Medical Centre team with a patient after a hair transplant

Contact us in whichever way suits you

We will respond to your questions and set a convenient consultation time

Message us on Telegram Message us on WhatsApp Choose a messenger

A transplant won't suit all

If your case can be solved without surgery, the doctor will say so right at the consultation — and you will not waste your money. Below are the conditions in which a transplant really works.

A man with bald patches at a consultation: a case where a hair transplant helps

Where a transplant helps

  • Androgenetic or diffuse alopecia
  • Bald areas and a receding hairline
  • A high hairline
  • Insufficient hair density
  • Hair growth's genetic features
  • Effects left by an injury or burn
  • Hair loss from illness
  • A hormonal imbalance behind shedding

Not sure which group you are in?

Drop your number: photos in a messenger to the coordinator, then the doctor's answer on whether a transplant helps. Free, no booking.

A doctor looking at a photo of a thinning area on a phone
Find out if it suits me

services

You learn the price
before the surgery

Grafts are counted at the free consultation, then the cost is named and fixed in the contract.

Discount through end of November

FUE method

suture-free graft extraction

Hair transplant with the FUE method — operating room at City Medical Centre

$2,200$2,700

or $367/mo — 0% instalments for 6 months

Lock in the price
Discount through end of November

DHI method

implantation without channels

Hair transplant with the DHI method and a Choi pen — operating room at City Medical Centre

$2,500$2,900

or $417/mo — 0% instalments for 6 months

Lock in the price
Discount through end of November

DHI+FUE combo method

combined technique

Combined DHI and FUE hair transplant — operating room at City Medical Centre

$2,700$2,900

or $450/mo — 0% instalments for 6 months

Lock in the price
Discount through end of November

Other services

Initial consultationFree
Eyebrow transplant, FUE$1,700$1,600
Beard transplant, FUEinstalments $467/mo$3,000$2,800
Hair trichopigmentation$2,000$1,700
PRP therapy / session$200
Lock in the price

all included

What is included
in $2,200

From preparation for surgery to 12 months of follow-up.

Lifelong growth, guaranteed
Instalments available

Extra charges on the day of surgery do not happen.

two more areas

Beard and eyebrow
transplants

A hair transplant is more than the scalp. The same grafts from the back of the head, the same FUE method — only the area changes.

Beard transplant

The FUE method, no incisions used

A surgeon marking the beard line before a transplant at City Medical Centre

The donor area at the back of the head supplies the grafts, placed through micro-punctures of about 1 mm with no scars left. Before the operation the doctor and you discuss the shape, taking your facial features into account. Transplanted hair grows for life, and the beard can be trimmed and styled as usual.

$2,800$3,000

or $467/mo — 0% instalments for 6 months

Lock in the price

Eyebrow transplant

The FUE method, no incisions used

A surgeon marking the eyebrow shape before a transplant at City Medical Centre

The surgeon draws the eyebrow shape at the first consultation: you look through references together and the design takes your facial features into account. Each hair is implanted at the right angle, so the eyebrows look natural. It also helps where hairs stopped growing after years of plucking.

$1,600$1,700

an outpatient procedure under local anaesthesia

Lock in the price

Know your price and number of grafts

The doctor looks at your donor area, counts the grafts and shows what result is achievable in your case. The price is named at the consultation and fixed in the contract.

Operating room at City Medical Centre

Message our coordinator

Free online consultation · Reply within 15 minutes

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Process

A day at the clinic —
and go on home

Comfortable rooms, modern equipment and care for every patient

Initial consultation — hair transplant at City Medical Centre
1

Initial consultation

During this free consultation, patients in Freetown get a clear explanation of the FUE and DHI methods, answers to their questions, and an individual surgery plan.

Booking the surgery date
2

Fixing the surgery date

This step confirms the date through a deposit paid by card at the clinic or online, with the arrangement recorded in a medical services contract.

Preparing for the hair transplant — hair transplant at City Medical Centre
3

Getting ready for hair transplant

This step ensures you're ready for surgery: the clinic supplies a list of required tests and clear instructions for completing them.

Anaesthesia – a painless hair transplant — hair transplant at City Medical Centre
4

Anaesthesia, so the surgery is painless

This step uses local anaesthesia to make sure the operation is completely painless.

Harvesting grafts for the hair transplant — hair transplant at City Medical Centre
5

Collecting grafts for the hair transplant

This step gathers grafts from the back of the head or temples, using a stitchless technique.

Implanting grafts into the area of alopecia — hair transplant at City Medical Centre
6

Placing grafts into the balding area

At this point, the grafts are implanted into the balding area by the surgical team.

