Dr. Espinosa Custodio
Medical Director·Instituto Médico del Prado (Dr. Espinosa Custodio clinic)
Spain
Background
Hiram Abif Espinosa Custodio is Medical Director of Instituto Médico del Prado, with clinics near the Prado Museum in Madrid and in Mexico City's Colonia Anzures 1. The clinic says it was founded to provide "a global, high-quality response" to patients' needs, and surgery takes place in its own operating room 1. Its team page also lists three other doctors 1. In Madrid, Dr. Gallardo Madrid handles in-person clinical assessments and follow-up under what the clinic calls Dr. Espinosa Custodio's own methodology 2.
Procedures and techniques
The clinic states Dr. Espinosa Custodio personally leads each transplant, applying FUE and DHI techniques 2. It states that both extraction and implantation are performed by him, and that he typically treats two transplant patients a week 3. Diagnosis uses digital dermoscopy (HairMetrix by Canfield) in person; online consultations instead rely on photographs and a video call, with the scan deferred to a later visit 3. The clinic frames surgery as a last resort, saying it will not recommend a transplant if hair loss can be stabilised medically 2. It also lists non-shaving (UFUE), beard and eyebrow transplants, surgical repair, and non-surgical options such as PRP, mesotherapy and hair exosomes 3.
Pricing
Madrid pricing runs per follicular unit: €3 shaved, €3.50 semi-shaved or a repeat transplant, and €5 for UFUE work (long hair, scars, eyebrows or beard), with a €4,000 minimum (€5,000 if repeat), VAT included 3. The clinic says this price is all-inclusive, covering pre- and post-op needs and follow-up treatment 1. A diagnostic consultation costs €100 (free if submitted as an online form), and is non-refundable once booked 3. Mexico City prices separately in pesos, from 65 MXN per follicular unit, 85,000 MXN minimum 4. Interest-free financing via ABANCA is available in Spain 1.
Booking and aftercare
Credentials and memberships
The clinic states Dr. Espinosa Custodio holds a degree in Medicine and Surgery from the Universidad Juárez Autónoma de Tabasco, Mexico, validated in Spain, and is registered as a Specialist in Family and Community Medicine through the Ministry of Health of the Principality of Asturias 1. It also states he is a member of the Medical College of Madrid, the ISHRS, and the Spanish societies SEME, SEMFYC, FUE-Europe, SERECAP and SEMERETEC 1.
Sources
Facts on this page were compiled from these pages, checked July 2026. Archived copies are kept for every citation.
What patients say on reddit
33 people shared their experience with Dr. Espinosa Custodio across 41 reddit threads between 2021 and 2026. Every graft count, price and verdict is linked to the original thread.
- female 1,378 grafts surgery 2023
- Generally good experience source ↗
- Insecurity about hairline gone source ↗
- Great choice to round corners source ↗
- Transplanted area remains less dense source ↗
- Heavy rashes from oral minoxidil source ↗
DHI1378, a female patient, had a 1,378-graft FUE+DHI procedure with Dr. Espinosa Custodio in 2023 and paid €4,134 for the procedure, excluding travel and additional items. At her latest 15-month update, she said rounding the corners was “a great choice,” though the transplanted area remained less dense than her original hair. Her updates moved from thin early growth to more visible, thicker hair; she said her hairline insecurity was gone. She discontinued doctor-prescribed oral minoxidil after heavy rashes.
8 threads they wrote in
- Feb 2025 1 year 3 months last update. Female Hair Transplant FUE+DHI 1378 grafts. Dr. Espinosa Custodio (Spain) ↗
- Sept 2024 10 months update Female Hair Transplant (vs 1 week). FUE+DHI 1378 grafts. Dr. Espinosa Custodio (Spain) ↗
- Jul 2024 8 month update Female Hair Transplant (wet hair + pulled back). FUE+DHI 1378 grafts. Dr. Espinosa Custodio (Spain) ↗
- Jul 2024 Experience with Dr. Espinosa Custodio? ↗
- Jun 2024 6 month 4 weeks update Female Hair Transplant (Top photos 1 month). FUE+DHI 1378 grafts. Dr. Espinosa Custodio (Spain) ↗
- May 2024 Almost 6 month update Female Hair Transplant. FUE+DHI 1378 grafts. Dr. Espinosa Custodio (Instituto Medico del Prado, Madrid, Spain). ↗
- Feb 2024 3 month update Female Hair Transplant. FUE+DHI 1378 grafts. Dr. Espinosa Custodio (Instituto Medico del Prado, Madrid, Spain). ↗
- Nov 2023 Day 13 Female Hair Transplant. FUE+DHI 1378 grafts. Light and fine hair. Dr. Espinosa Custodio (Instituto Medico del Prado, Madrid, Spain). Also attached directly post op, donor and design ↗
- 2,917 grafts surgery 2025
- Good first-procedure experience source ↗
- Results are a failure source ↗
- No interest in another procedure there source ↗
The user reported a 2,917-FU procedure with Dr. Custodio in Mexico City in 2025, costing a little over $10,000. They initially described it as a good first-procedure experience. At approximately eight months post-op, they said the results were a failure; the clinic offered a free touchup but declined a financial refund, and the user did not want another procedure there.
