Virtual Consultation

EFFECTIVE IMMEDIATELY

We are taking every precaution to ensure our clients’ safety and well-being.

We are offering $50 virtual consultations until further notice and will only be available in office to current patients with urgent needs. Please fill out the form below to schedule.

Thank you for your support and we look forward to seeing and assisting you.

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Name*
Date of Birth
Address*

Procedure of Interest

Photos

Take at least 1 photo of each area and attach the photos below.

  • Only take selfies for face procedures
  • Have someone else take the photo or use a mirror for breast or body procedures
  • For face procedures, only include a picture of your face
  • For body or breast procedures, you do not need to include your face

Facing Front

Drop files here or
Accepted file types: jpg, png, tiff, bitmap, jpeg, Max. file size: 50 MB.

    Facing Slight LeftFacing Slight Right

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    Accepted file types: jpg, png, tiff, bitmap, jpeg, Max. file size: 50 MB.

      Facing LeftFacing Right

      Drop files here or
      Accepted file types: jpg, png, tiff, bitmap, jpeg, Max. file size: 50 MB.
        What is your target date for surgery?*

        Preferred Method of Contact*
        News & Special Offers
        Terms & Conditions*
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