Recovery after the transplant procedure — hair transplant at City Medical Centre
7

Recovery after the transplant procedure

This last step is about recovery, and the clinic provides everything needed along with full instructions.

Healing after a hair transplant, 0-10 days
8

0-10 days — Healing

The crusts come off and the swelling goes down as the area recovers

Shedding of the transplanted hairs after a hair transplant, 2-4 weeks
9

2-4 weeks — Shedding of hair from grafts

A normal stage: only the hairs fall out, the follicles stay in place

Growth begins after a hair transplant, 3-4 months
10

3-4 months — Growth begins

New hairs show gradually, the result begins to show

Visible density after a hair transplant, 6-9 months
11

6-9 months — Density shows

The hair becomes thicker and shows the main volume and contour

Final result after a hair transplant, 12-18 months
12

12-18 months — Final result

The final density and a natural hairline take shape

Your personal graft count is calculated at the consultation, and the doctor explains how the transplant will go

A doctor's appointment at City Medical Centre

Free, before surgery, with no obligations at all.

Book a consultation

doctors

Specialists

Kristina A. Tropina, assistant

Kristina A. Tropina

Assistant

9 years of experience

At the consultation your questions go to the operating doctor.

The doctor will see your donor area, count the grafts and say what result is achievable.

Book a consultation

coordinators

Clinic coordinators

A personal coordinator accompanies you from your first enquiry through to recovery.

Svetlana, patient care specialist

Svetlana

Patient care specialist

Will see you through before and after surgery

Will help with paperwork and visits

Ekaterina, patient care specialist

Ekaterina

Patient care specialist

Will see you through before and after surgery

Will help with paperwork and visits

Maria, patient care specialist

Maria

Patient care specialist

Will see you through before and after surgery

Will help with paperwork and visits

Yulia, patient care specialist

Yulia

Patient care specialist

Will see you through before and after surgery

Will help with paperwork and visits

How it actually
happens

How a hair transplant goes, clip 1
How a hair transplant goes, clip 2
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story

Want that too — start with a free consultation

We will respond to your questions and set a convenient consultation time

Message us on Telegram Message us on WhatsApp Choose a messenger

Reviews

Patient reviews

  • ★★★★★
    Sang Tran
    I was having trouble with my hair. I came here and got a hair transplant. The results was awesome thank you

    Review on Google

  • ★★★★★
    Илья Вячеславович
    І experienced hair loss due to COVID and turned to this clinic; they helped me and performed a hair transplant, moving hair from the back of my head to my temples. Thank you.

    Review on Google

  • ★★★★★
    ilya svyatoslavovich
    I traveled to City Medical Centre, where they helped me overcome hair loss through a transplant to the balding areas of my scalp. I am grateful to the doctors for performing the procedure painlessly.

    Review on Google

  • ★★★★★
    Мансур Касанбаев
    I am sharing my experience, because before the operation I went through a pile of reviews myself and was looking for real stories. I had a beard transplant six months ago. Honestly, in the first days after the procedure I felt a little jittery: my face looked unfamiliar, there was slight swelling and small scabs. In the first couple of months the hair partly fell out, as the doctor had warned. But now the result truly makes me very happy) From about the 4th month active, even growth began. The transplanted hair took very well, the beard now looks as natural as possible, no bald patches are left. The beard became much thicker and denser, with the shape I had thought about for a long time. All in all, I recommend the clinic, the doctor was polite and explained everything 👍 The result is definitely worth it!

    Review on Google

  • ★★★★★
    Dinh Nguyen
    I traveled to this clinic and do hair transplant, very good quality and cheap. Good doctors

    Review on Google

  • ★★★★★
    Hải Cao
    I do hair transplant here very good doctors!!

    Review on Google

Frequent questions

Here is what people
ask before booking

People often say hair implants, but no artificial hair is used. In a hair transplant the doctor moves your own follicles (grafts) from the donor area to thinning or bald areas using FUE or DHI.

City Medical Centre doctors

Yes. City Medical Centre accepts patients from other cities and countries, and an online consultation is available before you decide.

FUE costs $2,200 (≈ SLE 55,000), DHI costs $2,500 (≈ SLE 62,000), and the combined DHI+FUE method costs $2,700 (≈ SLE 67,000). The exact amount is confirmed at a free consultation after your grafts are counted, and it is fixed in the contract.

The whole operation is completed in one day, with no overnight stay needed.

It helps with stable pattern hair loss and a receding hairline when there are enough donor grafts. Some types of alopecia need treatment first; the doctor checks this at the consultation.

No pain during the procedure, thanks to local anaesthesia.