2 threads they wrote in
- 1,300 grafts
LegoMyEggo808 reported a 1,300-graft FUE procedure with Dr. Espinosa Custodio in a 12-month update; no surgery date or price was stated. They characterized the transplant as failed and said Espinosa Custodio refused refunds for botched patients. They said they were spreading awareness so people could avoid him.
1 thread they wrote in
- 1,300 grafts surgery 2025
- Fantastic experience overall source ↗
- Made me feel comfortable source ↗
- Shedding stage pretty hard source ↗
- Donor completely unnoticeable source ↗
Ragethrowaway00 reported a 1,300-graft procedure with Dr. Espinosa Custodio around July 2025, paying 3000 EUR. They characterized the experience as fantastic and said the surgeon made a strong effort to meet expectations and make them comfortable. At about 2.1 months post-op, they reported hard shedding and being near baseline, while saying the donor area was completely unnoticeable.
2 threads they wrote in
- 3,200 grafts surgery 2026
PerfectDoubleTapered reported a January 2026 transplant with Dr Custodio in Mexico City, described as 3,250 grafts in the immediate post-operative post and 3,200 grafts at the four-month update. They said they had “a great experience with Dr Custodio and his team” immediately after surgery; at four months, they were happy with the shape and waiting for density.
2 threads they wrote in
- NW3 surgery 2025
- Hats off to this man's honesty source ↗
- Anesthetic worked less well than hoped source ↗
- Pain was worse than yesterday source ↗
- Grafts look pretty good source ↗
In January 2025, the reporter underwent a two-day FUE procedure with Espinosa Custodio; 1,500 grafts were completed on day one, while the final total was unknown. They said the quoted price was $3 per graft. They praised the surgeon's honesty and thought the grafts looked pretty good, but described significant pain and less-effective anesthetic in some recipient areas.
2 threads they wrote in
- Jan 2025 Espinosa Custodio, Day 2/2 ↗
- Jan 2025 Post op day 1 of 2 Espinosa Custodio ↗
- 3,086 grafts
- Estimated only 30% survival source ↗
- Hairs were improperly angled source ↗
- Clinic communication was extremely generic source ↗
- Surgeon refused requested refund source ↗
Bunny_Ears_69 reported receiving 3,086 follicle units from Dr. Espinosa Custodio and posted a 12-month update. They characterized the result as a failure, estimating about 30% survival and saying the surviving hairs were not aligned at proper angles; they also said the clinic’s response was generic and that their refund request was refused.
1 thread they wrote in
- 2,800 grafts
- Believes Dr. Custodio does great work source ↗
- Concerned about recent Mexico clinic results source ↗
They paid a $2,700 deposit for a planned 2,800-graft FUE procedure with Dr. Custodio's clinic in Spain. Before surgery, they regretted the booking and considered switching surgeons. They said Dr. Custodio does great work, but voiced concern about recent bad results from his Mexico clinic.
1 thread they wrote in
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- Calls Espinosa Custodio a badass doctor source ↗
The user was planning a repair with Espinosa Custodio; no surgery date, graft count, technique, or post-operative outcome was reported. They stated the repair would cost another $5,000. They characterized Espinosa Custodio as a “badass doctor,” while seeking repair after describing their earlier transplant as botched.
1 thread they wrote in
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Next_Emphasis4620 said their transplant with Espinosa Custodio in Spain was scheduled for the following month and included one PRP session, with advice for two more in subsequent months. They did not report a procedure, outcome, complications, or overall judgment of the surgeon.
1 thread they wrote in
- NW5 3,800 grafts surgery 2024
Intensive__Purposes reported 3,800 grafts with Dr Espinosa Custodio in February 2024 after being “probably a NW5.” They hoped the surgery plus pharmacological treatment would produce a good result, while noting they might need another 1–2k graft procedure for crown coverage.
1 thread they wrote in
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They had a consultation with Dr. Custodio Espinosa while considering a hair transplant, with Mexico preferred because they are in California. They stated priorities of a natural-looking hairline and preserving enough donor supply if a second transplant is needed, but gave no overall judgment or reported result for this surgeon.
1 thread they wrote in
- Sept 2024 Hair Transplant advice ↗
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