FUE means tweezer-based, incision-free graft harvesting. DHI means channel-free implantation with a Choi pen. Combined DHI+FUE uses FUE for harvesting and the DHI pen for implanting.

The number of grafts is assessed for free by the doctor, based on how much donor hair you have.

Healing runs 0–10 days, followed by normal hair shedding at 2–4 weeks. Growth kicks in at 3–4 months, thickens by 6–9 months, and reaches its final result at 12–18 months.

You get a lifetime hair growth guarantee, written into the contract.

It can all be checked
before you pay

The clinic runs on a medical licence, care follows the standards and clinical guidelines

of the Ministry of Health.

Diploma of a City Medical Centre doctor
Certificate of a City Medical Centre doctor

Diplomas and certificates of the doctors in the theatre

View the documents

AKC POMOSHCH LLC

the clinic's legal name

1057746096924

OGRN

7728536872

INN

What the procedure means for someone in Freetown

Living in Freetown changes nothing in the surgery itself: FUE and DHI are done without cuts and without stitches, under local anaesthesia, in a single day. Graft survival is 98-100 %, and a price from $2,200 (≈ SLE 55,000) is fixed in the contract after a free graft count.

Nothing has to be arranged in advance to start in Freetown. The online consultation is free: the doctor studies photos of the thinning area and counts the grafts needed. The clinic is in touch 24/7, so you write when it suits you.

Healing needs 0-10 days; the transplanted hairs shed at 2-4 weeks and the follicles stay in place; growth starts at 3-4 months, density builds by 6-9 and the final result comes at 12-18. A personal coordinator keeps photo control at 1, 3, 6, 9 and 12 months under a lifetime growth guarantee.

Hair Transplant in Freetown: price and what is included

Prices are in US dollars; the amount in brackets is an approximate conversion to SLE at the rate of 02.10.2026. The final price is fixed in your contract.

By messaging us, you agree to our Privacy Policy

Stories of Well-Known People

Public accounts from well-known people about the operation: hair transplant.

Written by Anastasia A. Kolesnik, plastic surgeon, hair transplant doctor

Medically reviewed by Ellina V. Goncharova, dermatovenereologist, trichologist, surgeon. Review date:

Sources and further reading

  1. NHS — Hair transplant
  2. American Academy of Dermatology — Hair loss: hair transplants
  3. International Society of Hair Restoration Surgery (ISHRS) — Treatments for hair loss
  4. PubMed / NCBI — Follicular Unit Extraction for Hair Transplantation: An Update (Actas Dermosifiliogr, 2017)
  5. PubMed / NCBI — Donor site healing in follicular unit extraction hair transplantation (Cell Mol Biol, 2025)

How we prepare and review medical content · Medical disclaimer

Registration of doctors in Sierra Leone: what the WHO database lists

Freetown is the capital of Sierra Leone, where English is the official language, and the 2024 census put the capital city and municipality at 1,347,559 residents. It was founded on 11 March 1792. For somebody in that city thinking about a transplant, the first practical question is who is allowed to treat patients and how that is recorded.

The WHO database of health legislation lists the Medical Practitioners, Dentists and Druggists Ordinance of 1908. It provides for the registration of medical practitioners and dentists and for the licensing of druggists. A patient does not need to read the ordinance, but the entry shows that registration of doctors is a recognised matter, so asking for registration details is a normal request, not an insult to a clinic.

Request the surgeon's complete name and field of practice, and look through the doctors' diplomas and certificates before any money changes hands. Ask to see the clinic's medical licence as well. The clinic states that whoever advises you at the consultation also operates, so the name you receive early is the one worth checking.

Write the answers down with the date. If an answer is vague, put the same question again in a message and wait for a written reply; a clinic that is sure of its credentials will be glad to send them.

Because the first weeks of contact happen in messages, copy the doctor's name, the legal name of the organisation and the licence number exactly as they arrive, and keep them in a single note. If the same name is spelt two ways in two documents, ask which is correct. Questions of this kind take a minute to send and save a long correction later.

A paper trail for a result that takes 12 to 18 months to judge

A transplant shows its final result a long time after surgery, so what you can compare on the day is not the hair but the paperwork. Message the coordinator, who answers in WhatsApp and Telegram at any hour, usually within 15 minutes, and request six papers: the licence, the name of the legal entity giving care, what each doctor has qualified in, the contract itself, a statement of what the agreed sum covers, and the dates of the follow-up checks.

When the replies arrive, read them for gaps. Does the contract name the technique? Does it say who counts the grafts and when? The doctor makes that count after examining the donor zone, and the agreed sum stays as written on the day of surgery. Then match the list of inclusions with what you were told in conversation, line by line.

The clinic holds a date once a deposit is paid, by card or online, and it records the conditions in the contract. Do not pay until the licence, the doctor's name and the inclusions are on paper and you have read them.

Make a habit of replying to every document with a single line: received, read, and questions follow. It keeps the exchange orderly and gives you a dated trail. If the clinic takes a day to answer a question about the licence, note that too; you are learning how it handles questions of substance.

FUE, DHI or the combined protocol: how the choice gets made

Three methods are on offer: FUE with forceps, DHI with a Choi pen, and a combined protocol that harvests by FUE and places by DHI. The doctor sets out survival figures, which are averages for guidance, at the consultation, and all three are done in a single day under local anaesthesia.

Put three questions on your list. What is the reason for choosing this technique over the others? How will the count be made, and where will it be recorded? What would change your recommendation? Keep the doctor's answer in one sentence you can read again in a year.

To compare two offers, put them in a grid with four rows: technique, graft number established by a doctor, area covered and operating surgeon. An empty cell shows what to ask next, and an offer without a technique or a count is only a conversation.

The same donor area serves a beard, where grafts pass through tiny punctures near 1 mm and leave no scars, and eyebrows, where the surgeon starts by drawing the brow and goes through reference photographs with you.

Pictures, honesty and the possibility of no

Suitability is judged first from pictures. A coordinator receives photographs of the thinning zones, a doctor studies them, and the reply costs nothing and books nothing. Shoot in natural light with dry hair: the front, each temple, the crown, the back of the head, and a single close, sharp view of the donor zone. If you own an older picture from when your hair was fuller, include that too.

Not everyone hears yes, and the clinic lists the cases openly: a high frontal line, thin donor hair, hair loss after illness or hormonal imbalance, damage from a burn or injury, inherited growth traits and patchy alopecia.

Tell the doctor about any contraindication in your first message, not at the last minute; the list is read out at the consultation.

Add a few lines of your own history: the year the loss began, its pace, relatives with the same pattern, and any treatments tried. If the doctor advises against surgery, that saves you money, which is exactly why the free review exists.

Questions to write down before the first consultation

A consultation moves faster when you arrive with a list. Write down why you want the transplant and what a good result would look like for you in one sentence. Then list the practical items: who will operate, how many grafts the doctor thinks you need and why, what the follow-up looks like, and who answers when something worries you between check-ups.

The opening consultation costs nothing, takes place online and binds you to nothing. A coordinator calls you back, a doctor reviews your photographs, and the figure is named only after the graft count and fixed in the contract. If you decide to go on, a deposit and a signed contract hold the date.

You may feel more comfortable asking a trusted relative to read the contract with you. Take your time over it, and send the coordinator any line that is unclear.

Prepare to be asked about your medical history, and keep a list of your medicines. If you take anything regularly, write the name and the dose so that you can answer without guessing.

Give the decision a cooling-off period of your own. After the free consultation, wait a day or two before replying with a date. Reread your question list and the notes you made. A clinic that respects the pause is behaving as it should.

If anything in the paperwork disagrees with what you heard, resolve it first. Disagreements are common and usually innocent: a word left out, a figure noted down wrongly. The remedy is also simple, a corrected document sent by the coordinator.

Number your questions before the first call, and ask the coordinator to answer under the same numbers. A numbered reply is simple to check against the contract, and anything missing is visible at a glance. Two or three short messages in this form tell you more about the clinic than one long conversation.

Is there a legal basis for registering doctors in Sierra Leone?

Yes. The WHO legislation database lists a Medical Practitioners, Dentists and Druggists Ordinance of 1908 that provides for the registration of medical practitioners and dentists. For the clinic's surgeon, compare the name and specialisation with the diplomas and certificates the clinic shows before you pay.

Can the same donor area be used for a beard or eyebrows?

Yes. For a beard, grafts from the back of the head move through micro-punctures of about 1 mm and leave no scars. For eyebrows the surgeon draws the brow line first and reviews reference photographs with you.

Which pictures does a coordinator ask for?

Pictures of every area where hair has thinned, ideally in daylight. A doctor reviews them and says if a transplant would help; at the consultation the donor zone is inspected and the grafts are counted.

What should I ask to see before paying a deposit?

The clinic's medical licence, the doctors' diplomas and certificates, the services contract and the inclusions list that runs to the 12-month follow-up.

How can I keep my own record of the process?

Photograph the scalp in the same light and from the same angles before surgery and at every check-up, and send the pictures to your coordinator together with your question.

Is it sensible to ask a relative to read the contract with me?

Yes. A second reader often notices a missing line, and the coordinator will answer any question you send in writing.